Safe Maternity and Pediatric Nursing Care 2nd Edition
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Safe Maternity and Pediatric Nursing Care 2nd Edition Linnard-
f f f f f f f f
Palmer TestBank
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Chapterf 1.f Introductionf tof Maternityf andf Pediatricf Nursing
MULTIPLEf CHOICE
1. Af patientf choosesf tof havef thef certifiedf nursef midwifef (CNM)f providef caref duringf herfpre
gnancy.fWhatfdoesfthefCNMsfscopefoffpracticefinclude?
a. Practicef independentf fromf medicalf supervision
b. Comprehensivef prenatalf care
c. Attendancef atf allf deliveries
d. Cesareanf sectionsf
ANS:fB
Thef CNMf providesf comprehensivef prenatalf andf postnatalf care,f attendsf uncomplicatedf deliveries,fandf
ensuresfthatfafbackupfphysicianfisfavailablefinfcasefoffunforeseenfproblems.
DIF:f Cognitivef Level:f Comprehensionf REF:f Pagef 6f OBJ:f 12
TOP:f Advancef Practicef Nursingf Rolesf KEY:f Nursingf Processf Step:f Implementation
MSC:f NCLEX:f Healthf Promotionf andf Maintenance:f Preventionf andf Earlyf Detectionf off Disease
2. Whichf medicalf pioneerf discoveredf thef relationshipf betweenf thef incidencef off puerperalf feverfan
dfunwashedfhands?
a. KarlfCred
b. Ignazf Semmelweis
c. Louisf Pasteur
d. JosephfListerf
ANS:fB
Ignazf Semmelweisf deducedf thatf puerperalf feverf wasf septic,f contagious,f andf transmittedf byf thefunwa
shedfhandsfoffphysiciansfandfmedicalfstudents.
DIF:f Cognitivef Level:f Knowledgef REF:f Pagef 2f OBJ:f 1fTOP:f
ThefPastfKEY:fNursingfProcessfStep:fN/A
MSC:f NCLEX:f Safe,f Effectivef Caref Environment:f Safetyf andf Infectionf Control
3. Af pregnantf womanf whof hasf recentlyf immigratedf tof thef Unitedf Statesf commentsf tof thef nurse,f I
,Safe Maternity and Pediatric Nursing Care 2nd Edition
f f f f f f f
amf afraidf off childbirth.f Itf isf sof dangerous.f If amf afraidf If willf die.f Whatf isf thef bestf nursingfresp
onsefreflectingfculturalfsensitivity?
a. Maternalf mortalityf inf thef Unitedf Statesf isf extremelyf low.
b. Anesthesiaf isf availablef tof relievef painf duringf laborf andf childbirth.
c. Tellf mef whyf youf aref afraidf off childbirth.
d. Yourf conditionf willf bef monitoredf duringf laborf andf delivery.fA
NS:fC
Askingf thef patientf aboutf herf concernsf helpsf promotef understandingf andf individualizesf patientfcar
e.
DIF:f Cognitivef Level:f Applicationf REF:f Pagef 7-8f OBJ:f 8
TOP:f Cross-
Culturalf Caref KEY:f Nursingf Processf Step:f ImplementationfMSC:fNCLEX
:fPsychosocialfIntegrity:f PsychologicalfAdaptation
4. Anf urbanf areaf hasf beenf reportedf tof havef af highf perinatalf mortalityf rate.f Whatf informationf doesfthisf
provide?
a. Maternalf andf infantf deathsf perf 100,000f livef birthsf perf year
b. Deathsf off fetusesf weighingf moref thanf 500f gf perf 10,000f birthsf perf year
c. Deathsfoffinfantsfupftof1f yearfoffagefperf1000flivefbirthsfperf year
d. Fetalf andf neonatalf deathsf perf 1000f livef birthsf perf yearfA
NS:fD
Thef perinatalf mortalityf ratef includesf fetalf andf neonatalf deathsf perf 1000f livef birthsf perf year.
