INTRODUCTIONMTOMMATERNITYMANDMPEDIATRICMINMCANADAM1STMEDITIONMBYMLEIFER
,TESTMBANKMFORMLEIFER’SMINTRODUCTIONMTOMMATERNITYMANDMPEDIATRICMNURSIN
GMINMCANADAM1STMEDITIONMBYMLEIFER
ChapterM01:MOverviewMofMPerinatalMandMPediatricMNursingMinMCanada
MULTIPLEM CHOICE
1. AM patientMchoosesMtoM haveM theM certifiedM nurseM midwifeM (CNM)MprovideM careM duringM herM pregnancy
.M WhatM doesMtheMCNMsMscopeMofMpracticeMinclude?
a. PracticeM independentM fromM medicalM supervision
b. ComprehensiveM prenatalM care
c. AttendanceMatMallMdeliveries
d. CesareanM sections
ANS:MB
TheM CNMM providesM comprehensiveM prenatalM andM postnatalM care,M attendsM uncomplicatedM deliveries,M and
M ensuresMthatMaMbackupM physicianMisM availableM inM caseM ofM unforeseenMproblems.
DIF:MCognitiveM Level:MComprehensionM REF:M PageM 6
TOP:MAdvanceM PracticeMNursingM RolesM KEY:MNursingM ProcessM Step:M Implementation
MSC:MNCLEX:M HealthM PromotionM andM Maintenance:M PreventionM andMEarlyM DetectionM ofM Disease
2. WhichM medicalM pioneerM discoveredM theM relationshipM betweenM theM incidenceM ofM puerperalM feverM and
M unwashedMhands?
a. KarlMCred
b. IgnazM Semmelweis
c. LouisM Pasteur
d. JosephM Lister
ANS:MB
IgnazM SemmelweisM deducedM thatM puerperalM feverMwasM septic,M contagious,M andMtransmittedM byM theM unw
ashedMhandsMofMphysiciansMandMmedicalMstudents.
DIF:M CognitiveM Level:M KnowledgeM REF:M Pa
geM 2MTOP:M TheMPastM KEY:MNursingM Process
M Step:M N/A
MSC:MNCLEX:M Safe,M EffectiveM CareM Environment:M SafetyM andM InfectionM Control
3. AM pregnantMwomanMwhoMhasMrecentlyM immigratedM toM theMUnitedMStatesM commentsM toM theMnurse,M I
M amM afraidM ofMchildbirth.MItMisMsoMdangerous.MIMamMafraidMIMwillMdie.MWhatMisMtheMbestMnursingMresp
onseMreflectingMculturalMsensitivity?
a. MaternalMmortalityMinM theMUnitedMStatesMisMextremelyMlow.
b. AnesthesiaMisMavailableMtoMrelieveM painMduringMlaborM andMchildbirth.
c. TellMmeM whyM youMareM afraidMofM childbirth.
d. YourMconditionMwillM beM monitoredM duringM laborM andMdelivery.
ANS:MC
AskingMtheM patientMaboutMherM concernsMhelpsM promoteM understandingM andM individualizesM patientM care.
DIF:MCognitiveM Level:MApplicationM REF:M PageM 7
TOP:M Cross-
CulturalM CareM KEY:M NursingM ProcessM Step:M ImplementationMMSC:
MNCLEX:M PsychosocialM Integrity:M PsychologicalM Adaptation
4. AnMurbanM areaMhasMbeenM reportedMtoM haveM aMhighM perinatalM mortalityM rate.M WhatMinformationM doesMthisM provide
?
a. MaternalMandMinfantMdeathsM perM100,000M liveM birthsMperM year
b. DeathsM ofMfetusesMweighingM moreM thanM 500MgM perM10,000M birthsM perM year
c. DeathsMofMinfantsM upMtoM 1M yearM ofM ageMperM 1000MliveMbirthsM perM year
d. FetalMandMneonatalM deathsM perM 1000M liveM birthsM perMyear
ANS:MD
,TheMperinatalMmortalityM rateM includesMfetalM andM neonatalM deathsM perM1000MliveM births
M perM year.MDIF:MCognitiveMLevel:MComprehensionM REF:M PageM 12
OBJ:M9MTOP:M TheMPresent-ChildM Care
KEY:MNursingMProcessM Step:MImplementation
MSC:MNCLEX:M Safe,M EffectiveM CareM Environment:M CoordinatedM Care
5. WhatMisMtheM focusMofM currentMmaternityM practice?
a. HospitalM birthsMforMtheM majorityM ofMwomen
b. TheMtraditionalMfamilyMunit
c. SeparationMofM laborM roomsM fromM deliveryM rooms
d. AM qualityMfamilyM experienceMforMeachMpatient
ANS:MD
CurrentMmaternityM practiceM focusesM onMaMhigh-qualityM familyM experienceMforMallM families,M traditionalM orM otherwise.
