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