Chapter 01: The Past, Present, and Future
f f f f f f
Leifer: Introduction to Maternity and Pediatric Nursing, 9th Edition
f f f f f f f f
MULTIPLE fCHOICE
,1. A fpatient fchooses fto fhave fthe fcertified fnurse-midwife f(CNM) fprovide fcare fduringfher
fpregnancy. fWhat fdoes fthe fCNM‗s fscope fof fpractice finclude?
a. Practice findependent ffrom fmedical fsupervision
b. Comprehensive fprenatal fcare
c. Attendance fat fall fdeliveries
d. Cesarean fsections
ANS: f B
The fCNM fprovides fcomprehensive fprenatal fand fpostnatal fcare, fattends funcomplicated
fdeliveries, fand fensures fthat fa fbackup fphysician fis favailable fin fcase fof funforeseen fproblems.
DIF: Cognitive fLevel: fComprehension REF: f f p. f6 OBJ: f 5
TOP: f Advance fPractice fNursing fRoles KEY: fNursing fProcess fStep: fImplementation
fMSC: fNCLEX: fHealth fPromotion fand fMaintenance: fPrevention fand fEarly fDetection foffDisease
2. Which fmedical fpioneer fdiscovered fthe frelationship fbetween fthe fincidence fof fpuerperal ffever
fand funwashed fhands?
a. Karl fCredé
b. Ignaz fSemmelweis
c. Louis fPasteur
d. Joseph fLister
ANS: f B
Ignaz fSemmelweis fdeduced fthat fpuerperal ffever fwas fseptic, fcontagious, fand ftransmitted fby
fthe funwashed fhands fof fphysicians fand fmedical fstudents.
DIF: Cognitive fLevel: fKnowledge REF: f p. f2 OBJ: f1
fTOP: f The fPast KEY: fNursing fProcess fStep: fN/A
MSC: fNCLEX: fSafe, fEffective fCare fEnvironment: fSafety fand fInfection fControl
3. A fpregnant fwoman fwho fhas frecently fimmigrated fto fthe fUnited fStates fcomments fto fthe fnurse,
f―I fam fafraid fof fchildbirth. fIt fis fso fdangerous. fI fam fafraid fI fwill fdie.‖ fWhat fis fthe fbest fnursing
fresponse freflecting fcultural fsensitivity?
a. ―Maternal fmortalityfin fthe fUnited fStates fis fextremely flow.‖
b. ―Anesthesia fis favailable fto frelieve fpain fduring flabor fand fchildbirth.‖
c. ―Tell fme fwhy fyou fare fafraid fof fchildbirth.‖
d. ―Your fcondition fwill fbe fmonitored fduring flabor fand fdelivery.‖
ANS: fC
Asking fthe fpatient fabout fher fconcerns fhelps fpromote funderstanding fand findividualizes fpatient
fcare.
DIF: Cognitive fLevel: fApplication REF: f f pp. f6-8 OBJ: f 8
TOP: f Cross-Cultural fCare KEY: fNursing fProcess fStep: fImplementation
fMSC: fNCLEX: fPsychosocial fIntegrity: fPsychological fAdaptation
,4. An furban farea fhas fbeen freported fto fhave fa fhigh fperinatal fmortality frate. fWhat finformation
does fthis fprovide?
f
a. Maternal fand finfant fdeaths fper f100,000 flive fbirths fper fyear
b. Deaths fof ffetuses fweighing fmore fthan f500 fg fper f10,000 fbirths fper fyear
c. Deaths fof finfants fup fto f1 fyear fof fage fper f1000 flive fbirths fper fyear
d. Fetal fand fneonatal fdeaths fper f1000 flive fbirths fper f year
ANS: fD
The fperinatal fmortality frate fincludes ffetal fand fneonatal fdeaths fper f1000 flive fbirths fper fyear.
DIF: Cognitive fLevel: fComprehension REF: fp. f13 f| fBox f1.6
fOBJ: f 9 TOP: fThe fPresent-Child fCare
KEY: fNursing fProcess fStep: fImplementation
MSC: fNCLEX: fSafe, fEffective fCare fEnvironment: fCoordinated fCare
5. What fis fthe ffocus fof fcurrent fmaternity fpractice?
a. Hospital fbirths ffor fthe fmajority fof fwomen
b. The ftraditional ffamilyfunit
c. Separation fof flabor frooms ffrom fdelivery frooms
d. A fquality ffamily fexperience ffor feach fpatient
ANS: fD
Current fmaternity fpractice ffocuses fon fa fhigh-quality ffamily fexperience ffor fall ffamilies,
ftraditional for fotherwise.
