TestaBankaForaIntroductionatoaMaternityaandaPediatricaNursinga9thaEdition 1
,TestaBankaForaIntroductionatoaMaternityaandaPediatricaNursinga9thaEditionaLeifer 2
Chapter 01: The Past, Present, and Future
a a a a a a
Leifer: Introduction to Maternity and Pediatric Nursing, 9th Edition
a a a a a a a a
MULTIPLEaCHOICE
1. Aapatientachoosesatoahaveatheacertifiedanurse-
midwifea(CNM)aprovideacareaduringaherpregnancy.aWhata
doesatheaCNM‘sascopeaofapracticeainclude?
a. Practiceaindependentafromamedicalasupervision
b. Comprehensiveaprenatalacare
c. Attendanceaataalladeliveries
d. Cesareanasections
ANS:a B
TheaCNMaprovidesacomprehensiveaprenatalaandapostnatalaca
re,aattendsauncomplicatedadeliveries,aandaensuresathataaaback
upaphysicianaisaavailableainacaseaofaunforeseenaproblems.
DIF: CognitiveaLevel:aComprehension
REF:ap.a6a
OBJ:a5
TOP:a AdvanceaPracticeaNursingaRoles
KEY:aNursingaProcessaStep:aImplementationaMSC
:aNCLEX:aHealthaPromotionaandaMaintenance:aPreventionaandaEarlyaDetectionaofaDisease
2. Whichamedicalapioneeradiscoveredathearelationshipabetweenatheaincidenceaofapuerperalafeveraa
ndaunwashedahands?
a. KarlaCredé
b. IgnazaSemmelweis
c. LouisaPasteur
d. JosephaLister
ANS:a B
IgnazaSemmelweisadeducedathatapuerperalafeverawasaseptic,acontagious,aandatransmittedabyath
eaunwashedahandsaofaphysiciansaandamedicalastudents.
DIF: CognitiveaLevel:aKnowledge REF:a p.a2
OBJ:a1aTOP:a TheaPast
KEY:aNursingaProcessaStep:aN/A
MSC:aNCLEX:aSafe,aEffectiveaCareaEnvironment:aSafetyaandaInfectionaControl
3. AapregnantawomanawhoahasarecentlyaimmigratedatoatheaUnitedaStatesacommentsatoatheanurse,a“Ia
amaafraidaofachildbirth.aItaisasoadangerous.aIaamaafraidaIawilladie.”aWhataisatheabestanursingarespo
nseareflectingaculturalasensitivity?
a. “MaternalamortalityainatheaUnitedaStatesaisaextremelyalow.”
b. “Anesthesiaaisaavailableatoarelieveapainaduringalaboraandachildbirth.”
c. “Tellameawhyayouaareaafraidaofachildbirth.”
d. “Youraconditionawillabeamonitoredaduringalaboraandadelivery.”
ANS:aC
Askingatheapatientaaboutaheraconcernsahelpsapromoteaunderstandingaandaindividualizesapatientacare.
DIF: CognitiveaLevel:aApplication REF:a a pp.a6-8 OBJ:a 8
TOP:a Cross-CulturalaCare
KEY:aNursingaProcessaStep:aImplementationa
MSC:aNCLEX:aPsychosocialaIntegrity:aPsychologicalaAdaptation
,TestaBankaForaIntroductionatoaMaternityaandaPediatricaNursinga9thaEdition 1
4. Anaurbanaareaahasabeenareportedatoahaveaaahighaperinatalamortalityarate.aWhatainformationad
oesathisaprovide?
a. Maternalaandainfantadeathsapera100,000aliveabirthsaperayear
b. Deathsaofafetusesaweighingamoreathana500agapera10,000abirthsaperayear
c. Deathsaofainfantsaupatoa1ayearaofaageapera1000aliveabirthsapera year
d. Fetalaandaneonataladeathsapera1000aliveabirthsaperayear
ANS:aD
Theaperinatalamortalityarateaincludesafetalaandaneonataladeathsapera1000aliveabirthsapera year.
