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TEST BANK FOR
LEIFER’S
INTRODUCTION TO
MATERNITY AND
PEDIATRIC NURSING
IN CANADA 1ST
EDITION BY LEIFER
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Chapter 01: Overview of Perinatal and Pediatric Nursing in Canada
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 OBJ: 12
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 OBJ: 1
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 7-8 OBJ: 8
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, Box 1-6
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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 OBJ: 7
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 OBJ: 1 | 2
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 OBJ: 2 | 3
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 OBJ: 5
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?
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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 OBJ: 14
TOP: Health Care Delivery Systems KEY: Nursing Process Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
10. A Pnursing Pstudent Phas Previewed Pa Phospitalized Ppediatric Ppatient Pchart, Pinterviewed Pher Pmother, Pand
Pcollected Padmission Pdata. PWhat Pis Pthe Pnext Pstep Pthe Pstudent Pwill Ptake Pto Pdevelop Pa Pnursing Pcare
Pplan Pfor Pthis Pchild?
a. Identify P measurable P outcomes P with P a P timeline.
b. Choose P specific P nursing P interventions P for P the P child.
c. Determine P appropriate P nursing P diagnoses.
d. State Pnursing Pactions Prelated P to P the Pchilds P medical P diagnosis.
ANS: P C
The Pnurse Puses Passessment Pdata Pto Pselect Pappropriate Pnursing Pdiagnoses Pfrom Pthe PNANDA-I Plist.
POutcomes Pand Pinterventions Pare Pthen Pdeveloped Pto Paddress Pthe Prelevant Pnursing Pdiagnoses.
DIF: P Cognitive P Level: P Application P REF: P Page P 11 P OBJ: P 13
TOP: PNursing PProcess PKEY: PNursing PProcess PStep: PNursing
PDiagnosis PMSC: PNCLEX: PSafe, PEffective PCare PEnvironment:
PCoordinated PCare
11. A Pnursing Pstudent Pon Pan Pobstetric Protation Pquestions Pthe Pfloor Pnurse Pabout Pthe Pdefinition Pof Pthe
PLVN/LPN Pscope Pof Ppractice. PWhat Presource Pcan Pthe Pnurse Psuggest Pto Pthe Pstudent?
a. American P Nurses P Association
b. States P board Pof P nursing
c. Joint PCommission
d. Association P of P Womens P Health, PObstetric P and P Neonatal P Nurses
ANS: P B
The P scope Pof P practice P of Pthe P LVN/LPN P is P published P by P the Pstates P board P of P nursing.
DIF: PCognitive PLevel: PComprehension PREF: PPage P3, PLegal Pand PEthical
PConsiderations POBJ: P18 PTOP: PCritical PThinking
KEY: P Nursing P Process P Step: PImplementation
MSC: P NCLEX: P Safe, P Effective P Care P Environment: P Coordinated P Care
12. What P was P recommended P by P Karl P Cred Pin P 1884?
a. All P women P should P be Pdelivered P in P a P hospital P setting.
b. Chemical Pmeans Pshould P be P used P to P combat P infection.
c. Podalic Pversion P should P be P done P on P all P fetuses.
d. Silver P nitrate Pshould Pbe Pplaced Pin P the P eyes Pof P newborns.
ANS: P D
In P1884 PKarl PCred Precommended Pthe Puse Pof P2% Psilver Pnitrate Pin Pthe Peyes Pof Pnewborns Pto Preduce Pthe
Pincidence Pof Pblindness.
DIF: PCognitive PLevel: PKnowledge PREF: PPage P2 POBJ:
P1 PTOP: PUse Pof PSilver PNitrate PKEY: PNursing PProcess
PStep: PN/A
MSC: P NCLEX: P Health P Promotion P and P Maintenance: P Prevention P and P Early P Detection P of P Disease
13. What P is P the P purpose P of Pthe P White P House P Conference P on P Children P and P Youth?
a. Set Pcriteria P for P normal P growth P patterns.
