Introduction to Maternityand Pediatric Nursing,
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8th Edition by Gloria Leifer
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UNIT |I: |An |Overview |of |Maternity |and |Pediatric |Nursing
Chapter |1: |The |Past, |Present, |and |Future
UNIT |II: |Maternal-Newborn |Nursing |and |Women’s |Health
|Chapter |2: |Human |Reproductive |Anatomy |and |Physiology
|Chapter |3: |Fetal |Development
Chapter |4: |Prenatal |Care |and |Adaptations |to |Pregnancy
Chapter |5: |Nursing |Care |of |Women |with |Complications |during |Pregnancy
|Chapter |6: |Nursing |Care |of |Mother |and |Infant |during |Labor |and |Birth |Chapter
|7: |Nursing |Management |of |Pain |during |Labor |and |Birth
Chapter |8: |Nursing |Care |of |Women |with |Complications |during |Labor |and |Birth
Chapter |9: |The |Family |after |Birth
Chapter |10: |Nursing |Care |of |Women |with |Complications |Following |Birth
|Chapter |11: |The |Nurse’s |Role |in |Women’s |Health |Care
Chapter |12: |The |Term |Newborn
Chapter |13: |Preterm |and |Post-Term |Newborns
Chapter |14: |The |Newborn |with |a |Perinatal |Injury |or |Congenital
|Malformation
UNIT |III: |The |Growing |Child |and |Family
Chapter |15: |An |Overview |of |Growth, |Development, |and |Nutrition
|Chapter |16: |The |Infant
Chapter |17: |The |Toddler
|Chapter |18: |The |Preschool |Child
Chapter |19: |The |School-Age |Child |Chapter
|20: |The |Adolescent
UNIT |IV: |Adapting |Care |to |the |Pediatric |Patient
Chapter |21: |The |Child’s |Experience |of |Hospitalization
|Chapter |22: |Health |Care |Adaptations |for |the |Child |and |Family
|UNIT |V: |The |Child |Needing |Nursing |Care
Chapter |23: |The |Child |with |a |Sensory |or |Neurological |Condition
|Chapter |24: |The |Child |with |a |Musculoskeletal |Condition
|Chapter |25: |The |Child |with |a |Respiratory |Disorder
Chapter |26: |The |Child |with |a |Cardiovascular |Disorder
Chapter |27: |The |Child |with |a |Condition |of |the |Blood, |Blood-Forming |Organs |or |Lymphatic |System |Chapter
|28: |The |Child |with |a |Gastrointestinal |Condition
Chapter |29: |The |Child |with |a |Genitourinary |Condition |Chapter
|30: |The |Child |with |a |Skin |Condition
Chapter |31: |The |Child |with |a |Metabolic |Condition
Chapter |32: |Childhood |Communicable |Diseases, |Bioterrorism, |Natural |Disasters |and |the |Maternal-Child
|Patient
Chapter |33: |The |Child |with |an |Emotional |or |Behavioral |Condition
UNIT |VI: |The |Changing |Health |Care |Environment
Chapter |34: |Complementary |and |Alternative |Therapies |in |Maternity |and |Pediatric |Nursing
, INTRODUCTION |TO |MATERNITY |AND |PEDIATRIC |NURSING |8TH |EDITION |LEIFER |TEST |BANK
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Chapter 01: The Past, Present, and Future
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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, |and |ensures
|that |a | backup | physician | is | available |in | case | of | unforeseen | problems.
DIF: |Cognitive | Level: | Comprehension |REF: | Page | 6
TOP: | Advance | Practice |Nursing |Roles |KEY: |Nursing |Process | Step: |Implementation
MSC: | NCLEX: | Health |Promotion |and | Maintenance: | Prevention |and |Early |Detection | of |Disease
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 |2
|TOP: | 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 | reflecting
| cultural |sensitivity?
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.
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
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, INTRODUCTION |TO |MATERNITY |AND |PEDIATRIC |NURSING |8TH |EDITION |LEIFER |TEST |BANK
3
OBJ: | 9 |TOP: |The |Present-Child | Care
KEY: |Nursing |Process | Step: | Implementation
MSC: | NCLEX: | Safe, | Effective | Care | Environment: | Coordinated |Care
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 | otherwise.
DIF: | Cognitive | Level: | Comprehension |REF: | Page |6
TOP: |The |Present-Maternity |Care |KEY: |Nursing |Process |Step: |N/A
|MSC: |NCLEX: |Health |Promotion |and |Maintenance
6. Who |advocated |the |establishment | of |the |Childrens | 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 |Childrens | 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 | Childrens |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. 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
|TOP: | The | Past | KEY: | Nursing |Process | Step: | N/A
MSC: | NCLEX: | Health |Promotion | and | Maintenance: | Coordinated | Care
8. What |government | program | was | implemented |to |increase | the |educational | exposure | of | preschool | children?
a. WIC
b. Title |XIX | of | Medicaid
c. The | Childrens | 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/A
|MSC: | 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?
, INTRODUCTION |TO |MATERNITY |AND |PEDIATRIC |NURSING |8TH |EDITION |LEIFER |TEST |BANK
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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.
DIF: | Cognitive | Level: | Knowledge | REF: | Page | 12
TOP: |Health |Care |Delivery |Systems |KEY: |Nursing |Process |Step: |N/A
|MSC: |NCLEX: |Safe, |Effective |Care |Environment: |Coordinated |Care
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 | childs | 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.
DIF: | Cognitive | Level: | Application | REF: | Page |11
TOP: |Nursing |Process |KEY: |Nursing |Process |Step: |Nursing |Diagnosis
|MSC: |NCLEX: |Safe, |Effective |Care |Environment: |Coordinated |Care
11. 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 | nurseNsUuRg Sg IeNstGt oT Bth. Ce Os tM
ude nt ?
a. American |Nurses | Association
b. States |board |of |nursing
c. Joint |Commission
d. Association |of |Womens | Health, | Obstetric | and |Neonatal | Nurses
ANS: | B
The |scope | of | practice |of | the | LVN/LPN | is |published |by | the |states |board |of | nursing.
DIF: |Cognitive |Level: |Comprehension |REF: |Page |3
|OBJ: |18 |TOP: |Critical |Thinking
KEY: |Nursing |Process | Step: | Implementation
MSC: | NCLEX: | Safe, | Effective | Care | Environment: | Coordinated |Care
12. What | was | recommended | by |Karl | Cred |in |1884?
a. All | women |should |be | delivered |in |a | hospital |setting.
b. Chemical | means |should |be | used |to |combat |infection.
c. Podalic | version |should |be | done | on |all |fetuses.
d. Silver | nitrate |should |be |placed |in |the |eyes | of | newborns.
ANS: | D
In |1884 |Karl |Cred |recommended |the |use |of |2% | silver |nitrate |in |the |eyes |of |newborns |to |reduce |the |incidence |of
|blindness.
DIF: | Cognitive | Level: | Knowledge | REF: | Page |2
TOP: |Use |of |Silver | Nitrate | KEY: | Nursing |Process | Step: |N/A
MSC: | NCLEX: | Health |Promotion |and | Maintenance: | Prevention |and |Early |Detection | of |Disease
13. What |is |the | purpose | of |the | White |House |Conference | on |Children |and |Youth?
a. Set |criteria |for | normal |growth |patterns.