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 Reproductive Anatomy and Physiology
Chapter 3: Fetal Development
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
Chapter 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 Perinatal Injury or Congenital
Malformation
UNIT III: The Growing Child and Family
Chapter 15: An Overview of Growth, Development, and Nutrition
Chapter 16: The Infant
Chapter 17: The Toddler
Chapter 18: The Preschool Child
Chapter 19: The School-Age Child
Chapter 20: The Adolescent
UNIT IV: Adapting Care to the Pediatric Patient
Chapter 21: The Child’s Experience of Hospitalization
Chapter 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 Condition
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
Chapter 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 bTO bMATERNITY bAND bPEDIATRIC bNURSING b8TH bEDITION bLEIFER bTEST
BANK
2
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 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.
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 unwashed
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
TOP: 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 afraid of
childbirth. It is so dangerous. I am afraid I will die. What is the best nursing response reflecting cultural
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: NCLEX: 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 bTO bMATERNITY bAND bPEDIATRIC bNURSING b8TH bEDITION bLEIFER bTEST
BANK
3
OBJ: b 9 b TOP: b The bPresent-Child b Care
KEY: bNursing bProcess b Step: b Implementation
MSC: b NCLEX: b Safe, b Effective b Care b Environment: b Coordinated bCare
5. What bis bthe bfocus bof bcurrent b maternity b practice?
a. Hospital bbirths bfor b the b majority bof b women
b. The btraditional b family b unit
c. Separation b of blabor brooms b from b delivery brooms
d. A bquality bfamily bexperience bfor b each b patient
ANS: b D
Current b maternity bpractice bfocuses b on ba bhigh-quality bfamily bexperience bfor b all bfamilies, b traditional b or b otherwise.
DIF: b Cognitive b Level: b Comprehension bREF: b Page b6
TOP: bThe bPresent-Maternity bCare bKEY: bNursing bProcess bStep: bN/A
bMSC: bNCLEX: bHealth bPromotion band bMaintenance
6. Who badvocated bthe bestablishment b of bthe bChildrens b Bureau?
a. Lillian bWald
b. Florence bNightingale
c. Florence b Kelly
d. Clara bBarton
ANS: b A
Lillian bWald bis bcredited bwith bsuggesting bthe bestablishment b of ba b federal bChildrens b Bureau.
DIF: b Cognitive b Level: b Knowledge b REF: b Page b 4
TOP: bThe bPast bKEY: bNursing bProcess bStep: bImplementation
MSC: b NCLEX: b Health bPromotion band b Maintenance: b Growth band bDevelopment
7. What bwas bthe bresult bof bresearch b done bin bthe b1930s bby bthe b Childrens bBureau?
a. Children bwith bheart bproblems bare bnow bcared bfor bby bpediatric bcardiologists.
b. The bChild bAbuse band bPrevention b Act b was bpassed.
c. Hot blunch b programs b were bestablished bin b many bschools.
d. Childrens b asylums b were bfounded.
ANS: b C
School bhot blunch bprograms bwere bdeveloped bas ba bresult bof bresearch bby bthe bChildrens b Bureau bon bthe beffects
b of beconomic bdepression bon bchildren.
DIF: bCognitive bLevel: bKnowledge bREF: bPage b4
bTOP: b The bPast b KEY: b Nursing bProcess b Step: b N/A
MSC: b NCLEX: b Health bPromotion b and b Maintenance: b Coordinated b Care
8. What bgovernment b program b was b implemented bto bincrease b the beducational b exposure b of b preschool b children?
a. WIC
b. Title bXIX b of b Medicaid
c. The b Childrens b Charter
d. Head bStart
ANS: b D
Head bStart bprograms b were b established bto bincrease b educational b exposure b of b preschool b children.
DIF: b Cognitive b Level: b Knowledge b REF: b Page b 3
TOP: bGovernment bInfluences bin bMaternity band bPediatric bCare bKEY: bNursing bProcess bStep:
bN/A bMSC: b NCLEX: b Health b Promotion b and b Maintenance: b Growth band b Development
9. What bguidelines bdefine bmultidisciplinary bpatient bcare bin bterms bof bexpected boutcome band btimeframe
bfrom bdifferent bareas bof bcare bprovision?