DIF:MCognitiveM Level:MComprehensionM REF:M PageM 6
TOP:M TheMPresent-
MaternityM CareM KEY:M NursingM ProcessM Step:M N/AMMSC:MNCLEX:
MHealthM PromotionM andMMaintenance
6. WhoMadvocatedM theM establishmentM ofM theM ChildrensMBureau?
a. LillianMWald
b. FlorenceMNightingale
c. FlorenceMKelly
d. ClaraMBarton
ANS:MA
LillianM WaldM isM creditedMwithMsuggestingM theM establishmentM ofM aM federalMChildrensM Bureau.
DIF:MCognitiveM Level:M KnowledgeM REF:M PageM 4
TOP:MTheMPastMKEY:MNursingM ProcessM Step:M Implementation
MSC:MNCLEX:MHealthM PromotionM andM Maintenance:M GrowthM andM Development
NURSINGTB.COM
7. WhatMwasM theM resultM ofM researchM doneMinM theM 1930sM byM theM ChildrensMBureau?
a. ChildrenMwithM heartM problemsM areM nowM caredM forM byM pediatricM cardiologists.
b. TheMChildMAbuseMandMPreventionM ActMwasM passed.
c. HotMlunchMprogramsM wereM establishedM inM manyMschools.
d. ChildrensM asylumsMwereM founded.
ANS:MC
SchoolM hotM lunchM programsM wereM developedM asMaM resultM ofM researchM byM theMChildrensM BureauM onMth
eMeffectsM ofMeconomicMdepressionMonM children.
DIF:M CognitiveM Level:M KnowledgeM REF:M Pa
geM 4MTOP:M TheMPastM KEY:MNursingM Process
M Step:M N/A
MSC:MNCLEX:MHealthM PromotionM andM Maintenance:M CoordinatedM Care
8. WhatM governmentM programMwasM implementedM toM increaseM theM educationalM exposureM ofM preschoolM children?
a. WIC
b. TitleM XIXM ofM Medicaid
c. TheM ChildrensM Charter
d. HeadMStart
ANS:MD
HeadM StartM programsMwereM establishedM toM increaseM educationalM exposureM ofM preschoolM children.
DIF:MCognitiveM Level:M KnowledgeM REF:M PageM 3
TOP:MGovernmentM InfluencesM inM MaternityM andM PediatricM CareM KEY:MNursingM ProcessM Step:M N/A
, MSC:MNCLEX:MHealthMPromotionM andM Maintenance:MGrowthM andMDevelopment
9. WhatMguidelinesM defineM multidisciplinaryM patientMcareM inM termsM ofMexpectedM outcomeM andMtimef
rameM fromMdifferentMareasM ofMcareMprovision?
a. ClinicalM pathways
b. NursingMoutcomeMcriteria
c. StandardsMofM care
d. NursingMcareMplan
ANS:MA
ClinicalM pathways,M alsoM knownM asMcriticalMpathwaysM orM careM maps,M areM collaborativeM guidelinesM thatM
defineMpatientMcareMacrossMdisciplines.M ExpectedMprogressMwithinMaMspecifiedM timelineM isMidentified.
DIF:MCognitiveM Level:M KnowledgeM REF:M PageM 12
TOP:MHealthM CareMDeliveryM SystemsM KEY:MNursingM ProcessM Step
:M N/AMMSC:MNCLEX:M Safe,M EffectiveM CareMEnvironment:M Coordin
atedM Care
10. AM nursingM studentMhasM reviewedM aMhospitalizedM pediatricM patientMchart,M interviewedM herM mother,M an
dMcollectedMadmissionMdata.M WhatMisMtheMnextMstepMtheMstudentMwillM takeMtoM developM aMnursingM careM p
lanMforMthisMchild?
a. IdentifyM measurableMoutcomesM withM aMtimeline.
b. ChooseMspecificMnursingM interventionsM forM theM child.
c. DetermineM appropriateM nursingM diagnoses.
d. StateM nursingMactionsMrelatedM toM theM childsM medicalM diagnosis.
