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

,TEST BANK Introduction to Maternity and Pediatric Nursing 9/E Gloria Leifer
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Chapter 01: The Past, Present, and Future
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MULTIPLE CHOICE k




1. A patient chooses to have the certified nurse-midwife (CNM) provide care during
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her pregnancy. What does the CNM‘s scope of practice include?
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a. Practice independent from medical supervision k k k k


b. Comprehensive prenatal care k k


c. Attendance at all deliveries k k k


d. Cesarean sections k




ANS: B
The CNM provides comprehensive prenatal and postnatal care, attends
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uncomplicated deliveries, and ensures that a backup physician is available in case
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of unforeseen problems.
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DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: 5 k k k


TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: k k k k k k


Implementation MSC:
k NCLEX: Health Promotion and k k k k k


Maintenance: Prevention and Early Detection of Disease
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2. Which medical pioneer discovered the relationship between the incidence of puerperal
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k fever and unwashed hands? k k k


a. Karl Credé k


b. Ignaz Semmelweis k


c. Louis Pasteur k


d. Joseph Lister k




ANS: B
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by
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the unwashed hands of physicians and medical students.
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DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: k k k


1 TOP: The Past
k k KEY: Nursing Process k k


Step: N/A k


MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control k k k k k k k k




3. A pregnant woman who has recently immigrated to the United States comments to the
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nurse, ―I am afraid of childbirth. It is so dangerous. I am afraid I will die.‖
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What is the best nursing response reflecting cultural sensitivity?
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a. ―Maternal mortality in the United States is extremely low.‖ k k k k k k k k


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


c. ―Tell me why you are afraid of childbirth.‖ k k k k k k k


d. ―Your condition will be monitored during labor and delivery.‖
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ANS: C
Asking the patient about her concerns helps promote understanding and individualizes
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patient care.
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DIF: Cognitive Level: Application k k REF: pp. 6-8 OBJ: k 8
TOP: Cross-Cultural Care
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,Implementation MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
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, 4. An urban area has been reported to have a high perinatal mortality rate.
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k What information does this provide?
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a. Maternal and infant deaths per 100,000 live births per yeark k k k k k k k k


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
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 | Box k k k k k


1.6 OBJ: 9 TOP:
k The Present-Child k


Care KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care k k k k k k




5. What is the focus of current maternity practice?
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a. Hospital births for the majority of women k k k k k k


b. The traditional family unit k k k


c. Separation of labor rooms from delivery rooms k k k k k k


d. A quality family experience for each patient
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ANS: D
Current maternity practice focuses on a high-quality family experience for all families,
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traditional or otherwise.
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DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: 5 k k k k k


TOP: The Present-Maternity Care
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N/A MSC: NCLEX: Health Promotion and Maintenance
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6. Who advocated the establishment of the Children‘s Bureau?
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a. Lillian Wald k


b. Florence Nightingale k


c. Florence Kelly k


d. Clara Barton k




ANS: A
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 k k k


| 2 TOP: The Past
k k KEY: Nursing Process k k


Step: Implementation
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MSC: NCLEX: Health Promotion and Maintenance: Growth and Development k k k k k k k




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. k k k




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