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Exam (elaborations)

Test Bank For Introduction to Maternity and Pediatric Nursing, 9th edition with questions and answers - All Chapters

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Test Bank For Introduction to Maternity and Pediatric Nursing, 9th edition with questions and answers - All Chapters

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Test Bank For Introduction to Maternity and
Pediatric Nursing, 9th edition with questions
and answers - 2024-2025 All Chapters


The number of deaths of infants younger than age 28 days per 1000 live births is
termed the:


a. infant death rate
b. neonatal birthrate
c. neonatal morbidity rate
d. neonatal mortality rate - 1. Correct answer: D
Rationale: Neonatal mortality rate is defined as the number of deaths of infants
under age 1 year per 1000 live births. Birth rate and neonatal birth rate refer to
the number of births per 1000 population in a year. Neonatal morbidity rate
refers to illness.
Page reference: Page 12; Box 1-6


Which nursing action is the priority when a patient arrives at the clinic?


a. prepare a plan of care
b. select the appropriate NANDA diagnoses.
c. Administer medication as ordered
d. Determine and document history and vital signs - 2. Correct answer: D
Rationale: Assessment is the first step of the nursing process and includes the
collection of subjective and objective patient data. Diagnosis is the second step
of the nursing process. Preparing a plan of care refers to the fourth step:
planning. Administering medications relates to implementation, which is the fifth
step of the nursing process.
Page reference: Page 11

,An organization that sets standards of practice for nursing is the:


a. American Medical Association (AMA).
b. American Nurses Association (ANA).
c. utilization review committee
d. American Academy of Pediatrics (AAP). - 3. Correct answer: B
Rationale: The ANA develops standards of practice. The AMA is a medical
association that is geared toward physicians. Utilization review committee
reviews appropriateness of health care services and guidelines for physicians
for treatment of illness, controlling management of care to achieve cost
containment. The AAP is made up of pediatricians and establishes positions of
leadership in setting standards of care for children.
Page reference: Page 3


The nurse is providing "evidence based care" when she:


a. adheres to hospital procedure book guidelines.
b. carries out protocols learned in nursing school
c. carries out the practice requested by the charge nurse or health care
provider.
d. knows that the practice has been published in a professional journal or text. -
4. Correct answer: D
Rationale: Evidence-based practice starts when the nurse uses the best
evidence obtained from current, valid, published research. When the nurse
combines that information with his or her critical thinking process, experiences,
and patients' needs, it is then possible to plan safe, effective nursing care for the
patient. The other answer options are not accurate.
Page reference: Page 14


Which source would the nurse use to determine whether a specific nursing
activity is within the scope of practice of an LPN/LVN.

, a. Doctor's prescription record
b. Nursing procedure manual
c. Head nurse or nurse manager
d. The Nurse Practice Act - 5. Correct answer: D
Rationale: Specific activities are listed by the state nurse practice act and
nurses must practice within the limitations of the nurse practice act for their
state. The other answer options are not sources that determine scope of
practice.
Page reference: Page 3


The nurse is assigned to care for the following patients. Based on information
received at the change-of-shift report, which patient should the nurse assess
first?


a. A 1-hour-old neonate with a heart rate of 130 beats/min
b. A postpartum mother requiring discharge information
c. A breastfeeding mother with reports of painful breasts
d. A patient recovering from cesarean section reporting a red, warm right calf -
ANS: D


A red, warm calf may indicate phlebitis, a possibly life-threatening condition that
must be immediately addressed. A postpartum mother requiring discharge
information, a 1-hour-old neonate with a heart rate of 130 beats/min, and a
breastfeeding mother with reports of painful breasts are common assessments
and are not life threatening; therefore these patients can be addressed
afterward.


REF: Page 12


A group of women are discussing childbirth experiences. Which statement
would most likely indicate that the woman gave birth in the 1950s?

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