TEST BANK FOR
Introduction to Maternity and Pediatric
Nursing, 8th Edition by Gloria Leifer
UNIT I: An Overview of Maternity and Pediatric Nursing
Chapter 1: The Past, Present, and Future
UNIT II: Maternal-Newborn Nursing and Women’s Health
Chapter 2: Human Reproductive Anatomy and Physiology
Chapter 3: Fetal Development
Chapter 4: Prenatal Care and Adaptations to Pregnancy
Chapter 5: Nursing Care of Women with Complications during Pregnancy
Chapter 6: Nursing Care of Mother and Infant during Labor and Birth
Chapter 7: Nursing Management of Pain during Labor and Birth
Chapter 8: Nursing Care of Women with Complications during Labor
and Birth
Chapter 9: The Family after Birth
Chapter 10: Nursing Care of Women with Complications Following Birth
Chapter 11: The Nurse’s Role in Women’s Health Care
Chapter 12: The Term Newborn
Chapter 13: Preterm and Post-Term Newborns
Chapter 14: The Newborn with a Perinatal Injury or
Congenital Malformation
UNIT III: The Growing Child and Family
Chapter 15: An Overview of Growth, Development, and Nutrition
Chapter 16: The Infant
Chapter 17: The Toddler
Chapter 18: The Preschool
Child
Chapter 19: The School-Age
Child Chapter 20: The Adolescent
UNIT IV: Adapting Care to the Pediatric Patient
Chapter 21: The Child’s Experience of Hospitalization
Chapter 22: Health Care Adaptations for the Child and
Family UNIT V: The Child Needing Nursing Care
Chapter 23: The Child with a Sensory or Neurological Condition
Chapter 24: The Child with a Musculoskeletal Condition
Chapter 25: The Child with a Respiratory Disorder
Chapter 26: The Child with a Cardiovascular Disorder
Chapter 27: The Child with a Condition of the Blood, Blood-Forming Organs or Lymphatic System
Chapter 28: The Child with a Gastrointestinal Condition
Chapter 29: The Child with a Genitourinary Condition
Chapter 30: The Child with a Skin Condition
Chapter 31: The Child with a Metabolic Condition
Chapter 32: Childhood Communicable Diseases, Bioterrorism, Natural Disasters and the Maternal-Child
Patient
Chapter 33: The Child with an Emotional or Behavioral Condition
UNIT VI: The Changing Health Care Environment
Chapter 34: Complementary and Alternative Therapies in Maternity and Pediatric Nursing
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
2
Chapter 01: The Past, Present, and Future
MULTIPLE CHOICE
1. A patient chooses to have the certified nurse midwife (CNM) provide care during her pregnancy. What does
the CNMs scope of practice include?
a. Practice independent from medical supervision
b. Comprehensive prenatal care
c. Attendance at all deliveries
d. Cesarean sections
ANS: B
The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated deliveries, and ensures
that a backup physician is available in case of unforeseen problems.
DIF: Cognitive Level: Comprehension REF: Page 6
TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
2. Which medical pioneer discovered the relationship between the incidence of puerperal fever and unwashed
hands?
a. Karl Cred
b. Ignaz Semmelweis
c. Louis Pasteur
d. Joseph Lister
ANS: B
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the unwashed
hands of physicians and medical students.
DIF: Cognitive Level: Knowledge REF: Page 2
TOP: The Past KEY: Nursing Process Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
3. A pregnant woman who has recently immigrated to the United States comments to the nurse, I am afraid of
childbirth. It is so dangerous. I am afraid I will die. What is the best nursing response reflecting cultural
sensitivity?
a. Maternal mortality in the United States is extremely low.
b. Anesthesia is available to relieve pain during labor and childbirth.
c. Tell me why you are afraid of childbirth.
d. Your condition will be monitored during labor and delivery.
ANS: C
Asking the patient about her concerns helps promote understanding and individualizes patient care.
DIF: Cognitive Level: Application REF: Page 7
TOP: Cross-Cultural Care KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
4. An urban area has been reported to have a high perinatal mortality rate. What information does this provide?
a. Maternal and infant deaths per 100,000 live births per year
b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
c. Deaths of infants up to 1 year of age per 1000 live births per year
d. Fetal and neonatal deaths per 1000 live births per year
ANS: D
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
DIF: Cognitive Level: Comprehension REF: Page 12
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
3
OBJ: 9 TOP: dThe dPresent-Child d Care
KEY: d Nursing dProcess d Step: d Implementation
MSC: d NCLEX: d Safe, d Effective d Care d Environment: d Coordinated d Care
5. What dis dthe dfocus dof dcurrent d maternity d practice?
a. Hospital dbirths d for d the d majority dof d women
b. The dtraditional dfamily dunit
c. Separation d of d labor d rooms d from d delivery d rooms
d. A dquality dfamily dexperience dfor deach dpatient
ANS: dD
Current d maternity d practice d focuses d on da dhigh-quality d family dexperience d for d all dfamilies, d traditional d or
d otherwise.
