, Davis Advantage for Maternal-Child Nursing Care 3rd Edition Scannell
xc xc xc xc xc xc xc xc
Ruggiero Test Bank xc xc
Chapter 1.Core Concepts of Maternal and Pediatric Healthcare Across the Continuum
xc xc xc xc xc xc xc xc xc xc
MULTIPLE CHOICE xc
A patient chooses to have the certified nurse midwife (CNM) provide care
xc xc xc xc xc xc xc xc xc xc xc
xc during her pregnancy. What does the CNMs scope of practice include?
xc xc xc xc xc xc xc xc xc xc
• Practice independent from medical supervision xc xc xc xc
• Comprehensive prenatal care xc xc
• Attendance at all deliveries xc xc xc
• Cesarean sections xc
ANS:B - The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated
xc xc xc xc xc xc xc xc xc xc xc
xc deliveries, and ensures that a backup physician is available in case of unforeseen
xc xc xc xc xc xc xc xc xc xc xc xc
problems.
REF: Page 6xc xc
Which medical pioneer discovered the relationship between the incidence of
xc xc xc xc xc xc xc xc xc
xc puerperal fever and unwashed hands? xc xc xc xc
• Karl Cred xc
• Ignaz Semmelweis xc
• Louis Pasteur xc
• Joseph List xc
ANS: B - Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
xc unwashed hands of physicians and medical students. xc xc xc xc xc xc
A pregnant woman who has recently immigrated to the United States comments to
xc xc xc xc xc xc xc xc xc xc xc xc
the nurse, I Am afraid of childbirth. It is so dangerous. I am afraid I will die. What is
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
xc the best nursing response reflecting cultural sensitivity?
xc xc xc xc xc xc
• Maternal mortality in the United States is extremely low.xc xc xc xc xc xc xc xc
• Anesthesia is available to relieve pain during labor and childbirth. xc xc xc xc xc xc xc xc xc
• Tell me why you are afraid of childbirth.
xc xc xc xc xc xc xc
• Your condition will be monitored during labor and delivery.
xc xc xc xc xc xc xc xc
, 2
ANS: C - Asking the patient about her concerns helps promote understanding and individualizes
xc xc xc xc xc xc xc xc xc xc xc xc xc
xc patient care. xc
• An urban area has been reported to have a high perinatal mortality rate. What
xc xc xc xc xc xc xc xc xc xc xc xc xc
information does this provide?
xc xc xc xc
• Maternal and infant deaths per 100,000 live births per year xc xc xc xc xc xc xc xc xc
• Deaths of fetuses weighing more than 500 g per 10,000 births per year
xc xc xc xc xc xc xc xc xc xc xc xc
• Deaths of infants up to 1 year of age per 1000 live births per year
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
• Fetal and neonatal deaths per 1000 live births per year
xc xc xc xc xc xc xc xc xc
ANS: D - The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
• What is the focus of current maternity practice?
xc xc xc xc xc xc xc
• Hospital births for the majority of women xc xc xc xc xc xc
• The traditional family unit
xc xc xc
• Separation of labor rooms from delivery rooms xc xc xc xc xc xc
• A quality family experience for each patient
xc xc xc xc xc xc
ANS: D - Current maternity practice focuses on a high-quality family experience for all
xc xc xc xc xc xc xc xc xc xc xc xc xc
xc families, traditional or otherwise. xc xc xc
: REF: Page 6 7 : The Present-Maternity Care N/A : Health Promotion and Maintenance
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
• Who advocated the establishment of the Childrens Bureau?
xc xc xc xc xc xc xc
• Lillian Wald xc
• Florence Nightingale xc
• Florence Kelly xc
• Clara Barton xc
ANS:A - Lillian Wald is credited with suggesting the establishment of a federal Childrens Bureau.
