Test Bank For Introduction to Maternity and Pediatric Nursing, 9th Edition, By Gloria Leifer, All Chapters 1-34

TEST BANK FOR i i




IntroductiontoMaternityandPediatricNursing,8th i i i i i i




Editionby Gloria Leifer
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UNITI:AnOverviewo fMaternitya ndPediatricNursing
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Chapter1 :ThePast,Present,and Future
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UNITII:Maternal-NewbornNursing andWomen’sHealth
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Chapter2 :Human ReproductiveAnatomy andPhysiology Chapter
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3 :Fetal Development
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Chapter4 :PrenatalCareand Adaptationsto Pregnancy
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Chapter5 :NursingCareo fWomenwith Complicationsd uringPregnancyChapter
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6 :NursingCareo f Motherand Infantd uringLaborandBirth Chapter7 :Nursing
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Managemento f Pain d uringLaborand Birth
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Chapter8 :NursingCareofWomen with Complicationsd uringLaborandBirth
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Chapter9 :TheFamily afterBirth i i i i i




Chapter1 0:NursingCareofWomenwith ComplicationsFollowingBirthChapter
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1 1:TheNurse’sRolein Women’sHealth Care
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Chapter 12:TheTermNewborn ii i i i




Chapter1 3:PretermandPost-TermNewborns
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Chapter1 4:TheNewborn with aPerinatalInjuryo rCongenital
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Malformation
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UNITIII:TheGrowingChilda ndFamily
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Chapter1 5:An OverviewofGrowth,Development,andNutrition
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Chapter1 6:TheInfant
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Chapter1 7:TheToddlerChapter i i i i




1 8:ThePreschoolChild
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Chapter1 9:TheSchool-AgeChild Chapter
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2 0:TheAdolescent
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UNITIV:Adapting CaretothePediatric Patient
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Chapter2 1:TheChild’sExperience o fHospitalization Chapter
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2 2:Health CareAdaptationsfortheChildandFamily UNITV:
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The Child Needing Nursing Care
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Chapter2 3:TheChildwithaSensoryorNeurologicalCondition
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Chapter2 4:TheChild with aMusculoskeletalConditionChapter
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2 5:TheChild with aRespiratory Disorder
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Chapter2 6:TheChild with aCardiovascularDisorder
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Chapter2 7:TheChild with aConditionoftheBlood,Blood-FormingOrganso rLymphaticSystemChapter2 8:
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TheChild with aGastrointestinalCondition
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Chapter2 9:TheChildwithaGenitourinaryCondition Chapter
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3 0:TheChild with aSkin Condition
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Chapter3 1:TheChildwith aMetabolicCondition
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Chapter3 2:ChildhoodCommunicable Diseases,Bioterrorism,NaturalDisastersand theMaternal-ChildPatient
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Chapter3 3:TheChild withanEmotionalo rBehavioralCondition
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UNITVI:TheChanging HealthCareEnvironment
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Chapter3 4:Complementary and AlternativeTherapiesin Maternity and PediatricNursing
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Chapter 01: The Past, Present, and Future ii ii ii ii ii ii




MULTIPLE CHOICE ii




1. Apatient chooses to have the certifiednurse midwife (CNM) provide care during her pregnancy. What does the
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CNMs scope of practice include?
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a. Practice independent from medical supervision ii ii ii ii




b. Comprehensive prenatal care ii ii




c. Attendance at all deliveries i i i




d. Cesarean sections ii




ANS: B ii




The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated deliveries, and ensures that a
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ibackup physician is availablein case of unforeseen problems.
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DIF:Cognitive Level: Comprehension REF: Page 6
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TOP: Advance Practice Nursing Roles KEY: NursingProcess Step: Implementation
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MSC: NCLEX: Health Promotion and Maintenance: Prevention and E arly Detection of Disease
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2. Which medical pioneer discovered the relationship between the incidence of puerperal feverand unwashed hands?
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a. Karl Cred ii




b. Ignaz Semmelweis ii




c. Louis Pasteur ii




d. Joseph Lister ii




ANS: B ii




IgnazSemmelweis deduced that puerperal fever was septic, contagious, and transmitted by the unwashed hands of
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physicians and medical students.
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DIF:Cognitive Level: Knowledge REF:Page 2 TOP:
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The Past KEY: NursingProcess Step: N/A
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MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
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3. Apregnant woman who has recently immigrated to the United States comments to the nurse, I am afraidof
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childbirth. It is so dangerous. I am afraid I will die. What is the best nursing response reflecting
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cultural sensitivity?
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a. Maternal mortalityin the United States is extremely low. ii i i ii ii ii i i




b. Anesthesia is available to relieve pain duringlabor and childbirth. ii i i i ii ii i i i




c. Tell me why you are afraid of childbirth. ii i i i i i i




d. Your conditionwill be monitored duringlabor anddelivery.ii i i ii ii i ii i




ANS: C ii




Asking the patient about her concerns helps promote understanding and individualizes patient care.
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DIF: Cognitive Level: Application REF: Page 7
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TOP: Cross-Cultural Care KEY: Nursing Process Step:Implementation
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MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
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4. An urban area has been reported to have a high perinatal mortality rate. What information does this provide?
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a. Maternal and infant deaths per 100,000 livebirths per year i i ii ii ii ii i ii ii




b. Deaths of fetuses weighing more than500 gper 10,000births peryear i i ii ii ii i ii i ii i ii i




c. Deaths of infants up to 1 year of age per 1000live births per year i i i i i i ii i ii ii i i i ii




d. Fetaland neonatal deaths per 1000live births per year
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ANS: D ii




