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 m urban m area m has m been m reported mto m have m a mhigh m perinatal m mortality m rate. mWhat m information
m does m this m provide?
a. Maternal m and minfant m deaths m per m 100,000 m live m births m per m year
b. Deaths m of mfetuses m weighing m more m than m 500 mg m per m 10,000 m births m per m year
c. Deaths mof m infants mup m to m1 myear m of m age mper m 1000 m live m births m per m year
d. Fetal mand m neonatal m deaths m per m 1000 m live m births m per myear
ANS: m D
The mperinatal m mortality m rate m includes m fetal m and m neonatal m deaths m per m1000 m live m births m per m year.
DIF: m Cognitive m Level: m Comprehension m REF: m Page m 12, m Box m 1-6
Downloaded mby: mSophiie m|
, mDistribution mof
mthis mdocument mis millegal
, Stuvia.com m- mThe mMarketplace mto mBuy mand mSell myour mStudy mMaterial
OBJ: m 9 m TOP: m The m Present-Child m Care
KEY: m Nursing m Process m Step: mImplementation
MSC: m NCLEX: m Safe, m Effective m Care m Environment: m Coordinated m Care
5. What mis mthe mfocus m of m current m maternity m practice?
a. Hospital m births m for mthe mmajority m of m women
b. The m traditional m family m unit
c. Separation m of m labor m rooms m from m delivery m rooms
d. A mquality mfamily m experience m for m each m patient
ANS: m D
Current m maternity m practice m focuses m on m a m high-quality m family m experience m for m all m families, m traditional
m or m otherwise.
DIF: m Cognitive m Level: m Comprehension m REF: m Page m 6 m OBJ: m 7
TOP: mThe mPresent-Maternity mCare mKEY: mNursing mProcess mStep:
mN/A mMSC: mNCLEX: mHealth mPromotion mand mMaintenance
6. Who m advocated m the mestablishment m of m the m Childrens m Bureau?
a. Lillian m Wald
b. Florence m Nightingale
c. Florence m Kelly
d. Clara mBarton
ANS: m A
Lillian mWald mis m credited m with m suggesting m the m establishment m of m a m federal m Childrens m Bureau.
DIF: mCognitive mLevel: mKnowledge mREF: mPage m4
mOBJ: m1 m| m2 mTOP: mThe mPast mKEY: mNursing
mProcess mStep: mImplementation
MSC: m NCLEX: m Health m Promotion m and m Maintenance: m Growth m and m Development
7. What m was m the mresult m of mresearch m done min mthe m1930s m by mthe m Childrens m Bureau?
a. Children m with mheart mproblems mare mnow mcared mfor m by mpediatric m cardiologists.
b. The mChild m Abuse m and m Prevention m Act m was m passed.
c. Hot mlunch m programs m were m established m in m many m schools.
d. Childrens masylums m were m founded.
ANS: m C
School mhot mlunch mprograms mwere mdeveloped mas ma mresult mof mresearch mby mthe mChildrens mBureau
mon mthe meffects mof meconomic mdepression mon mchildren.
DIF: mCognitive mLevel: mKnowledge mREF: mPage m4
mOBJ: m2 m| m3 mTOP: mThe mPast mKEY: mNursing
mProcess mStep: mN/A
MSC: m NCLEX: m Health m Promotion m and m Maintenance: m Coordinated m Care
8. What m government m program m was m implemented m to m increase m the m educational m exposure m of m preschool
m children?
a. WIC
b. Title m XIX m of m Medicaid
c. The m Childrens m Charter
d. Head m Start
ANS: m D
Head m Start m programs m were m established m to mincrease m educational m exposure m of m preschool m children.
DIF: m Cognitive m Level: m Knowledge m REF: m Page m 3 m OBJ: m 5
TOP: mGovernment mInfluences min mMaternity mand mPediatric mCare mKEY: mNursing
mProcess mStep: mN/A mMSC: mNCLEX: mHealth mPromotion mand mMaintenance:
mGrowth mand mDevelopment
9. What mguidelines mdefine mmultidisciplinary mpatient mcare min mterms mof mexpected moutcome mand
mtimeframe mfrom mdifferent mareas mof mcare mprovision?