Test Bank For Introduction to Maternity and Pediatric Nursing, 9th Edition, By Gloria Leifer, All Chapters 1-34

TEST BANK FOR 7j 7j




IntroductiontoMaternityandPediatricNursing, 8th j7 j7 j7 j7 j7 j7




Edition by Gloria Leifer
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UNIT I: AnOverviewo fMaternity andPediatricNursing
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Chapter 1:ThePast,Present,andFuture j7 j7 j7 j7 j7 j7




UNITII:Maternal-NewbornNursing a ndWomen’sHealth
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Chapter 2: Human Reproductive Anatomy and Physiology Chapter
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3: Fetal Development
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Chapter 4:PrenatalCareand Adaptations toPregnancy
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Chapter 5:NursingCareofWomen withComplications duringPregnancy
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Chapter 6: Nursing Care of Mother and Infant during Labor and Birth Chapter 7:
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Nursing Management of Pain during Laborand Birth
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Chapter 8:NursingCareofWomen withComplications duringLabor and Birth
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Chapter 9:TheFamily after Birth j7 j7 j7 j7 j7




Chapter 10:NursingCareofWomen withComplications FollowingBirth Chapter
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11: The Nurse’s Role in Women’sHealth Care
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Chapter 12:TheTermNewborn j7 j7 j7 j7




Chapter 13:Pretermand Post-TermNewborns
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Chapter 14:TheNewbornwithaPerinatalInjuryor Congenital
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Malformation
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UNIT III:TheGrowing Child andFamily
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Chapter 15:AnOverviewofGrowth, Development, andNutrition
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Chapter 16: The Infant
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Chapter 17: The Toddler Chapter j7 j7 j7 j7




1 8:ThePreschoolChild
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Chapter1 9:TheSchool-AgeChild Chapter j7 j7 j7 j7 j7




20: The Adolescent
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UNIT IV:Adapting Caretothe PediatricPatient
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Chapter 21: The Child’sExperience of Hospitalization Chapter
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22:Health CareAdaptationsfor theChildandFamily UNIT V:
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The Child Needing Nursing Care
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Chapter 23:TheChild with aSensory or NeurologicalCondition
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Chapter 24: The Child with a Musculoskeletal Condition Chapter
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25: The Child with a Respiratory Disorder
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Chapter 26:TheChild witha Cardiovascular Disorder
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Chapter 27:TheChildwitha Conditiono ftheBlood,Blood-FormingOrgansor LymphaticSystemChapter 28:
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The Child with a Gastrointestinal Condition
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Chapter 29:TheChildwith aGenitourinary Condition Chapter
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30: The Child with a Skin Condition
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Chapter 31:TheChild with aMetabolicCondition
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Chapter 32: Childhood Communicable Diseases, Bioterrorism, NaturalDisastersand theMaternal-Child
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Patient
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Chapter 33:TheChild withanEmotionalo r BehavioralCondition
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UNIT VI:TheChanging HealthCare Environment
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Chapter 34:ComplementaryandAlternativeTherapies in Maternityand PediatricNursing
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, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TESTBANK j7 j7 j7 j7 j7 j7 j7 j7 j7 j7




2



Chapter 01: The Past, Present, and Future j7 j7 j7 j7 j7 j7




MULTIPLE CHOICE j7




1. A patient chooses to have the certified nurse midwife (CNM) provide care during her pregnancy. What does the
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CNMs scope of practice include?
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a. Practice independent from medical supervision j7 j7 j7 j7




b. Comprehensive prenatal care j7 j7




c. Attendance at all deliveries j7 j7 j7




d. Cesarean sections j7




ANS: B j7




The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated deliveries, and ensures that a
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jbackup physician is available in case of unforeseen problems.
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DIF: Cognitive Level: Comprehension REF: Page 6
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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 Disease
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2. Which medical pioneer discovered the relationship between the incidence of puerperal fever and unwashed hands?
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a. Karl Cred j7




b. Ignaz Semmelweis j7




c. Louis Pasteur j7




d. Joseph Lister j7




ANS: B j7




Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the unwashed hands of
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physicians and medical students.
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DIF: Cognitive Level: Knowledge REF: Page 2 TOP:
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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 nurse, I am afraid of
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childbirth. It is so dangerous. I am afraid I will die. What is the best nursing response reflecting
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cultural sensitivity?
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a. Maternal mortality in the United States is extremely low. j7 j7 j7 j7 j7 j7 j7 j7




b. Anesthesia is available to relieve pain during labor and childbirth. j7 j7 j7 j7 j7 j7 j7 j7 j7




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 j7




Asking the patient about her concerns helps promote understanding and individualizes patient care.
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DIF: Cognitive Level: Application REF: Page 7
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TOP: Cross-Cultural Care KEY: Nursing Process 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 mortality rate. What information does this provide?
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a. Maternal and infant deaths per 100,000 live births per year j7 j7 j7 j7 j7 j7 j7 j7 j7




b. Deaths of fetuses weighing more than 500 g per 10,000 births per year j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7




c. Deaths of infants up to 1 year of age per 1000 live births per year j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7 j7




d. Fetal and neonatal deaths per 1000 live births per year
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ANS: D j7