DIF: Cognitive fLevel: fComprehension REF: f p. f6 OBJ: f5
fTOP: f The fPresent-Maternity fCare KEY: fNursing fProcess fStep: fN/A
fMSC: fNCLEX: fHealth fPromotion fand fMaintenance
6. Who fadvocated fthe festablishment fof fthe fChildren‗s fBureau?
a. Lillian fWald
b. Florence fNightingale
c. Florence fKelly
d. Clara fBarton
ANS: fA
Lillian fWald fis fcredited fwith fsuggesting fthe festablishment fof fa ffederal fChildren‗s fBureau.
DIF: Cognitive fLevel: fKnowledge REF: f p. f4 OBJ: f1 f| f2
fTOP: f The fPast KEY: fNursing fProcess fStep: fImplementation
MSC: fNCLEX: fHealth fPromotion fand fMaintenance: fGrowth fand fDevelopment
7. What fwas fthe fresult fof fresearch fdone fin fthe f1930s fby fthe fChildren‗s fBureau?
a. Children fwith fheart fproblems fare fnow fcared ffor fby fpediatric fcardiologists.
b. The fChild fAbuse fand fPrevention fAct fwas fpassed.
c. Hot flunch fprograms fwere festablished fin fmany fschools.
d. Children‗s fasylums fwere ffounded.
ANS: fC
School fhot flunch fprograms fwere fdeveloped fas fa fresult fof fresearch fby fthe fChildren‗s fBureau fon
fthe feffects fof feconomic fdepression fon fchildren.
DIF: Cognitive fLevel: fKnowledge REF: f f p. f4 OBJ: f2 f| f3
, TOP: f The fPast KEY: fNursing fProcess fStep: fN/A
MSC: fNCLEX: fHealth fPromotion fand fMaintenance: fCoordinated fCare
8. What fgovernment fprogram fwas fimplemented fto fincrease fthe feducational fexposure fof
preschool fchildren?
f
a. WIC
b. Title fXIX fof fMedicaid
c. The fChildren‗s fCharter
d. Head fStart
ANS: fD
Head fStart fprograms fwere festablished fto fincrease feducational fexposure fof fpreschool fchildren.
DIF: Cognitive fLevel: fKnowledge REF: f f p. f3 OBJ: f 3
TOP: f Government fInfluences fin fMaternity fand fPediatric fCare KEY: fNursing fProcess fStep: fN/A
fMSC: fNCLEX: fHealth fPromotion fand fMaintenance: fGrowth fand fDevelopment
9. What fguidelines fdefine fmultidisciplinary fpatient fcare fin fterms fof fexpected foutcome fand
timeframe ffrom fdifferent fareas fof fcare fprovision?
f
a. Clinical fpathways
b. Nursing foutcome fcriteria
c. Standards fof fcare
d. Nursing fcare fplan
ANS: fA
Clinical fpathways, falso fknown fas fcritical fpathways for fcare fmaps, fare fcollaborative fguidelines
fthat fdefine fpatient fcare facross fdisciplines. fExpected fprogress fwithin fa fspecified ftimeline fis
fidentified.
DIF: Cognitive fLevel: fKnowledge REF: f p. f13 OBJ: f10
fTOP: f Health fCare fDelivery fSystems KEY: fNursing fProcess fStep: fN/A
fMSC: fNCLEX: fSafe, fEffective fCare fEnvironment: fCoordinated fCare
10. A fnursing fstudent fhas freviewed fa fhospitalized fpediatric fpatient fchart, finterviewed fher fmother,
and fcollected fadmission fdata. fWhat fis fthe fnext fstep fthe fstudent fwill ftake fto fdevelop fa fnursing
f
care fplan ffor fthis fchild?
f
a. Identify fmeasurable foutcomes fwith fa ftimeline.
b. Choose fspecific fnursing finterventions ffor fthe fchild.
c. Determine fappropriate fnursing fdiagnoses.
d. State fnursing factions frelated fto fthe fchild‗s fmedical fdiagnosis.
ANS: fC
The fnurse fuses fassessment fdata fto fselect fappropriate fnursing fdiagnoses. fOutcomes fand
finterventions fare fthen fdeveloped fto faddress fthe frelevant fnursing fdiagnoses.