ANS:MC
TheMnurseM usesMassessmentM dataM toM selectMappropriateM nursingM diagnosesM fromM theM NANDA-
IM list.M OutcomesM andMinterventionsMareMthenM developedMtoMaddressMtheMrelevantMnursingM diagnoses.
DIF:MCognitiveM Level:M ApplicationM REF:M PageM 11
TOP:M NursingM ProcessM KEY:M NursingM ProcessM Step:M NursingM Di
agnosisMMSC:MNCLEX:MSafe,M EffectiveM CareMEnvironment:M Coord
inatedM Care
11. AMnursingM studentMonM anMobstetricMrotationM questionsM theM floorM nurseMaboutM theM definitionM ofM t
heMLVN/LPNMscopeMofMpractice.MWhatMresourceMcanMtheMnurseNsUuR ggSeI N
stGtoT Bth.C
eMOstM
udent?
a. AmericanMNursesMAssociation
b. StatesM boardMofM nursing
c. JointMCommission
d. AssociationMofM WomensM Health,M ObstetricM andMNeonatalM Nurses
ANS:MB
TheMscopeMofMpracticeMofM theMLVN/LPNM isM publishedM byMtheM statesM boardM ofMnursing.
DIF:MCognitiveMLevel:MComprehensionMREF:MPa
geM3MOBJ:M18MTOP:MCriticalMThinking
KEY:MNursingMProcessM Step:MImplementation
MSC:MNCLEX:M Safe,M EffectiveM CareM Environment:M CoordinatedM Care
12. WhatMwasM recommendedM byM KarlMCredMinM 1884?
a. AllMwomenM shouldM beMdeliveredM inM aMhospitalM setting.
b. ChemicalMmeansMshouldM beM usedM toM combatM infection.
c. PodalicM versionM shouldM beM doneMonMallM fetuses.
d. SilverMnitrateM shouldMbeM placedM inM theMeyesMofMnewborns.
ANS:MD
InM1884MKarlMCredM recommendedM theMuseMofM2%M silverM nitrateM inM theMeyesM ofM newbornsM toM reduceM t
heMincidenceM ofMblindness.
DIF:MCognitiveM Level:M KnowledgeM REF:M PageM 2
TOP:MUseMofM SilverMNitrateM KEY:MNursingMProcessM Step:MN/A
MSC:MNCLEX:M HealthM PromotionM andM Maintenance:M PreventionM andM EarlyM DetectionM ofM Disease
,TESTMBANKMFORMLEIFER’SMINTRODUCTIONMTOMMATERNITYMANDMPEDIATRICMNURSIN
GMINMCANADAM1STMEDITIONMBYMLEIFER
ChapterM01:MOverviewMofMPerinatalMandMPediatricMNursingMinMCanada
MULTIPLEM CHOICE
1. AM patientMchoosesMtoM haveM theM certifiedM nurseM midwifeM (CNM)MprovideM careM duringM herM pregnancy
.M WhatM doesMtheMCNMsMscopeMofMpracticeMinclude?
a. PracticeM independentM fromM medicalM supervision
b. ComprehensiveM prenatalM care
c. AttendanceMatMallMdeliveries
d. CesareanM sections
ANS:MB
TheM CNMM providesM comprehensiveM prenatalM andM postnatalM care,M attendsM uncomplicatedM deliveries,M and
M ensuresMthatMaMbackupM physicianMisM availableM inM caseM ofM unforeseenMproblems.
DIF:MCognitiveM Level:MComprehensionM REF:M PageM 6
TOP:MAdvanceM PracticeMNursingM RolesM KEY:MNursingM ProcessM Step:M Implementation
MSC:MNCLEX:M HealthM PromotionM andM Maintenance:M PreventionM andMEarlyM DetectionM ofM Disease
2. WhichM medicalM pioneerM discoveredM theM relationshipM betweenM theM incidenceM ofM puerperalM feverM and
M unwashedMhands?
a. KarlMCred
b. IgnazM Semmelweis
c. LouisM Pasteur
d. JosephM Lister
ANS:MB
IgnazM SemmelweisM deducedM thatM puerperalM feverMwasM septic,M contagious,M andMtransmittedM byM theM unw
ashedMhandsMofMphysiciansMandMmedicalMstudents.
