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,TEST BANK FOR
_ _
Introduction to Maternity and Pediatric Nu
_ _ _ _ _
rsing, 8th Edition by Gloria Leifer
_ _ _ _ _
UNIT_I:_An_Overview_of_Maternity_and_Pediatric_Nursing
Chapter_ 1:_The_Past,_Present,_and_Future
UNIT_II:_Maternal-
Newborn_Nursing_and_Women’s_Health_Chapter_2:_Human_R
eproductive_Anatomy_and_Physiology_Chapter_3:_Fetal_Develop
ment
Chapter_4:_Prenatal_Care_and_Adaptations_to_Pregnancy
Chapter_5:_Nursing_Care_of_Women_with_Complications_during_Pregnancy_
Chapter_6:_Nursing_Care_of_Mother_and_Infant_during_Labor_and_Birth_Ch
apter_7:_Nursing_Management_of_Pain_during_Labor_and_Birth
Chapter_8:_Nursing_Care_of_Women_with_Complications_during_Labor
_and_Birth
Chapter_9:_The_Family_after_ Birth
Chapter_10:_Nursing_Care_of_Women_with_Complications_Following_Birth_
Chapter_11:_The_Nurse’s_Role_in_Women’s_Health_Care
Chapter_ 12:_The_Term_Newborn
Chapter_13:_Preterm_and_Post-
Term_Newborns_Chapter_14:_The_Newborn_with_a_P
erinatal_Injury_or_Congenital_Malformation
UNIT_III:_The_Growing_Child_and_Family
Chapter_15:_An_Overview_of_Growth,_Development,_and_Nutriti
on_Chapter_16:_The_Infant
Chapter_ 17:_The_Toddler_Cha
pter_18:_The_Preschool_Child
Chapter_19:_The_School-
Age_Child_Chapter_20:_The_Adol
escent
UNIT_IV:_Adapting_Care_to_the_Pediatric_Patient_Cha
pter_21:_The_Child’s_Experience_of_Hospitalization_Chapt
er_22:_Health_Care_Adaptations_for_the_Child_and_Family_
UNIT_V:_The_Child_Needing_Nursing_Care
Chapter_23:_The_Child_with_a_Sensory_or_Neurological_Conditi
on_Chapter_24:_The_Child_with_a_Musculoskeletal_Condition_
Chapter_25:_The_Child_with_a_Respiratory_Disorder
Chapter_26:_The_Child_with_a_Cardiovascular_Disorder
Chapter_27:_The_Child_with_a_Condition_of_the_Blood,_Blood-
Forming_Organs_or_Lymphatic_System_Chapter_28:_The_Child_with_a_Gastrointestinal_Condition
Chapter_29:_The_Child_with_a_Genitourinary_Condition_Ch
apter_30:_The_Child_with_a_Skin_Condition
Chapter_31:_The_Child_with_a_Metabolic_Condition
Chapter_32:_Childhood_Communicable_Diseases,_Bioterrorism,_Natural_Disasters_and_the_Maternal-
Child_Patient
Chapter_33:_The_Child_with_an_Emotional_or_Behavioral_Condition
UNIT_VI:_The_Changing_Health_Care_Environment
Chapter_34:_Complementary_and_Alternative_Therapies_in_Maternity_and_Pediatric_Nursing
, INTRODUCTION_TO_MATERNITY_AND_PEDIATRIC_NURSING_8TH_EDITION_LEIFER_TEST_BA
NK
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Chapter 01: The Past, Present, and Future
_ _ _ _ _ _
MULTIPLE_ CHOICE
1. A_patient_chooses_to_have_the_certified_nurse_midwife_(CNM)_provide_care_during_her_pregnancy._What_d
oes_the_CNMs_scope_of_practice_include?
a. Practice_ independent_ from_ medical_ supervision
b. Comprehensive_prenatal_care
c. Attendance_at_all_deliveries
d. Cesarean_sections
ANS:_B
The_CNM_provides_comprehensive_prenatal_and_postnatal_care,_attends_uncomplicated_deliveries,_and_ens
ures_that_a_backup_physician_is_available_in_case_of_unforeseen_problems.
DIF:_Cognitive_ Level:_ Comprehension_REF:_ Page_ 6
TOP:_ Advance_ Practice_ Nursing_ Roles_ KEY:_ Nursing_Process_ Step:_ Implementation
MSC:_NCLEX:_ Health_ Promotion_ and_ Maintenance:_ Prevention_ and_Early_Detection_ of_ Disease
2. Which_medical_pioneer_discovered_the_relationship_between_the_incidence_of_puerperal_fever_and_unwash
ed_hands?
a. Karl_Cred
b. Ignaz_ Semmelweis
c. Louis_ Pasteur
d. Joseph_ Lister
ANS:_B
Ignaz_Semmelweis_deduced_that_puerperal_fever_was_septic,_contagious,_and_transmitted_by_the_unwashed_
hands_of_physicians_and_medical_students.