DIF:f Cognitivef Level:f Comprehensionf REF:f Pagef 12,f Boxf 1-
6fOBJ:f9fTOP:fThefPresent-ChildfCare
KEY:f Nursingf Processf Step:f Implementation
MSC:f NCLEX:f Safe,f Effectivef Caref Environment:f Coordinatedf Care
5. Whatf isf thef focusf off currentf maternityf practice?
a. Hospitalf birthsf forf thef majorityf off women
b. Thef traditionalf familyf unit
c. Separationf off laborf roomsf fromf deliveryf rooms
d. Af qualityf familyf experiencef forf eachf patientfA
NS:fD
Currentf maternityf practicef focusesf onf af high-
qualityf familyf experiencef forf allf families,ftraditionalforfotherwise.
,Safe Maternity and Pediatric Nursing Care 2nd Edition
f f f f f f f
DIF:f Cognitivef Level:f Comprehensionf REF:f Pagef 6f OBJ:f 7
TOP:f Thef Present-
Maternityf Caref KEY:f Nursingf Processf Step:f N/AfMSC:fNCLEX:fHealthfPr
omotionfandfMaintenance
6. Whof advocatedf thef establishmentf off thef Childrensf Bureau?
a. Lillianf Wald
b. Florencef Nightingale
c. FlorencefKelly
d. ClarafBartonf
ANS:fA
Lillianf Waldf isf creditedf withf suggestingf thef establishmentf off af federalf Childrensf Bureau.
DIF:fCognitivef Level:fKnowledgefREF:fPagef4fOBJ:f 1f |f2fTOP:f
Thef Pastf KEY:f Nursingf Processf Step:f Implementation
MSC:f NCLEX:f Healthf Promotionf andf Maintenance:f Growthf andf Development
7. Whatf wasf thef resultf off researchf donef inf thef 1930sf byf thef Childrensf Bureau?
a. Childrenf withf heartf problemsf aref nowf caredf forf byf pediatricf cardiologists.
b. Thef Childf Abusef andf Preventionf Actf wasf passed.
c. Hotf lunchf programsf weref establishedf inf manyf schools.
d. Childrensf asylumsf weref founded.f
ANS:fC
Schoolf hotf lunchf programsf weref developedf asf af resultf off researchf byf thef Childrensf Bureauf onf thefeffe
ctsfoffeconomicfdepressionfonfchildren.
DIF:f Cognitivef Level:f Knowledgef REF:f Pagef 4f OBJ:f 2f |f 3fTO
P:fThefPastfKEY:fNursingfProcessfStep:fN/A
MSC:f NCLEX:f Healthf Promotionf andf Maintenance:f Coordinatedf Care
8. Whatf governmentf programf wasf implementedf tof increasef thef educationalf exposuref offpr
eschoolfchildren?
a. WIC
b. Titlef XIXf off Medicaid
c. Thef Childrensf Charter
d. Headf Startf
ANS:fD
Headf Startf programsf weref establishedf tof increasef educationalf exposuref off preschoolf children.
, Safe Maternity and Pediatric Nursing Care 2nd Edition
f f f f f f f
DIF:f Cognitivef Level:f Knowledgef REF:f Pagef 3f OBJ:f 5
TOP:f Governmentf Influencesf inf Maternityf andf Pediatricf Caref KEY:f Nursingf Processf Step:f N/AfMSC:f
NCLEX:fHealthfPromotionfandfMaintenance:fGrowthfandfDevelopment
9. Whatf guidelinesf definef multidisciplinaryf patientf caref inf termsf off expectedf outcomef andfti
meframeffromfdifferentfareasfoffcarefprovision?
a. Clinicalf pathways
b. Nursingf outcomef criteria
c. Standardsfoffcare
d. Nursingfcarefplanf
ANS:fA
Clinicalf pathways,f alsof knownf asf criticalf pathwaysf orf caref maps,f aref collaborativef guidelinesfthat
f definef patientf caref acrossf disciplines.f Expectedf progressf withinf af specifiedf timelinef isfidentified.
