Leifer’s Introduction to Maternity and Pediatric Nursing 10th Edition Test Bank Complete Questions and Answers with Solution 2025/ 2026

Test Bank For Introduction to Maternity and Pediatric Nursing 9th Edition
cf cf cf cf cf cf cf cf cf cf 1




Chapter 01: The Past, Present, and Future
Leifer: Introduction to Maternity and Pediatric Nursing, 10th Edition


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
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

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4. An urban area has been reported to have a high perinatal mortality rate. What information
cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf


does this provide? cf cf


a. Maternal and infant deaths per 100,000 live births per year cf cf cf cf cf cf cf cf cf


b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
cf cf cf cf cf cf cf cf cf cf cf cf


c. Deaths of infants up to 1 year of age per 1000 live births per year
cf cf cf cf cf cf cf cf cf cf cf cf cf cf


d. Fetal and neonatal deaths per 1000 live births per year
cf cf cf cf cf cf cf cf cf




ANS: D cf


The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
cf cf cf cf cf cf cf cf cf cf cf cf cf cf




DIF: Cognitive Level: Comprehension cf cf


REF: p. 13 | Box 1.6 OBJ: 9 TOP: The Present- cf cf cf cf cf cf c f cf cf


Child Care cf


KEY: Nursing Process Step: Implementation
cf cf cf cf


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




5. What is the focus of current maternity practice?
cf cf cf cf cf cf cf


a. Hospital births for the majority of women cf cf cf cf cf cf


b. The traditional family unit cf cf cf


c. Separation of labor rooms from delivery rooms cf cf cf cf cf cf


d. A quality family experience for each patient
cf cf cf cf cf cf




ANS: D cf


Current maternity practice focuses on a high-
cf cf cf cf cf cf


quality family experience for all families, traditional or otherwise.
cf cf cf cf cf cf cf cf




DIF: Cognitive Level: Comprehension REF: p. 6 cf cf c f cf


OBJ: 5 TOP: The Present-Maternity Care cf cf c f cf cf


KEY: Nursing Process Step: N/A MSC: NCLEX: Health Promotion a cf cf cf cf cf cf cf cf cf


nd Maintenance
cf




6. Who advocated the establishment of the Children‘s Bureau?
cf cf cf cf cf cf cf


a. Lillian Wald cf


b. Florence Nightingale cf


c. Florence Kelly cf


d. Clara Barton cf




ANS: A cf


Lillian Wald is credited with suggesting the establishment of a federal Children‘s Bureau.
cf cf cf cf cf cf cf cf cf cf cf cf




DIF: Cognitive Level: Knowledge REF: p. 4 cf cf c f cf


OBJ: 1 | 2 TOP: The Past cf cf cf cf c f cf


KEY: Nursing Process Step: Implementation cf cf cf cf


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




7. What was the result of research done in the 1930s by the Children‘s Bureau?
cf cf cf cf cf cf cf cf cf cf cf cf cf


a. Children with heart problems are now cared for by pediatric cardiologists.
cf cf cf cf cf cf cf cf cf cf


b. The Child Abuse and Prevention Act was passed.
cf cf cf cf cf cf cf


c. Hot lunch programs were established in many schools.
cf cf cf cf cf cf cf


d. Children‘s asylums were founded. cf cf cf




ANS: C cf


School hot lunch programs were developed as a result of research by the Children‘s Bureau on th
cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf


e effects of economic depression on children.
cf cf cf cf cf cf




DIF: Cognitive Level: Knowledge cf cf REF: cfcf p. 4 cf OBJ: 2 | 3 cf cf cf

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TOP: The Past KEY: Nursing Process Step: N/A
c f cf cf cf cf cf


MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care
cf cf cf cf cf cf cf




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


preschool children? cf


a. WIC
b. Title XIX of Medicaid cf cf cf


c. The Children‘s Charter cf cf


d. Head Start cf




ANS: D cf


Head Start programs were established to increase educational exposure of preschool children.
cf cf cf cf cf cf cf cf cf cf cf




DIF: Cognitive Level: Knowledge REF: p. 3 cf cf cfcf cf OBJ: 3 cf


TOP: Government Influences in Maternity and Pediatric Care
c f cf cf cf cf cf cf


KEY: Nursing Process Step: N/A cf cf cf cf cf


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




9. What guidelines define multidisciplinary patient care in terms of expected outcome and
cf cf cf cf cf cf cf cf cf cf cf cf


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


a. Clinical pathways cf


b. Nursing outcome criteria cf cf


c. Standards of care cf cf


d. Nursing care plan cf cf




ANS: A cf


Clinical pathways, also known as critical pathways or care maps, are collaborative guidelines t
cf cf cf cf cf cf cf cf cf cf cf cf cf


hat define patient care across disciplines. Expected progress within a specified timeline is ide
cf cf cf cf cf cf cf cf cf cf cf cf cf


ntified.

