DavisuAdvantageuforuMaternal-
ChilduNursinguCareu3rduEditionuScannelluRuggierouTestuBank
Chapteru1.CoreuConceptsuofuMaternaluanduPediatricuHealthcareuAcrossutheuConti
nuum
MULTIPLEuCHOICE
Aupatientuchoosesutouhaveutheucertifiedunurseumidwifeu(CNM)uprovideucareuduring
uherupregnancy.uWhatudoesutheuCNMsuscopeuof upracticeuinclude?
• Practiceuindependentufromumedicalusupervision
• Comprehensiveuprenatalucare
• Attendanceuatualludeliveries
• Cesareanusections
ANS:B
TheuCNMuprovidesucomprehensiveuprenataluandupostnatalucare,uattendsuuncomplicatedu
deliveries,uanduensuresuthatuaubackupuphysicianuisuavailableuinucaseuofuunforeseenuprobl
ems.
REF:uPageu6
Whichumedicalupioneerudiscoveredutheurelationshipubetweenutheuincidenceuofupu
erperalufeveruanduunwasheduhands?
• KarluCred
• IgnazuSemmelweis
• LouisuPasteur
• JosephuList
ANS:uB
IgnazuSemmelweisudeduceduthatupuerperalufeveruwasuseptic,ucontagious,uandutransmittedubyutheuun
washeduhandsuofuphysiciansuandumedicalustudents.
REF:uPageu2
AupregnantuwomanuwhouhasurecentlyuimmigratedutoutheuUniteduStatesucommentsutoutheun
urse,uIuAmuafraiduofuchildbirth.uItuisusoudangerous.uIuamuafraiduIuwilludie.uWhatuisutheubestunu
rsinguresponseureflectinguculturalusensitivity?
• MaternalumortalityuinutheuUniteduStatesuisuextremelyulow.
• Anesthesiauisuavailableutourelieveupainuduringulaboruanduchildbirth.
• Tellumeuwhyuyouuareuafraiduofuchildbirth.
• Youruconditionuwillubeumonitoreduduringulaboruandudelivery.
ANS:uC
Askingutheupatientuaboutuheruconcernsuhelpsupromoteuunderstandinguanduindividualizesup
atientucare.
REF:uPageu7-8
, :u :
Psychological
• Anuurbanuareauhasubeenureportedutouhaveuauhighuperinatalumortalityurate.uWhatui
nformationudoesuthisuprovide?
• Maternaluanduinfantudeathsuperu100,000uliveubirthsuperuyear
• Deathsuofufetusesuweighingumoreuthanu500uguperu10,000ubirthsuperuyear
• Deathsuofuinfantsuuputou1uyearuofuageuperu1000uliveubirthsuperuyear
• Fetaluanduneonataludeathsuperu1000uliveu
birthsuperuyearuANS:uD
Theuperinatalumortalityurateuincludesufetaluanduneonataludeathsuperu1000uliveubirthsuperuyear.
:u REF:uPageu12,
Boxu1-6u 9u:uTheuPresent-ChilduCare
:
• Whatuisutheufocusuofucurrentumaternityupractice?
• Hospitalubirthsuforutheumajorityuofuwomen
• Theutraditionalufamilyuunit
• Separationuofulaboruroomsufromudeliveryurooms
• Auqualityufamilyuex
perienceuforueachupa
tientuANS:uD
Currentumaternityupracticeufocusesuonuauhigh-
qualityufamilyuexperienceuforuallufamilies,utraditionaluoruotherwise.
:u REF:uPageu6u 7
:uTheuPresent-MaternityuCare
N/Au:u HealthuPromotionuanduMaintenance
• WhouadvocatedutheuestablishmentuofutheuChildrensuBureau?
• LillianuWald
• FlorenceuNightingale
• FlorenceuKelly
•u
C
,lu
au
ru
au
B
au
ru
tu
ou
nu
Au
Nu
S
:
A
LillianuWalduisucrediteduwithusuggestingutheuestablishmentuofuaufederaluChildrensuBureau.u
REF:uPageu4
1 |u2u:uTheuPast
:u HealthuPromotionuanduMaintenance:uGrowthuanduDevelopment
• Whatuwasutheuresultuofuresearchudoneuinutheu1930subyutheuChildrensuBureau?