The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year. DIF:
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Cognitive Level: Comprehension REF: Page 12
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OBJ: 9 TOP: The Present-Child Care
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KEY:Nursing Process Step: Implementation
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MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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5. What is the focus of current maternity practice? i i i i i ii ii




a. Hospital births for the majorityof women i i ii ii i ii




b. The traditional family unit i ii ii




c. Separation of labor rooms from deliveryrooms ii i i ii ii i




d. A quality family experience for each patient
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ANS: D ii




Current maternity practice focuses ona high-quality family experience for allfamilies, traditional or otherwise.
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DIF: Cognitive Level: Comprehension REF: Page 6
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TOP: The Present-Maternity Care KEY: Nursing Process Step: N/A MSC:
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NCLEX: Health Promotionand Maintenance
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6. Who advocated the establishment ofthe Childrens Bureau? i i i ii i i ii




a. Lillian Wald i




b. Florence Nightingale i




c. Florence Kelly i




d. Clara Barton i




ANS: A ii




Lillian Wald is credited with suggesting the establishment ofa federal Childrens Bureau.
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DIF: Cognitive Level: Knowledge REF: Page 4
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TOP: The Past KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Health Promotionand Maintenance: Growth and Development
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7. What was the result of research done in the 1930s by the Childrens Bureau?
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a. Children with heart problems are now cared for bypediatric cardiologists. i i i i i i i ii i i




b. The Child Abuse and Prevention Act was passed.
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c. Hot lunch programs were established in many schools.
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d. Childrens asylums were founded. ii ii ii




ANS: C ii




Schoolhot lunch programs were developed as a result ofresearch by the Childrens Bureau on the effects of
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economic depression on children.
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DIF:Cognitive Level: Knowledge REF:Page 4 TOP:
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The Past KEY: NursingProcess Step: N/A
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MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care
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8. What government program was implementedto increase the educational exposure of preschool children?
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a. WIC
b. Title XIX of Medicaid i ii ii




c. The Childrens Charter ii ii




d. Head Start i




ANS: D ii




Head Start programs were established to increase educational exposure of preschool children.
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DIF: Cognitive Level: Knowledge REF: Page 3
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TOP: Government Influences in Maternity and Pediatric Care KEY: Nursing Process Step: N/A
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MSC: NCLEX: Health Promotion and Maintenance: Growthand Development
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9. What guidelines define multidisciplinary patient care in terms of expected outcome and timeframe from
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differentareas of care provision?
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a. Clinical pathways ii




b. Nursing outcome criteria ii ii




c. Standards of care ii ii




d. Nursing care plan i ii




ANS: A ii




Clinical pathways, also known as critical pathways orcare maps, are collaborative guidelines that define patient
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icare across disciplines. Expected progress withina specified timeline is identified.
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DIF: Cognitive Level: Knowledge REF: Page 12
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TOP: Health Care Delivery Systems KEY: Nursing Process Step: N/A
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MSC: NCLEX: Safe, E ffectiveCare E nvironment:Coordinated Care
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10. Anursing student has reviewed a hospitalized pediatric patient chart, interviewed her mother, and collected
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admission data. What is the next step the student will take to develop a nursing care plan for this child?
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a. Identify measurable outcomes with a timeline. ii i ii i i




b. Choose specific nursing interventions for the child. ii ii i ii ii ii




c. Determine appropriate nursing diagnoses. ii ii ii




d. State nursing actions related to the childs medical diagnosis.
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ANS: C ii




The nurse uses assessment data to select appropriate nursing diagnoses fromthe NANDA-I list. Outcomes and interventions
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iare then developed to address the relevant nursing diagnoses.
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DIF: Cognitive Level: Application REF: Page 11
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TOP: Nursing Process KEY: Nursing Process Step:Nursing Diagnosis
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MSC: NCLEX: Safe, E ffectiveCare E nvironment:Coordinated Care
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11. Anursing student on an obstetric rotationquestions the floornurse about the definitionof the LVN/LPN scope of
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practice.Whatresource canthe nurseNsUuRg Sg IeN
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i ude nt ? i ii i ii




a. American Nurses Association ii ii




b. States board of nursing i i i




c. JointCommission i




d. Association ofWomens Health, Obstetric and Neonatal Nurses ii i ii ii ii i ii




ANS: B ii




The scope of practiceof the LVN/LPN is published by the states board of nursing.
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DIF:Cognitive Level: Comprehension REF:Page 3
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OBJ: 18 TOP: Critical Thinking
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KEY:Nursing Process Step: Implementation i i ii ii




MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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12. What was recommended by Karl Cred in 1884? ii ii ii i ii i i




a. All women should be delivered in a hospital setting.
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b. Chemical means should be used to combat infection. ii i i ii i i i




c. Podalic version should be done on all fetuses. ii i i ii ii i ii




d. Silver nitrateshould be placed in the eyes of newborns. ii i i i i i i ii ii




ANS: D ii




In1884 Karl Cred recommended the use of2% silver nitrate in the eyes of newborns to reduce the incidence ofblindness.
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DIF: Cognitive Level: Knowledge REF: Page 2
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TOP: Use of Silver Nitrate KEY: NursingProcess Step: N/A
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MSC: NCLEX: Health Promotion and Maintenance: Prevention and E arly Detection of Disease
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13. What is the purpose of the White House Conference on Children and Youth? i i ii ii i ii i i ii i i i




a. Setcriteria for normal growthpatterns.
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