INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
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Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer)
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Chapter 01: The Past, Present, and Future
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MULTIPLE CHOICE s
1. A patient chooses to have the certified nurse midwife (CNM) provide care during her pregnancy. What does
s s s s s s s s s s s s s s s s
the CNMs scope of practice include?
s s s s s s
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK s s s s s s s s s s
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer)
s s s s s s s s s s s 2
a. Practice independent from medical supervision s s s s
b. Comprehensive prenatal care s s
c. Attendance at all deliveries s s s
d. Cesarean sections s
ANS: B s
The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated deliveries, and ensures
s s s s s s s s s s s s
that a backup physician is available in case of unforeseen problems.
s s s s s s s s s s s
DIF: Cognitive Level: Comprehension REF: Page 6
s s s s s s
TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: Implementation
s s s s s s s s s
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
s s s s s s s s s s s
2. Which medical pioneer discovered the relationship between the incidence of puerperal fever and unwashed
s s s s s s s s s s s s s
hands?
s
a. Karl Cred s
b. Ignaz Semmelweis s
c. Louis Pasteur s
d. Joseph Lister s
ANS: B s
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the unwashed
s s s s s s s s s s s s s
hands of physicians and medical students.
s s s s s s
DIF: Cognitive Level: Knowledge REF: Page 2
s s s s s s
TOP: The Past KEY: Nursing Process Step: N/A
s s s s s s s s
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
s s s s s s s s s
3. A pregnant woman who has recently immigrated to the United States comments to the nurse, I am afraid of
s s s s s s s s s s s s s s s s s s
childbirth. It is so dangerous. I am afraid I will die. What is the best nursing response reflecting cultural
s s s s s s s s s s s s s s s s s s s
sensitivity?
s
a. Maternal mortality in the United States is extremely low. s s s s s s s s
b. Anesthesia is available to relieve pain during labor and childbirth. s s s s s s s s s
c. Tell me why you are afraid of childbirth.
s s s s s s s
d. Your condition will be monitored during labor and delivery.
s s s s s s s s
ANS: C s
Asking the patient about her concerns helps promote understanding and individualizes patient care.
s s s s s s s s s s s s
DIF: Cognitive Level: Application REF: Page 7
s s s s s s
TOP: Cross-Cultural Care KEY: Nursing Process Step: Implementation
s s s s s s s
MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
s s s s s s
4. An urban area has been reported to have a high perinatal mortality rate. What information does this provide?
s s s s s s s s s s s s s s s s s
a. Maternal and infant deaths per 100,000 live births per year s s s s s s s s s
b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
s s s s s s s s s s s s
c. Deaths of infants up to 1 year of age per 1000 live births per year
s s s s s s s s s s s s s s
d. Fetal and neonatal deaths per 1000 live births per year
s s s s s s s s s
ANS: D s
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
s s s s s s s s s s s s s s
s DIF: Cognitive Level: Comprehension REF: Page 12
s s s s s s
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK s s s s s s s s s s
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer)
s s s s s s s s s s s 3
OBJ: 9 TOP: The Present-Child Care
s s s s s
KEY: Nursing Process Step: Implementation
s s s s
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
s s s s s s s
5. What is the focus of current maternity practice?
s s s s s s s
a. Hospital births for the majority of women s s s s s s
b. The traditional family unit
s s s
c. Separation of labor rooms from delivery rooms s s s s s s
d. A quality family experience for each patient
s s s s s s
ANS: D s
Current maternity practice focuses on a high-quality family experience for all families, traditional or otherwise.
s s s s s s s s s s s s s s
DIF: Cognitive Level: Comprehension REF: Page 6
s s s s s s
TOP: The Present-Maternity Care KEY: Nursing Process Step: N/A
s s s s s s s s
MSC: NCLEX: Health Promotion and Maintenance
s s s s s s
6. Who advocated the establishment of the Childrens Bureau?
s s s s s s s
a. Lillian Wald s
b. Florence Nightingale s
c. Florence Kelly s
d. Clara Barton s
ANS: A s
Lillian Wald is credited with suggesting the establishment of a federal Childrens Bureau.
s s s s s s s s s s s s
DIF: Cognitive Level: Knowledge REF: Page 4
s s s s s s
TOP: The Past KEY: Nursing Process Step: Implementation
s s s s s s s
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
s s s s s s s s
NURSINGTB.COM
7. What was the result of research done in the 1930s by the Childrens Bureau?
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a. Children with heart problems are now cared for by pediatric cardiologists.
s s s s s s s s s s
b. The Child Abuse and Prevention Act was passed.