DIF:M CognitiveM Level:M KnowledgeM REF:M Pa
geM 2MTOP:M TheMPastM KEY:MNursingM Process
M Step:M N/A
MSC:MNCLEX:M Safe,M EffectiveM CareM Environment:M SafetyM andM InfectionM Control
3. AM pregnantMwomanMwhoMhasMrecentlyM immigratedM toM theMUnitedMStatesM commentsM toM theMnurse,M I
M amM afraidM ofMchildbirth.MItMisMsoMdangerous.MIMamMafraidMIMwillMdie.MWhatMisMtheMbestMnursingMresp
onseMreflectingMculturalMsensitivity?
a. MaternalMmortalityMinM theMUnitedMStatesMisMextremelyMlow.
b. AnesthesiaMisMavailableMtoMrelieveM painMduringMlaborM andMchildbirth.
c. TellMmeM whyM youMareM afraidMofM childbirth.
d. YourMconditionMwillM beM monitoredM duringM laborM andMdelivery.
ANS:MC
AskingMtheM patientMaboutMherM concernsMhelpsM promoteM understandingM andM individualizesM patientM care.
DIF:MCognitiveM Level:MApplicationM REF:M PageM 7
TOP:M Cross-
CulturalM CareM KEY:M NursingM ProcessM Step:M ImplementationMMSC:
MNCLEX:M PsychosocialM Integrity:M PsychologicalM Adaptation
4. AnMurbanM areaMhasMbeenM reportedMtoM haveM aMhighM perinatalM mortalityM rate.M WhatMinformationM doesMthisM provide
?
a. MaternalMandMinfantMdeathsM perM100,000M liveM birthsMperM year
b. DeathsM ofMfetusesMweighingM moreM thanM 500MgM perM10,000M birthsM perM year
c. DeathsMofMinfantsM upMtoM 1M yearM ofM ageMperM 1000MliveMbirthsM perM year
d. FetalMandMneonatalM deathsM perM 1000M liveM birthsM perMyear
ANS:MD
,TheMperinatalMmortalityM rateM includesMfetalM andM neonatalM deathsM perM1000MliveM births
M perM year.MDIF:MCognitiveMLevel:MComprehensionM REF:M PageM 12
OBJ:M9MTOP:M TheMPresent-ChildM Care
KEY:MNursingMProcessM Step:MImplementation
MSC:MNCLEX:M Safe,M EffectiveM CareM Environment:M CoordinatedM Care
5. WhatMisMtheM focusMofM currentMmaternityM practice?
a. HospitalM birthsMforMtheM majorityM ofMwomen
b. TheMtraditionalMfamilyMunit
c. SeparationMofM laborM roomsM fromM deliveryM rooms
d. AM qualityMfamilyM experienceMforMeachMpatient
ANS:MD
CurrentMmaternityM practiceM focusesM onMaMhigh-qualityM familyM experienceMforMallM families,M traditionalM orM otherwise.
DIF:MCognitiveM Level:MComprehensionM REF:M PageM 6
TOP:M TheMPresent-
MaternityM CareM KEY:M NursingM ProcessM Step:M N/AMMSC:MNCLEX:
MHealthM PromotionM andMMaintenance
6. WhoMadvocatedM theM establishmentM ofM theM ChildrensMBureau?
a. LillianMWald
b. FlorenceMNightingale
c. FlorenceMKelly
d. ClaraMBarton
ANS:MA
LillianM WaldM isM creditedMwithMsuggestingM theM establishmentM ofM aM federalMChildrensM Bureau.
DIF:MCognitiveM Level:M KnowledgeM REF:M PageM 4
TOP:MTheMPastMKEY:MNursingM ProcessM Step:M Implementation
MSC:MNCLEX:MHealthM PromotionM andM Maintenance:M GrowthM andM Development
NURSINGTB.COM
7. WhatMwasM theM resultM ofM researchM doneMinM theM 1930sM byM theM ChildrensMBureau?
a. ChildrenMwithM heartM problemsM areM nowM caredM forM byM pediatricM cardiologists.
b. TheMChildMAbuseMandMPreventionM ActMwasM passed.
c. HotMlunchMprogramsM wereM establishedM inM manyMschools.
d. ChildrensM asylumsMwereM founded.
ANS:MC
SchoolM hotM lunchM programsM wereM developedM asMaM resultM ofM researchM byM theMChildrensM BureauM onMth
eMeffectsM ofMeconomicMdepressionMonM children.
DIF:M CognitiveM Level:M KnowledgeM REF:M Pa
geM 4MTOP:M TheMPastM KEY:MNursingM Process
M Step:M N/A
MSC:MNCLEX:MHealthM PromotionM andM Maintenance:M CoordinatedM Care
8. WhatM governmentM programMwasM implementedM toM increaseM theM educationalM exposureM ofM preschoolM children?
a. WIC
b. TitleM XIXM ofM Medicaid
c. TheM ChildrensM Charter
d. HeadMStart
ANS:MD
HeadM StartM programsMwereM establishedM toM increaseM educationalM exposureM ofM preschoolM children.