DIF:f Cognitivef Level:f Knowledgef REF:f Pagef 12f OBJ:f 14
TOP:f Healthf Caref Deliveryf Systemsf KEY:f Nursingf Processf Step:f N/AfMS
C:f NCLEX:f Safe,f Effectivef Caref Environment:f Coordinatedf Care
10. Af nursingf studentf hasf reviewedf af hospitalizedf pediatricf patientf chart,f interviewedf herf mother,fan
df collectedf admissionf data.f Whatf isf thef nextf stepf thef studentf willf takef tof developf af nursingfcarefplanff
orfthisfchild?
a. Identifyf measurablef outcomesf withf af timeline.
b. Choosef specificf nursingf interventionsf forf thef child.
c. Determinef appropriatef nursingf diagnoses.
d. Statef nursingf actionsf relatedf tof thef childsf medicalf diagnosis.fA
NS:fC
Thef nursef usesf assessmentf dataf tof selectf appropriatef nursingf diagnosesf fromf thef NANDA-
If list.fOutcomesfandf interventionsf arefthenf developedf tofaddressf thef relevantfnursingf diagnoses.
DIF:f Cognitivef Level:f Applicationf REF:f Pagef 11f OBJ:f 13
TOP:f Nursingf Processf KEY:f Nursingf Processf Step:f Nursingf DiagnosisfMS
C:f NCLEX:f Safe,f Effectivef Caref Environment:f Coordinatedf Care
11. Af nursingf studentf onf anf obstetricf rotationf questionsf thef floorf nursef aboutf thef definitionf off thefLV
N/LPNfscopefoffpractice.fWhatfresourcefcanfthefnursefsuggestftofthefstudent?
a. Americanf Nursesf Association
f f f f f f f
Safe Maternity and Pediatric Nursing Care 2nd Edition Linnard-
f f f f f f f f
Palmer TestBank
f f
Chapterf 1.f Introductionf tof Maternityf andf Pediatricf Nursing
MULTIPLEf CHOICE
1. Af patientf choosesf tof havef thef certifiedf nursef midwifef (CNM)f providef caref duringf herfpre
gnancy.fWhatfdoesfthefCNMsfscopefoffpracticefinclude?
a. Practicef independentf fromf medicalf supervision
b. Comprehensivef prenatalf care
c. Attendancef atf allf deliveries
d. Cesareanf sectionsf
ANS:fB
Thef CNMf providesf comprehensivef prenatalf andf postnatalf care,f attendsf uncomplicatedf deliveries,fandf
ensuresfthatfafbackupfphysicianfisfavailablefinfcasefoffunforeseenfproblems.
DIF:f Cognitivef Level:f Comprehensionf REF:f Pagef 6f OBJ:f 12
TOP:f Advancef Practicef Nursingf Rolesf KEY:f Nursingf Processf Step:f Implementation
MSC:f NCLEX:f Healthf Promotionf andf Maintenance:f Preventionf andf Earlyf Detectionf off Disease
2. Whichf medicalf pioneerf discoveredf thef relationshipf betweenf thef incidencef off puerperalf feverfan
dfunwashedfhands?
a. KarlfCred
b. Ignazf Semmelweis
c. Louisf Pasteur
d. JosephfListerf
ANS:fB
Ignazf Semmelweisf deducedf thatf puerperalf feverf wasf septic,f contagious,f andf transmittedf byf thefunwa
shedfhandsfoffphysiciansfandfmedicalfstudents.
