l l
Introduction to Maternityand Pediatric Nursing,8t
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h Edition byGloria Leifer
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UNITlI:lAnlOverviewloflMaternitylandlPediatriclNursing
Chapterl 1:lThelPast,lPresent,landlFuture
UNITlII:lMaternal-
NewbornlNursinglandlWomen’slHealthlChapterl2:lHumanlRep
roductivelAnatomylandlPhysiologylChapterl 3:lFetallDevelopme
nt
Chapterl 4:lPrenatallCarelandlAdaptationsltolPregnancy
Chapterl5:lNursinglCareloflWomenlwithlComplicationslduringlPregnancylCh
apterl6:lNursinglCareloflMotherlandlInfantlduringlLaborlandlBirthlChapterl 7:
lNursinglManagementl oflPainlduringlLaborlandlBirth
Chapterl8:lNursinglCareloflWomenlwithlComplicationslduringlLaborlandlBir
th
Chapterl9:lThelFamilylafterlBirth
Chapterl10:lNursinglCareloflWomenlwithlComplicationslFollowinglBirthlCh
apterl 11:lThelNurse’slRolelinlWomen’slHealthlCare
Chapterl 12:lThelTermlNewborn
Chapterl 13:lPretermlandlPost-TermlNewborns
Chapterl14:lThelNewbornlwithlalPerinatallInjurylorl CongenitallM
alformation
UNITlIII:lThelGrowinglChildlandlFamily
Chapterl15:lAnlOverviewloflGrowth,lDevelopment,landlNutritionlChapterl 1
6:lThelInfant
Chapterl 17:lThelToddlerlChapter
l 18:lThelPreschoollChild
Chapterl 19:lThelSchool-
AgelChildlChapterl 20:lThelAdolesc
ent
UNITlIV:lAdaptinglCareltolthelPediatriclPatient
Chapterl21:lThelChild’slExperienceloflHospitalizationlChapterl
22:lHealthlCarelAdaptationslforlthelChildlandlFamilylUNITl V:lT
helChildlNeedinglNursinglCare
Chapterl23:lThelChildlwithlalSensorylorlNeurologicallConditionlCh
apterl 24:lThelChildlwithlal MusculoskeletallConditionlChapterl 25:l
ThelChildlwithlal RespiratorylDisorder
Chapterl26:lThelChildlwithlalCardiovascularl Disorder
Chapterl27:lThelChildlwithlalConditionloflthelBlood,lBlood-
ForminglOrganslorlLymphaticlSystemlChapterl 28:lThelChildlwithlal GastrointestinallCondition
Chapterl 29:lThelChildlwithlalGenitourinarylConditionlChapterl 3
0:lThelChildlwithlal SkinlCondition
Chapterl 31:lThelChildlwithlalMetaboliclCondition
Chapterl32:lChildhoodlCommunicablelDiseases,lBioterrorism,lNaturallDisasterslandlthelMaternal-
ChildlPatient
Chapterl33:lThelChildlwithlanlEmotionallorl BehaviorallCondition
UNITlVI:lThelChanginglHealthlCarelEnvironment
Chapterl34:lComplementarylandlAlternativelTherapieslinlMaternitylandlPediatriclNursing
, INTRODUCTIONlTOlMATERNITYlANDlPEDIATRIClNURSINGl8THlEDITIONlLEIFERlTESTlBANK
2
Chapter 01: The Past, Present, and Future
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MULTIPLEl CHOICE
1. Alpatientl choosesl tol havel thelcertifiedl nursel midwifel (CNM)l providel carel duringl herl pregnancy.l Whatl doeslthelC
NMsl scopel ofl practicelinclude?
a. Practicel independentl froml medicall supervisionlb
.l Comprehensivelprenatallcare
c.l Attendancel atlallldeliveries
d.l Cesareanlsections
ANS:lB
Thel CNMl providesl comprehensivel prenatall andl postnatall care,l attendsl uncomplicatedl deliveries,l andl ensureslthatlal
backuplphysicianlisl availablelinl casel ofl unforeseenl problems.
DIF:l Cognitivel Level:l Comprehensionl REF:l Pagel 6
TOP:l Advancel Practicel Nursingl Rolesl KEY:l NursinglProcessl Step:l Implementation
MSC:l NCLEX:l Healthl Promotionl andl Maintenance:l Preventionl andl Earlyl Detectionl ofl Disease
2. Whichl medicall pioneerl discoveredl thel relationshipl betweenl thel incidencel ofl puerperall feverl andl unwashedlhan
ds?
a. Karll Cred
b. Ignazl Semmelweis
c. Louisl Pasteur
d. Josephl Lister
ANS:lB
IgnazlSemmelweisldeducedlthatlpuerperallfeverlwaslseptic,lcontagious,landltransmittedlbylthelunwashedlhandslofl
physicianslandlmedicallstudents.