DIF: CognitiveaLevel:aComprehension
REF:ap.a13a|aBoxa1.6aOBJ:a 9 TOP:aTheaPresent-
ChildaCare
KEY:aNursingaProcessaStep:aImplementation
MSC:aNCLEX:aSafe,aEffectiveaCareaEnvironment:aCoordinatedaCare
5. Whataisatheafocusaofacurrentamaternityapractice?
a. Hospitalabirthsaforatheamajorityaofawomen
b. Theatraditionalafamilyaunit
c. Separationaofalaboraroomsafromadeliveryarooms
d. Aaqualityafamilyaexperienceaforaeachapatient
ANS:aD
Currentamaternityapracticeafocusesaonaaahigh-
qualityafamilyaexperienceaforaallafamilies,atraditionalaoraotherwise.
DIF: CognitiveaLevel:aComprehension REF:a p.a6
OBJ:a5aTOP:a TheaPresent-MaternityaCare
KEY:aNursingaProcessaStep:aN/AaMSC:aNCLEX:aHealthaPromotionaan
daMaintenance
6. WhoaadvocatedatheaestablishmentaofatheaChildren‘saBureau?
a. LillianaWald
b. FlorenceaNightingale
c. FlorenceaKelly
d. ClaraaBarton
ANS:aA
LillianaWaldaisacreditedawithasuggestingatheaestablishmentaofaaafederalaChildren‘saBureau.
DIF: CognitiveaLevel:aKnowledge REF:a p.a4
OBJ:a1a|a2aTOP:a TheaPast
KEY:aNursingaProcessaStep:aImplementation
MSC:aNCLEX:aHealthaPromotionaandaMaintenance:aGrowthaandaDevelopment
7. Whatawasathearesultaofaresearchadoneainathea1930sabyatheaChildren‘saBureau?
a. Childrenawithaheartaproblemsaareanowacaredaforabyapediatricacardiologists.
b. TheaChildaAbuseaandaPreventionaActawasapassed.
c. Hotalunchaprogramsawereaestablishedainamanyaschools.
d. Children‘saasylumsawereafounded.
ANS:aC
SchoolahotalunchaprogramsawereadevelopedaasaaaresultaofaresearchabyatheaChildren‘saBureauaonatheae
ffectsaofaeconomicadepressionaonachildren.
DIF: CognitiveaLevel:aKnowledge REF:a a p.a4 OBJ:a2a|a3
,
,TestaBankaForaIntroductionatoaMaternityaandaPediatricaNursinga9thaEditionaLeifer 2
Chapter 01: The Past, Present, and Future
a a a a a a
Leifer: Introduction to Maternity and Pediatric Nursing, 9th Edition
a a a a a a a a
MULTIPLEaCHOICE
1. Aapatientachoosesatoahaveatheacertifiedanurse-
midwifea(CNM)aprovideacareaduringaherpregnancy.aWhata
doesatheaCNM‘sascopeaofapracticeainclude?
a. Practiceaindependentafromamedicalasupervision
b. Comprehensiveaprenatalacare
c. Attendanceaataalladeliveries
d. Cesareanasections
ANS:a B
TheaCNMaprovidesacomprehensiveaprenatalaandapostnatalaca
re,aattendsauncomplicatedadeliveries,aandaensuresathataaaback
upaphysicianaisaavailableainacaseaofaunforeseenaproblems.
DIF: CognitiveaLevel:aComprehension
REF:ap.a6a
OBJ:a5
TOP:a AdvanceaPracticeaNursingaRoles
KEY:aNursingaProcessaStep:aImplementationaMSC
:aNCLEX:aHealthaPromotionaandaMaintenance:aPreventionaandaEarlyaDetectionaofaDisease
2. Whichamedicalapioneeradiscoveredathearelationshipabetweenatheaincidenceaofapuerperalafeveraa
ndaunwashedahands?
a. KarlaCredé
b. IgnazaSemmelweis
c. LouisaPasteur
d. JosephaLister
ANS:a B
IgnazaSemmelweisadeducedathatapuerperalafeverawasaseptic,acontagious,aandatransmittedabyath
eaunwashedahandsaofaphysiciansaandamedicalastudents.
