Test Bank For Introduction to Maternity and Pediatric Nursing 8th Edition
Chapter 01: The Past, Present, and Future
MULTIPLE CHOICE
1. A patient chooses to have the certified nurse midwife
(CNM) provide care during her pregnancy. What does the
CNMs 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, andensures that a backup physician is available in case of
unforeseen problems.
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
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: Page
2TOP: 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
a. Reflecting cultural sensitivity? 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: Page 7
TOP: Cross-Cultural Care KEY: Nursing Process Step: Implementation MSC:
NCLEX: Psychosocial Integrity:
Psychological Adaptation
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
ANS: D
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births
per year. DIF: Cognitive Level: Comprehension REF: Page 12
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
ANS: D
Current maternity practice focuses on a high-quality family experience for all families, traditional or
6. Who advocated the establishment of the Children Bureau? a.
Lillian Wald
,b. Florence Nightingale
c. Florence Kelly
d. Clara Barton
ANS: A
Lillian Wald is credited with suggesting the establishment of a federal Children Bureau.
DIF: Cognitive Level: Knowledge REF: Page 4
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 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 asylums were founded.
ANS: C
School hot lunch programs were developed as a result of research by the Children 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 Charter
d. Head Start
ANS: D
Head Start programs were established to increase educational exposure of preschool children.
DIF: Cognitive Level: Knowledge REF: Page 3
TOP: Government Influences in Maternity and Pediatric Care KEY: Nursing
Process Step: N/AMSC: 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
ANS: 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.
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.
ANS: C
The nurse uses assessment data to select appropriate nursing diagnoses from the NANDA-I list.
Outcomes and interventions are then developed to address the relevant nursing diagnoses.
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
b. States board of nursing
c. Joint Commission
d. Association of Women’s Health, Obstetric and Neonatal Nurses
Chapter 01: The Past, Present, and Future
MULTIPLE CHOICE
1. A patient chooses to have the certified nurse midwife
(CNM) provide care during her pregnancy. What does the
CNMs 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, andensures that a backup physician is available in case of
unforeseen problems.
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
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: Page
2TOP: 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
a. Reflecting cultural sensitivity? 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: Page 7
TOP: Cross-Cultural Care KEY: Nursing Process Step: Implementation MSC:
NCLEX: Psychosocial Integrity:
Psychological Adaptation
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
ANS: D
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births
per year. DIF: Cognitive Level: Comprehension REF: Page 12
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
ANS: D
Current maternity practice focuses on a high-quality family experience for all families, traditional or
6. Who advocated the establishment of the Children Bureau? a.
Lillian Wald
,b. Florence Nightingale
c. Florence Kelly
d. Clara Barton
ANS: A
Lillian Wald is credited with suggesting the establishment of a federal Children Bureau.
DIF: Cognitive Level: Knowledge REF: Page 4
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 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 asylums were founded.
ANS: C
School hot lunch programs were developed as a result of research by the Children 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 Charter
d. Head Start
ANS: D
Head Start programs were established to increase educational exposure of preschool children.
DIF: Cognitive Level: Knowledge REF: Page 3
TOP: Government Influences in Maternity and Pediatric Care KEY: Nursing
Process Step: N/AMSC: 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
ANS: 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.
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.
ANS: C
The nurse uses assessment data to select appropriate nursing diagnoses from the NANDA-I list.
Outcomes and interventions are then developed to address the relevant nursing diagnoses.
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
b. States board of nursing
c. Joint Commission
d. Association of Women’s Health, Obstetric and Neonatal Nurses