The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year. DIF:
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j7 Cognitive Level: Comprehension REF: Page 12 j7 j7 j7 j7 j7

, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TESTBANK j7 j7 j7 j7 j7 j7 j7 j7 j7 j7




3



OBJ: 9 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 maternity practice? j7 j7 j7 j7 j7 j7 j7




a. Hospital births for the majority of women j7 j7 j7 j7 j7 j7




b. The traditional family unitj7 j7 j7




c. Separation of labor rooms from delivery rooms j7 j7 j7 j7 j7 j7




d. A quality family experience for each patient
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ANS: D j7




Current maternity practice focuses on a high-quality family experience for all families, traditional or otherwise.
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DIF: Cognitive Level: Comprehension REF: Page 6
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TOP: The Present-Maternity Care KEY: Nursing Process Step: N/A MSC:
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NCLEX: Health Promotion and Maintenance
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6. Who advocated the establishment of the Childrens Bureau?
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a. Lillian Wald j7




b. Florence Nightingale j7




c. Florence Kelly j7




d. Clara Barton j7




ANS: A j7




Lillian Wald is credited with suggesting the establishment of a federal Childrens Bureau.
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DIF: Cognitive Level: Knowledge REF: Page 4
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TOP: 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 Childrens Bureau?
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a. Children with heart problems are now cared for by pediatric cardiologists. j7 j7 j7 j7 j7 j7 j7 j7 j7 j7




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. Childrens asylums were founded. j7 j7 j7




ANS: C j7




School hot lunch programs were developed as a result of research by the Childrens Bureau on the effects of
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economic depression on children.
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DIF: Cognitive Level: Knowledge REF: Page 4 TOP:
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The Past KEY: Nursing Process Step: N/A
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MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care
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8. What government program was implemented to increase the educational exposure of preschool children?
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a. WIC
b. Title XIX of Medicaid j7 j7 j7




c. The Childrens Charter j7 j7




d. Head Start j7




ANS: D j7




Head Start programs were established to increase educational exposure of preschool children.
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DIF: Cognitive Level: Knowledge REF: Page 3
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TOP: Government Influences in Maternity and Pediatric Care KEY: Nursing Process Step: N/A
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MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
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9. What guidelines define multidisciplinary patient care in terms of expected outcome and timeframe from
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different areas of care provision?
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, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TESTBANK j7 j7 j7 j7 j7 j7 j7 j7 j7 j7




4



a. Clinical pathways j7




b. Nursing outcome criteria j7 j7




c. Standards of care j7 j7




d. Nursing care plan j7 j7




ANS: A j7




Clinical pathways, also known as critical pathways or care maps, are collaborative guidelines that define patient
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jcare across disciplines. Expected progress within a specified timeline is identified.
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DIF: Cognitive Level: Knowledge REF: Page 12
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TOP: Health Care Delivery Systems KEY: Nursing Process 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 collected
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admission data. What is the next step the student will take to develop a nursing care plan for this child?
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a. Identify measurable outcomes with a timeline. j7 j7 j7 j7 j7




b. Choose specific nursing interventions for the child. j7 j7 j7 j7 j7 j7




c. Determine appropriate nursing diagnoses. j7 j7 j7




d. State nursing actions related to the childs medical diagnosis.
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ANS: C j7




The nurse uses assessment data to select appropriate nursing diagnoses from the NANDA-I list. Outcomes and interventions
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jare then developed to address the relevant nursing diagnoses.
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DIF: Cognitive Level: Application REF: Page 11
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TOP: Nursing Process 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 LVN/LPN scope of
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practice. Whatresource canthe nurseNsUuRg Sg IeN
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a. American Nurses Association j7 j7




b. States board of nursing j7 j7 j7




c. Joint Commission j7




d. Association of Womens Health, Obstetric and Neonatal Nurses j7 j7 j7 j7 j7 j7 j7




ANS: B j7




The scope of practice of the LVN/LPN is published by the states board of nursing.
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DIF: Cognitive Level: Comprehension REF: Page 3
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OBJ: 18 TOP: Critical Thinking
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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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12. What was recommended by Karl Cred in 1884? j7 j7 j7 j7 j7 j7 j7




a. All women should be delivered in a hospital setting.
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b. Chemical means should be used to combat infection. j7 j7 j7 j7 j7 j7 j7




c. Podalic version should be done on all fetuses. j7 j7 j7 j7 j7 j7 j7




d. Silver nitrate should be placed in the eyes of newborns. j7 j7 j7 j7 j7 j7 j7 j7 j7




ANS: D j7




In 1884 Karl Cred recommended the use of 2% silver nitrate in the eyes of newborns to reduce the incidence of blindness.
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DIF: Cognitive Level: Knowledge REF: Page 2
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TOP: Use of Silver Nitrate KEY: Nursing Process Step: N/A
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MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
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13. What is the purpose of the White House Conference on Children and Youth?
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a. Set criteria for normal growth patterns.
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