TEST BANK
Test Bank for Introduction to Maternity and Pediatric Nursing
9th Edition by Gloria Leifer.
Introduction to Maternity and Pediatric Nursing
NINTHEDITION
Gloria Leifer
,TEST BANK Introduction to Maternity and Pediatric Nursing 9/E Gloria Leifer
Chapter 01: The Past, Present, and Future
MULTIPLE CHOICE
1. A patient chooses to have the certified nurse-midwife (CNM) provide care during her
pregnancy. What does the CNM’s scope of practice include?
a. Practice independent from medical supervision
b. Comprehensive prenatal care
c. Attendance at all deliveries
d. Cesarean sections
ANS: B
The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated
deliveries, and ensures that a backup physician is available in case of unforeseen problems.
DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: 5
TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
2. Which medical pioneer discovered the relationship between the incidence of puerperal fever
and unwashed hands?
a. Karl Credé
b. Ignaz Semmelweis
c. Louis Pasteur
d. Joseph Lister
ANS: B
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the
unwashed hands of physicians and medical students.
DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: 1
TOP: The Past KEY: Nursing Process Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
3. A pregnant woman who has recently immigrated to the United States comments to the nurse,
“I am afraid of childbirth. It is so dangerous. I am afraid I will die.” What is the best nursing
response reflecting cultural sensitivity?
a. “Maternal mortality in the United States is extremely low.”
b. “Anesthesia is available to relieve pain during labor and childbirth.”
c. “Tell me why you are afraid of childbirth.”
d. “Your condition will be monitored during labor and delivery.”
ANS: C
Asking the patient about her concerns helps promote understanding and individualizes patient
care.
DIF: Cognitive Level: Application REF: pp. 6-8 OBJ: 8
TOP: Cross-Cultural Care KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
,4. An urban area has been reported to have a high perinatal mortality rate. What information
does this provide?
a. Maternal and infant deaths per 100,000 live births per year
b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
c. Deaths of infants up to 1 year of age per 1000 live births per year
d. Fetal and neonatal deaths per 1000 live births per year
ANS: D
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
DIF: Cognitive Level: Comprehension REF: p. 13 | Box 1.6
OBJ: 9 TOP: The Present-Child Care
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
5. What is the focus of current maternity practice?
a. Hospital births for the majority of women
b. The traditional family unit
c. Separation of labor rooms from delivery rooms
d. A quality family experience for each patient
ANS: D
Current maternity practice focuses on a high-quality family experience for all families,
traditional or otherwise.
DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: 5
TOP: The Present-Maternity Care KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance
6. Who advocated the establishment of the Children’s Bureau?
a. Lillian Wald
b. Florence Nightingale
c. Florence Kelly
d. Clara Barton
ANS: A
Lillian Wald is credited with suggesting the establishment of a federal Children’s Bureau.
DIF: Cognitive Level: Knowledge REF: p. 4 OBJ: 1 | 2
TOP: The Past KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
7. What was the result of research done in the 1930s by the Children’s Bureau?
a. Children with heart problems are now cared for by pediatric cardiologists.
b. The Child Abuse and Prevention Act was passed.
c. Hot lunch programs were established in many schools.
d. Children’s asylums were founded.
ANS: C
School hot lunch programs were developed as a result of research by the Children’s Bureau on
the effects of economic depression on children.
DIF: Cognitive Level: Knowledge REF: p. 4 OBJ: 2 | 3
, TOP: N The NPast KEY: N Nursing NProcess NStep: NN/A
MSC: N NCLEX: NHealth NPromotion Nand NMaintenance: NCoordinated NCare
8. What Ngovernment Nprogram Nwas Nimplemented Nto Nincrease Nthe Neducational Nexposure
of Npreschool Nchildren?
N
a. WIC
b. Title NXIX Nof NMedicaid
c. The NChildren’s NCharter
d. Head NStart
ANS: N D
Head NStart Nprograms Nwere Nestablished Nto Nincrease Neducational Nexposure Nof Npreschool Nchildren.
DIF: Cognitive NLevel: NKnowledge REF: N N p. N3 OBJ: N N 3
TOP: N Government NInfluences Nin NMaternity Nand NPediatric NCare KEY: N Nursing NProcess
NStep: NN/A NMSC: N NCLEX: NHealth NPromotion Nand NMaintenance: NGrowth Nand NDevelopment
9. What Nguidelines Ndefine Nmultidisciplinary Npatient Ncare Nin Nterms Nof Nexpected Noutcome
and Ntimeframe Nfrom Ndifferent Nareas Nof Ncare Nprovision?
