Davis Advantage for Maternal- Child Nursing Care 3rd Edition
by Scannell Ruggiero
Complete with QAS 2023 100% GRADED
Chapter 1.Core Concepts of Maternal and Pediatric Healthcare Across the Continuum
theoretical knowledge and practical application. Depending on the subject area, these exams can vary significantly in format. Common types of business exams and Writing
MULTIPLE CHOICE
1. A patient chooses to have the certified nurse midwife (CNM) provide care during her pregnancy. What
does the CNMs scope of practice include?
• Practice independent from medical supervision
• Comprehensive prenatal care
• Attendance at all deliveries
• Cesarean sections
ANS:B
The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated deliveries, and ensures
that a backup physician is available in case of unforeseen problems.
REF: Page 6
2. Which medical pioneer discovered the relationship between the incidence of puerperal fever and
unwashed hands?
• Karl Cred
• Ignaz Semmelweis
• Louis Pasteur
• Joseph List
ANS: B
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the unwashed
hands of physicians and medical students.
REF: Page 2
3. A pregnant woman who has recently immigrated to the United States comments to the nurse, I Am
afraid of childbirth. It is so dangerous. I am afraid I will die. What is the best nursing response reflecting
cultural sensitivity?
• Maternal mortality in the United States is extremely low.
• Anesthesia is available to relieve pain during labor and childbirth.
• Tell me why you are afraid of childbirth.
• Your condition will be monitored during labor and delivery.
ANS: C
Asking the patient about her concerns helps promote understanding and individualizes patient care.
REF: Page 7-8
, : :
Psychological
4. An urban area has been reported to have a high perinatal mortality rate. What information does this provide?
• Maternal and infant deaths per 100,000 live births per year
• Deaths of fetuses weighing more than 500 g per 10,000 births per year
• Deaths of infants up to 1 year of age per 1000 live births per year
• Fetal and neonatal deaths per 1000 live births per year
ANS: D
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
: REF: Page 12,
Box 1-6 9 : The Present-Child Care
theoretical knowledge and practical application. Depending on the subject area, these exams can vary significantly in format. Common types of business exams and Writing
5. What is the focus of current maternity practice?
• Hospital births for the majority of women
• The traditional family unit
• Separation of labor rooms from delivery rooms
• A quality family experience for each patient
ANS: D
Current maternity practice focuses on a high-quality family experience for all families, traditional or otherwise.
: REF: Page 6 7
: The Present-Maternity Care
N/A : Health Promotion and Maintenance
6. Who advocated the establishment of the Childrens Bureau?
• Lillian Wald
• Florence Nightingale
• Florence Kelly
. C Lara Barton
ANS: A
, Lillian Wald is credited with suggesting the establishment of a federal Childrens Bureau. REF: Page 4
1 | 2 : The Past
theoretical knowledge and practical application. Depending on the subject area, these exams can vary significantly in format. Common types of business exams and Writing
: Health Promotion and Maintenance: Growth and Development
7. What was the result of research done in the 1930s by the Childrens Bureau?
• Children with heart problems are now cared for by pediatric cardiologists.
• The Child Abuse and Prevention Act was passed.
• Hot lunch programs were established in many schools.
• Childrens asylums were founded.
ANS: C
School hot lunch programs were developed as a result of research by the Childrens Bureau on the
effects of economic depression on children. REF: Page 4
2 | 3 : The Past N/A
: Health Promotion and Maintenance: Coordinated Care
8. What government program was implemented to increase the educational exposure of preschool children?
• WIC
• Title XIX of Medicaid
• The Childrens Charter
• Head Start
ANS: D
theoretical knowledge and practical application. Depending on the subject area, these exams can vary significantly in format. Common types of business exams and Writing
Head Start programs were established to increase educational exposure of preschool children. REF: Page 3 5
: Government Influences in Maternity and Pediatric Care N/A
: Health Promotion and Maintenance: Growth and Development
9. What guidelines define multidisciplinary patient care in terms of expected outcome and timeframe from
different areas of care provision?
• Clinical pathways
• Nursing outcome criteria
• Standards of care
• Nursng care plan
ANS: A
Clinical pathways, also known as critical pathways or care maps, are collaborative guidelines that define patient
care across disciplines. Expected progress within a specified timeline is identified.
REF: Page 12 14
: Health Care Delivery Systems
, Safe, Effective Care Environment:
Coordinated Care
• A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her mother, and
collected admission data. What is the next step the student will take to develop a nursing care plan for this
child?
• Identify measurable outcomes with a timeline.
• Choose specific nursing interventions for the child.
• Determine appropriate nursing diagnoses.
• State nursing actions related to the childs medical diagnosis. ANS: C
The nurse uses assessment data to select appropriate nursing diagnoses from the NANDA-I list.
Outcomes and interventions are then developed to address the relevant nursing diagnoses. REF: Page 11 13
: Nursing
Diagnosis : Safe, Effective Care Environment:
Coordinated Care
• A nursing student on an obstetric rotation questions the floor nurse about the definition of the LVN/LPN
scope of practice. What resource can the nurse suggest to the student?
• American Nurses Association
• States board of nursing
theoretical knowledge and practical application. Depending on the subject area, these exams can vary significantly in format. Common types of business exams and Writing
• Joint Commission
• Association of Womens Health, Obstetric and Neonatal Nurses ANS: B
The scope of practice of the LVN/LPN is published by the states board of nursing.
: REF: Page 3, Legal and Ethical Considerations 18 : Critical Thinking
:
• What was recommended by Karl Cred in 1884?
• All women should be delivered in a hospital setting.
• Chemical means should be used to combat infection.
• Podalic version should be done on all fetuses.
• Silver nitrate should be placed in the eyes of newborns. ANS: D
In 1884 Karl Cred recommended the use of 2% silver nitrate in the eyes of newborns to reduce the incidence of
blindness.