• Childrenuwithuheartuproblemsuareunowucareduforubyupediatricucardiologists.
• TheuChilduAbuseuanduPreventionuActuwasupassed.
• Hotulunchuprogramsuwereuestablisheduinumanyuschools.
• Childrensua
sylumsuwereuf
ounded.uANS
:uC
SchooluhotulunchuprogramsuwereudevelopeduasuauresultuofuresearchubyutheuChildrensuBureauuonut
he
effectsuofueconomicudepressionuonuchildren.uRE
F:uPageu4
2 |u3u:uTheuPastu
N/A
:u HealthuPromotionuanduMaintenance:uCoordinateduCare
• Whatugovernmentuprogramuwasuimplementedutouincreaseutheueducationalu
exposureuofupreschooluchildren?
• WIC
, • TitleuXIXuofuMedicaid
• TheuChildrensuCharter
•u
H
eu
au
du
S
tu
au
ru
tu
Au
Nu
S
:
D
HeaduStartuprogramsuwereuestablishedutouincreaseueducationaluexposureuofupreschooluchildren.uRE
F:uPageu3u 5
:uGovernmentuInfluencesuinuMaternityuanduPediatricuCareu N/A
:u HealthuPromotionuanduMaintenance:uGrowthuanduDevelopment
• Whatuguidelinesudefineumultidisciplinaryupatientucareuinutermsuofuexpectedu
outcomeuandutimeframeufromudifferentuareasuofucareuprovision?
• Clinicalupathways
• Nursinguoutcomeucriteria
• Standardsuofucare
•uNur
siungu
careu
planu
ANS:
A
Clinicalupathways,ualsouknownuasucriticalupathwaysuorucareumaps,uareucollaborativeuguidel
inesuthatudefineupatientucareuacrossudisciplines.uExpecteduprogressuwithinuauspecifiedutim
elineuisuidentified.
REF:uPageu12u 14
:uHealthuCareuDeliveryuSystems
ChilduNursinguCareu3rduEditionuScannelluRuggierouTestuBank
Chapteru1.CoreuConceptsuofuMaternaluanduPediatricuHealthcareuAcrossutheuConti
nuum
MULTIPLEuCHOICE
Aupatientuchoosesutouhaveutheucertifiedunurseumidwifeu(CNM)uprovideucareuduring
uherupregnancy.uWhatudoesutheuCNMsuscopeuof upracticeuinclude?
• Practiceuindependentufromumedicalusupervision
• Comprehensiveuprenatalucare
• Attendanceuatualludeliveries
• Cesareanusections
ANS:B
TheuCNMuprovidesucomprehensiveuprenataluandupostnatalucare,uattendsuuncomplicatedu
deliveries,uanduensuresuthatuaubackupuphysicianuisuavailableuinucaseuofuunforeseenuprobl
ems.
REF:uPageu6
Whichumedicalupioneerudiscoveredutheurelationshipubetweenutheuincidenceuofupu
erperalufeveruanduunwasheduhands?
• KarluCred
• IgnazuSemmelweis
• LouisuPasteur
• JosephuList
ANS:uB
IgnazuSemmelweisudeduceduthatupuerperalufeveruwasuseptic,ucontagious,uandutransmittedubyutheuun
washeduhandsuofuphysiciansuandumedicalustudents.
REF:uPageu2
AupregnantuwomanuwhouhasurecentlyuimmigratedutoutheuUniteduStatesucommentsutoutheun
urse,uIuAmuafraiduofuchildbirth.uItuisusoudangerous.uIuamuafraiduIuwilludie.uWhatuisutheubestunu
rsinguresponseureflectinguculturalusensitivity?
• MaternalumortalityuinutheuUniteduStatesuisuextremelyulow.
• Anesthesiauisuavailableutourelieveupainuduringulaboruanduchildbirth.
• Tellumeuwhyuyouuareuafraiduofuchildbirth.
• Youruconditionuwillubeumonitoreduduringulaboruandudelivery.