N
a. Clinical Npathways
b. Nursing Noutcome Ncriteria
c. Standards Nof Ncare
d. Nursing Ncare Nplan
ANS: N A
Clinical Npathways, Nalso Nknown Nas Ncritical Npathways Nor Ncare Nmaps, Nare Ncollaborative
Nguidelines Nthat Ndefine Npatient Ncare Nacross Ndisciplines. NExpected Nprogress Nwithin Na
Nspecified Ntimeline Nis Nidentified.
DIF: Cognitive NLevel: NKnowledge REF: N p. N13 OBJ: N 10
NTOP: N Health NCare NDelivery NSystems KEY: N Nursing NProcess NStep:
NN/A NMSC: N NCLEX: NSafe, NEffective NCare NEnvironment: NCoordinated
NCare
10. A Nnursing Nstudent Nhas Nreviewed Na Nhospitalized Npediatric Npatient Nchart, Ninterviewed Nher
mother, Nand Ncollected Nadmission Ndata. NWhat Nis Nthe Nnext Nstep Nthe Nstudent Nwill Ntake Nto
N
develop Na Nnursing Ncare Nplan Nfor Nthis Nchild?
N
a. Identify Nmeasurable Noutcomes Nwith Na Ntimeline.
b. Choose Nspecific Nnursing Ninterventions Nfor Nthe Nchild.
c. Determine Nappropriate Nnursing Ndiagnoses.
d. State Nnursing Nactions Nrelated Nto Nthe Nchild’s Nmedical Ndiagnosis.
ANS: N C
The Nnurse Nuses Nassessment Ndata Nto Nselect Nappropriate Nnursing Ndiagnoses. NOutcomes Nand
Ninterventions Nare Nthen Ndeveloped Nto Naddress Nthe Nrelevant Nnursing Ndiagnoses.
DIF: Cognitive NLevel: NApplication REF: N N p. N12 OBJ: N N 7
TOP: N Nursing NProcess KEY: N Nursing NProcess NStep: NNursing
NDiagnosis NMSC: N NCLEX: NSafe, NEffective NCare NEnvironment: NCoordinated NCare
11. A Nnursing Nstudent Non Nan Nobstetric Nrotation Nquestions Nthe Nfloor Nnurse Nabout Nthe Ndefinition
of Nthe NLVN/LPN Nscope Nof Npractice. NWhat Nresource Ncan Nthe Nnurse Nsuggest Nto Nthe
N
student?
N
a. American NNurses NAssociation
Test Bank for Introduction to Maternity and Pediatric Nursing
9th Edition by Gloria Leifer.
Introduction to Maternity and Pediatric Nursing
NINTHEDITION
Gloria Leifer
,TEST BANK Introduction to Maternity and Pediatric Nursing 9/E Gloria Leifer
Chapter 01: The Past, Present, and Future
MULTIPLE CHOICE
1. A patient chooses to have the certified nurse-midwife (CNM) provide care during her
pregnancy. What does the CNM’s scope of practice include?
a. Practice independent from medical supervision
b. Comprehensive prenatal care
c. Attendance at all deliveries
d. Cesarean sections
ANS: B
The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated
deliveries, and ensures that a backup physician is available in case of unforeseen problems.
DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: 5
TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
2. Which medical pioneer discovered the relationship between the incidence of puerperal fever
and unwashed hands?
a. Karl Credé
b. Ignaz Semmelweis
c. Louis Pasteur
d. Joseph Lister
ANS: B
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the
unwashed hands of physicians and medical students.
DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: 1
TOP: The Past KEY: Nursing Process Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
3. A pregnant woman who has recently immigrated to the United States comments to the nurse,
“I am afraid of childbirth. It is so dangerous. I am afraid I will die.” What is the best nursing
response reflecting cultural sensitivity?
a. “Maternal mortality in the United States is extremely low.”
b. “Anesthesia is available to relieve pain during labor and childbirth.”
c. “Tell me why you are afraid of childbirth.”
d. “Your condition will be monitored during labor and delivery.”
ANS: C
Asking the patient about her concerns helps promote understanding and individualizes patient
care.
DIF: Cognitive Level: Application REF: pp. 6-8 OBJ: 8
TOP: Cross-Cultural Care KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
,4. An urban area has been reported to have a high perinatal mortality rate. What information
does this provide?
a. Maternal and infant deaths per 100,000 live births per year
b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
c. Deaths of infants up to 1 year of age per 1000 live births per year
d. Fetal and neonatal deaths per 1000 live births per year
ANS: D
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
DIF: Cognitive Level: Comprehension REF: p. 13 | Box 1.6
OBJ: 9 TOP: The Present-Child Care
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
5. What is the focus of current maternity practice?
a. Hospital births for the majority of women
b. The traditional family unit
c. Separation of labor rooms from delivery rooms
d. A quality family experience for each patient
ANS: D
Current maternity practice focuses on a high-quality family experience for all families,
traditional or otherwise.
DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: 5
TOP: The Present-Maternity Care KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance
6. Who advocated the establishment of the Children’s Bureau?
a. Lillian Wald
b. Florence Nightingale
c. Florence Kelly
d. Clara Barton
ANS: A
Lillian Wald is credited with suggesting the establishment of a federal Children’s Bureau.
DIF: Cognitive Level: Knowledge REF: p. 4 OBJ: 1 | 2
TOP: The Past KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
7. What was the result of research done in the 1930s by the Children’s Bureau?
a. Children with heart problems are now cared for by pediatric cardiologists.
b. The Child Abuse and Prevention Act was passed.
c. Hot lunch programs were established in many schools.
d. Children’s asylums were founded.
ANS: C
School hot lunch programs were developed as a result of research by the Children’s Bureau on
the effects of economic depression on children.
DIF: Cognitive Level: Knowledge REF: p. 4 OBJ: 2 | 3
, TOP: N The NPast KEY: N Nursing NProcess NStep: NN/A
MSC: N NCLEX: NHealth NPromotion Nand NMaintenance: NCoordinated NCare
8. What Ngovernment Nprogram Nwas Nimplemented Nto Nincrease Nthe Neducational Nexposure
of Npreschool Nchildren?
N
a. WIC
b. Title NXIX Nof NMedicaid
c. The NChildren’s NCharter
d. Head NStart
ANS: N D
Head NStart Nprograms Nwere Nestablished Nto Nincrease Neducational Nexposure Nof Npreschool Nchildren.
DIF: Cognitive NLevel: NKnowledge REF: N N p. N3 OBJ: N N 3
TOP: N Government NInfluences Nin NMaternity Nand NPediatric NCare KEY: N Nursing NProcess
NStep: NN/A NMSC: N NCLEX: NHealth NPromotion Nand NMaintenance: NGrowth Nand NDevelopment
9. What Nguidelines Ndefine Nmultidisciplinary Npatient Ncare Nin Nterms Nof Nexpected Noutcome
and Ntimeframe Nfrom Ndifferent Nareas Nof Ncare Nprovision?
N
a. Clinical Npathways
b. Nursing Noutcome Ncriteria
c. Standards Nof Ncare
d. Nursing Ncare Nplan
ANS: N A
Clinical Npathways, Nalso Nknown Nas Ncritical Npathways Nor Ncare Nmaps, Nare Ncollaborative
Nguidelines Nthat Ndefine Npatient Ncare Nacross Ndisciplines. NExpected Nprogress Nwithin Na
Nspecified Ntimeline Nis Nidentified.
DIF: Cognitive NLevel: NKnowledge REF: N p. N13 OBJ: N 10
NTOP: N Health NCare NDelivery NSystems KEY: N Nursing NProcess NStep:
NN/A NMSC: N NCLEX: NSafe, NEffective NCare NEnvironment: NCoordinated
NCare
10. A Nnursing Nstudent Nhas Nreviewed Na Nhospitalized Npediatric Npatient Nchart, Ninterviewed Nher
mother, Nand Ncollected Nadmission Ndata. NWhat Nis Nthe Nnext Nstep Nthe Nstudent Nwill Ntake Nto
N
develop Na Nnursing Ncare Nplan Nfor Nthis Nchild?
N
a. Identify Nmeasurable Noutcomes Nwith Na Ntimeline.
b. Choose Nspecific Nnursing Ninterventions Nfor Nthe Nchild.
c. Determine Nappropriate Nnursing Ndiagnoses.
d. State Nnursing Nactions Nrelated Nto Nthe Nchild’s Nmedical Ndiagnosis.
ANS: N C
The Nnurse Nuses Nassessment Ndata Nto Nselect Nappropriate Nnursing Ndiagnoses. NOutcomes Nand
Ninterventions Nare Nthen Ndeveloped Nto Naddress Nthe Nrelevant Nnursing Ndiagnoses.
DIF: Cognitive NLevel: NApplication REF: N N p. N12 OBJ: N N 7
TOP: N Nursing NProcess KEY: N Nursing NProcess NStep: NNursing
NDiagnosis NMSC: N NCLEX: NSafe, NEffective NCare NEnvironment: NCoordinated NCare
11. A Nnursing Nstudent Non Nan Nobstetric Nrotation Nquestions Nthe Nfloor Nnurse Nabout Nthe Ndefinition
of Nthe NLVN/LPN Nscope Nof Npractice. NWhat Nresource Ncan Nthe Nnurse Nsuggest Nto Nthe
N
student?
N
a. American NNurses NAssociation