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
• What was the result of research done in the 1930s by the Childrens Bureau?
xc xc xc xc xc xc xc xc xc xc xc xc xc
• Children with heart problems are now cared for by pediatric cardiologists.
xc xc xc xc xc xc xc xc xc xc
• The Child Abuse and Prevention Act was passed.
xc xc xc xc xc xc xc
• Hot lunch programs were established in many schools.
xc xc xc xc xc xc xc
• Childrens asylums were founded. xc xc xc
ANS: C - School hot lunch programs were developed as a result of research by the Childrens Bureau on
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
, 3
The effects of economic depression on children.
xc xc xc xc xc xc
• What government program was implemented to increase the educational
xc xc xc xc xc xc xc xc
xc exposure of preschool children? xc xc xc
• WIC
• Title XIX of Medicaid xc xc xc
• The Childrens Charterxc xc
• Head Start xc
ANS:D - Head Start programs were established to increase educational exposure of preschool children.
xc xc xc xc xc xc xc xc xc xc xc xc xc
• What guidelines define multidisciplinary patient care in terms of expected
xc xc xc xc xc xc xc xc xc
xc outcome and timeframe from different areas of care provision?
xc xc xc xc xc xc xc xc
• Clinical pathways xc
• Nursing outcome criteria xc xc
• Standards of care xc xc
• Nursing care plan xc xc
ANS:A - Clinical pathways, also known as critical pathways or care maps, are collaborative
xc xc xc xc xc xc xc xc xc xc xc xc xc
xc guidelines that define patient care across disciplines. Expected progress within a
xc xc xc xc xc xc xc xc xc xc
xc specified timeline is identified. xc xc xc
• A nursing student has reviewed a hospitalized pediatric patient chart,
xc xc xc xc xc xc xc xc xc
xc interviewed her mother, and collected admission data. What is the next step the
xc xc xc xc xc xc xc xc xc xc xc xc
student will take to develop a nursing care plan for this child?
xc xc xc xc xc xc xc xc xc xc xc xc
• Identify measurable outcomes with a timeline. xc xc xc xc xc
• Choose specific nursing interventions for the child.
xc xc xc xc xc xc
• Determine appropriate nursing diagnoses. xc xc xc
• State nursing actions related to the childs medical diagnosis.
xc xc xc xc xc xc xc xc
ANS: C - The nurse uses assessment data to select appropriate nursing diagnoses from the NANDA-I
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
xc list. Outcomes and interventions are then developed to address the relevant nursing diagnoses.
xc xc xc xc xc xc xc xc xc xc xc xc
• A nursing student on an obstetric rotation questions the floor nurse about
xc xc xc xc xc xc xc xc xc xc xc
xc the definition of the LVN/LPN scope of practice. What resource can the nurse
xc xc xc xc xc xc xc xc xc xc xc xc
suggest to the student?
xc xc xc xc
xc xc xc xc xc xc xc xc
Ruggiero Test Bank xc xc
Chapter 1.Core Concepts of Maternal and Pediatric Healthcare Across the Continuum
xc xc xc xc xc xc xc xc xc xc
MULTIPLE CHOICE xc
A patient chooses to have the certified nurse midwife (CNM) provide care
xc xc xc xc xc xc xc xc xc xc xc
xc during her pregnancy. What does the CNMs scope of practice include?
xc xc xc xc xc xc xc xc xc xc
• Practice independent from medical supervision xc xc xc xc
• Comprehensive prenatal care xc xc
• Attendance at all deliveries xc xc xc
• Cesarean sections xc
ANS:B - The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated
xc xc xc xc xc xc xc xc xc xc xc
xc deliveries, and ensures that a backup physician is available in case of unforeseen
xc xc xc xc xc xc xc xc xc xc xc xc
problems.
REF: Page 6xc xc
Which medical pioneer discovered the relationship between the incidence of
xc xc xc xc xc xc xc xc xc
xc puerperal fever and unwashed hands? xc xc xc xc
• Karl Cred xc
• Ignaz Semmelweis xc
• Louis Pasteur xc
• Joseph List xc
ANS: B - Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
xc unwashed hands of physicians and medical students. xc xc xc xc xc xc
A pregnant woman who has recently immigrated to the United States comments to
xc xc xc xc xc xc xc xc xc xc xc xc
the nurse, I Am afraid of childbirth. It is so dangerous. I am afraid I will die. What is
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
xc the best nursing response reflecting cultural sensitivity?
xc xc xc xc xc xc
• Maternal mortality in the United States is extremely low.xc xc xc xc xc xc xc xc
• Anesthesia is available to relieve pain during labor and childbirth. xc xc xc xc xc xc xc xc xc
• Tell me why you are afraid of childbirth.
xc xc xc xc xc xc xc
• Your condition will be monitored during labor and delivery.
xc xc xc xc xc xc xc xc
, 2
ANS: C - Asking the patient about her concerns helps promote understanding and individualizes
xc xc xc xc xc xc xc xc xc xc xc xc xc
xc patient care. xc
• An urban area has been reported to have a high perinatal mortality rate. What
xc xc xc xc xc xc xc xc xc xc xc xc xc
information does this provide?
