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Edition
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,Test Bank For Introduction to Maternity and Pediatric Nursing 9th Edition
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Leifer
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MULTIPLE CHOICE gy
1. A patient chooses to have the certified nurse-midwife
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(CNM) provide care during herpregnancy. What does
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the CNM‘s scope of practice include?
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a. Practice independent from medical supervision gy gy gy gy
b. Comprehensive prenatal care gy gy
c. Attendance at all deliveries gy gy gy
d. Cesarean sections gy
ANS: g y B
The CNM provides comprehensive prenatal and postnatal
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care, attends uncomplicated deliveries, and ensures that
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a backup physician is available in case of unforeseen
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problems.
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DIF: Cognitive Level: Comprehension REF: p. 6 gy gy gy gy
OBJ: 5 gy gy
TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of
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Disease
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2. Which medical pioneer discovered the relationship between the incidence of puerperal
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gy fever and unwashed hands?
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a. Karl Credé gy
b. Ignaz Semmelweis gy
c. Louis Pasteur gy
d. Joseph Lister gy
ANS: g y B
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted
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by the unwashed hands of physicians and medical students.
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DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: gy gy g y gy
1 TOP:
gy gy The Past 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 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.” What is
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the best nursing response reflecting cultural sensitivity?
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a. “Maternal mortality in the United States is extremely low.” gy gy gy gy gy gy gy gy
b. “Anesthesia is available to relieve pain during labor and childbirth.” gy gy gy gy gy gy gy gy gy
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 gy
Asking the patient about her concerns helps promote understanding and individualizes patient
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care.
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DIF: Cognitive Level: Application REF: pp. 6-8 OBJ: 8 gy gy gy gy gy gy
TOP: Cross-Cultural Careg y KEY: Nursing Process Step: gy gy gy gy
Implementation MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
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,Test Bank For Introduction to Maternity and Pediatric Nursing 9th
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Edition
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4. An urban area has been reported to have a high perinatal mortality rate. What
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information does this provide?
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a. Maternal and infant deaths per 100,000 live births per yeargy gy gy gy gy gy gy gy gy
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 gy
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 gy gy gy gy gy gy
1.6 OBJ:
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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 maternity practice?
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a. Hospital births for the majority of women gy gy gy gy gy gy
b. The traditional family unit gy gy gy
c. Separation of labor rooms from delivery rooms gy gy gy gy gy gy
d. A quality family experience for each patient
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ANS: D gy
Current maternity practice focuses on a high-quality family experience for all
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families, traditional or otherwise.
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DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: 5 gy gy g y gy gy
TOP:
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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 gy
b. Florence Nightingale gy
c. Florence Kelly gy
d. Clara Barton gy
ANS: A gy
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 | gy gy g y gy gy gy
2 TOP:
gy gy The Past KEY: Nursing Process Step: Implementation
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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. gy gy gy
ANS: C gy
School hot lunch programs were developed as a result of research by the Children‘s Bureau
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on the effects of economic depression on children.
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DIF: Cognitive Level: Knowledge gy gy REF: gy gy p. 4 gy OBJ: 2 | 3 gy gy gy
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