ANS:uC
Askingutheupatientuaboutuheruconcernsuhelpsupromoteuunderstandinguanduindividualizesup
atientucare.
REF:uPageu7-8
, :u :
Psychological
• Anuurbanuareauhasubeenureportedutouhaveuauhighuperinatalumortalityurate.uWhatui
nformationudoesuthisuprovide?
• Maternaluanduinfantudeathsuperu100,000uliveubirthsuperuyear
• Deathsuofufetusesuweighingumoreuthanu500uguperu10,000ubirthsuperuyear
• Deathsuofuinfantsuuputou1uyearuofuageuperu1000uliveubirthsuperuyear
• Fetaluanduneonataludeathsuperu1000uliveu
birthsuperuyearuANS:uD
Theuperinatalumortalityurateuincludesufetaluanduneonataludeathsuperu1000uliveubirthsuperuyear.
:u REF:uPageu12,
Boxu1-6u 9u:uTheuPresent-ChilduCare
:
• Whatuisutheufocusuofucurrentumaternityupractice?
• Hospitalubirthsuforutheumajorityuofuwomen
• Theutraditionalufamilyuunit
• Separationuofulaboruroomsufromudeliveryurooms
• Auqualityufamilyuex
perienceuforueachupa
tientuANS:uD
Currentumaternityupracticeufocusesuonuauhigh-
qualityufamilyuexperienceuforuallufamilies,utraditionaluoruotherwise.
:u REF:uPageu6u 7
:uTheuPresent-MaternityuCare
N/Au:u HealthuPromotionuanduMaintenance
• WhouadvocatedutheuestablishmentuofutheuChildrensuBureau?
• LillianuWald
• FlorenceuNightingale
• FlorenceuKelly
•u
C
,lu
au
ru
au
B
au
ru
tu
ou
nu
Au
Nu
S
:
A
LillianuWalduisucrediteduwithusuggestingutheuestablishmentuofuaufederaluChildrensuBureau.u
REF:uPageu4
1 |u2u:uTheuPast
:u HealthuPromotionuanduMaintenance:uGrowthuanduDevelopment
• Whatuwasutheuresultuofuresearchudoneuinutheu1930subyutheuChildrensuBureau?
• Childrenuwithuheartuproblemsuareunowucareduforubyupediatricucardiologists.
• TheuChilduAbuseuanduPreventionuActuwasupassed.
• Hotulunchuprogramsuwereuestablisheduinumanyuschools.
• Childrensua
sylumsuwereuf
ounded.uANS
:uC
SchooluhotulunchuprogramsuwereudevelopeduasuauresultuofuresearchubyutheuChildrensuBureauuonut
he
effectsuofueconomicudepressionuonuchildren.uRE
F:uPageu4
2 |u3u:uTheuPastu
N/A
:u HealthuPromotionuanduMaintenance:uCoordinateduCare
• Whatugovernmentuprogramuwasuimplementedutouincreaseutheueducationalu
exposureuofupreschooluchildren?
• WIC
, • TitleuXIXuofuMedicaid
• TheuChildrensuCharter
•u
H
eu
au
du
S
tu
au
ru
tu
Au
Nu
S
:
D
HeaduStartuprogramsuwereuestablishedutouincreaseueducationaluexposureuofupreschooluchildren.uRE
F:uPageu3u 5
:uGovernmentuInfluencesuinuMaternityuanduPediatricuCareu N/A
:u HealthuPromotionuanduMaintenance:uGrowthuanduDevelopment
• Whatuguidelinesudefineumultidisciplinaryupatientucareuinutermsuofuexpectedu
outcomeuandutimeframeufromudifferentuareasuofucareuprovision?
• Clinicalupathways
• Nursinguoutcomeucriteria
• Standardsuofucare
•uNur
siungu
careu
planu
ANS:
A
Clinicalupathways,ualsouknownuasucriticalupathwaysuorucareumaps,uareucollaborativeuguidel
inesuthatudefineupatientucareuacrossudisciplines.uExpecteduprogressuwithinuauspecifiedutim
elineuisuidentified.
REF:uPageu12u 14
:uHealthuCareuDeliveryuSystems
