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, Davis Advantage for Maternal-Child Nursing Care 3rd Edition Scannell
Ruggiero Test Bank
Chapter 1.Core Concepts of Maternal and Pediatric Healthcare Across the
Continuum
MULTIPLE CHOICE
• A patient chooses to have the certified nurse midwife (CNM) provide care
during her pregnancy. What does the CNMs scope of practice include?
• Practice independent from medical supervision
• Comprehensive prenatal care
• Attendance at all deliveries
•
Cesar
ean
sectio
ns
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: Page 6 OBJ: 12
TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
• Which medical pioneer discovered the relationship between the incidence of
puerperal fever and unwashed hands?
• Karl Cred
• Ignaz Semmelweis
• Louis Pasteur
•
J
o
s
e
p
h
L
i
s
t
, e
r
A
N
S
:
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: Page 2
OBJ: 1 TOP: The Past KEY: Nursing Process
Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
• 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?
• Maternal mortality in the United States is extremely low.
• Anesthesia is available to relieve pain during labor and childbirth.
• Tell me why you are afraid of childbirth.
• 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: Page 7-8 OBJ: 8
TOP: Cross-Cultural Care KEY: Nursing Process Step:
Implementation MSC: NCLEX: Psychosocial Integrity:
Psychological Adaptation
• An urban area has been reported to have a high perinatal mortality rate. What
information does this provide?
• Maternal and infant deaths per 100,000 live births per year
• Deaths of fetuses weighing more than 500 g per 10,000 births per year
• Deaths of infants up to 1 year of age per 1000 live births per year
• Fetal and neonatal deaths per 1000 live
births per year ANS: D
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
DIF: Cognitive Level: Comprehension REF: Page 12,
Box 1-6 OBJ: 9 TOP: The Present-Child Care
KEY: Nursing Process Step: Implementation
, MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
• What is the focus of current maternity practice?
• Hospital births for the majority of women
• The traditional family unit
• Separation of labor rooms from delivery rooms
• A quality family
experience for each
patient ANS: D
Current maternity practice focuses on a high-quality family experience for all
families, traditional or otherwise.
DIF: Cognitive Level: Comprehension REF: Page 6 OBJ: 7
TOP: The Present-Maternity Care KEY: Nursing Process Step:
N/A MSC: NCLEX: Health Promotion and Maintenance
• Who advocated the establishment of the Childrens Bureau?
• Lillian Wald
• Florence Nightingale
• Florence Kelly
•
C
l
a
r
a
B
a
r
t
o
n
A
N
S
:
A
Lillian Wald is credited with suggesting the establishment of a federal Childrens Bureau.
DIF: Cognitive Level: Knowledge REF: Page 4 OBJ:
1 | 2 TOP: The Past KEY: Nursing Process Step: