,Leifer: Maternity Nursing: An Introductory Text, 11th Edition
Chapter 01: Contemporary Maternity Care, Family, and Cultural Considerations
Test Bank
MULTIPLE CHOICE
1. A disadvantage of freestanding birth centers is that:
a. Many lack adequate technology and medical care to deal with complications.
b. They are often more expensive than hospital-based delivery settings.
c. The presence of family members increases the risk of postpartum infection.
d. Mothers are expected to leave freestanding birthing centers shortly after delivery.
ANS: A
Many of these centers do not have the technology or medical care readily available to assist in
an emergency.
DIF: Cognitive Level: Knowledge REF: 2 OBJ: 2
TOP: Birth Settings KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
2. The role of the community-based nurse has evolved to emphasize:
a. Managing care to cure health problems once they have been identified
b. Participating in the activities of a team of interdisciplinary health care providers
c. Providing direct care to patients
d. Planning patient care
ANS: B
The nurse must work with the interdisciplinary health care team to identify needs within the
community and create cost-effective approaches to comprehensive preventive and therapeutic
care. While providing and planning patient care is still important, the evolving role of the
community-health nurse now requires additional skills, such as creativity, problem solving,
coordination of multidisciplinary caregivers, case management, assessment, and referral.
DIF: Cognitive Level: Comprehension REF: 4 OBJ: 6
TOP: Community-Based Nursing KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance
3. Symbols, actions, gestures, facial expressions, and body positions are examples of:
a. Subtle communication
b. Listening
c. Nonverbal language
d. Observation
Copyright © 2012, 2008 by Saunders, an imprint of Elsevier Inc.
, Test Bank 1-2
ANS: C
These are all examples of nonverbal language—means of communicating a message without
words.
DIF: Cognitive Level: Knowledge REF: 8 OBJ: 11
TOP: Communication KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
4. A health care system in which physicians and hospitals contract with insurers to provide
service at a discounted rate to members is a:
a. Health maintenance organization
b. Diagnosis-related group
c. Preferred provider organization
d. Federally managed insurance plan
ANS: C
A preferred provider organization (PPO) is a network of providers who agree to provide care
at a discount to individuals covered under the plan.
DIF: Cognitive Level: Knowledge REF: 3 OBJ: 7
TOP: Managed Care KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
5. Unlike a nursing care plan, a clinical pathway:
a. Includes nursing interventions
b. Presents criteria for hospital discharge
c. Spells out the patient progress expected each day
d. Includes nursing care only
ANS: C
Clinical pathways guide the daily care and expected progress of the patient. They reflect a
multidisciplinary focus and are based on research and standards of care. The nursing care plan
applies patient and nursing responses based on structured problem-solving approaches to
clinical problems.
DIF: Cognitive Level: Comprehension REF: 3-4 OBJ: 5
TOP: Clinical Pathways KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
6. The nurse is working with a pregnant woman who is employed at minimum wage. She has
three small children. Her mother cares for the children so she can work, but she says she
cannot afford to feed her children properly. The nurse should refer her to the:
a. Women, Infants, and Children program
b. National Institutes of Health
Copyright © 2012, 2008 by Saunders, an imprint of Elsevier Inc.
, Test Bank 1-3
c. Local Medicare office
d. Job Corps
ANS: A
The woman’s immediate need is to feed herself and her children. The Women, Infants, and
Children (WIC) program provides supplemental food and education for the indigent.
DIF: Cognitive Level: Application REF: 4 OBJ: 7
TOP: Specific Government Influences in Maternal/Infant Care
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance
7. The patient asks the nurse why the birth certificate is important. The nurse explains that
statistics gathered from the birth certificate are used to:
a. Supplement data obtained in the U.S. census.
b. Track maternal mortality rates.
c. Guide the allocation of resources for mothers and infants.
d. Document outcomes of all pregnancies in the United States.
ANS: C
Birth certificates document live births and provide information about maternal and infant
health that is used in determining the allocation of health resources.
DIF: Cognitive Level: Comprehension REF: 5 OBJ: 8
TOP: Statistics Important to Maternal/Infant Care KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
8. The effect of standards of care on nursing is to:
a. Establish minimum criteria for competent nursing care.
b. Allow other professions to determine what constitutes nursing care.
c. Encourage lawsuits by presenting unrealistic expectations of nurses.
d. Specify what action a nurse with a master’s degree would take in a given situation.
ANS: A
Standards of care provide a minimum standard by which to judge the quality of care provided.
They are based on expectations of what a reasonable nurse with similar education and
experience would do in like circumstances. Therefore, expectations of an LPN/LVN and an
MSN would differ. The standards come from professional nursing organizations.
DIF: Cognitive Level: Knowledge REF: 5 OBJ: 9
TOP: Standards of Care KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
Copyright © 2012, 2008 by Saunders, an imprint of Elsevier Inc.