DIF:l Cognitivel Level:l Knowledgel REF:l Pagel 2lTOP:l
Thel Pastl KEY:l NursinglProcessl Step:l N/A
MSC:l NCLEX:l Safe,l Effectivel Carel Environment:l Safetyl andl Infectionl Control
3. Al pregnantl womanl whol hasl recentlyl immigratedl tolthel Unitedl Statesl commentsl tolthel nurse,l Il amlafraidl oflchild
birth.lItlislsoldangerous.lIlamlafraidlIlwillldie.lWhatlislthelbestlnursinglresponselreflectinglculturallsensitivity?
a. Maternall mortalitylinlthel Unitedl Statesl isl extremelyllow.
b. Anesthesialislavailableltolrelievelpainlduringllaborlandlchildbirth.lc.l T
elll melwhylyoularelafraidloflchildbirth.
d.l Yourl conditionl willl bel monitoredl duringllaborl andldelivery.
ANS:lC
Askingl thel patientl aboutl herl concernsl helpsl promotel understandingl andl individualizesl patientl care.
DIF:l Cognitivel Level:l Applicationl REF:l Pagel 7
TOP:l Cross-
Culturall Carel KEY:l Nursingl Processl Step:l ImplementationlMSC:l NCLEX
:l Psychosociall Integrity:l Psychologicall Adaptation
4. Anl urbanlareal hasl beenlreportedl tol havel al highlperinatall mortalityl rate.l Whatl informationl doesl thisl provide?
a. Maternallandlinfantl deathsl perl 100,000l livel birthsl perl year
b. Deathsl oflfetusesl weighingl morel thanl500l glperl 10,000lbirthsl perl year
c. Deathsl oflinfantsl upltol1l yearl oflagel perl 1000llivel birthsl perl yearld.l F
etallandlneonatalldeathslperl1000llivelbirthsl perlyear
ANS:lD
Thelperinatall mortalitylratel includesl fetall andlneonatall deathsl perl 1000l livel birthsl perl year.lDIF
:l Cognitivel Level:l Comprehensionl REF:l Pagel12
, INTRODUCTIONlTOlMATERNITYlANDlPEDIATRIClNURSINGl8THlEDITIONlLEIFERlTESTlBANK
3
OBJ:l 9l TOP:l Thel Present-Childl Care
KEY:l Nursingl Processl Step:l Implementation
MSC:l NCLEX:l Safe,l Effectivel Carel Environment:l Coordinatedl Care
5. Whatl islthel focusl ofl currentl maternityl practice?
a. Hospitallbirthsl forl thel majoritylofl women
b. Thel traditionall familyl unit
c. Separationl ofl laborl roomsl froml deliveryl roomsld.
l Alqualitylfamilyl experiencel forl eachl patient
ANS:lD
Currentl maternityl practicel focusesl onlal high-qualityl familyl experiencel forl alll families,l traditionall orl otherwise.
DIF:l Cognitivel Level:l ComprehensionlREF:l Pagel 6
TOP:l Thel Present-
Maternityl Carel KEY:l Nursingl Processl Step:l N/AlMSC:l NCLEX:l HealthlPr
omotionl andlMaintenance
6. WholadvocatedlthelestablishmentloflthelChildrenslBureau?la.l
LillianlWald
b. Florencel Nightingale
c. Florencel Kelly
d. Claral Barton
ANS:l A
Lillianl Waldl isl creditedl withlsuggestingl thel establishmentl ofl al federall Childrensl Bureau.
DIF:l Cognitivel Level:l Knowledgel REF:l Pagel 4
TOP:l Thel Pastl KEY:l Nursingl Processl Step:l Implementation
MSC:l NCLEX:l Healthl Promotionl andl Maintenance:l Growthl andl Development
7. Whatl wasl thel resultl oflresearchl donel inlthel 1930sl bylthel Childrensl Bureau?
a. Childrenl withl heartl problemsl arel nowl caredl forl byl pediatricl cardiologists.
b. Thel Childl Abusel andl Preventionl Actl wasl passed.
c. Hotl lunchl programsl werel establishedl inl manylschools.
d. Childrensl asylumsl werel founded.
ANS:lC
Schooll hotl lunchl programsl werel developedl asl al resultl ofl researchlbylthel Childrensl Bureaulonlthel effectsl ofleconomicl de
pressionl onl children.