DIF:MCognitiveM Level:M KnowledgeM REF:M PageM 3
TOP:MGovernmentM InfluencesM inM MaternityM andM PediatricM CareM KEY:MNursingM ProcessM Step:M N/A
, MSC:MNCLEX:MHealthMPromotionM andM Maintenance:MGrowthM andMDevelopment
9. WhatMguidelinesM defineM multidisciplinaryM patientMcareM inM termsM ofMexpectedM outcomeM andMtimef
rameM fromMdifferentMareasM ofMcareMprovision?
a. ClinicalM pathways
b. NursingMoutcomeMcriteria
c. StandardsMofM care
d. NursingMcareMplan
ANS:MA
ClinicalM pathways,M alsoM knownM asMcriticalMpathwaysM orM careM maps,M areM collaborativeM guidelinesM thatM
defineMpatientMcareMacrossMdisciplines.M ExpectedMprogressMwithinMaMspecifiedM timelineM isMidentified.
DIF:MCognitiveM Level:M KnowledgeM REF:M PageM 12
TOP:MHealthM CareMDeliveryM SystemsM KEY:MNursingM ProcessM Step
:M N/AMMSC:MNCLEX:M Safe,M EffectiveM CareMEnvironment:M Coordin
atedM Care
10. AM nursingM studentMhasM reviewedM aMhospitalizedM pediatricM patientMchart,M interviewedM herM mother,M an
dMcollectedMadmissionMdata.M WhatMisMtheMnextMstepMtheMstudentMwillM takeMtoM developM aMnursingM careM p
lanMforMthisMchild?
a. IdentifyM measurableMoutcomesM withM aMtimeline.
b. ChooseMspecificMnursingM interventionsM forM theM child.
c. DetermineM appropriateM nursingM diagnoses.
d. StateM nursingMactionsMrelatedM toM theM childsM medicalM diagnosis.
ANS:MC
TheMnurseM usesMassessmentM dataM toM selectMappropriateM nursingM diagnosesM fromM theM NANDA-
IM list.M OutcomesM andMinterventionsMareMthenM developedMtoMaddressMtheMrelevantMnursingM diagnoses.
DIF:MCognitiveM Level:M ApplicationM REF:M PageM 11
TOP:M NursingM ProcessM KEY:M NursingM ProcessM Step:M NursingM Di
agnosisMMSC:MNCLEX:MSafe,M EffectiveM CareMEnvironment:M Coord
inatedM Care
11. AMnursingM studentMonM anMobstetricMrotationM questionsM theM floorM nurseMaboutM theM definitionM ofM t
heMLVN/LPNMscopeMofMpractice.MWhatMresourceMcanMtheMnurseNsUuR ggSeI N
stGtoT Bth.C
eMOstM
udent?
a. AmericanMNursesMAssociation
b. StatesM boardMofM nursing
c. JointMCommission
d. AssociationMofM WomensM Health,M ObstetricM andMNeonatalM Nurses
ANS:MB
TheMscopeMofMpracticeMofM theMLVN/LPNM isM publishedM byMtheM statesM boardM ofMnursing.
DIF:MCognitiveMLevel:MComprehensionMREF:MPa
geM3MOBJ:M18MTOP:MCriticalMThinking
KEY:MNursingMProcessM Step:MImplementation
MSC:MNCLEX:M Safe,M EffectiveM CareM Environment:M CoordinatedM Care
12. WhatMwasM recommendedM byM KarlMCredMinM 1884?
a. AllMwomenM shouldM beMdeliveredM inM aMhospitalM setting.
b. ChemicalMmeansMshouldM beM usedM toM combatM infection.
c. PodalicM versionM shouldM beM doneMonMallM fetuses.
d. SilverMnitrateM shouldMbeM placedM inM theMeyesMofMnewborns.
ANS:MD
InM1884MKarlMCredM recommendedM theMuseMofM2%M silverM nitrateM inM theMeyesM ofM newbornsM toM reduceM t
heMincidenceM ofMblindness.
DIF:MCognitiveM Level:M KnowledgeM REF:M PageM 2
TOP:MUseMofM SilverMNitrateM KEY:MNursingMProcessM Step:MN/A
MSC:MNCLEX:M HealthM PromotionM andM Maintenance:M PreventionM andM EarlyM DetectionM ofM Disease