DIF: Cognitive fLevel: fApplication REF: f f p. f12 OBJ: f 7
TOP: f Nursing fProcess KEY: fNursing fProcess fStep: fNursing fDiagnosis
fMSC: fNCLEX: fSafe, fEffective fCare fEnvironment: fCoordinated fCare
11. A fnursing fstudent fon fan fobstetric frotation fquestions fthe ffloor fnurse fabout fthe fdefinition fof fthe
f LVN/LPN fscope fof fpractice. fWhat fresource fcan fthe fnurse fsuggest fto fthe fstudent?
a. American fNurses fAssociation
f f f f f f
Leifer: Introduction to Maternity and Pediatric Nursing, 9th Edition
f f f f f f f f
MULTIPLE fCHOICE
,1. A fpatient fchooses fto fhave fthe fcertified fnurse-midwife f(CNM) fprovide fcare fduringfher
fpregnancy. fWhat fdoes fthe fCNM‗s fscope fof fpractice finclude?
a. Practice findependent ffrom fmedical fsupervision
b. Comprehensive fprenatal fcare
c. Attendance fat fall fdeliveries
d. Cesarean fsections
ANS: f B
The fCNM fprovides fcomprehensive fprenatal fand fpostnatal fcare, fattends funcomplicated
fdeliveries, fand fensures fthat fa fbackup fphysician fis favailable fin fcase fof funforeseen fproblems.
DIF: Cognitive fLevel: fComprehension REF: f f p. f6 OBJ: f 5
TOP: f Advance fPractice fNursing fRoles KEY: fNursing fProcess fStep: fImplementation
fMSC: fNCLEX: fHealth fPromotion fand fMaintenance: fPrevention fand fEarly fDetection foffDisease
2. Which fmedical fpioneer fdiscovered fthe frelationship fbetween fthe fincidence fof fpuerperal ffever
fand funwashed fhands?
a. Karl fCredé
b. Ignaz fSemmelweis
c. Louis fPasteur
d. Joseph fLister
ANS: f B
Ignaz fSemmelweis fdeduced fthat fpuerperal ffever fwas fseptic, fcontagious, fand ftransmitted fby
fthe funwashed fhands fof fphysicians fand fmedical fstudents.
DIF: Cognitive fLevel: fKnowledge REF: f p. f2 OBJ: f1
fTOP: f The fPast KEY: fNursing fProcess fStep: fN/A
MSC: fNCLEX: fSafe, fEffective fCare fEnvironment: fSafety fand fInfection fControl
3. A fpregnant fwoman fwho fhas frecently fimmigrated fto fthe fUnited fStates fcomments fto fthe fnurse,
f―I fam fafraid fof fchildbirth. fIt fis fso fdangerous. fI fam fafraid fI fwill fdie.‖ fWhat fis fthe fbest fnursing
fresponse freflecting fcultural fsensitivity?
a. ―Maternal fmortalityfin fthe fUnited fStates fis fextremely flow.‖
b. ―Anesthesia fis favailable fto frelieve fpain fduring flabor fand fchildbirth.‖
c. ―Tell fme fwhy fyou fare fafraid fof fchildbirth.‖
d. ―Your fcondition fwill fbe fmonitored fduring flabor fand fdelivery.‖
ANS: fC
Asking fthe fpatient fabout fher fconcerns fhelps fpromote funderstanding fand findividualizes fpatient
fcare.
DIF: Cognitive fLevel: fApplication REF: f f pp. f6-8 OBJ: f 8
TOP: f Cross-Cultural fCare KEY: fNursing fProcess fStep: fImplementation
fMSC: fNCLEX: fPsychosocial fIntegrity: fPsychological fAdaptation
,4. An furban farea fhas fbeen freported fto fhave fa fhigh fperinatal fmortality frate. fWhat finformation
does fthis fprovide?
f
a. Maternal fand finfant fdeaths fper f100,000 flive fbirths fper fyear
b. Deaths fof ffetuses fweighing fmore fthan f500 fg fper f10,000 fbirths fper fyear
c. Deaths fof finfants fup fto f1 fyear fof fage fper f1000 flive fbirths fper fyear
d. Fetal fand fneonatal fdeaths fper f1000 flive fbirths fper f year
ANS: fD
The fperinatal fmortality frate fincludes ffetal fand fneonatal fdeaths fper f1000 flive fbirths fper fyear.
DIF: Cognitive fLevel: fComprehension REF: fp. f13 f| fBox f1.6
fOBJ: f 9 TOP: fThe fPresent-Child fCare
KEY: fNursing fProcess fStep: fImplementation
MSC: fNCLEX: fSafe, fEffective fCare fEnvironment: fCoordinated fCare
5. What fis fthe ffocus fof fcurrent fmaternity fpractice?
a. Hospital fbirths ffor fthe fmajority fof fwomen
b. The ftraditional ffamilyfunit
c. Separation fof flabor frooms ffrom fdelivery frooms
d. A fquality ffamily fexperience ffor feach fpatient
ANS: fD
Current fmaternity fpractice ffocuses fon fa fhigh-quality ffamily fexperience ffor fall ffamilies,
ftraditional for fotherwise.
