Updated/Latest Introduction to Maternity and Pediatric Nursing 9th Edition Leifer Test Bank Comprehensive Examination Questions and Answers Study Guide for Maternal Health Pregnancy Labor and Delivery Postpartum Care Newborn Assessment Pediatric Nursing C

Tes Bank For Introduction to Maternity and Pediatric Nursing 9th Edition
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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 J J J J J J J




(CNM) provide care during herpregnancy. What doesthe
J J J J J J J J




CNM‘s scope of practice include? J J J J




a. Practice independent from medical supervision J J J J




b. Comprehensive prenatal care J J




c. Attendance at all deliveries J J J




d. Cesareansections J




ANS: B J




The CNM provides comprehensive prenataland postnatal
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care, attends uncomplicated deliveries, and ensures that a
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backup physician is available in case of unforeseen problems.
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DIF: Cognitive Level: Comprehension REF:p.6 J J J J J




OBJ: 5 J




TOP: Advance Practice Nursing Roles
J KEY: Nursing Process Step: Implementation MSC: J J J J J J J J J




NCLEX: HealthPromotionandMaintenance: Preventionand EarlyDetection ofDisease
J J J J J J J J J J




2. Which medical pioneer discovered the relationship between the incidence of puerperal fever and
J J J J J J J J J J J J J




unwashed hands? J




a. Karl Credé J




b. Ignaz Semmelweis J




c. Louis Pasteur J




d. JosephLister J




ANS: B J




Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the
J J J J J J J J J J J J J




unwashed hands of physicians and medical students. J J J J J J




DIF: Cognitive Level: Knowledge REF: p. 2 OBJ:1 J J J J J J




TOP: The Past J KEY: Nursing Process Step: N/A J J J J J




MSC:NCLEX: Safe, EffectiveCare Environment: Safetyand InfectionControl
J J J J J J J J J




3. Apregnant woman who has recentlyimmigrated to the United States comments to the nurse, “I am
J J J J J J J J J J J J J J J J J




afraid of childbirth. It is so dangerous. I amafraid I will die.” What is the best nursing response
J J J J J J J J J J J J J J J J J J J




reflecting cultural sensitivity? J J




a. “Maternalmortalityin the United States is extremelylow.” J J J J J J J J




b. “Anesthesiaisavailabletorelievepainduringlaborandchildbirth.” J J J J J J J J J




c. “Tellmewhyyouareafraidofchildbirth.” J J J J J J J




d. “Your condition will be monitored during labor and delivery.” J J J J J J J J




ANS: C J




Asking the patient about her concerns helps promote understanding and individualizes patient care.
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DIF: CognitiveLevel: Application REF: pp. 6-8 OBJ: 8 J J J J J J




TOP: Cross-Cultural Care
J KEY:NursingProcess Step:Implementation J J J J J J




MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
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,Tes Bank For Introduction to Maternity and Pediatric Nursing 9th Edition Leifer
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4. An urban area has been reported to have a high perinatal mortalityrate. What information does
J J J J J J J J J J J J J J J J




this provide?
J




a. Maternaland infant deaths per 100,000 live births per year J J J J J J J J J




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 yearJ J J J J J J J J J J J J J




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




The perinatal mortalityrate includes fetal and neonatal deaths per 1000 live births per year.
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DIF: Cognitive Level: Comprehension REF:p.13|Box1.6 J J J J J J J J




OBJ: 9 J TOP: The Present-Child Care J J J




KEY:NursingProcess Step: Implementation
J J J J




MSC:NCLEX: Safe, EffectiveCareEnvironment: CoordinatedCare
J J J J J J J




5. What is the focus of current maternitypractice?
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a. Hospital births for the majorityof women J J J J J J




b. The traditional familyunit J J J




c. Separation of labor rooms from deliveryrooms J J J J J J




d. A qualityfamilyexperience for eachpatient
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ANS: D J




Current maternitypractice focuses on a high-quality family experience for all families,
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traditional or otherwise. J J




DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: 5 J J J J J J




TOP: The Present-Maternity Care
J KEY: NursingProcess Step: N/AJ J J J J J J




MSC: NCLEX: Health Promotion and Maintenance
J J J J J




6. Who advocated the establishment ofthe Children‘s Bureau?
J J J J J J J




a. Lillian Wald J




b. FlorenceNightingale J




c. Florence Kelly J




d. Clara Barton J




ANS: A J




Lillian Wald is credited with suggesting the establishment ofa federal Children‘s Bureau.
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DIF: Cognitive Level: Knowledge REF: p. 4 OBJ:1|2 J J J J J J J J




TOP: The Past KEY: Nursing Process Step: Implementation
J J J J J J




MSC: NCLEX: HealthPromotion andMaintenance: Growthand Development
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7. What was the result of research done in the 1930s bythe Children‘s Bureau?
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a. Children with heart problems are now cared for bypediatric cardiologists. J J J J J J J J J J




b. TheChild Abuse and Prevention Act was passed.
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c. Hot lunch programs were established in manyschools.
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d. Children‘s asylums were founded. J J J




ANS: C J




School hot lunch programs were developed as a result of research by the Children‘s Bureau on the
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effects of economic depression on children.
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DIF: CognitiveLevel:Knowledge J J REF: p. 4 J J J OBJ: 2 | 3 J J J