s s s s s s s
c. Hot lunch programs were established in many schools.
s s s s s s s
d. Childrens asylums were founded. s s s
ANS: C s
School hot lunch programs were developed as a result of research by the Childrens Bureau on the effects of
s s s s s s s s s s s s s s s s s s
economic depression on children.
s s s s
DIF: Cognitive Level: Knowledge REF: Page 4
s s s s s s
TOP: The Past KEY: Nursing Process Step: N/A
s s s s s s s s
MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care
s s s s s s s
8. What government program was implemented to increase the educational exposure of preschool children?
s s s s s s s s s s s s
a. WIC
b. Title XIX of Medicaid s s s
c. The Childrens Charter
s s
d. Head Start s
ANS: D s
Head Start programs were established to increase educational exposure of preschool children.
s s s s s s s s s s s
DIF: Cognitive Level: Knowledge REF: Page 3
s s s s s s
TOP: Government Influences in Maternity and Pediatric Care KEY: Nursing Process Step: N/A
s s s s s s s s s s s s
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
s s s s s s s s s
9. What guidelines define multidisciplinary patient care in terms of expected outcome and timeframe from
s s s s s s s s s s s s s
different areas of care provision?
s s s s s
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK s s s s s s s s s s
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer)
s s s s s s s s s s s 4
a. Clinical pathways s
b. Nursing outcome criteria s s
c. Standards of care s s
d. Nursing care plan s s
ANS: A s
Clinical pathways, also known as critical pathways or care maps, are collaborative guidelines that define
s s s s s s s s s s s s s s
patient care across disciplines. Expected progress within a specified timeline is identified.
s s s s s s s s s s s s
DIF: Cognitive Level: Knowledge REF: Page 12
s s s s s s
TOP: Health Care Delivery Systems KEY: Nursing Process Step: N/A
s s s s s s s s s
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
s s s s s s s s
10. A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her mother, and collected
s s s s s s s s s s s s s s
admission data. What is the next step the student will take to develop a nursing care plan for this child?
s s s s s s s s s s s s s s s s s s s s
a. Identify measurable outcomes with a timeline. s s s s s
b. Choose specific nursing interventions for the child.
s s s s s s
c. Determine appropriate nursing diagnoses. s s s
d. State nursing actions related to the childs medical diagnosis.
s s s s s s s s
ANS: C s
The nurse uses assessment data to select appropriate nursing diagnoses from the NANDA-I list. Outcomes and
s s s s s s s s s s s s s s s
interventions are then developed to address the relevant nursing diagnoses.
s s s s s s s s s s
DIF: Cognitive Level: Application REF: Page 11
s s s s s s
TOP: Nursing Process KEY: Nursing Process Step: Nursing Diagnosis
s s s s s s s s
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
s s s s s s s s
11. A nursing student on an obstetric rotation questions the floor nurse about the definition of the LVN/LPN
s s s s s s s s s s s s s s s s
scope of practice. What resource can the n urseNsUuRggSIeNstGtoT Bth. Ce OstM
s s s ude nt? s s s s s
a. American Nurses Association s s
b. States board of nursing s s s
c. Joint Commission s
d. Association of Womens Health, Obstetric and Neonatal Nurses s s s s s s s
ANS: B s
The scope of practice of the LVN/LPN is published by the states board of nursing.
s s s s s s s s s s s s s s
DIF: Cognitive Level: Comprehension REF: Page 3
s s s s s s
OBJ: 18 TOP: Critical Thinking
s s s s s
KEY: Nursing Process Step: Implementation
s s s s
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
s s s s s s s
12. What was recommended by Karl Cred in 1884?
s s s s s s s
a. All women should be delivered in a hospital setting.
s s s s s s s s
b. Chemical means should be used to combat infection. s s s s s s s
c. Podalic version should be done on all fetuses.
s s s s s s s
d. Silver nitrate should be placed in the eyes of newborns.
s s s s s s s s s
ANS: D s
In 1884 Karl Cred recommended the use of 2% silver nitrate in the eyes of newborns to reduce the incidence of
s s s s s s s s s s s s s s s s s s s s
blindness.
s
DIF: Cognitive Level: Knowledge REF: Page 2
s s s s s s
TOP: Use of Silver Nitrate KEY: Nursing Process Step: N/A
s s s s s s s s s
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
s s s s s s s s s s s
13. What is the purpose of the White House Conference on Children and Youth?
s s s s s s s s s s s s
a. Set criteria for normal growth patterns.