DIF:_Cognitive_ Level:_Knowledge_REF:_Page_2_T
OP:_The_ Past_ KEY:_ Nursing_Process_ Step:_ N/A
MSC:_NCLEX:_ Safe,_ Effective_ Care_ Environment:_ Safety_and_ Infection_Control
3. A_pregnant_woman_who_has_recently_immigrated_to_the_United_States_comments_to_the_nurse,_I_am_afrai
d_of_childbirth._It_is_so_dangerous._I_am_afraid_I_will_die._What_is_the_best_nursing_response_reflecting_cult
ural_sensitivity?
a. Maternal_ mortality_in_the_ United_ States_ is_extremely_low.
b. Anesthesia_is_available_to_relieve_pain_during_labor_and_childbirth.
c. Tell_me_why_you_are_afraid_of_childbirth.
d. Your_ condition_will_be_ monitored_ during_labor_ and_delivery.
ANS:_C
Asking_the_ patient_about_ her_ concerns_ helps_ promote_ understanding_ and_individualizes_ patient_ care.
DIF:_ Cognitive_ Level:_Application_REF:_Page_7
TOP:_Cross-
Cultural_Care_KEY:_Nursing_Process_Step:_Implementation_MSC:_N
CLEX:_Psychosocial_Integrity:_Psychological_Adaptation
4. An_urban_area_ has_ been_reported_to_ have_a_ high_perinatal_ mortality_rate._ What_ information_ does_ this_ provide?
a. Maternal_and_infant_deaths_ per_ 100,000_ live_births_ per_year
b. Deaths_of_fetuses_ weighing_ more_ than_500_ g_per_ 10,000_births_ per_ year
c. Deaths_ of_infants_up_to_1_ year_ of_age_ per_1000_live_births_ per_ year
d. 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._DIF:_Cognitive_Level:_Comprehension_REF:_Page_12
, INTRODUCTION_TO_MATERNITY_AND_PEDIATRIC_NURSING_8TH_EDITION_LEIFER_TEST_BA
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OBJ:_ 9_ TOP:_The_ Present-Child_ Care
KEY:_ Nursing_ Process_ Step:_ Implementation
MSC:_NCLEX:_ Safe,_ Effective_ Care_ Environment:_ Coordinated_ Care
5. What_is_the_focus_of_current_ maternity_ practice?
a. Hospital_births_ for_ the_ majority_of_ women
b. The_traditional_family_ unit
c. Separation_ of_ labor_ rooms_ from_ delivery_ rooms
d. 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.
DIF:_ Cognitive_ Level:_Comprehension_REF:_Page_ 6
TOP:_The_Present-
Maternity_Care_KEY:_Nursing_Process_Step:_N/A_MSC:_NCLEX:_He
alth_Promotion_and_Maintenance
6. Who_advocated_the_establishment_of_the_Childrens_Bureau?
a. Lillian_Wald
b. Florence_Nightingale
c. Florence_Kelly
d. Clara_Barton
ANS:_ A
Lillian_Wald_is_credited_with_suggesting_the_ establishment_ of_a_ federal_Childrens_ Bureau.
DIF:_ Cognitive_ Level:_Knowledge_REF:_ Page_4
TOP:_ The_Past_ KEY:_Nursing_ Process_ Step:_ Implementation
MSC:_ NCLEX:_ Health_ Promotion_ and_ Maintenance:_ Growth_ and_Development
7. What_was_ the_result_ of_research_ done_in_the_1930s_ by_the_ Childrens_ Bureau?
a. Children_ with_heart_ problems_ are_now_cared_for_ by_ pediatric_ cardiologists.
b. The_ Child_Abuse_and_ Prevention_ Act_ was_ passed.
c. Hot_ lunch_ programs_ were_established_in_ many_schools.
d. 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.
DIF:_Cognitive_ Level:_Knowledge_REF:_Page_4_T
OP:_The_ Past_ KEY:_ Nursing_Process_ Step:_ N/A
MSC:_ NCLEX:_ Health_ Promotion_ and_Maintenance:_ Coordinated_ Care
8. What_government_ program_ was_ implemented_ to_increase_ the_ educational_ exposure_ of_ preschool_ children?
a. WIC
b. Title_ XIX_ of_ Medicaid
c. The_ Childrens_ Charter
d. Head_Start
ANS:_D
Head_Start_programs_ were_established_ to_increase_ educational_ exposure_ of_ preschool_ children.
DIF:_ Cognitive_ Level:_Knowledge_REF:_ Page_3
TOP:_Government_Influences_in_Maternity_and_Pediatric_Care_KEY:_Nursing_Process_Step:_
N/A_MSC:_NCLEX:_Health_Promotion_and_Maintenance:_Growth_and_Development
9. What_guidelines_define_multidisciplinary_patient_care_in_terms_of_expected_outcome_and_timeframe_f
rom_different_areas_of_care_provision?