DIF: Cognitive fLevel: fComprehension REF: f p. f6 OBJ: f5
fTOP: f The fPresent-Maternity fCare KEY: fNursing fProcess fStep: fN/A
fMSC: fNCLEX: fHealth fPromotion fand fMaintenance
6. Who fadvocated fthe festablishment fof fthe fChildren‗s fBureau?
a. Lillian fWald
b. Florence fNightingale
c. Florence fKelly
d. Clara fBarton
ANS: fA
Lillian fWald fis fcredited fwith fsuggesting fthe festablishment fof fa ffederal fChildren‗s fBureau.
DIF: Cognitive fLevel: fKnowledge REF: f p. f4 OBJ: f1 f| f2
fTOP: f The fPast KEY: fNursing fProcess fStep: fImplementation
MSC: fNCLEX: fHealth fPromotion fand fMaintenance: fGrowth fand fDevelopment
7. What fwas fthe fresult fof fresearch fdone fin fthe f1930s fby fthe fChildren‗s fBureau?
a. Children fwith fheart fproblems fare fnow fcared ffor fby fpediatric fcardiologists.
b. The fChild fAbuse fand fPrevention fAct fwas fpassed.
c. Hot flunch fprograms fwere festablished fin fmany fschools.
d. Children‗s fasylums fwere ffounded.
ANS: fC
School fhot flunch fprograms fwere fdeveloped fas fa fresult fof fresearch fby fthe fChildren‗s fBureau fon
fthe feffects fof feconomic fdepression fon fchildren.
DIF: Cognitive fLevel: fKnowledge REF: f f p. f4 OBJ: f2 f| f3
, TOP: f The fPast KEY: fNursing fProcess fStep: fN/A
MSC: fNCLEX: fHealth fPromotion fand fMaintenance: fCoordinated fCare
8. What fgovernment fprogram fwas fimplemented fto fincrease fthe feducational fexposure fof
preschool fchildren?
f
a. WIC
b. Title fXIX fof fMedicaid
c. The fChildren‗s fCharter
d. Head fStart
ANS: fD
Head fStart fprograms fwere festablished fto fincrease feducational fexposure fof fpreschool fchildren.
DIF: Cognitive fLevel: fKnowledge REF: f f p. f3 OBJ: f 3
TOP: f Government fInfluences fin fMaternity fand fPediatric fCare KEY: fNursing fProcess fStep: fN/A
fMSC: fNCLEX: fHealth fPromotion fand fMaintenance: fGrowth fand fDevelopment
9. What fguidelines fdefine fmultidisciplinary fpatient fcare fin fterms fof fexpected foutcome fand
timeframe ffrom fdifferent fareas fof fcare fprovision?
f
a. Clinical fpathways
b. Nursing foutcome fcriteria
c. Standards fof fcare
d. Nursing fcare fplan
ANS: fA
Clinical fpathways, falso fknown fas fcritical fpathways for fcare fmaps, fare fcollaborative fguidelines
fthat fdefine fpatient fcare facross fdisciplines. fExpected fprogress fwithin fa fspecified ftimeline fis
fidentified.
DIF: Cognitive fLevel: fKnowledge REF: f p. f13 OBJ: f10
fTOP: f Health fCare fDelivery fSystems KEY: fNursing fProcess fStep: fN/A
fMSC: fNCLEX: fSafe, fEffective fCare fEnvironment: fCoordinated fCare
10. A fnursing fstudent fhas freviewed fa fhospitalized fpediatric fpatient fchart, finterviewed fher fmother,
and fcollected fadmission fdata. fWhat fis fthe fnext fstep fthe fstudent fwill ftake fto fdevelop fa fnursing
f
care fplan ffor fthis fchild?
f
a. Identify fmeasurable foutcomes fwith fa ftimeline.
b. Choose fspecific fnursing finterventions ffor fthe fchild.
c. Determine fappropriate fnursing fdiagnoses.
d. State fnursing factions frelated fto fthe fchild‗s fmedical fdiagnosis.
ANS: fC
The fnurse fuses fassessment fdata fto fselect fappropriate fnursing fdiagnoses. fOutcomes fand
finterventions fare fthen fdeveloped fto faddress fthe frelevant fnursing fdiagnoses.
DIF: Cognitive fLevel: fApplication REF: f f p. f12 OBJ: f 7
TOP: f Nursing fProcess KEY: fNursing fProcess fStep: fNursing fDiagnosis
fMSC: fNCLEX: fSafe, fEffective fCare fEnvironment: fCoordinated fCare
11. A fnursing fstudent fon fan fobstetric frotation fquestions fthe ffloor fnurse fabout fthe fdefinition fof fthe
f LVN/LPN fscope fof fpractice. fWhat fresource fcan fthe fnurse fsuggest fto fthe fstudent?
a. American fNurses fAssociation
