Test Bank For Introduction toTest
Maternity
Test
BankBank
For
andIntroduction
For
Pediatric
Introduction
Nursing
to Maternity
to 10th
Maternity
Edition
and Pediatric
and
Leiferhttps://www.stuvia.com/user/stuviaun
Pediatric
Nursing
Nursing
10th 10th
Edition
Edition
Leifer.docxhttps://www.stuvia.com/user/stuviaun
Leifer.docx
Chapter 01: The Past, Present, and Future 10e
MULTIPLE CHOICE
1. A patient chooses to have the certified nurse-midwife
(CNM) provide care during herpregnancy. 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
CORRECT ANSWER: 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
CORRECT ANSWER: 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.”
CORRECT ANSWER: 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
Test Bank For Introduction toTest
Maternity
Bank For
andIntroduction
Pediatric Nursing
tohttps://www.stuvia.com/user/stuviaun
Maternity
10th Edition
and Pediatric
Leifer.docx
Nursing 10th Edition Leifer.docxhttps://www.stuvia.com/user/stuviaun
,Test Bank For Introduction toTest
Maternity
Test
BankBank
For
andIntroduction
For
Pediatric
Introduction
Nursing
to Maternity
to 10th
Maternity
Edition
and Pediatric
and
Leiferhttps://www.stuvia.com/user/stuviaun
Pediatric
Nursing
Nursing
10th 10th
Edition
Edition
Leifer.docxhttps://www.stuvia.com/user/stuviaun
Leifer.docx 2
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
CORRECT ANSWER: 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
CORRECT ANSWER: 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
CORRECT ANSWER: 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.
CORRECT ANSWER: 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
Test Bank For Introduction toTest
Maternity
Bank For
andIntroduction
Pediatric Nursing
tohttps://www.stuvia.com/user/stuviaun
Maternity
10th Edition
and Pediatric
Leifer.docx
Nursing 10th Edition Leifer.docxhttps://www.stuvia.com/user/stuviaun
,Test Bank For Introduction toTest
Maternity
Test
BankBank
For
andIntroduction
For
Pediatric
Introduction
Nursing
to Maternity
to 10th
Maternity
Edition
and Pediatric
and
Leiferhttps://www.stuvia.com/user/stuviaun
Pediatric
Nursing
Nursing
10th 10th
Edition
Edition
Leifer.docxhttps://www.stuvia.com/user/stuviaun
Leifer.docx
TOP: The Past KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care
8. What government program was implemented to increase the educational exposure of
preschool children?
a. WIC
b. Title XIX of Medicaid
c. The Children‘s Charter
d. Head Start
CORRECT ANSWER: D
Head Start programs were established to increase educational exposure of preschool children.
DIF: Cognitive Level: Knowledge REF: p. 3 OBJ: 3
TOP: Government Influences in Maternity and Pediatric Care KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
9. What guidelines define multidisciplinary patient care in terms of expected outcome and
timeframe from different areas of care provision?
a. Clinical pathways
b. Nursing outcome criteria
c. Standards of care
d. Nursing care plan
CORRECT ANSWER: A
Clinical pathways, also known as critical pathways or care maps, are collaborative guidelines
that define patient care across disciplines. Expected progress within a specified timeline is
identified.
DIF: Cognitive Level: Knowledge REF: p. 13 OBJ: 10
TOP: Health Care Delivery Systems KEY: Nursing Process Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
10. A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her mother,
and collected admission data. What is the next step the student will take to develop a nursing
care plan for this child?
a. Identify measurable outcomes with a timeline.
b. Choose specific nursing interventions for the child.
c. Determine appropriate nursing diagnoses.
d. State nursing actions related to the child‘s medical diagnosis.
CORRECT ANSWER: C
The nurse uses assessment data to select appropriate nursing diagnoses. Outcomes and
interventions are then developed to address the relevant nursing diagnoses.
DIF: Cognitive Level: Application REF: p. 12 OBJ: 7
TOP: Nursing Process KEY: Nursing Process Step: Nursing Diagnosis
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
11. A nursing student on an obstetric rotation questions the floor nurse about the definition of the
LVN/LPN scope of practice. What resource can the nurse suggest to the student?
a. American Nurses Association
Test Bank For Introduction toTest
Maternity
Bank For
andIntroduction
Pediatric Nursing
tohttps://www.stuvia.com/user/stuviaun
Maternity
10th Edition
and Pediatric
Leifer.docx
Nursing 10th Edition Leifer.docxhttps://www.stuvia.com/user/stuviaun
, Test Bank For Introduction toTest
Maternity
Test
BankBank
For
andIntroduction
For
Pediatric
Introduction
Nursing
to Maternity
to 10th
Maternity
Edition
and Pediatric
and
Leiferhttps://www.stuvia.com/user/stuviaun
Pediatric
Nursing
Nursing
10th 10th
Edition
Edition
Leifer.docxhttps://www.stuvia.com/user/stuviaun
Leifer.docx
b. State‘s Board of Nursing
c. Joint Commission
d. Association of Women‘s Health, Obstetric and Neonatal Nurses
CORRECT ANSWER: B
The scope of practice of the LVN/LPN is published by the state‘s board of nursing.