DIF: Cognitive Level: Knowledge REF: p. 13 cf cf c f cf


OBJ: 10 TOP: Health Care Delivery Systems cf cf c f cf cf cf


KEY: Nursing Process Step: N/A MSC: NCLEX: Safe, Effective Care
cf cf cf cf cf cf cf cf cf c


fEnvironment: Coordinated Care cf cf




10. A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her mother,
cf cf cf cf cf cf cf cf cf cf cf cf c


and collected admission data. What is the next step the student will take to develop a nursing
f cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf


care plan for this child?
cf cf cf cf cf


a. Identify measurable outcomes with a timeline. cf cf cf cf cf


b. Choose specific nursing interventions for the child. cf cf cf cf cf cf


c. Determine appropriate nursing diagnoses. cf cf cf


d. State nursing actions related to the child‘s medical diagnosis.
cf cf cf cf cf cf cf cf




ANS: C cf


The nurse uses assessment data to select appropriate nursing diagnoses. Outcomes and interventi
cf cf cf cf cf cf cf cf cf cf cf cf


ons are then developed to address the relevant nursing diagnoses.
cf cf cf cf cf cf cf cf cf




DIF: Cognitive Level: Application cf cf REF: cfcf p. 12 cf OBJ: 7 cf


TOP: Nursing Processc f cf


KEY: Nursing Process Step: Nursing Diagnosis cf cf cf cf cf c


fMSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
cf cf cf cf cf cf cf




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


LVN/LPN scope of practice. What resource can the nurse suggest to the student?
cf cf cf cf cf cf cf cf cf cf cf cf


a. American Nurses Association cf cf

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b. State‘s Board of Nursing cf cf cf


c. Joint Commission cf


d. Association of Women‘s Health, Obstetric and Neonatal Nurses cf cf cf cf cf cf cf




ANS: B cf


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




DIF: Cognitive Level: Comprehension cf cf REF: cfcf p. 16 cf OBJ: 2 cf


TOP: Critical Thinking
c f cf


KEY: Nursing Process Step: Implementation cf cf cf cf c


fMSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
cf cf cf cf cf cf cf




12. What was recommended by Karl Credé in 1884?
cf cf cf cf cf cf cf


a. All women should be delivered in a hospital setting.
cf cf cf cf cf cf cf cf


b. Chemical means should be used to combat infection. cf cf cf cf cf cf cf


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


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




ANS: D cf


In 1884 Karl Credé recommended the use of 2% silver nitrate in the eyes of newborns to red
cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf


uce the incidence of blindness.
cf cf cf cf




DIF: Cognitive Level: Knowledge REF: p. 2 cf cf c f cf


OBJ: 1 TOP: Use of Silver Nitrate KEY: Nursing Process Step: N/A
cf cf c f cf cf cf cf cf cf cf


MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
cf cf cf cf cf cf cf cf cf cf cf




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


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


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


c. Raise money to support well-child clinics in rural areas.
cf cf cf cf cf cf cf cf


d. Promote comprehensive child welfare. cf cf cf




ANS: D cf


White House Conferences on Children and Youth are held every 10 years to promote comprehen
cf cf cf cf cf cf cf cf cf cf cf cf cf cf


sive child welfare.
cf cf




DIF: Cognitive Level: Knowledge REF: p. 4 cf cf c f cf


OBJ: 2 TOP: White House Conferences cf cf c f cf cf


KEY: Nursing Process Step: N/A cf cf cf cf


MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
cf cf cf cf cf cf cf cf cf cf cf




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


who has delivered vaginally without complications?
cf cf cf cf cf


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


Postpartum patients who deliver vaginally stay in the hospital for an average of 48 hours; pa
cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf


tients who have had a cesarean delivery usually stay 4 days.
cf cf cf cf cf cf cf cf cf cf




DIF: Cognitive Level: Knowledge REF: p. 6 cf cf c f cf


OBJ: 5 TOP: Hospital Terms for Postpartum Patients cf cf cf cf cf cf cf


KEY: Nursing Process Step: Planning
cf cf cf cf