Test Bank - Safe Maternity and Pediatric Nursing Care, 2nd Edition (Linnard-Palmer, 2021), Chapter 1-38 | All Chapters

,Chapter 1. Introduction to Maternity and Pediatric Nursing
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2 MULTIPLE CHOICE i2




1. A patient chooses to have the certified nurse midwife (CNM) provide care during her
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pregnancy. What does the CNMs scope of practice include?
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a. Practice independent from medical supervisioni2 i2 i2 i2



b. Comprehensive prenatal care i2 i2



c. Attendance at all deliveries i2 i2 i2



d. Cesarean sections i2 i



2 ANS: B i2



The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated deliveries,
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i2 and ensures that a backup physician is available in case of unforeseen problems.
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DIF: Cognitive Level: Comprehension REF: Page 6 OBJ: 12
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TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
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2. Which medical pioneer discovered the relationship between the incidence of puerperal fever
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and unwashed hands?
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a. Karl Cred i2



b. Ignaz Semmelweis i2



c. Louis Pasteur i2



d. Joseph Lister i2 i



2 ANS: B i2



Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the u
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nwashed hands of physicians and medical students.
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DIF: Cognitive Level: Knowledge REF: Page 2 OBJ: 1 TO
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P: The Past KEY: Nursing Process Step: N/A
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MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
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3. A pregnant woman who has recently immigrated to the United States comments to the nurse, I
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,am afraid of childbirth. It is so dangerous. I am afraid I will die. What is the best nursing respo
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nse reflecting cultural sensitivity?
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a. Maternal mortality in the United States is extremely low.
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b. Anesthesia is available to relieve pain during labor and childbirth.
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c. Tell me why you are afraid of childbirth.
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d. Your condition will be monitored during labor and delivery.
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ANS: C i2



Asking the patient about her concerns helps promote understanding and individualizes patient ca
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re.

DIF: Cognitive Level: Application REF: Page 7-8 OBJ: 8
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TOP: Cross- i2



Cultural Care KEY: Nursing Process Step: Implementation MSC: NCL
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EX: 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
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this provide?
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a. Maternal and infant deaths per 100,000 live births per year
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b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
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c. Deaths of infants up to 1 year of age per 1000 live births per year
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d. Fetal and neonatal deaths per 1000 live births per year
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ANS: D i2



The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
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DIF: Cognitive Level: Comprehension REF: Page 12, Box 1-
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6 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?
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a. Hospital births for the majority of women i2 i2 i2 i2 i2 i2



b. The traditional family unit
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c. Separation of labor rooms from delivery rooms i2 i2 i2 i2 i2 i2



d. A quality family experience for each patient
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2 ANS: D i2



Current maternity practice focuses on a high-
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quality family experience for all families, traditional or otherwise.
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, DIF: Cognitive Level: Comprehension REF: Page 6 OBJ: 7
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TOP: The Present- i2 i2



Maternity Care KEY: Nursing Process Step: N/A MSC: NCLEX: Healt
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h Promotion and Maintenance
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6. Who advocated the establishment of the Childrens Bureau?
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a. Lillian Wald i2



b. Florence Nightingale i2



c. Florence Kelly i2



d. Clara Barton i2 i



2 ANS: A i2



Lillian Wald is credited with suggesting the establishment of a federal Childrens Bureau.
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DIF: Cognitive Level: Knowledge REF: Page 4 OBJ: 1 | 2 TO
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P: The Past KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Health Promotion and 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 by pediatric cardiologists.
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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. i2 i2 i2 i



2 ANS: C i2



School hot lunch programs were developed as a result of research by the Childrens Bureau on th
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e effects of economic depression on children.
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DIF: Cognitive Level: Knowledge REF: Page 4 OBJ: 2 | 3
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TOP: The Past KEY: Nursing Process Step: N/A
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MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care
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8. What government program was implemented to increase the educational exposure of
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preschool children? i2



a. WIC
b. Title XIX of Medicaid i2 i2 i2



c. The Childrens Charteri2 i2



d. Head Start i2 i



2 ANS: D i2



Head Start programs were established to increase educational exposure of preschool children.
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