DIF: Cognitive Level: Comprehension REF: p. 16 OBJ: 2
TOP: Critical Thinking KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
12. What was recommended by Karl Credé in 1884?
a. All women should be delivered in a hospital setting.
b. Chemical means should be used to combat infection.
c. Podalic version should be done on all fetuses.
d. Silver nitrate should be placed in the eyes of newborns.
CORRECT ANSWER: D
In 1884 Karl Credé recommended the use of 2% silver nitrate in the eyes of newborns to
reduce the incidence of blindness.
DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: 1
TOP: Use of Silver Nitrate KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
13. What is the purpose of the White House Conference on Children and Youth?
a. Set criteria for normal growth patterns.
b. Examine the number of live births in minority populations.
c. Raise money to support well-child clinics in rural areas.
d. Promote comprehensive child welfare.
CORRECT ANSWER: D
White House Conferences on Children and Youth are held every 10 years to promote
comprehensive child welfare.
DIF: Cognitive Level: Knowledge REF: p. 4 OBJ: 2
TOP: White House Conferences KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
14. How many hours of hospital stay does legislation currently allow for a postpartum patient
who has delivered vaginally without complications?
a. 24
b. 48
c. 36
d. 72
CORRECT ANSWER: B
Postpartum patients who deliver vaginally stay in the hospital for an average of 48 hours;
patients who have had a cesarean delivery usually stay 4 days.
DIF: Cognitive Level: Knowledge REF: p. 6 OBJ: 5
TOP: Hospital Terms for Postpartum Patients
KEY: Nursing Process Step: Planning
Test Bank For Introduction toTest
Maternity
Bank For
andIntroduction
Pediatric Nursing
tohttps://www.stuvia.com/user/stuviaun
Maternity
10th Edition
and Pediatric
Leifer.docx
Nursing 10th Edition Leifer.docxhttps://www.stuvia.com/user/stuviaun
Maternity
Test
BankBank
For
andIntroduction
For
Pediatric
Introduction
Nursing
to Maternity
to 10th
Maternity
Edition
and Pediatric
and
Leiferhttps://www.stuvia.com/user/stuviaun
Pediatric
Nursing
Nursing
10th 10th
Edition
Edition
Leifer.docxhttps://www.stuvia.com/user/stuviaun
Leifer.docx
Chapter 01: The Past, Present, and Future 10e
MULTIPLE CHOICE
1. A patient chooses to have the certified nurse-midwife
(CNM) provide care during herpregnancy. 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
CORRECT ANSWER: 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
CORRECT ANSWER: 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.”
CORRECT ANSWER: 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
Test Bank For Introduction toTest
Maternity
Bank For
andIntroduction
Pediatric Nursing
tohttps://www.stuvia.com/user/stuviaun
Maternity
10th Edition
and Pediatric
Leifer.docx
Nursing 10th Edition Leifer.docxhttps://www.stuvia.com/user/stuviaun
,Test Bank For Introduction toTest
Maternity
Test
BankBank
For
andIntroduction
For
Pediatric
Introduction
Nursing
to Maternity
to 10th
Maternity
Edition
and Pediatric
and
Leiferhttps://www.stuvia.com/user/stuviaun
Pediatric
Nursing
Nursing
10th 10th
Edition
Edition
Leifer.docxhttps://www.stuvia.com/user/stuviaun
Leifer.docx 2
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
CORRECT ANSWER: 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
CORRECT ANSWER: 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
CORRECT ANSWER: 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.
CORRECT ANSWER: 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
Test Bank For Introduction toTest
Maternity
Bank For
andIntroduction
Pediatric Nursing
tohttps://www.stuvia.com/user/stuviaun
Maternity
10th Edition
and Pediatric
Leifer.docx
Nursing 10th Edition Leifer.docxhttps://www.stuvia.com/user/stuviaun
,Test Bank For Introduction toTest
Maternity
Test
BankBank
For
andIntroduction
For
Pediatric
Introduction
Nursing
to Maternity
to 10th
Maternity
Edition
and Pediatric
and
Leiferhttps://www.stuvia.com/user/stuviaun
Pediatric
Nursing
Nursing
10th 10th
Edition
Edition
Leifer.docxhttps://www.stuvia.com/user/stuviaun
Leifer.docx
TOP: The Past KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care
8. What government program was implemented to increase the educational exposure of
preschool children?
a. WIC
b. Title XIX of Medicaid
c. The Children‘s Charter
d. Head Start
CORRECT ANSWER: D
Head Start programs were established to increase educational exposure of preschool children.