xc xc xc xc
• Maternal and infant deaths per 100,000 live births per year xc xc xc xc xc xc xc xc xc
• Deaths of fetuses weighing more than 500 g per 10,000 births per year
xc xc xc xc xc xc xc xc xc xc xc xc
• Deaths of infants up to 1 year of age per 1000 live births per year
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
• Fetal and neonatal deaths per 1000 live births per year
xc xc xc xc xc xc xc xc xc
ANS: D - The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
• What is the focus of current maternity practice?
xc xc xc xc xc xc xc
• Hospital births for the majority of women xc xc xc xc xc xc
• The traditional family unit
xc xc xc
• Separation of labor rooms from delivery rooms xc xc xc xc xc xc
• A quality family experience for each patient
xc xc xc xc xc xc
ANS: D - Current maternity practice focuses on a high-quality family experience for all
xc xc xc xc xc xc xc xc xc xc xc xc xc
xc families, traditional or otherwise. xc xc xc
: REF: Page 6 7 : The Present-Maternity Care N/A : Health Promotion and Maintenance
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
• Who advocated the establishment of the Childrens Bureau?
xc xc xc xc xc xc xc
• Lillian Wald xc
• Florence Nightingale xc
• Florence Kelly xc
• Clara Barton xc
ANS:A - Lillian Wald is credited with suggesting the establishment of a federal Childrens Bureau.
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
• What was the result of research done in the 1930s by the Childrens Bureau?
xc xc xc xc xc xc xc xc xc xc xc xc xc
• Children with heart problems are now cared for by pediatric cardiologists.
xc xc xc xc xc xc xc xc xc xc
• The Child Abuse and Prevention Act was passed.
xc xc xc xc xc xc xc
• Hot lunch programs were established in many schools.
xc xc xc xc xc xc xc
• Childrens asylums were founded. xc xc xc
ANS: C - School hot lunch programs were developed as a result of research by the Childrens Bureau on
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
, 3
The effects of economic depression on children.
xc xc xc xc xc xc
• What government program was implemented to increase the educational
xc xc xc xc xc xc xc xc
xc exposure of preschool children? xc xc xc
• WIC
• Title XIX of Medicaid xc xc xc
• The Childrens Charterxc xc
• Head Start xc
ANS:D - Head Start programs were established to increase educational exposure of preschool children.
xc xc xc xc xc xc xc xc xc xc xc xc xc
• What guidelines define multidisciplinary patient care in terms of expected
xc xc xc xc xc xc xc xc xc
xc outcome and timeframe from different areas of care provision?
xc xc xc xc xc xc xc xc
• Clinical pathways xc
• Nursing outcome criteria xc xc
• Standards of care xc xc
• Nursing care plan xc xc
ANS:A - Clinical pathways, also known as critical pathways or care maps, are collaborative
xc xc xc xc xc xc xc xc xc xc xc xc xc
xc guidelines that define patient care across disciplines. Expected progress within a
xc xc xc xc xc xc xc xc xc xc
xc specified timeline is identified. xc xc xc
• A nursing student has reviewed a hospitalized pediatric patient chart,
xc xc xc xc xc xc xc xc xc
xc interviewed her mother, and collected admission data. What is the next step the
xc xc xc xc xc xc xc xc xc xc xc xc
student will take to develop a nursing care plan for this child?
xc xc xc xc xc xc xc xc xc xc xc xc
• Identify measurable outcomes with a timeline. xc xc xc xc xc
• Choose specific nursing interventions for the child.
xc xc xc xc xc xc
• Determine appropriate nursing diagnoses. xc xc xc
• State nursing actions related to the childs medical diagnosis.
xc xc xc xc xc xc xc xc
ANS: C - The nurse uses assessment data to select appropriate nursing diagnoses from the NANDA-I
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
xc list. Outcomes and interventions are then developed to address the relevant nursing diagnoses.
xc xc xc xc xc xc xc xc xc xc xc xc
• A nursing student on an obstetric rotation questions the floor nurse about
xc xc xc xc xc xc xc xc xc xc xc
xc the definition of the LVN/LPN scope of practice. What resource can the nurse
xc xc xc xc xc xc xc xc xc xc xc xc
suggest to the student?
xc xc xc xc