DIF: CognitiveaLevel:aKnowledge REF:a p.a2
OBJ:a1aTOP:a TheaPast
KEY:aNursingaProcessaStep:aN/A
MSC:aNCLEX:aSafe,aEffectiveaCareaEnvironment:aSafetyaandaInfectionaControl
3. AapregnantawomanawhoahasarecentlyaimmigratedatoatheaUnitedaStatesacommentsatoatheanurse,a“Ia
amaafraidaofachildbirth.aItaisasoadangerous.aIaamaafraidaIawilladie.”aWhataisatheabestanursingarespo
nseareflectingaculturalasensitivity?
a. “MaternalamortalityainatheaUnitedaStatesaisaextremelyalow.”
b. “Anesthesiaaisaavailableatoarelieveapainaduringalaboraandachildbirth.”
c. “Tellameawhyayouaareaafraidaofachildbirth.”
d. “Youraconditionawillabeamonitoredaduringalaboraandadelivery.”
ANS:aC
Askingatheapatientaaboutaheraconcernsahelpsapromoteaunderstandingaandaindividualizesapatientacare.
DIF: CognitiveaLevel:aApplication REF:a a pp.a6-8 OBJ:a 8
TOP:a Cross-CulturalaCare
KEY:aNursingaProcessaStep:aImplementationa
MSC:aNCLEX:aPsychosocialaIntegrity:aPsychologicalaAdaptation
,TestaBankaForaIntroductionatoaMaternityaandaPediatricaNursinga9thaEdition 1
4. Anaurbanaareaahasabeenareportedatoahaveaaahighaperinatalamortalityarate.aWhatainformationad
oesathisaprovide?
a. Maternalaandainfantadeathsapera100,000aliveabirthsaperayear
b. Deathsaofafetusesaweighingamoreathana500agapera10,000abirthsaperayear
c. Deathsaofainfantsaupatoa1ayearaofaageapera1000aliveabirthsapera year
d. Fetalaandaneonataladeathsapera1000aliveabirthsaperayear
ANS:aD
Theaperinatalamortalityarateaincludesafetalaandaneonataladeathsapera1000aliveabirthsapera year.
DIF: CognitiveaLevel:aComprehension
REF:ap.a13a|aBoxa1.6aOBJ:a 9 TOP:aTheaPresent-
ChildaCare
KEY:aNursingaProcessaStep:aImplementation
MSC:aNCLEX:aSafe,aEffectiveaCareaEnvironment:aCoordinatedaCare
5. Whataisatheafocusaofacurrentamaternityapractice?
a. Hospitalabirthsaforatheamajorityaofawomen
b. Theatraditionalafamilyaunit
c. Separationaofalaboraroomsafromadeliveryarooms
d. Aaqualityafamilyaexperienceaforaeachapatient
ANS:aD
Currentamaternityapracticeafocusesaonaaahigh-
qualityafamilyaexperienceaforaallafamilies,atraditionalaoraotherwise.
DIF: CognitiveaLevel:aComprehension REF:a p.a6
OBJ:a5aTOP:a TheaPresent-MaternityaCare
KEY:aNursingaProcessaStep:aN/AaMSC:aNCLEX:aHealthaPromotionaan
daMaintenance
6. WhoaadvocatedatheaestablishmentaofatheaChildren‘saBureau?
a. LillianaWald
b. FlorenceaNightingale
c. FlorenceaKelly
d. ClaraaBarton
ANS:aA
LillianaWaldaisacreditedawithasuggestingatheaestablishmentaofaaafederalaChildren‘saBureau.
DIF: CognitiveaLevel:aKnowledge REF:a p.a4
OBJ:a1a|a2aTOP:a TheaPast
KEY:aNursingaProcessaStep:aImplementation
MSC:aNCLEX:aHealthaPromotionaandaMaintenance:aGrowthaandaDevelopment
7. Whatawasathearesultaofaresearchadoneainathea1930sabyatheaChildren‘saBureau?
a. Childrenawithaheartaproblemsaareanowacaredaforabyapediatricacardiologists.
b. TheaChildaAbuseaandaPreventionaActawasapassed.
c. Hotalunchaprogramsawereaestablishedainamanyaschools.
d. Children‘saasylumsawereafounded.
ANS:aC
SchoolahotalunchaprogramsawereadevelopedaasaaaresultaofaresearchabyatheaChildren‘saBureauaonatheae
ffectsaofaeconomicadepressionaonachildren.
DIF: CognitiveaLevel:aKnowledge REF:a a p.a4 OBJ:a2a|a3
,
