Test Bank for Davis Advantage for Maternal-Child Nursing Care 3rd Edition by Scannell Ruggiero Rated A+

Test Bank for Davis Advantage for Maternal-Child Nursing Care 3rd Edition by Scannell Ruggiero 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 • Josephlister 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: Implementation MSC: NCLEX: Health Promotion and Maintenance: Growth and Development • What was the result of research done in the 1930s by the Childrens Bureau? • Children with heart problems are now cared for by pediatric cardiologists. • The Child Abuse and Prevention Act was passed. • Hot lunch programs were established in many schools. • Childrens asylums were founded. ANS: C School hot lunch programs were developed as a result of research by the Childrens Bureau on the effects of economic depression on children. DIF: Cognitive Level: Knowledge REF: Page 4 OBJ: 2 | 3 TOP: The Past KEY: Nursing Process Step: N/A MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care • What government program was implemented to increase the educational exposure of preschool children? • WIC • Title XIX of Medicaid • The Childrens Charter • H