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Safe Maternity & Pediatric Nursing Care
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Luanne Linnard-Palmer, Gloria Haile Coats
2nd Edition
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,Safe Maternity and Pediatric Nursing Care 2nd Edition Linnard-Palmer Test Bank
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Chapter 1. Introduction to Maternity and Pediatric Nursing
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MULTIPLE CHOICE
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1. A patient chooses to have the certified nurse midwife (CNM) provide care during her pregnancy.
What does the CNMs scope of practice include?
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a. Practice independent from medical supervision
b. Comprehensive prenatal care
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c. Attendance at all deliveries
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d. Cesarean sections ANS: B
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The CNM provides comprehensive prenataland postnatal care, attends uncomplicated deliveries, and
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ensures that a backup physician is available in case of unforeseen problems.
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: Preventionand Early Detection of Disease
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2.
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Which medical pioneer discovered the relationship between the incidence of puerperal fever
and unwashed hands?
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a. Karl Cred C
b. Ignaz Semmelweis
c. Louis Pasteur
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d. Joseph Lister ANS: B
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Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the
unwashed hands of physicians and medicalstudents.
DIF: Cognitive Level: Knowledge REF: Page 2 OBJ: 1 TOP: The Past KEY: Nursing Process
Step: N/AMSC: 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 response
reflecting cultural sensitivity?
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a. Maternal mortality in the United States is extremely low.
b. Anesthesia is available to relieve pain during labor and childbirth.
c.
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Tell me why you are afraid of childbirth.
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d. Your condition will be monitored during labor and delivery. ANS: C
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Asking the patient about her concerns helps promote understandingand individualizes patient care.
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DIF: Cognitive Level: Application REF: Page 7-8 OBJ: 8
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TOP: Cross-Cultural Care KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity:
Psychological Adaptation N
4. An urban area has been reported to have a high perinatal mortality rate. What information does
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this provide? N
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
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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 ANS: D C
The perinatalmortality rate includes fetal and neonataldeaths per 1000 live births per year.
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DIF: Cognitive Level: Comprehension REF: Page 12, Box 1-6 OBJ: 9 TOP: The Present-Child
Care KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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5. What is the focus of current maternity practice?
a. Hospital births for the majority of women
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