,Tes Bank For Introduction to Maternity and Pediatric Nursing 9th Edition Leifer
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TOP: The Past J KEY: NursingProcess Step: N/A J J J J J




MSC: NCLEX: HealthPromotion andMaintenance: CoordinatedCare
J J J J J J J




8. What government program was implemented to increase the educational exposure of
J J J J J J J J J J J




preschool children? J




a. WIC
b. Title XIX ofMedicaid J J J




c. TheChildren‘sCharter J J




d. Head Start J




ANS: D J




Head Start programs were established to increase educational exposure ofpreschool children.
J J J J J J J J J J J




DIF: CognitiveLevel:Knowledge REF: p. 3 OBJ: 3 J J J J J J




TOP: Government Influences in Maternity and Pediatric Care
J KEY:NursingProcessStep:N/A J J J J J J J J J J J




MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
J J J J J J J J




9. What guidelines define multidisciplinarypatient care in terms of expected outcome and
J J J J J J J J J J J J




timeframe from different areas of care provision? J J J J J J




a. Clinicalpathways J




b. Nursing outcome criteria J J




c. Standards of care J J




d. Nursing care plan J J




ANS: A J




Clinical pathways, also known as critical pathways or care maps, are collaborative guidelines that
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define patient care across disciplines. Expected progress within a specified timeline is identified.
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DIF: Cognitive Level: Knowledge REF: p. 13 OBJ: 10 J J J J J J




TOP: Health Care Delivery Systems
J KEY: NursingProcess Step: N/A J J J J J J J J




MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
J J J J J J J




10. A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her mother, and
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collected admission data. What is the next step the student will take to develop a nursing care plan
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for this child?
J J




a. Identifymeasurable outcomes with atimeline. J J J J J




b. Choose specific nursing interventions forthe child. J J J J J J




c. Determine appropriate nursingdiagnoses. J J J




d. Statenursing actions related to the child‘s medical diagnosis.
J J J J J J J J




ANS: C J




The nurse uses assessment data to select appropriate nursing diagnoses. Outcomes and interventions
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are then developed to address the relevant nursing diagnoses.
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DIF: CognitiveLevel: Application REF: p. 12 OBJ: 7 J J J J J J




TOP: Nursing Process
J KEY: NursingProcess Step: NursingDiagnosis J J J J J J J




MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
J J J J J J J




11. A nursing student on an obstetric rotation questions the floor nurse about the definition of the
J J J J J J J J J J J J J J J J




LVN/LPN scope of practice. What resource can the nurse suggest to the student?
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a. American Nurses Association J J

, Tes Bank For Introduction to Maternity and Pediatric Nursing 9th Edition Leifer
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b. State‘s Board ofNursing J J J




c. Joint Commission J




d. Association of Women‘s Health, Obstetric and NeonatalNurses J J J J J J J




ANS: B J




The scope of practice of the LVN/LPN is published bythe state‘s board of nursing.
J J J J J J J J J J J J J J




DIF: CognitiveLevel: Comprehension REF: p. 16 OBJ: 2 J J J J J J




TOP: Critical Thinking J KEY:NursingProcess Step:Implementation J J J J J J




MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
J J J J J J J




12. What was recommended byKarlCredé in 1884?
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a. All women should be delivered in a hospital setting.
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b. Chemical means should be used to combat infection. J J J J J J J




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




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




ANS: D J




In1884 Karl Credé recommended the use of 2% silver nitrate in the eyes of newborns to reduce
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the incidence of blindness.
J J J




DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: 1 J J J J J J




TOP: Use of Silver Nitrate J KEY:NursingProcess Step: N/A J J J J J J J




MSC: NCLEX: Health PromotionandMaintenance: PreventionandEarlyDetection of Disease
J J J J J J J J J J J




13. What is the purpose of the White House Conference on Children and Youth?
J J J J J J J J J J J J




a. Set criteria for normal growth patterns. J J J J J




b. Examine the number of live births in minoritypopulations. J J J J J J J J




c. Raise moneyto support well-child clinics in ruralareas. J J J J J J J J




d. Promote comprehensive child welfare. J J J




ANS: D J




White House Conferences on Children and Youthare held every 10 years to promote comprehensive
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child welfare. J




DIF: Cognitive Level: Knowledge REF: p. 4 OBJ: 2 J J J J J J




TOP: White House ConferencesJ KEY:NursingProcess Step: N/A J J J J J J




MSC: NCLEX: HealthPromotion and Maintenance: Prevention and EarlyDetection of Disease
J J J J J J J J J J J




14. How many hours of hospital stay does legislation currently allow for a postpartum patient who
J J J J J J J J J J J J J J J




has delivered vaginally without complications?
J J J J




a. 24
b. 48
c. 36
d. 72
ANS: B J




Postpartum patients who deliver vaginally stay in the hospital for an average of 48 hours; patients
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who have had a cesarean delivery usually stay 4 days.
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DIF: Cognitive Level: Knowledge REF: p. 6 J J J J OBJ:5 J J




TOP: Hospital Terms for PostpartumPatients
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KEY: NursingProcess Step: Planning
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