DIF:f Cognitivef Level:f Knowledgef REF:f Pagef 2f OBJ:f 1fTOP:f
ThefPastfKEY:fNursingfProcessfStep:fN/A
MSC:f NCLEX:f Safe,f Effectivef Caref Environment:f Safetyf andf Infectionf Control
3. Af pregnantf womanf whof hasf recentlyf immigratedf tof thef Unitedf Statesf commentsf tof thef nurse,f I
,Safe Maternity and Pediatric Nursing Care 2nd Edition
f f f f f f f
amf afraidf off childbirth.f Itf isf sof dangerous.f If amf afraidf If willf die.f Whatf isf thef bestf nursingfresp
onsefreflectingfculturalfsensitivity?
a. Maternalf mortalityf inf thef Unitedf Statesf isf extremelyf low.
b. Anesthesiaf isf availablef tof relievef painf duringf laborf andf childbirth.
c. Tellf mef whyf youf aref afraidf off childbirth.
d. Yourf conditionf willf bef monitoredf duringf laborf andf delivery.fA
NS:fC
Askingf thef patientf aboutf herf concernsf helpsf promotef understandingf andf individualizesf patientfcar
e.
DIF:f Cognitivef Level:f Applicationf REF:f Pagef 7-8f OBJ:f 8
TOP:f Cross-
Culturalf Caref KEY:f Nursingf Processf Step:f ImplementationfMSC:fNCLEX
:fPsychosocialfIntegrity:f PsychologicalfAdaptation
4. Anf urbanf areaf hasf beenf reportedf tof havef af highf perinatalf mortalityf rate.f Whatf informationf doesfthisf
provide?
a. Maternalf andf infantf deathsf perf 100,000f livef birthsf perf year
b. Deathsf off fetusesf weighingf moref thanf 500f gf perf 10,000f birthsf perf year
c. Deathsfoffinfantsfupftof1f yearfoffagefperf1000flivefbirthsfperf year
d. Fetalf andf neonatalf deathsf perf 1000f livef birthsf perf yearfA
NS:fD
Thef perinatalf mortalityf ratef includesf fetalf andf neonatalf deathsf perf 1000f livef birthsf perf year.
DIF:f Cognitivef Level:f Comprehensionf REF:f Pagef 12,f Boxf 1-
6fOBJ:f9fTOP:fThefPresent-ChildfCare
KEY:f Nursingf Processf Step:f Implementation
MSC:f NCLEX:f Safe,f Effectivef Caref Environment:f Coordinatedf Care
5. Whatf isf thef focusf off currentf maternityf practice?
a. Hospitalf birthsf forf thef majorityf off women
b. Thef traditionalf familyf unit
c. Separationf off laborf roomsf fromf deliveryf rooms
d. Af qualityf familyf experiencef forf eachf patientfA
NS:fD
Currentf maternityf practicef focusesf onf af high-
qualityf familyf experiencef forf allf families,ftraditionalforfotherwise.
,Safe Maternity and Pediatric Nursing Care 2nd Edition
f f f f f f f
DIF:f Cognitivef Level:f Comprehensionf REF:f Pagef 6f OBJ:f 7
TOP:f Thef Present-
Maternityf Caref KEY:f Nursingf Processf Step:f N/AfMSC:fNCLEX:fHealthfPr
omotionfandfMaintenance
6. Whof advocatedf thef establishmentf off thef Childrensf Bureau?
a. Lillianf Wald
b. Florencef Nightingale
c. FlorencefKelly
d. ClarafBartonf
ANS:fA
Lillianf Waldf isf creditedf withf suggestingf thef establishmentf off af federalf Childrensf Bureau.