DIF:l Cognitivel Level:l Knowledgel REF:l Pagel 4lTOP:l
Thel Pastl KEY:l NursinglProcessl Step:l N/A
MSC:l NCLEX:l Healthl Promotionl andl Maintenance:l Coordinatedl Care
8. Whatlgovernmentl programl wasl implementedl tol increasel thel educationall exposurel ofl preschooll children?
a. WIC
b. Titlel XIXl ofl Medicaid
c. Thel Childrensl Charterl
d.l HeadlStart
ANS:lD
HeadlStartl programsl werel establishedl tol increasel educationall exposurel ofl preschooll children.
DIF:l Cognitivel Level:l Knowledgel REF:l Pagel 3
TOP:l Governmentl Influencesl inl Maternitylandl Pediatricl Carel KEY:l Nursingl Processl Step:l N/AlMS
C:l NCLEX:l HealthlPromotionl andl Maintenance:l GrowthlandlDevelopment
9. Whatlguidelinesldefinelmultidisciplinarylpatientlcarelinltermsloflexpectedloutcomelandltimeframelfromldiffer
entlareasl ofl carelprovision?
, INTRODUCTIONlTOlMATERNITYlANDlPEDIATRIClNURSINGl8THlEDITIONlLEIFERlTESTlBANK
4
a. Clinicall pathways
b. Nursingl outcomel criteria
c. Standardsl ofl care
d. Nursingl carelplan
ANS:l A
Clinicall pathways,lalsol knownl asl criticall pathwaysl orl carel maps,l arel collaborativel guidelinesl thatl definelpatientl
carelacrossl disciplines.l Expectedl progressl withinlal specifiedl timelinel isl identified.
DIF:l Cognitivel Level:l Knowledgel REF:l Pagel 12
TOP:l Healthl Carel Deliveryl Systemsl KEY:l Nursingl Processl Step:l N/AlMS
C:l NCLEX:l Safe,lEffectivel Carel Environment:l Coordinatedl Care
10. Al nursingl studentl haslreviewedl al hospitalizedl pediatricl patientl chart,l interviewedl herl mother,l andl collectedladm
issionl data.l Whatl isl thel nextl steplthel studentl willl takel tol developlal nursingl carel planlforl thisl child?
a. Identifyl measurablel outcomesl withl al timeline.
b. Chooselspecificlnursinglinterventionslforlthelchild.lc.l
Determinel appropriatel nursingl diagnoses.
d.l Statel nursinglactionslrelatedltolthel childsl medicall diagnosis.
ANS:lC
ThelnurseluseslassessmentldataltolselectlappropriatelnursingldiagnoseslfromlthelNANDA-
Illist.lOutcomeslandlinterventionsl arelthenl developedltoladdressl thel relevantl nursingl diagnoses.
DIF:l Cognitivel Level:l Applicationl REF:l Pagel 11
TOP:l Nursingl Processl KEY:l Nursingl Processl Step:l Nursingl DiagnosislMS
C:l NCLEX:l Safe,l Effectivel Carel Environment:l Coordinatedl Care
11. Al nursingl studentl onlanl obstetriclrotationl questionsl thel floorl nursel aboutl thel definitionl ofl thel LVN/LPNsl cop
eloflpractice.lWhatlresourcelcanlthelnurseNsUuR gS
geIN
stGtoTBth.C
eOstM
udent?
a. Americanl Nursesl Association
b. Statesl boardl ofl nursing
c. Jointl Commission
d. Associationl ofl Womensl Health,l Obstetricl andlNeonatall Nurses
ANS:lB
Thelscopel ofl practicel ofl thel LVN/LPNl isl publishedlbyl thel statesl boardl ofl nursing.
DIF:l Cognitivel Level:l Comprehensionl REF:l Pagel 3lOB
J:l 18lTOP:lCriticall Thinking
KEY:l Nursingl Processl Step:l Implementation
MSC:l NCLEX:l Safe,l Effectivel Carel Environment:l Coordinatedl Care
12. Whatl wasl recommendedl byl Karll Credl inl1884?
a. Alll womenlshouldlbel deliveredlinlal hospitall setting.
b. Chemicall meansl shouldlbel usedl tolcombatlinfection.
c. Podalicl versionlshouldlbel donel onlalll fetuses.
d. Silverl nitratel shouldlbelplacedlinlthel eyesl ofl newborns.
ANS:lD
Inl1884l Karll Credlrecommendedl thel usel ofl2%l silverl nitratel inltheleyesl ofl newbornsl tolreducel thel incidencel oflblindnes
s.
DIF:l Cognitivel Level:l Knowledgel REF:l Pagel 2
TOP:lUseloflSilverl Nitratel KEY:l NursinglProcessl Step:l N/A
MSC:l NCLEX:l Healthl Promotionl andl Maintenance:l Preventionl andl Earlyl Detectionl ofl Disease
13. Whatl isl thel purposel ofl thel Whitel HouselConferencel onl Childrenl andlYouth?
a. Setlcriterial forl normall growthl patterns.