Test Bank For Introduction to Maternity and Pediatric Nursing, 10th Edition, By Gloria Leifer, All Chapters 1-34. Latest 2025

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Chapter 01: The Past, Present, and Future
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Leifer: Introduction to Maternity and Pediatric Nursing, 10th Edition
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MULTIPLE CHOICE zv




1. A patient chooses to have the certified nurse-
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midwife (CNM) provide care during herpregnancy. Wha
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t does the CNM‗s scope of practice include?
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, 1
a. Practice independent from medical supervision
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b. Comprehensive prenatal care zv zv


c. Attendance at all deliveries zv zv zv


d. Cesarean sections zv




ANS: B z v


The CNM provides comprehensive prenatal and postnatal
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care, attends uncomplicated deliveries, and ensures that a
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backup physician is available in case of unforeseen proble
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ms.

DIF: Cognitive Level: Comprehension zv zv


REF: p. 6 zv zv


zv OBJ: 5 zv


TOP: z v Advance Practice Nursing Roles zv zv zv


KEY: Nursing Process Step: Implementation MS zv zv zv zv zv


C: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
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2. Which medical pioneer discovered the relationship between the incidence of puerperal feve
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r and unwashed hands?
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a. Karl Credé zv


b. Ignaz Semmelweis zv


c. Louis Pasteur zv


d. Joseph Lister zv




ANS: B z v


Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted b
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y the unwashed hands of physicians and medical students.
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DIF: Cognitive Level: Knowledge REF: p. 2 zv zv z v zv


OBJ: 1 TOP: The Past zv zv z v zv


KEY: Nursing Process Step: N/A zv zv zv zv


MSC: 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 nurs
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e, ―I am afraid of childbirth. It is so dangerous. I am afraid I will die.‖ What is the best nu
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rsing response reflecting cultural sensitivity?
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a. ―Maternal mortality in the United States is extremely low.‖ zv zv zv zv zv zv zv zv


b. ―Anesthesia is available to relieve pain during labor and childbirth.‖ zv zv zv zv zv zv zv zv zv


c. ―Tell me why you are afraid of childbirth.‖
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d. ―Your condition will be monitored during labor and delivery.‖
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ANS: C zv


Asking the patient about her concerns helps promote understanding and individualizes patient c
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are.

DIF: Cognitive Level: Application zv zv REF: zvzv pp. 6-8 zv OBJ: 8 zv


TOP: Cross-Cultural Care
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KEY: Nursing Process Step: Implementation zv zv zv zv


MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
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4. An urban area has been reported to have a high perinatal mortality rate. What informatio
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n does this provide?
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a. Maternal and infant deaths per 100,000 live births per year
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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
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ANS: D zv


The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
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DIF: Cognitive Level: Comprehension zv zv


REF: p. 13 | Box 1.6 OBJ: 9 TOP: The Present-
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Child Care zv


KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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5. What is the focus of current maternity practice?
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a. Hospital births for the majority of women zv zv zv zv zv zv


b. The traditional family unit
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c. Separation of labor rooms from delivery rooms zv zv zv zv zv zv


d. A quality family experience for each patient
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ANS: D zv


Current maternity practice focuses on a high-
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quality family experience for all families, traditional or otherwise.
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DIF: Cognitive Level: Comprehension REF: p. 6 zv zv z v zv


OBJ: 5 TOP: The Present-Maternity Care zv zv z v zv zv


KEY: Nursing Process Step: N/A MSC: NCLEX: Health Promotion
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and Maintenance
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6. Who advocated the establishment of the Children‗s Bureau?
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a. Lillian Wald zv


b. Florence Nightingale zv


c. Florence Kelly zv


d. Clara Barton zv




ANS: A zv


Lillian Wald is credited with suggesting the establishment of a federal Children‗s Bureau.
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DIF: Cognitive Level: Knowledge REF: p. 4 zv zv z v zv


OBJ: 1 | 2 TOP: The Past zv zv zv zv z v zv


KEY: Nursing Process Step: Implementation zv zv zv zv


MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
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7. What was the result of research done in the 1930s by the Children‗s Bureau?
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a. Children with heart problems are now cared for by pediatric cardiologists.
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b. The Child Abuse and Prevention Act was passed.
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c. Hot lunch programs were established in many schools.
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d. Children‗s asylums were founded. zv zv zv




ANS: C zv


School hot lunch programs were developed as a result of research by the Children‗s Bureau on
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the effects of economic depression on children.
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DIF: Cognitive Level: Knowledge zv zv REF: zvzv p. 4 zv OBJ: 2 | 3 zv zv zv