DIF: Cognitive Level: Knowledge REF: p. 3 OBJ: 3
TOP: Government Influences in Maternity and Pediatric Care KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
9. What guidelines define multidisciplinary patient care in terms of expected outcome and
timeframe from different areas of care provision?
a. Clinical pathways
b. Nursing outcome criteria
c. Standards of care
d. Nursing care plan
CORRECT ANSWER: A
Clinical pathways, also known as critical pathways or care maps, are collaborative guidelines
that define patient care across disciplines. Expected progress within a specified timeline is
identified.
DIF: Cognitive Level: Knowledge REF: p. 13 OBJ: 10
TOP: Health Care Delivery Systems KEY: Nursing Process Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
10. A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her mother,
and collected admission data. What is the next step the student will take to develop a nursing
care plan for this child?
a. Identify measurable outcomes with a timeline.
b. Choose specific nursing interventions for the child.
c. Determine appropriate nursing diagnoses.
d. State nursing actions related to the child‘s medical diagnosis.
CORRECT ANSWER: C
The nurse uses assessment data to select appropriate nursing diagnoses. Outcomes and
interventions are then developed to address the relevant nursing diagnoses.
DIF: Cognitive Level: Application REF: p. 12 OBJ: 7
TOP: Nursing Process KEY: Nursing Process Step: Nursing Diagnosis
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
11. A nursing student on an obstetric rotation questions the floor nurse about the definition of the
LVN/LPN scope of practice. What resource can the nurse suggest to the student?
a. American Nurses Association
Test Bank For Introduction toTest
Maternity
Bank For
andIntroduction
Pediatric Nursing
tohttps://www.stuvia.com/user/stuviaun
Maternity
10th Edition
and Pediatric
Leifer.docx
Nursing 10th Edition Leifer.docxhttps://www.stuvia.com/user/stuviaun
, Test Bank For Introduction toTest
Maternity
Test
BankBank
For
andIntroduction
For
Pediatric
Introduction
Nursing
to Maternity
to 10th
Maternity
Edition
and Pediatric
and
Leiferhttps://www.stuvia.com/user/stuviaun
Pediatric
Nursing
Nursing
10th 10th
Edition
Edition
Leifer.docxhttps://www.stuvia.com/user/stuviaun
Leifer.docx
b. State‘s Board of Nursing
c. Joint Commission
d. Association of Women‘s Health, Obstetric and Neonatal Nurses
CORRECT ANSWER: B
The scope of practice of the LVN/LPN is published by the state‘s board of nursing.
DIF: Cognitive Level: Comprehension REF: p. 16 OBJ: 2
TOP: Critical Thinking KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
12. What was recommended by Karl Credé in 1884?
a. All women should be delivered in a hospital setting.
b. Chemical means should be used to combat infection.
c. Podalic version should be done on all fetuses.
d. Silver nitrate should be placed in the eyes of newborns.
CORRECT ANSWER: D
In 1884 Karl Credé recommended the use of 2% silver nitrate in the eyes of newborns to
reduce the incidence of blindness.
DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: 1
TOP: Use of Silver Nitrate KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
13. What is the purpose of the White House Conference on Children and Youth?
a. Set criteria for normal growth patterns.
b. Examine the number of live births in minority populations.
c. Raise money to support well-child clinics in rural areas.
d. Promote comprehensive child welfare.
CORRECT ANSWER: D
White House Conferences on Children and Youth are held every 10 years to promote
comprehensive child welfare.
DIF: Cognitive Level: Knowledge REF: p. 4 OBJ: 2
TOP: White House Conferences KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
14. How many hours of hospital stay does legislation currently allow for a postpartum patient
who has delivered vaginally without complications?
a. 24
b. 48
c. 36
d. 72
CORRECT ANSWER: B
Postpartum patients who deliver vaginally stay in the hospital for an average of 48 hours;
patients who have had a cesarean delivery usually stay 4 days.
DIF: Cognitive Level: Knowledge REF: p. 6 OBJ: 5
TOP: Hospital Terms for Postpartum Patients
KEY: Nursing Process Step: Planning
Test Bank For Introduction toTest
Maternity
Bank For
andIntroduction
Pediatric Nursing
tohttps://www.stuvia.com/user/stuviaun
Maternity
10th Edition
and Pediatric
Leifer.docx
Nursing 10th Edition Leifer.docxhttps://www.stuvia.com/user/stuviaun
