TEST BANK
INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING, 9TH EDITION
BY GLORIA LEIFER
, TABLE OF CONTENT
Chapter 01: The Past, Present, and Future ...................................................................................................................... 3
Chapter 02: Human Reproductive Anatomy and Physiology ....................................................................................... 12
Chapter 03: Fetal Development .................................................................................................................................... 22
Chapter 04: Prenatal Care and Adaptations to Pregnancy ............................................................................................ 31
Chapter 05: Nursing Care of Women with Complications During Pregnancy ............................................................. 40
Chapter 06: Nursing Care of Mother and Infant During Labor and Birth .................................................................... 51
Chapter 07: Nursing Management of Pain During Labor and Birth ............................................................................. 62
Chapter 08: Nursing Care of Women with Complications During Labor and Birth .................................................... 72
Chapter 09: The Family After Birth .............................................................................................................................. 82
Chapter 10: Nursing Care of Women with Complications After Birth ........................................................................ 91
Chapter 11: The Nurse’s Role in Women’s Health Care ............................................................................................ 101
Chapter 12: The Term Newborn ................................................................................................................................. 108
Chapter 13: Preterm and Postterm Newborns ............................................................................................................. 118
Chapter 14: The Newborn with a Perinatal Injury or Congenital Malformation ........................................................ 126
Chapter 15: An Overview of Growth, Development, and Nutrition ........................................................................... 137
Chapter 16: The Infant ................................................................................................................................................ 147
Chapter 17: The Toddler ............................................................................................................................................. 156
Chapter 18: The Preschool Child ................................................................................................................................ 164
Chapter 19: The School-Age Child ............................................................................................................................. 173
Chapter 20: The Adolescent ........................................................................................................................................ 182
Chapter 21: The Child’s Experience of Hospitalization ............................................................................................. 190
Chapter 22: Health Care Adaptations for the Child and Family ................................................................................. 200
Chapter 23: The Child with a Sensory or Neurological Condition ............................................................................. 209
Chapter 24: The Child with a Musculoskeletal Condition .......................................................................................... 218
Chapter 25: The Child with a Respiratory Disorder ................................................................................................... 228
Chapter 26: The Child with a Cardiovascular Disorder .............................................................................................. 238
Chapter 27: The Child with a Condition of the Blood, Blood-Forming Organs, or Lymphatic System .................... 245
Chapter 28: The Child with a Gastrointestinal Condition........................................................................................... 256
Chapter 29: The Child with a Genitourinary Condition ............................................................................................. 267
Chapter 30: The Child with a Skin Condition............................................................................................................. 276
Chapter 31: The Child with a Metabolic Condition .................................................................................................... 286
Chapter 32: Childhood Communicable Diseases, Bioterrorism, Natural Disasters, and the Maternal–Child Patient 297
Chapter 33: The Child with an Emotional or Behavioral Condition .......................................................................... 306
Chapter 34: Complementary and Alternative Therapies in Maternity and Pediatric Nursing .................................... 315
,Chapter 01: The Past, Present, and Future
Leifer: Introduction to Maternity and Pediatric Nursing, 9th Edition
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
INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING, 9TH EDITION
BY GLORIA LEIFER
, TABLE OF CONTENT
Chapter 01: The Past, Present, and Future ...................................................................................................................... 3
Chapter 02: Human Reproductive Anatomy and Physiology ....................................................................................... 12
Chapter 03: Fetal Development .................................................................................................................................... 22
Chapter 04: Prenatal Care and Adaptations to Pregnancy ............................................................................................ 31
Chapter 05: Nursing Care of Women with Complications During Pregnancy ............................................................. 40
Chapter 06: Nursing Care of Mother and Infant During Labor and Birth .................................................................... 51
Chapter 07: Nursing Management of Pain During Labor and Birth ............................................................................. 62
Chapter 08: Nursing Care of Women with Complications During Labor and Birth .................................................... 72
Chapter 09: The Family After Birth .............................................................................................................................. 82
Chapter 10: Nursing Care of Women with Complications After Birth ........................................................................ 91
Chapter 11: The Nurse’s Role in Women’s Health Care ............................................................................................ 101
Chapter 12: The Term Newborn ................................................................................................................................. 108
Chapter 13: Preterm and Postterm Newborns ............................................................................................................. 118
Chapter 14: The Newborn with a Perinatal Injury or Congenital Malformation ........................................................ 126
Chapter 15: An Overview of Growth, Development, and Nutrition ........................................................................... 137
Chapter 16: The Infant ................................................................................................................................................ 147
Chapter 17: The Toddler ............................................................................................................................................. 156
Chapter 18: The Preschool Child ................................................................................................................................ 164
Chapter 19: The School-Age Child ............................................................................................................................. 173
Chapter 20: The Adolescent ........................................................................................................................................ 182
Chapter 21: The Child’s Experience of Hospitalization ............................................................................................. 190
Chapter 22: Health Care Adaptations for the Child and Family ................................................................................. 200
Chapter 23: The Child with a Sensory or Neurological Condition ............................................................................. 209
Chapter 24: The Child with a Musculoskeletal Condition .......................................................................................... 218
Chapter 25: The Child with a Respiratory Disorder ................................................................................................... 228
Chapter 26: The Child with a Cardiovascular Disorder .............................................................................................. 238
Chapter 27: The Child with a Condition of the Blood, Blood-Forming Organs, or Lymphatic System .................... 245
Chapter 28: The Child with a Gastrointestinal Condition........................................................................................... 256
Chapter 29: The Child with a Genitourinary Condition ............................................................................................. 267
Chapter 30: The Child with a Skin Condition............................................................................................................. 276
Chapter 31: The Child with a Metabolic Condition .................................................................................................... 286
Chapter 32: Childhood Communicable Diseases, Bioterrorism, Natural Disasters, and the Maternal–Child Patient 297
Chapter 33: The Child with an Emotional or Behavioral Condition .......................................................................... 306
Chapter 34: Complementary and Alternative Therapies in Maternity and Pediatric Nursing .................................... 315
,Chapter 01: The Past, Present, and Future
Leifer: Introduction to Maternity and Pediatric Nursing, 9th Edition
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
