TEST BANK: INTRODUCTION TOMATERNITY & PEDIATRIC NURSING5TH EDITION LEIFER

Chapter 1: The Past, Present, and Future MULTIPLE CHOICE 1. The certified nurse-midwife (CNM) clarifies to the pregnant patient that the CNM’s scope of practice includes: a. Practice independent from medical supervision b. Comprehensive prenatal care c. Attendance at all deliveries d. Simple surgical techniques ANS: B The CMN provides comprehensive prenatal and postnatal care and attends uncomplicated deliveries and assures a back-up physician in case of unforeseen problems. DIF: Cognitive Level: Comprehension REF: Text Reference: 7 OBJ: Objective: 2 TOP: Topic: Advance Practice Nursing Roles KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease 2. The medical pioneer who discovered the relationship between the incidence of puerperal fever and unwashed hands was: 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: Text Reference: 2 OBJ: Objective: 7 TOP: Topic: 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.” A nursing response reflecting cultural sensitivity would be: 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.