Nursing Care 2nd Edition
by Luanne Linnard-Palmer
, Safe Maternity and Pediatric
Nursing Care 2nd Edition
Linnard-Palmer Test Bank
Chapter 1. Introduction to Maternity and Pediatric Nursing
MULTIPLE CHOICE
• A patient chooses to have the certified nurse midwife (CNM)
provide care during her pregnancy. What does the CNMs scope of practice include?
• Practice independent from medical supervision
• Comprehensive prenatal care
• Attendance at all deliveries
•
Cesar
ean
sectio
ns
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 OBJ: 12
TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
• Which medical pioneer discovered the relationship between the
incidence of puerperal feverand unwashed hands?
• Karl Cred
• Ignaz Semmelweis
• Louis Pasteur
, •
J
o
s
e
p
h
L
is
t
e
r
A
N
S:
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 OBJ: 1
TOP: The Past KEY: Nursing Process Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
• 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
nursingresponse 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.ANS: C
Asking the patient about her concerns helps promote understanding and individualizes
patientcare.
DIF: Cognitive Level: Application REF: Page 7-8 OBJ: 8
TOP: Cross-Cultural Care KEY: Nursing Process Step:
ImplementationMSC: NCLEX: Psychosocial Integrity: Psychological
Adaptation
, • An urban area has been reported to have a high perinatal mortality rate.
What information doesthis 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 yearANS: D
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
DIF: Cognitive Level: Comprehension REF: Page 12, Box 1-
6OBJ: 9 TOP: The Present-Child Care
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
• 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 patientANS:
D
Current maternity practice focuses on a high-quality family experience for all families,
traditional or otherwise.
DIF: Cognitive Level: Comprehension REF: Page 6 OBJ: 7
TOP: The Present-Maternity Care KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance
• Who advocated the establishment of the Childrens Bureau?
• Lillian Wald
• Florence Nightingale
• Florence Kelly
•