, INTRODUCTION bTO bMATERNITY bAND bPEDIATRIC bNURSING b8TH bEDITION bLEIFER bTEST
BANK
4
a. Clinical bpathways
b. Nursing b outcome b criteria
c. Standards b of b care
d. Nursing bcare b plan
ANS: b A
Clinical bpathways, balso bknown bas bcritical bpathways bor bcare bmaps, bare bcollaborative bguidelines bthat bdefine
bpatient b care b across b disciplines. b Expected b progress b within ba b specified b timeline b is b identified.
DIF: b Cognitive b Level: b Knowledge b REF: b Page b 12
TOP: bHealth bCare bDelivery bSystems bKEY: bNursing bProcess bStep:
bN/A bMSC: bNCLEX: bSafe, bEffective bCare bEnvironment: bCoordinated
bCare
10. A bnursing bstudent bhas breviewed ba bhospitalized bpediatric bpatient bchart, binterviewed bher bmother, band
bcollected badmission b data. b What b is b the b next b step bthe b student b will b take b to b develop ba b nursing b care bplan
bfor b this b child?
a. Identify b measurable boutcomes b with ba btimeline.
b. Choose b specific b nursing binterventions b for b the b child.
c. Determine b appropriate b nursing b diagnoses.
d. State bnursing bactions brelated bto bthe b childs b medical bdiagnosis.
ANS: b C
The bnurse buses bassessment bdata bto bselect bappropriate bnursing bdiagnoses bfrom bthe bNANDA-I blist. bOutcomes band
binterventions b are b then b developed b to b address b the b relevant b nursing b diagnoses.
DIF: b Cognitive b Level: b Application b REF: b Page b11
TOP: bNursing bProcess bKEY: bNursing bProcess bStep: bNursing
bDiagnosis bMSC: bNCLEX: bSafe, bEffective bCare bEnvironment:
bCoordinated bCare
11. A bnursing bstudent bon ban bobstetric brotation bquestions bthe bfloor bnurse babout bthe bdefinition bof bthe
bLVN/LPN bscope b of b practice. bWhat bresource b can bthe b nurseNsUuRg Sg IeNstGt oT Bt h. Ce Os tM
ude nt?
a. American bNurses b Association
b. States bboard bof bnursing
c. Joint bCommission
d. Association bof bWomens b Health, b Obstetric b and bNeonatal b Nurses
ANS: b B
The bscope b of b practice bof b the b LVN/LPN b is bpublished bby bthe bstates bboard bof b nursing.
DIF: bCognitive bLevel: bComprehension bREF: bPage
b3 bOBJ: b18 bTOP: bCritical bThinking
KEY: bNursing bProcess b Step: b Implementation
MSC: b NCLEX: b Safe, b Effective b Care b Environment: b Coordinated bCare
12. What b was b recommended b by bKarl b Cred bin b1884?
a. All b women bshould bbe b delivered bin ba b hospital bsetting.
b. Chemical b means bshould bbe b used bto bcombat binfection.
c. Podalic b version bshould bbe b done b on ball b fetuses.
d. Silver b nitrate bshould bbe bplaced bin bthe beyes b of b newborns.
ANS: b D
In b1884 bKarl bCred brecommended bthe buse bof b2% b silver bnitrate bin bthe beyes bof bnewborns bto breduce bthe bincidence bof
bblindness.
DIF: b Cognitive b Level: b Knowledge b REF: b Page b 2
TOP: bUse bof bSilver b Nitrate b KEY: b Nursing bProcess b Step: b N/A
MSC: b NCLEX: b Health bPromotion band b Maintenance: b Prevention band bEarly bDetection b of bDisease
13. What bis bthe b purpose b of bthe b White bHouse bConference b on bChildren band bYouth?
a. Set bcriteria bfor b normal bgrowth bpatterns.
