1
Davis Advantage for Maternal-Child Nursing Care 3rd Edition Scannell
Ruggiero
[Year]
Chapter 1.Core Concepts of Maternal and Pediatric Healthcare Across the Continuum
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?
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 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.
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
bestnursing 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.
, 2
ANS: C - Asking the patient about her concerns helps promote understanding and individualizes
patient care.
• 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.
• 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
• Who advocated the establishment of the Childrens Bureau?
• Lillian Wald
• Florence Nightingale
• Florence Kelly
•Clara Barton
ANS:A - Lillian Wald is credited with suggesting the establishment of a federal Childrens Bureau.
• 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
, 3
The effects of economic depression on children.
• 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 - Head Start programs were established to increase educational exposure of preschool children.
• 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
• Nursing 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.
• 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.
• 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?
, 4
• American Nurses Association
• States board of nursing
• 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.
• 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.
• What is the purpose of the White House Conference on Children and Youth?
• Set criteria for normal growth patterns.
• Examine the number of live births in minority populations.
• Raise money to support well-child clinics in rural areas.
• Promote comprehensive child welfare.
ANS: D -
White House Conferences on Children and Youth are held every 10 years to promote
comprehensive child welfare.
• How many hours of hospital stay does legislation currently allow for a postpartum patient
who has delivered vaginally without complications?
• 24
• 48
• 36
• 72
ANS: B - Postpartum patients who deliver vaginally stay in the hospital for an average of 48
hours; patients who have had a cesarean delivery usually stay 4 days.
• How does the clinical pathway or critical pathway improve quality of care?
Davis Advantage for Maternal-Child Nursing Care 3rd Edition Scannell
Ruggiero
[Year]
Chapter 1.Core Concepts of Maternal and Pediatric Healthcare Across the Continuum
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?
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 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.
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
bestnursing 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.
, 2
ANS: C - Asking the patient about her concerns helps promote understanding and individualizes
patient care.
• 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.
• 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
• Who advocated the establishment of the Childrens Bureau?
• Lillian Wald
• Florence Nightingale
• Florence Kelly
•Clara Barton
ANS:A - Lillian Wald is credited with suggesting the establishment of a federal Childrens Bureau.
• 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
, 3
The effects of economic depression on children.
• 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 - Head Start programs were established to increase educational exposure of preschool children.
• 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
• Nursing 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.
• 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.
• 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?
, 4
• American Nurses Association
• States board of nursing
• 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.
• 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.
• What is the purpose of the White House Conference on Children and Youth?
• Set criteria for normal growth patterns.
• Examine the number of live births in minority populations.
• Raise money to support well-child clinics in rural areas.
• Promote comprehensive child welfare.
ANS: D -
White House Conferences on Children and Youth are held every 10 years to promote
comprehensive child welfare.
• How many hours of hospital stay does legislation currently allow for a postpartum patient
who has delivered vaginally without complications?
• 24
• 48
• 36
• 72
ANS: B - Postpartum patients who deliver vaginally stay in the hospital for an average of 48
hours; patients who have had a cesarean delivery usually stay 4 days.
• How does the clinical pathway or critical pathway improve quality of care?
