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ko Nursing 9th Edition BY Gloria Leifer Chapter 1-34 Newest
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Version 2024 ko ko
,Chapter01:The Past, Present,andFuture
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Leifer:IntroductiontoMaternity andPediatricNursing,9thEdition
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MULTIPLE CHOICE ko
1. A patient chooses to have the certified nurse-midwife (CNM) provide care duringher
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pregnancy. What does the CNM‘s scope of practice include?
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a. Practice independent from medical supervision ko ko ko ko
b. Comprehensive prenatal care ko ko
c. Attendance at all deliveries ko ko ko
d. Cesareansections ko
ANS: B k o
The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated
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deliveries, and ensures that a backup physician is available in case of unforeseen problems.
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DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: 5 ko ko k o k o ko k o
TOP: Advance Practice Nursing Roles kKEY: Nursing Process Step: Implementation MSC:
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NCLEX: Health Promotion and Maintenance: Prevention and EarlyDetection ofDisease
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2. Which medical pioneer discovered the relationship between the incidence of puerperal fever and
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ko unwashed hands? ko
a. Karl Credé ko
b. Ignaz Semmelweis ko
c. Louis Pasteur ko
d. Joseph Lister ko
ANS: B k o
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the
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unwashed hands of physicians and medical students.
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DIF: Cognitive Level: Knowledge REF: p. 2 OBJ:1 ko ko k o ko ko
TOP: The Past
ko KEY: Nursing Process Step: N/A
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MSC:NCLEX: Safe, Effective Care Environment: Safety and Infection Control
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3. A pregnant woman who has recentlyimmigrated to the United States comments to thenurse, “Iam
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afraid of childbirth. It is so dangerous. Iam afraid Iwill die.” What is the best nursing response
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reflecting cultural sensitivity?
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a. “Maternal mortalityin the United States is extremelylow.” ko ko ko ko ko ko ko ko
b. “Anesthesiaisavailabletorelievepainduringlaborandchildbirth.” ko ko ko ko ko ko ko ko ko
c. “Tellmewhyyouareafraidofchildbirth.” ko ko ko ko ko ko ko
d. “Yourconditionwillbemonitoredduringlaboranddelivery.” ko ko ko ko ko ko ko ko
ANS: C ko
Asking the patient about her concerns helps promote understandingand individualizes patient care.
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DIF: CognitiveLevel: Application REF: pp. 6-8 OBJ: 8 ko ko k o k o ko k o
TOP: Cross-Cultural Care kKEY:NursingProcess Step: Implementation
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MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
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,4. An urban area has been reported to have a high perinatal mortalityrate. What information does
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this provide?
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a. Maternal and infant deaths per 100,000 live births per year ko ko ko ko ko ko ko ko ko
b. Deaths of fetuses weighing more than 500 g per 10,000 births per year ko ko ko ko ko ko ko ko ko ko ko ko
c. Deaths of infants up to 1 year of age per 1000 live births per year ko ko ko ko ko ko ko ko ko ko ko ko ko ko
d. Fetal and neonatal deaths per 1000 live births per year ko ko ko ko ko ko ko ko ko
ANS: D ko
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
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DIF: Cognitive Level: Comprehension REF:p.13|Box1.6 ko ko ko ko ko ko ko
OBJ: 9
ko TOP: The Present-Child Care
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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 maternitypractice?
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a. Hospital births for the majority ofwomen ko ko ko ko ko ko
b. The traditional familyunit ko ko ko
c. Separation of labor rooms from deliveryrooms ko ko ko ko ko ko
d. A quality family experience for eachpatient
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ANS: D ko
Current maternitypractice focuses on a high-qualityfamilyexperience for all families,
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traditional or otherwise.
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DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: 5 ko ko k o ko ko
TOP: The Present-Maternity Care
ko k KEY:NursingProcess Step: N/A
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MSC: NCLEX: Health Promotion and Maintenance
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6. Who advocated the establishment of the Children‘sBureau?
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a. LillianWald ko
b. FlorenceNightingale ko
c. Florence Kelly ko
d. ClaraBarton ko
ANS: A ko
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 OBJ:1|2 ko ko k o ko ko ko ko
TOP: The Past
ko KEY: Nursing Process Step: Implementation
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MSC:NCLEX: Health Promotion andMaintenance: Growth and Development
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7. What was the result of research done in the 1930s by the Children‘sBureau?
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a. Children with heart problems are now cared for by pediatric cardiologists. ko ko ko ko ko ko ko ko ko ko
b. The Child Abuse and Prevention Act was passed. ko ko ko ko ko ko ko
c. Hot lunch programs were established in manyschools.ko ko ko ko ko ko ko
d. Children‘s asylums were founded. ko ko ko
ANS: C ko
School hot lunch programs were developed as a result of research by the Children‘s Bureau on the
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effects of economic depression on children.
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DIF: Cognitive Level:Knowledge ko ko REF: p. 4 k o k o ko OBJ: 2 | 3 ko ko k o
, TOP: The Past KEY: Nursing Process Step: N/A
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MSC: NCLEX: Health Promotion andMaintenance: Coordinated Care
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8. What government program was implemented to increase the educational exposure of
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ko preschool children? ko
a. WIC
b. Title XIX ofMedicaid ko ko ko
c. The Children‘sCharter ko ko
d. Head Start ko
ANS: D ko
Head Start programs were established to increase educational exposure of preschool children.
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DIF: Cognitive Level:Knowledge REF: p. 3 OBJ: 3 ko ko k o k o ko k o
TOP: Government Influences in Maternity andPediatric Care
k o KEY:NursingProcessStep: N/A ko ko ko ko ko ko ko ko ko ko
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
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9. What guidelines define multidisciplinarypatient care in terms of expected outcome and
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timeframe from different areas of care provision?
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a. Clinical pathways ko
b. Nursing outcome criteria ko ko
c. Standards ofcare ko ko
d. Nursing careplan ko ko
ANS: A ko
Clinical pathways, also known as critical pathways or care maps, are collaborative guidelines that
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define patient care across disciplines. Expected progress within a specified timeline is identified.
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DIF: Cognitive Level: Knowledge REF: p. 13 OBJ: 10 ko ko k o ko ko
TOP: Health Care Delivery Systems
ko KEY:NursingProcess Step: N/A
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MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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10. A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her mother, and
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collected admission data. What is the next step the student will take to develop a nursing care plan
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for this child?
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a. Identifymeasurable outcomes with atimeline. ko ko ko ko ko
b. Choose specific nursing interventions for the child. ko ko ko ko ko ko
c. Determine appropriate nursingdiagnoses. ko ko ko
d. State nursing actions related to the child‘s medical diagnosis. ko ko ko ko ko ko ko ko
ANS: C ko
The nurse uses assessment data to select appropriate nursing diagnoses. Outcomes and
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interventions are then developed to address the relevant nursing diagnoses.
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DIF: CognitiveLevel: Application REF: p. 12 OBJ: 7 ko ko k o k o ko k o
TOP: Nursing Process k KEY: Nursing Process Step: Nursing Diagnosis
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MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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11. A nursing student on an obstetric rotation questions the floor nurse about the definition of the
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ko LVN/LPN scope of practice. What resource can the nurse suggest to the student? ko ko ko ko ko ko ko ko ko ko ko ko
a. American Nurses Association ko ko