s s s s s
s s s s s s s s s s
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer)
s s s s s s s s s s s 2
Chapter 01: The Past, Present, and Future
s s s s s s
MULTIPLE CHOICE s
1. A patient chooses to have the certified nurse midwife (CNM) provide care during her pregnancy. What does
s s s s s s s s s s s s s s s s
the CNMs scope of practice include?
s s s s s s
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK s s s s s s s s s s
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer)
s s s s s s s s s s s 2
a. Practice independent from medical supervision s s s s
b. Comprehensive prenatal care s s
c. Attendance at all deliveries s s s
d. Cesarean sections s
ANS: B s
The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated deliveries, and ensures
s s s s s s s s s s s s
that a backup physician is available in case of unforeseen problems.
s s s s s s s s s s s
DIF: Cognitive Level: Comprehension REF: Page 6
s s s s s s
TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: Implementation
s s s s s s s s s
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
s s s s s s s s s s s
2. Which medical pioneer discovered the relationship between the incidence of puerperal fever and unwashed
s s s s s s s s s s s s s
hands?
s
a. Karl Cred s
b. Ignaz Semmelweis s
c. Louis Pasteur s
d. Joseph Lister s
ANS: B s
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the unwashed
s s s s s s s s s s s s s
hands of physicians and medical students.
s s s s s s
DIF: Cognitive Level: Knowledge REF: Page 2
s s s s s s
TOP: The Past KEY: Nursing Process Step: N/A
s s s s s s s s
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
s s s s s s s s s
3. A pregnant woman who has recently immigrated to the United States comments to the nurse, I am afraid of
s s s s s s s s s s s s s s s s s s
childbirth. It is so dangerous. I am afraid I will die. What is the best nursing response reflecting cultural
s s s s s s s s s s s s s s s s s s s
sensitivity?
s
a. Maternal mortality in the United States is extremely low. s s s s s s s s
b. Anesthesia is available to relieve pain during labor and childbirth. s s s s s s s s s
c. Tell me why you are afraid of childbirth.
s s s s s s s
d. Your condition will be monitored during labor and delivery.
s s s s s s s s
ANS: C s
Asking the patient about her concerns helps promote understanding and individualizes patient care.
s s s s s s s s s s s s
DIF: Cognitive Level: Application REF: Page 7
s s s s s s
TOP: Cross-Cultural Care KEY: Nursing Process Step: Implementation
s s s s s s s
MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
s s s s s s
4. An urban area has been reported to have a high perinatal mortality rate. What information does this provide?
s s s s s s s s s s s s s s s s s
a. Maternal and infant deaths per 100,000 live births per year s s s s s s s s s
b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
s s s s s s s s s s s s
c. Deaths of infants up to 1 year of age per 1000 live births per year
s s s s s s s s s s s s s s
d. Fetal and neonatal deaths per 1000 live births per year
s s s s s s s s s
ANS: D s
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
s s s s s s s s s s s s s s
s DIF: Cognitive Level: Comprehension REF: Page 12
s s s s s s
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK s s s s s s s s s s
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer)
s s s s s s s s s s s 3
OBJ: 9 TOP: The Present-Child Care
s s s s s
KEY: Nursing Process Step: Implementation
s s s s
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
s s s s s s s
5. What is the focus of current maternity practice?
s s s s s s s
a. Hospital births for the majority of women s s s s s s
b. The traditional family unit
s s s
c. Separation of labor rooms from delivery rooms s s s s s s
d. A quality family experience for each patient
s s s s s s
ANS: D s
Current maternity practice focuses on a high-quality family experience for all families, traditional or otherwise.
s s s s s s s s s s s s s s
DIF: Cognitive Level: Comprehension REF: Page 6
s s s s s s
TOP: The Present-Maternity Care KEY: Nursing Process Step: N/A
s s s s s s s s
MSC: NCLEX: Health Promotion and Maintenance
s s s s s s
6. Who advocated the establishment of the Childrens Bureau?
s s s s s s s
a. Lillian Wald s
b. Florence Nightingale s
c. Florence Kelly s
d. Clara Barton s
ANS: A s
Lillian Wald is credited with suggesting the establishment of a federal Childrens Bureau.
s s s s s s s s s s s s
DIF: Cognitive Level: Knowledge REF: Page 4
s s s s s s
TOP: The Past KEY: Nursing Process Step: Implementation
s s s s s s s
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
s s s s s s s s
NURSINGTB.COM
7. What was the result of research done in the 1930s by the Childrens Bureau?
s s s s s s s s s s s s s
a. Children with heart problems are now cared for by pediatric cardiologists.
