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

TEST BANK FOR 66 66




IntroductiontoMaternityandPediatricNursing, 8th 6 6 6 6 6 66




Edition by Gloria Leifer
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UNIT I: AnOverview ofMaternity andPediatric Nursing
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Chapter 1:ThePast,Present, andFuture 66 6 6 6 66 6




UNITII:Maternal-NewbornNursing andWomen’s Health
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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 to Pregnancy
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Chapter 5:NursingCareof Women withComplications d uringPregnancy
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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 d uring Labor and Birth
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Chapter 8:NursingCareofWomen withComplications d uringLabor and Birth
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Chapter 9:TheFamilyafter Birth 66 6 6 6 66




Chapter 10:NursingCareofWomen with Complications FollowingBirth Chapter
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11: The Nurse’s Role in Women’s Health Care
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Chapter 12:TheTermNewborn 6 6 6 6 6




Chapter 13:PretermandPost-TermNewborns 66 6 6 6 6




Chapter 14:TheNewbornwitha PerinatalInjury or Congenital
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Malformation
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UNIT III:TheGrowing Child a ndFamily
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Chapter 15:AnOverviewo fGrowth, Development, andNutrition
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Chapter 1 6: The Infant
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Chapter 17: The Toddler Chapter 66 66 66 66




1 8:ThePreschoolChild
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Chapter1 9:TheSchool-AgeChild Chapter 6 6 6 6 66




20: The Adolescent
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UNIT IV:Adapting Caretothe PediatricPatient
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Chapter 21: The Child’s Experience of Hospitalization Chapter
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22:HealthCareAdaptations for theChildandFamily UNIT V:
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The Child Needing Nursing Care
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Chapter 23:TheChild witha Sensoryo r NeurologicalCondition
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Chapter 2 4: 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:TheChild with a Condition o ftheBlood, Blood-FormingOrgans o r LymphaticSystem Chapter 28:
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The Child with a Gastrointestinal Condition
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Chapter 29:TheChild witha GenitourinaryCondition Chapter
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30: The Child with a Skin Condition
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Chapter 31:TheChild witha MetabolicCondition
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Chapter 32:Childhood CommunicableDiseases, Bioterrorism, Natural Disastersand theMaternal-Child
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Patient
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Chapter 33:TheChild with an Emotionalo r BehavioralCondition
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UNIT VI:TheChanging HealthCare Environment
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Chapter 34:Complementaryand AlternativeTherapies inMaternityandPediatricNursing
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, INTRODUCTION TO MATERNITY ANDPEDIATRIC NURSING 8TH EDITION LEIFER TESTBANK 66 66 66 6 6 66 6 66 6 6




2



Chapter 01: The Past, Present, and Future 6 6 6 6 6 6 6 6 6 6 6 6




MULTIPLE CHOICE 6 6




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 6 6 6 6 66 6 6




b. Comprehensive prenatal care 6 6 6 6




c. Attendance at all deliveries 66 66 66




d. Cesarean sections 6 6




ANS: B 6 6




The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated deliveries, and ensures that a
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6backup 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
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hands?
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a. Karl Cred 6 6




b. Ignaz Semmelweis 6 6




c. Louis Pasteur 6 6




d. Joseph Lister 6 6




ANS: B 6 6




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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6cultural sensitivity?
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a. Maternal mortality in the United States is extremely low. 6 6 66 66 6 6 6 6 6 6 66 66




b. Anesthesia is available to relieve pain during labor and childbirth. 6 6 66 66 66 6 6 6 6 66 66 66




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 6 6




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 66 66 6 6 6 6 6 6 66 66 6 6 66




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 6 6




The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year. DIF:
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66 Cognitive Level: Comprehension REF: Page 12 66 66 66 66 66

, INTRODUCTION TO MATERNITY ANDPEDIATRIC NURSING 8TH EDITION LEIFER TESTBANK 66 66 66 6 6 66 6 66 6 6




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?
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a. Hospital births for the majority of women 66 66 6 6 6 6 66 66




b. The traditional family unit
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c. Separation of labor rooms from delivery rooms 6 6 66 66 6 6 6 6 66




d. A quality family experience for each patient
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ANS: D 6 6




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 66




b. Florence Nightingale 66




c. Florence Kelly 66




d. Clara Barton 66




ANS: A 6 6




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.
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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. Childrens asylums were founded. 6 6 6 6 6 6




ANS: C 6 6




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 66 6 6 6 6




c. The Childrens Charter
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d. Head Start 66




ANS: D 6 6




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 ANDPEDIATRIC NURSING 8TH EDITION LEIFER TESTBANK 66 66 66 6 6 66 6 66 6 6




4



a. Clinical pathways 6 6




b. Nursing outcome criteria 6 6 6 6




c. Standards of care 6 6 6 6




d. Nursing care plan 66 6 6




ANS: A 6 6




Clinical pathways, also known as critical pathways or care maps, are collaborative guidelines that define patient
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6care 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. 6 6 66 6 6 66 66




b. Choose specific nursing interventions for the child. 6 6 6 6 66 6 6 6 6 6 6




c. Determine appropriate nursing diagnoses. 6 6 6 6 6 6




d. State nursing actions related to the childs medical diagnosis.
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ANS: C 6 6




The nurse uses assessment data to select appropriate nursing diagnoses from the NANDA-I list. Outcomes and interventions
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6are 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. What resource canthe nurseNsUuRg Sg IeN
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udent ? 66 6 6 66 66




a. American Nurses Association 6 6 6 6




b. States board of nursing 66 66 66




c. Joint Commission 66




d. Association of Womens Health, Obstetric and Neonatal Nurses 6 6 66 6 6 6 6 6 6 66 6 6




ANS: B 6 6




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? 6 6 6 6 6 6 66 6 6 66 66




a. All women should be delivered in a hospital setting.
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b. Chemical means should be used to combat infection. 6 6 66 66 6 6 66 66 66




c. Podalic version should be done on all fetuses. 6 6 66 66 6 6 6 6 66 6 6




d. Silver nitrate should be placed in the eyes of newborns.
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ANS: D 6 6




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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