Chapter 1: The Past, Present, and Future
UNIT II: Maternal-Newborn Nursing and Women’s Health
Chapter 2: Human Reproductive Anatomy and Physiology
Chapter 3: Fetal Development
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
Chapter 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 Perinatal Injury or Congenital
Malformation
UNIT III: The Growing Child and Family
Chapter 15: An Overview of Growth, Development, and Nutrition
Chapter 16: The Infant
Chapter 17: The Toddler
Chapter 18: The Preschool Child
Chapter 19: The School-Age Child
Chapter 20: The Adolescent
UNIT IV: Adapting Care to the Pediatric Patient
Chapter 21: The Child’s Experience of Hospitalization
Chapter 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 Condition
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
Chapter 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 bTO bMATERNITY bAND bPEDIATRIC bNURSING b8TH bEDITION bLEIFER bTEST
BANK
2
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 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.
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 unwashed
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
TOP: 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 afraid of
childbirth. It is so dangerous. I am afraid I will die. What is the best nursing response reflecting cultural
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: NCLEX: 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 bTO bMATERNITY bAND bPEDIATRIC bNURSING b8TH bEDITION bLEIFER bTEST
BANK
3
OBJ: b 9 b TOP: b The bPresent-Child b Care
KEY: bNursing bProcess b Step: b Implementation
MSC: b NCLEX: b Safe, b Effective b Care b Environment: b Coordinated bCare
5. What bis bthe bfocus bof bcurrent b maternity b practice?
a. Hospital bbirths bfor b the b majority bof b women
b. The btraditional b family b unit
c. Separation b of blabor brooms b from b delivery brooms
d. A bquality bfamily bexperience bfor b each b patient
ANS: b D
Current b maternity bpractice bfocuses b on ba bhigh-quality bfamily bexperience bfor b all bfamilies, b traditional b or b otherwise.
DIF: b Cognitive b Level: b Comprehension bREF: b Page b6
TOP: bThe bPresent-Maternity bCare bKEY: bNursing bProcess bStep: bN/A
bMSC: bNCLEX: bHealth bPromotion band bMaintenance
6. Who badvocated bthe bestablishment b of bthe bChildrens b Bureau?
a. Lillian bWald
b. Florence bNightingale
c. Florence b Kelly
d. Clara bBarton
ANS: b A
Lillian bWald bis bcredited bwith bsuggesting bthe bestablishment b of ba b federal bChildrens b Bureau.
DIF: b Cognitive b Level: b Knowledge b REF: b Page b 4
TOP: bThe bPast bKEY: bNursing bProcess bStep: bImplementation
MSC: b NCLEX: b Health bPromotion band b Maintenance: b Growth band bDevelopment
7. What bwas bthe bresult bof bresearch b done bin bthe b1930s bby bthe b Childrens bBureau?
a. Children bwith bheart bproblems bare bnow bcared bfor bby bpediatric bcardiologists.
b. The bChild bAbuse band bPrevention b Act b was bpassed.
c. Hot blunch b programs b were bestablished bin b many bschools.
d. Childrens b asylums b were bfounded.
ANS: b C
School bhot blunch bprograms bwere bdeveloped bas ba bresult bof bresearch bby bthe bChildrens b Bureau bon bthe beffects
b of beconomic bdepression bon bchildren.
DIF: bCognitive bLevel: bKnowledge bREF: bPage b4
bTOP: b The bPast b KEY: b Nursing bProcess b Step: b N/A
MSC: b NCLEX: b Health bPromotion b and b Maintenance: b Coordinated b Care
8. What bgovernment b program b was b implemented bto bincrease b the beducational b exposure b of b preschool b children?
a. WIC
b. Title bXIX b of b Medicaid
c. The b Childrens b Charter
d. Head bStart
ANS: b D
Head bStart bprograms b were b established bto bincrease b educational b exposure b of b preschool b children.
DIF: b Cognitive b Level: b Knowledge b REF: b Page b 3
TOP: bGovernment bInfluences bin bMaternity band bPediatric bCare bKEY: bNursing bProcess bStep:
bN/A bMSC: b NCLEX: b Health b Promotion b and b Maintenance: b Growth band b Development
9. What bguidelines bdefine bmultidisciplinary bpatient bcare bin bterms bof bexpected boutcome band btimeframe
bfrom bdifferent bareas bof bcare bprovision?
