,Safe Maternity and Pediatric Nursing Care 2nd Ed Test Bank
Chapters 1-38 | Complete 2027 Study Guide
Chapter 1: Introduction to Maternity and Pediatric Nursing
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
Answer: B
Rationale: The CNM provides comprehensive prenatal and postnatal care, attends
uncomplicated deliveries, and ensures that a backup physician is available in case
of unforeseen problems. CNMs do not perform cesarean sections independently .
2. Which medical pioneer discovered the relationship between the incidence of
puerperal fever and unwashed hands?
A) Karl Cred
B) Ignaz Semmelweis
C) Louis Pasteur
D) Joseph Lister
Answer: B
Rationale: Ignaz Semmelweis deduced that puerperal fever was septic,
contagious, and transmitted by the unwashed hands of physicians and medical
students .
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."
Answer: C
Rationale: Asking the patient about her concerns helps promote understanding
and individualizes patient care. This response demonstrates cultural sensitivity
and therapeutic communication .
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
Answer: D
Rationale: The perinatal mortality rate includes fetal and neonatal deaths per
1000 live births per year .
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
Answer: D
Rationale: Current maternity practice focuses on a high-quality family experience
for all families, traditional or otherwise .
, 6. Who advocated the establishment of the Children's Bureau?
A) Lillian Wald
B) Florence Nightingale
C) Florence Kelly
D) Clara Barton
Answer: C
Rationale: Lillian Wald is credited with suggesting the establishment of a federal
Children's Bureau .
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.
Answer: C
Rationale: School hot lunch programs were developed as a result of research by
the Children's Bureau on the effects of economic depression on children .
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
Answer: D
Rationale: Head Start programs were established to increase educational
exposure of preschool children from low-income families .
Chapters 1-38 | Complete 2027 Study Guide
Chapter 1: Introduction to Maternity and Pediatric Nursing
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
Answer: B
Rationale: The CNM provides comprehensive prenatal and postnatal care, attends
uncomplicated deliveries, and ensures that a backup physician is available in case
of unforeseen problems. CNMs do not perform cesarean sections independently .
2. Which medical pioneer discovered the relationship between the incidence of
puerperal fever and unwashed hands?
A) Karl Cred
B) Ignaz Semmelweis
C) Louis Pasteur
D) Joseph Lister
Answer: B
Rationale: Ignaz Semmelweis deduced that puerperal fever was septic,
contagious, and transmitted by the unwashed hands of physicians and medical
students .
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."
Answer: C
Rationale: Asking the patient about her concerns helps promote understanding
and individualizes patient care. This response demonstrates cultural sensitivity
and therapeutic communication .
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
Answer: D
Rationale: The perinatal mortality rate includes fetal and neonatal deaths per
1000 live births per year .
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
Answer: D
Rationale: Current maternity practice focuses on a high-quality family experience
for all families, traditional or otherwise .
, 6. Who advocated the establishment of the Children's Bureau?
A) Lillian Wald
B) Florence Nightingale
C) Florence Kelly
D) Clara Barton
Answer: C
Rationale: Lillian Wald is credited with suggesting the establishment of a federal
Children's Bureau .
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.
Answer: C
Rationale: School hot lunch programs were developed as a result of research by
the Children's Bureau on the effects of economic depression on children .
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
Answer: D
Rationale: Head Start programs were established to increase educational
exposure of preschool children from low-income families .