DIF:fCognitivef Level:fKnowledgefREF:fPagef4fOBJ:f 1f |f2fTOP:f
Thef Pastf KEY:f Nursingf Processf Step:f Implementation
MSC:f NCLEX:f Healthf Promotionf andf Maintenance:f Growthf andf Development
7. Whatf wasf thef resultf off researchf donef inf thef 1930sf byf thef Childrensf Bureau?
a. Childrenf withf heartf problemsf aref nowf caredf forf byf pediatricf cardiologists.
b. Thef Childf Abusef andf Preventionf Actf wasf passed.
c. Hotf lunchf programsf weref establishedf inf manyf schools.
d. Childrensf asylumsf weref founded.f
ANS:fC
Schoolf hotf lunchf programsf weref developedf asf af resultf off researchf byf thef Childrensf Bureauf onf thefeffe
ctsfoffeconomicfdepressionfonfchildren.
DIF:f Cognitivef Level:f Knowledgef REF:f Pagef 4f OBJ:f 2f |f 3fTO
P:fThefPastfKEY:fNursingfProcessfStep:fN/A
MSC:f NCLEX:f Healthf Promotionf andf Maintenance:f Coordinatedf Care
8. Whatf governmentf programf wasf implementedf tof increasef thef educationalf exposuref offpr
eschoolfchildren?
a. WIC
b. Titlef XIXf off Medicaid
c. Thef Childrensf Charter
d. Headf Startf
ANS:fD
Headf Startf programsf weref establishedf tof increasef educationalf exposuref off preschoolf children.
, Safe Maternity and Pediatric Nursing Care 2nd Edition
f f f f f f f
DIF:f Cognitivef Level:f Knowledgef REF:f Pagef 3f OBJ:f 5
TOP:f Governmentf Influencesf inf Maternityf andf Pediatricf Caref KEY:f Nursingf Processf Step:f N/AfMSC:f
NCLEX:fHealthfPromotionfandfMaintenance:fGrowthfandfDevelopment
9. Whatf guidelinesf definef multidisciplinaryf patientf caref inf termsf off expectedf outcomef andfti
meframeffromfdifferentfareasfoffcarefprovision?
a. Clinicalf pathways
b. Nursingf outcomef criteria
c. Standardsfoffcare
d. Nursingfcarefplanf
ANS:fA
Clinicalf pathways,f alsof knownf asf criticalf pathwaysf orf caref maps,f aref collaborativef guidelinesfthat
f definef patientf caref acrossf disciplines.f Expectedf progressf withinf af specifiedf timelinef isfidentified.
DIF:f Cognitivef Level:f Knowledgef REF:f Pagef 12f OBJ:f 14
TOP:f Healthf Caref Deliveryf Systemsf KEY:f Nursingf Processf Step:f N/AfMS
C:f NCLEX:f Safe,f Effectivef Caref Environment:f Coordinatedf Care
10. Af nursingf studentf hasf reviewedf af hospitalizedf pediatricf patientf chart,f interviewedf herf mother,fan
df collectedf admissionf data.f Whatf isf thef nextf stepf thef studentf willf takef tof developf af nursingfcarefplanff
orfthisfchild?
a. Identifyf measurablef outcomesf withf af timeline.
b. Choosef specificf nursingf interventionsf forf thef child.
c. Determinef appropriatef nursingf diagnoses.
d. Statef nursingf actionsf relatedf tof thef childsf medicalf diagnosis.fA
NS:fC
Thef nursef usesf assessmentf dataf tof selectf appropriatef nursingf diagnosesf fromf thef NANDA-
If list.fOutcomesfandf interventionsf arefthenf developedf tofaddressf thef relevantfnursingf diagnoses.
DIF:f Cognitivef Level:f Applicationf REF:f Pagef 11f OBJ:f 13
TOP:f Nursingf Processf KEY:f Nursingf Processf Step:f Nursingf DiagnosisfMS
C:f NCLEX:f Safe,f Effectivef Caref Environment:f Coordinatedf Care
11. Af nursingf studentf onf anf obstetricf rotationf questionsf thef floorf nursef aboutf thef definitionf off thefLV
N/LPNfscopefoffpractice.fWhatfresourcefcanfthefnursefsuggestftofthefstudent?
a. Americanf Nursesf Association
