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test bank for introduction to maternity and pediatric nursing 8th edition

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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

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IntroductionftofMaternityfandfPediatricfNursingf8thf
Edition
Author:fGloriafLeifer




315

,Introduction to Maternity and Pediatric Nursing 8 f f f f f f



th Edition
f




Author: Gloria Leifer f f




Table of Contents f f




UNIT I: An Overview of Maternity and Pediatric Nursing
f f f f f f f f

1. The Past, Present, and Future
f f f f




UNIT II: Maternal-Newborn Nursing and Women’s Health
f f f f f f


2. Human Reproductive Anatomy and Physiology
f f f f

3. Fetal Development
f

4. Prenatal Care and Adaptations to Pregnancy
f f f f f

5. Nursing Care of Women with Complications during Pregnancy
f f f f f f f

6. Nursing Care of Mother and Infant during Labor and Birth
f f f f f f f f f


7. Nursing Management of Pain during Labor and Birth
f f f f f f f

8. Nursing Care of Women with Complications during Labor and Birth
f f f f f f f f f

9. The Family after Birth
f f f

10. Nursing Care of Women with Complications Following Birth
f f f f f f f

11. The Nurse’s Role in Women’s Health Care
f f f f f f

12. The Term Newborn
f f

13. Preterm and Post-Term Newborns f f f

14. The Newborn with a Perinatal Injury or Congenital Malformation
f f f f f f f f




UNIT III: The Growing Child and Family
f f f f f f

15. An Overview of Growth, Development, and Nutrition
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16. The Infant f


17. The Toddler f

18. The Preschool Child
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19. The School-Age Child
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20. The Adolescentf




UNIT IV: Adapting Care to the Pediatric Patient
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21. The Child’s Experience of Hospitalization
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22. Health Care Adaptations for the Child and Family
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UNIT V: The Child Needing Nursing Care
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23. The Child with a Sensory or Neurological Condition
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24. The Child with a Musculoskeletal Condition
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25. The Child with a Respiratory Disorder
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26. The Child with a Cardiovascular Disorder
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,27. The Child with a Condition of the Blood, Blood-Forming Organs or Lymphatic System
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28. The Child with a Gastrointestinal Condition
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29. The Child with a Genitourinary Condition
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30. The Child with a Skin Condition
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31. The Child with a Metabolic Condition
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32. Childhood Communicable Diseases, Bioterrorism, Natural Disasters and the Maternal-
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Child Patient
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33. The Child with an Emotional or Behavioral Condition
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UNIT VI: The Changing Health Care Environment
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34. Complementary and Alternative Therapies in Maternity and Pediatric Nursing
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, Chapter 01: The Past, Present, and Future
f f f f f f



MULTIPLEf CHOICE

1. Afpatientfchoosesftofhavefthefcertifiedfnursefmidwifef(CNM)fprovidefcarefduringfherfpregnancy.fWhatfdoesfthefC
NMsfscopefoffpracticefinclude?
a. Practicef independentf fromf medicalf supervision
b. Comprehensivef prenatalf care
c. Attendancefatfallfdeliveries
d. Cesareanf sections

ANS:f B
ThefCNMfprovidesfcomprehensivefprenatalfandfpostnatalfcare,fattendsfuncomplicatedfdeliveries,fandfensuresftha
tfafbackupfphysicianfisfavailablefinfcasefoffunforeseenfproblems.

DIF:fCognitivef Level:f Comprehensionf REF:f Pagef 6f OBJ:f 12
TOP:f AdvancefPracticef Nursingf Rolesf KEY:f Nursingf Processf Step:f Implementation
MSC:fNCLEX:f Healthf Promotionf andf Maintenance:f Preventionf andf Earlyf Detectionf off Disease

2. Whichfmedicalfpioneerfdiscoveredfthefrelationshipfbetweenfthefincidencefoffpuerperalffeverfandfunwashedfhand
s?
a. KarlfCred
b. Ignazf Semmelweis
c. Louisf Pasteur
d. Josephf Lister

ANS:f B
IgnazfSemmelweisfdeducedfthatfpuerperalffeverfwasfseptic,fcontagious,fandftransmittedfbyfthefunwashedfhandsfo
ffphysiciansfandfmedicalfstudents.

DIF:fCognitivefLevel:fKnowledgefREF:fPagef2fOBJ:f1fTOP
:fThefPastfKEY:fNursingfProcessfStep:fN/A
MSC:fNCLEX:f Safe,f Effectivef Caref Environment:f Safetyf andf Infectionf Control

3. AfpregnantfwomanfwhofhasfrecentlyfimmigratedftofthefUnitedfStatesfcommentsftofthefnurse,fIfamfafraidfoffchild
birth.fItfisfsofdangerous.fIfamfafraidfIfwillfdie.fWhatfisfthefbestfnursingfresponsefreflectingfculturalfsensitivity?
a. Maternalf mortalityfinfthef UnitedfStatesf isfextremelyf low.
b. Anesthesiafisfavailablef tofrelievef painfduringflaborf andfchildbirth.
c. Tellfmefwhyfyoufarefafraidfoffchildbirth.
d. Yourfconditionf willfbef monitoredfduringf laborf andfdelivery.

ANS:f C
Askingfthef patientf aboutfherf concernsf helpsf promotef understandingf andfindividualizesf patientf care.

DIF:f Cognitivef Level:f Applicationf REF:f Pagef 7-8f OBJ:f 8
TOP:fCross-
CulturalfCarefKEY:fNursingfProcessfStep:fImplementationfMSC:fNCLEX:
f PsychosocialfIntegrity:f PsychologicalfAdaptation



4. Anfurbanfareafhasfbeenfreportedftof havef afhighf perinatalf mortalityfrate.fWhatfinformationf doesfthisfprovide?
a. Maternalfandfinfantfdeathsf perf 100,000f livef birthsfperf year
b. Deathsfofffetusesfweighingf morefthanf500fgfperf10,000f birthsfperf year
c. Deathsfoffinfantsfupftof1f yearf offagefperf1000flivefbirthsfperf year
d. Fetalfandfneonatalfdeathsf perf 1000flivef birthsfperfyear

ANS:f D
Thefperinatalfmortalityfratefincludesffetalfandfneonatalfdeathsfperf1000flivefbirthsfperfyear.fDI

F:fCognitivefLevel:fComprehensionfREF:fPagef12,fBoxf1-6

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Publisher: 2018 ISBN: 9780323550666 Edition: Unknown

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