, INTRODUCTION bTO bMATERNITY bAND bPEDIATRIC bNURSING b8TH bEDITION bLEIFER bTEST
BANK
4
a. Clinical bpathways
b. Nursing b outcome b criteria
c. Standards b of b care
d. Nursing bcare b plan
ANS: b A
Clinical bpathways, balso bknown bas bcritical bpathways bor bcare bmaps, bare bcollaborative bguidelines bthat bdefine
bpatient b care b across b disciplines. b Expected b progress b within ba b specified b timeline b is b identified.
DIF: b Cognitive b Level: b Knowledge b REF: b Page b 12
TOP: bHealth bCare bDelivery bSystems bKEY: bNursing bProcess bStep:
bN/A bMSC: bNCLEX: bSafe, bEffective bCare bEnvironment: bCoordinated
bCare
10. A bnursing bstudent bhas breviewed ba bhospitalized bpediatric bpatient bchart, binterviewed bher bmother, band
bcollected badmission b data. b What b is b the b next b step bthe b student b will b take b to b develop ba b nursing b care bplan
bfor b this b child?
a. Identify b measurable boutcomes b with ba btimeline.
b. Choose b specific b nursing binterventions b for b the b child.
c. Determine b appropriate b nursing b diagnoses.
d. State bnursing bactions brelated bto bthe b childs b medical bdiagnosis.
ANS: b C
The bnurse buses bassessment bdata bto bselect bappropriate bnursing bdiagnoses bfrom bthe bNANDA-I blist. bOutcomes band
binterventions b are b then b developed b to b address b the b relevant b nursing b diagnoses.
DIF: b Cognitive b Level: b Application b REF: b Page b11
TOP: bNursing bProcess bKEY: bNursing bProcess bStep: bNursing
bDiagnosis bMSC: bNCLEX: bSafe, bEffective bCare bEnvironment:
bCoordinated bCare
11. A bnursing bstudent bon ban bobstetric brotation bquestions bthe bfloor bnurse babout bthe bdefinition bof bthe
bLVN/LPN bscope b of b practice. bWhat bresource b can bthe b nurseNsUuRg Sg IeNstGt oT Bt h. Ce Os tM
ude nt?
a. American bNurses b Association
b. States bboard bof bnursing
c. Joint bCommission
d. Association bof bWomens b Health, b Obstetric b and bNeonatal b Nurses
ANS: b B
The bscope b of b practice bof b the b LVN/LPN b is bpublished bby bthe bstates bboard bof b nursing.
DIF: bCognitive bLevel: bComprehension bREF: bPage
b3 bOBJ: b18 bTOP: bCritical bThinking
KEY: bNursing bProcess b Step: b Implementation
MSC: b NCLEX: b Safe, b Effective b Care b Environment: b Coordinated bCare
12. What b was b recommended b by bKarl b Cred bin b1884?
a. All b women bshould bbe b delivered bin ba b hospital bsetting.
b. Chemical b means bshould bbe b used bto bcombat binfection.
c. Podalic b version bshould bbe b done b on ball b fetuses.
d. Silver b nitrate bshould bbe bplaced bin bthe beyes b of b newborns.
ANS: b D
In b1884 bKarl bCred brecommended bthe buse bof b2% b silver bnitrate bin bthe beyes bof bnewborns bto breduce bthe bincidence bof
bblindness.
DIF: b Cognitive b Level: b Knowledge b REF: b Page b 2
TOP: bUse bof bSilver b Nitrate b KEY: b Nursing bProcess b Step: b N/A
MSC: b NCLEX: b Health bPromotion band b Maintenance: b Prevention band bEarly bDetection b of bDisease
13. What bis bthe b purpose b of bthe b White bHouse bConference b on bChildren band bYouth?
a. Set bcriteria bfor b normal bgrowth bpatterns.