s s s s s s s s s s
b. The Child Abuse and Prevention Act was passed.
s s s s s s s
c. Hot lunch programs were established in many schools.
s s s s s s s
d. Childrens asylums were founded. s s s
ANS: C s
School hot lunch programs were developed as a result of research by the Childrens Bureau on the effects of
s s s s s s s s s s s s s s s s s s
economic depression on children.
s s s s
DIF: Cognitive Level: Knowledge REF: Page 4
s s s s s s
TOP: The Past KEY: Nursing Process Step: N/A
s s s s s s s s
MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care
s s s s s s s
8. What government program was implemented to increase the educational exposure of preschool children?
s s s s s s s s s s s s
a. WIC
b. Title XIX of Medicaid s s s
c. The Childrens Charter
s s
d. Head Start s
ANS: D s
Head Start programs were established to increase educational exposure of preschool children.
s s s s s s s s s s s
DIF: Cognitive Level: Knowledge REF: Page 3
s s s s s s
TOP: Government Influences in Maternity and Pediatric Care KEY: Nursing Process Step: N/A
s s s s s s s s s s s s
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
s s s s s s s s s
9. What guidelines define multidisciplinary patient care in terms of expected outcome and timeframe from
s s s s s s s s s s s s s
different areas of care provision?
s s s s s
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK s s s s s s s s s s
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer)
s s s s s s s s s s s 4
a. Clinical pathways s
b. Nursing outcome criteria s s
c. Standards of care s s
d. Nursing care plan s s
ANS: A s
Clinical pathways, also known as critical pathways or care maps, are collaborative guidelines that define
s s s s s s s s s s s s s s
patient care across disciplines. Expected progress within a specified timeline is identified.
s s s s s s s s s s s s
DIF: Cognitive Level: Knowledge REF: Page 12
s s s s s s
TOP: Health Care Delivery Systems KEY: Nursing Process Step: N/A
s s s s s s s s s
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
s s s s s s s s
10. A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her mother, and collected
s s s s s s s s s s s s s s
admission data. What is the next step the student will take to develop a nursing care plan for this child?
s s s s s s s s s s s s s s s s s s s s
a. Identify measurable outcomes with a timeline. s s s s s
b. Choose specific nursing interventions for the child.
s s s s s s
c. Determine appropriate nursing diagnoses. s s s
d. State nursing actions related to the childs medical diagnosis.
s s s s s s s s
ANS: C s
The nurse uses assessment data to select appropriate nursing diagnoses from the NANDA-I list. Outcomes and
s s s s s s s s s s s s s s s
interventions are then developed to address the relevant nursing diagnoses.
s s s s s s s s s s
DIF: Cognitive Level: Application REF: Page 11
s s s s s s
TOP: Nursing Process KEY: Nursing Process Step: Nursing Diagnosis
s s s s s s s s
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
s s s s s s s s
11. A nursing student on an obstetric rotation questions the floor nurse about the definition of the LVN/LPN
s s s s s s s s s s s s s s s s
scope of practice. What resource can the n urseNsUuRggSIeNstGtoT Bth. Ce OstM
s s s ude nt? s s s s s
a. American Nurses Association s s
b. States board of nursing s s s
c. Joint Commission s
d. Association of Womens Health, Obstetric and Neonatal Nurses s s s s s s s
ANS: B s
The scope of practice of the LVN/LPN is published by the states board of nursing.
s s s s s s s s s s s s s s
DIF: Cognitive Level: Comprehension REF: Page 3
s s s s s s
OBJ: 18 TOP: Critical Thinking
s s s s s
KEY: Nursing Process Step: Implementation
s s s s
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
s s s s s s s
12. What was recommended by Karl Cred in 1884?
s s s s s s s
a. All women should be delivered in a hospital setting.
s s s s s s s s
b. Chemical means should be used to combat infection. s s s s s s s
c. Podalic version should be done on all fetuses.
s s s s s s s
d. Silver nitrate should be placed in the eyes of newborns.
s s s s s s s s s
ANS: D s
In 1884 Karl Cred recommended the use of 2% silver nitrate in the eyes of newborns to reduce the incidence of
s s s s s s s s s s s s s s s s s s s s
blindness.
s
DIF: Cognitive Level: Knowledge REF: Page 2
s s s s s s
TOP: Use of Silver Nitrate KEY: Nursing Process Step: N/A
s s s s s s s s s
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
s s s s s s s s s s s
13. What is the purpose of the White House Conference on Children and Youth?
s s s s s s s s s s s s
a. Set criteria for normal growth patterns.
s s s s s