Chapter 01: Contemporary Maternity Care, Family, and Cultural Considerations
Test Bank
MULTIPLE CHOICE
1. A disadvantage of freestanding birth centers is that:
a. Many lack adequate technology and medical care to deal with complications.
b. They are often more expensive than hospital-based delivery settings.
c. The presence of family members increases the risk of postpartum infection.
d. Mothers are expected to leave freestanding birthing centers shortly after delivery.
ANS: A
Many of these centers do not have the technology or medical care readily available to assist in
an emergency.
DIF: Cognitive Level: Knowledge REF: 2 OBJ: 2
TOP: Birth Settings KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
2. The role of the community-based nurse has evolved to emphasize:
a. Managing care to cure health problems once they have been identified
b. Participating in the activities of a team of interdisciplinary health care providers
c. Providing direct care to patients
d. Planning patient care
ANS: B
The nurse must work with the interdisciplinary health care team to identify needs within the
community and create cost-effective approaches to comprehensive preventive and therapeutic
care. While providing and planning patient care is still important, the evolving role of the
community-health nurse now requires additional skills, such as creativity, problem solving,
coordination of multidisciplinary caregivers, case management, assessment, and referral.
DIF: Cognitive Level: Comprehension REF: 4 OBJ: 6
TOP: Community-Based Nursing KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance
3. Symbols, actions, gestures, facial expressions, and body positions are examples of:
a. Subtle communication
b. Listening
c. Nonverbal language
d. Observation
Copyright © 2012, 2008 by Saunders, an imprint of Elsevier Inc.
, Test Bank 1-2
ANS: C
These are all examples of nonverbal language—means of communicating a message without
words.
DIF: Cognitive Level: Knowledge REF: 8 OBJ: 11
TOP: Communication KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
4. A health care system in which physicians and hospitals contract with insurers to provide
service at a discounted rate to members is a:
a. Health maintenance organization
b. Diagnosis-related group
c. Preferred provider organization
d. Federally managed insurance plan
ANS: C
A preferred provider organization (PPO) is a network of providers who agree to provide care
at a discount to individuals covered under the plan.
DIF: Cognitive Level: Knowledge REF: 3 OBJ: 7
TOP: Managed Care KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
5. Unlike a nursing care plan, a clinical pathway:
a. Includes nursing interventions
b. Presents criteria for hospital discharge
c. Spells out the patient progress expected each day
d. Includes nursing care only
ANS: C
Clinical pathways guide the daily care and expected progress of the patient. They reflect a
multidisciplinary focus and are based on research and standards of care. The nursing care plan
applies patient and nursing responses based on structured problem-solving approaches to
clinical problems.
DIF: Cognitive Level: Comprehension REF: 3-4 OBJ: 5
TOP: Clinical Pathways KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
6. The nurse is working with a pregnant woman who is employed at minimum wage. She has
three small children. Her mother cares for the children so she can work, but she says she
cannot afford to feed her children properly. The nurse should refer her to the:
a. Women, Infants, and Children program
b. National Institutes of Health
Copyright © 2012, 2008 by Saunders, an imprint of Elsevier Inc.
, Test Bank 1-3
c. Local Medicare office
d. Job Corps
ANS: A
The woman’s immediate need is to feed herself and her children. The Women, Infants, and
Children (WIC) program provides supplemental food and education for the indigent.
DIF: Cognitive Level: Application REF: 4 OBJ: 7
TOP: Specific Government Influences in Maternal/Infant Care
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance
7. The patient asks the nurse why the birth certificate is important. The nurse explains that
statistics gathered from the birth certificate are used to:
a. Supplement data obtained in the U.S. census.
b. Track maternal mortality rates.
c. Guide the allocation of resources for mothers and infants.
d. Document outcomes of all pregnancies in the United States.
ANS: C
Birth certificates document live births and provide information about maternal and infant
health that is used in determining the allocation of health resources.
DIF: Cognitive Level: Comprehension REF: 5 OBJ: 8
TOP: Statistics Important to Maternal/Infant Care KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
8. The effect of standards of care on nursing is to:
a. Establish minimum criteria for competent nursing care.
b. Allow other professions to determine what constitutes nursing care.
c. Encourage lawsuits by presenting unrealistic expectations of nurses.
d. Specify what action a nurse with a master’s degree would take in a given situation.
ANS: A
Standards of care provide a minimum standard by which to judge the quality of care provided.
They are based on expectations of what a reasonable nurse with similar education and
experience would do in like circumstances. Therefore, expectations of an LPN/LVN and an
MSN would differ. The standards come from professional nursing organizations.
DIF: Cognitive Level: Knowledge REF: 5 OBJ: 9
TOP: Standards of Care KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
Copyright © 2012, 2008 by Saunders, an imprint of Elsevier Inc.