TEST BANK FOR
LEIFER’S
INTRODUCTION TO
MATERNITY AND
PEDIATRIC NURSING
IN CANADA 1ST
EDITION BY LEIFER
Downloaded by: Sophiie |
Distribution of this document is illegal
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
Chapter 01: Overview of Perinatal and Pediatric Nursing in Canada
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 OBJ: 12
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 OBJ: 1
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 7-8 OBJ: 8
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, Box 1-6
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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 OBJ: 7
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 OBJ: 1 | 2
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 OBJ: 2 | 3
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 OBJ: 5
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?
Downloaded by: Sophiie |
Distribution of this document is illegal
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
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 OBJ: 14
TOP: Health Care Delivery Systems KEY: Nursing Process Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
10. A Pnursing Pstudent Phas Previewed Pa Phospitalized Ppediatric Ppatient Pchart, Pinterviewed Pher Pmother, Pand
Pcollected Padmission Pdata. PWhat Pis Pthe Pnext Pstep Pthe Pstudent Pwill Ptake Pto Pdevelop Pa Pnursing Pcare
Pplan Pfor Pthis Pchild?
a. Identify P measurable P outcomes P with P a P timeline.
b. Choose P specific P nursing P interventions P for P the P child.
c. Determine P appropriate P nursing P diagnoses.
d. State Pnursing Pactions Prelated P to P the Pchilds P medical P diagnosis.
ANS: P C
The Pnurse Puses Passessment Pdata Pto Pselect Pappropriate Pnursing Pdiagnoses Pfrom Pthe PNANDA-I Plist.
POutcomes Pand Pinterventions Pare Pthen Pdeveloped Pto Paddress Pthe Prelevant Pnursing Pdiagnoses.
DIF: P Cognitive P Level: P Application P REF: P Page P 11 P OBJ: P 13
TOP: PNursing PProcess PKEY: PNursing PProcess PStep: PNursing
PDiagnosis PMSC: PNCLEX: PSafe, PEffective PCare PEnvironment:
PCoordinated PCare
11. A Pnursing Pstudent Pon Pan Pobstetric Protation Pquestions Pthe Pfloor Pnurse Pabout Pthe Pdefinition Pof Pthe
PLVN/LPN Pscope Pof Ppractice. PWhat Presource Pcan Pthe Pnurse Psuggest Pto Pthe Pstudent?
a. American P Nurses P Association
b. States P board Pof P nursing
c. Joint PCommission
d. Association P of P Womens P Health, PObstetric P and P Neonatal P Nurses
ANS: P B
The P scope Pof P practice P of Pthe P LVN/LPN P is P published P by P the Pstates P board P of P nursing.
DIF: PCognitive PLevel: PComprehension PREF: PPage P3, PLegal Pand PEthical
PConsiderations POBJ: P18 PTOP: PCritical PThinking
KEY: P Nursing P Process P Step: PImplementation
MSC: P NCLEX: P Safe, P Effective P Care P Environment: P Coordinated P Care
12. What P was P recommended P by P Karl P Cred Pin P 1884?
a. All P women P should P be Pdelivered P in P a P hospital P setting.
b. Chemical Pmeans Pshould P be P used P to P combat P infection.
c. Podalic Pversion P should P be P done P on P all P fetuses.
d. Silver P nitrate Pshould Pbe Pplaced Pin P the P eyes Pof P newborns.
ANS: P D
In P1884 PKarl PCred Precommended Pthe Puse Pof P2% Psilver Pnitrate Pin Pthe Peyes Pof Pnewborns Pto Preduce Pthe
Pincidence Pof Pblindness.
DIF: PCognitive PLevel: PKnowledge PREF: PPage P2 POBJ:
P1 PTOP: PUse Pof PSilver PNitrate PKEY: PNursing PProcess
PStep: PN/A
MSC: P NCLEX: P Health P Promotion P and P Maintenance: P Prevention P and P Early P Detection P of P Disease
13. What P is P the P purpose P of Pthe P White P House P Conference P on P Children P and P Youth?
a. Set Pcriteria P for P normal P growth P patterns.
