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,Test Bank For Introduction to Maternity and Pediatric Nursing 9th Edition Leifer
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Chapter 01: The Past, Present, and Future
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Leifer: Introduction to Maternity and Pediatric Nursing, 9th Edition
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MULTIPLE CHOICE rl
1. A patient chooses to have the certified nurse-
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midwife (CNM) provide care during herpregnancy. What d rl rl rl rl rl rl rl
oes the CNM‘s scope of practice include?
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a. Practice independent from medical supervision rl rl rl rl
b. Comprehensive prenatal care rl rl
c. Attendance at all deliveries rl rl rl
d. Cesarean sections rl
ANS: B r l
The CNM provides comprehensive prenatal and postnatal car
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e, attends uncomplicated deliveries, and ensures that a backu
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p physician is available in case of unforeseen problems.
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DIF: Cognitive Level: Comprehension rl rl
REF:p. 6 rl rl rl
OBJ: 5 rl
TOP: Advance Practice Nursing Roles r l rl rl rl
KEY: Nursing Process Step: Implementation MSC rl rl rl rl rl
: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection ofDisease
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2. Which medical pioneer discovered the relationship between the incidence of puerperal fever an
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d unwashed hands?
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a. Karl Credé rl
b. Ignaz Semmelweis rl
c. Louis Pasteur rl
d. Joseph Lister rl
ANS: B r l
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the
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unwashed hands of physicians and medical students. rl rl rl rl rl rl
DIF: Cognitive Level: Knowledge REF: p. 2 rl rl r l rl
OBJ:1 TOP: The Past rl rl r l rl
KEY: Nursing Process Step: N/A rl rl rl rl
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
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3. A pregnant woman who has recentlyimmigrated to the United States comments to the nurse, “I a
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m afraid of childbirth. It is so dangerous. I am afraid I will die.” What is the best nursing response
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reflecting cultural sensitivity?
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a. “Maternal mortalityin the United States is extremely low.” rl rl rl rl rl rl rl rl
b. “Anesthesia is availableto relievepain duringlabor and childbirth.” rl rl rl rl rl rl rl rl rl
c. “Tellmewhy you are afraid of childbirth.” rl rl rl rl rl rl rl
d. “Your condition will be monitored during labor and delivery.” rl rl rl rl rl rl rl rl
ANS: C rl
Asking the patient about her concerns helps promote understanding and individualizes patient care.
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DIF: Cognitive Level: Application rl rl REF: pp. 6-8 r l r l rl OBJ: 8 rl
TOP: Cross-Cultural Care r l rl
KEY: Nursing Process Step: Implementation rl rl rl rl rl
MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
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,Test Bank For Introduction to Maternity and Pediatric Nursing 9th Edition
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4. An urban area has been reported to have a high perinatal mortality rate. What information doe
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s this provide?
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a. Maternal and infant deaths per 100,000 live births per year rl rl rl rl rl rl rl rl rl
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 rl
The perinatal mortalityrate includes fetal and neonatal deaths per 1000 live births per year.
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DIF: Cognitive Level: Comprehension rl rl
REF:p. 13 |Box 1.6 OBJ: 9 TOP: The Present- rl rl rl rl rl rl r l rl rl
Child Care rl
KEY: NursingProcess Step: Implementation
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MSC: NCLEX: Safe, Effective CareEnvironment: Coordinated Care
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5. What is the focus of current maternitypractice?
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a. Hospital births for the majorityof women rl rl rl rl rl rl
b. The traditional familyunit rl rl rl
c. Separation of labor rooms from deliveryrooms rl rl rl rl rl rl
d. A qualityfamily experience for eachpatient
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ANS: D rl
Current maternitypractice focuses on a high-
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quality family experience for all families, traditional or otherwise.
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DIF: Cognitive Level: Comprehension REF: p. 6 rl rl r l rl
OBJ: 5 TOP: The Present-Maternity Care rl rl r l rl rl
KEY: Nursing Process Step: N/A MSC: NCLEX: Health Promotion and rl rl rl rl rl rl rl rl rl rl
Maintenance
6. Who advocated the establishment of the Children‘s Bureau?
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a. Lillian Wald rl
b. FlorenceNightingale rl
c. Florence Kelly rl
d. Clara Barton rl
ANS: A rl
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 rl rl r l rl
OBJ:1 |2 TOP: The Past rl rl rl rl r l rl
KEY: Nursing Process Step: Implementation rl rl rl rl
MSC: NCLEX: Health Promotion and Maintenance: Growth and 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. rl rl rl rl rl rl rl rl rl rl
b. The Child 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. rl rl rl
ANS: C rl
School hot lunch programs were developed as a result of research by the Children‘s Bureau on the eff
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ects of economic depression on children.
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DIF: Cognitive Level: Knowledge rl rl REF: p. 4 r l r l rl OBJ: 2 | 3 rl rl rl
,