DIF: dCognitive d Level: d Comprehension dREF: dPage d6
TOP: dThe dPresent-Maternity dCare dKEY: dNursing dProcess dStep:
dN/A dMSC: dNCLEX: dHealth dPromotion dand dMaintenance
6. Who dadvocated dthe destablishment dof dthe dChildrens dBureau?
a. Lillian dWald
b. Florence d Nightingale
c. Florence dKelly
d. Clara d Barton
ANS: d A
Lillian dWald dis d credited dwith dsuggesting dthe d establishment d of da d federal dChildrens d Bureau.
DIF: d Cognitive d Level: d Knowledge dREF: d Page d 4
TOP: d The dPast d KEY: d Nursing d Process d Step: d Implementation
MSC: d NCLEX: d Health dPromotion d and d Maintenance: d Growth d and dDevelopment
7. What dwas d the dresult d of dresearch d done din dthe d1930s d by dthe d Childrens d Bureau?
a. Children d with dheart d problems d are dnow dcared dfor d by d pediatric d cardiologists.
b. The d Child d Abuse d and dPrevention d Act d was d passed.
c. Hot dlunch d programs d were destablished d in d many dschools.
d. Childrens d asylums d were d founded.
ANS: dC
School dhot dlunch dprograms dwere ddeveloped das da dresult dof dresearch dby dthe dChildrens dBureau don dthe
deffects dof deconomic ddepression don dchildren.
DIF: dCognitive d Level: dKnowledge dREF: dPage
d4 dTOP: d The d Past d KEY: d Nursing d Process
d Step: d N/A
MSC: d NCLEX: d Health dPromotion d and d Maintenance: d Coordinated d Care
8. What dgovernment d program d was d implemented d to dincrease d the d educational d exposure d of d preschool
d children?
a. WIC
b. Title d XIX d of d Medicaid
c. The d Childrens d Charter
d. Head dStart
ANS: dD
Head dStart dprograms d were d established d to dincrease d educational d exposure d of d preschool d children.
DIF: d Cognitive d Level: d Knowledge dREF: d Page d 3
TOP: dGovernment dInfluences din dMaternity dand dPediatric dCare dKEY: dNursing dProcess
dStep: dN/A dMSC: dNCLEX: dHealth dPromotion dand dMaintenance: dGrowth dand
dDevelopment
9. What dguidelines ddefine dmultidisciplinary dpatient dcare din dterms dof dexpected doutcome dand
dtimeframe dfrom ddifferent dareas dof dcare dprovision?
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
4
a. Clinical dpathways
b. Nursing d outcome d criteria
c. Standards d of d care
d. Nursing dcare dplan
ANS: d A
Clinical dpathways, dalso dknown das dcritical dpathways dor dcare dmaps, dare dcollaborative dguidelines dthat
ddefine dpatient dcare dacross ddisciplines. dExpected dprogress dwithin da dspecified dtimeline dis didentified.
DIF: d Cognitive d Level: d Knowledge d REF: d Page d 12
TOP: dHealth dCare dDelivery dSystems dKEY: dNursing dProcess dStep:
dN/A dMSC: dNCLEX: dSafe, dEffective dCare dEnvironment:
dCoordinated dCare
10. A dnursing dstudent dhas dreviewed da dhospitalized dpediatric dpatient dchart, dinterviewed dher dmother, dand
dcollected dadmission ddata. dWhat dis dthe dnext dstep dthe dstudent d will dtake dto ddevelop da dnursing dcare
dplan dfor dthis dchild?
a. Identify d measurable d outcomes d with da dtimeline.
b. Choose dspecific dnursing dinterventions dfor dthe dchild.
c. Determine d appropriate d nursing d diagnoses.
d. State dnursing dactions drelated dto dthe d childs d medical ddiagnosis.
ANS: dC
The dnurse duses dassessment ddata dto dselect dappropriate dnursing ddiagnoses dfrom dthe dNANDA-I dlist. dOutcomes
dand dinterventions dare dthen ddeveloped dto daddress dthe drelevant dnursing ddiagnoses.
DIF: dCognitive d Level: d Application d REF: d Page d 11
TOP: dNursing dProcess dKEY: dNursing dProcess dStep: dNursing
dDiagnosis dMSC: dNCLEX: dSafe, dEffective dCare dEnvironment:
dCoordinated dCare
11. A dnursing dstudent don dan dobstetric drotation dquestions dthe dfloor dnurse dabout dthe ddefinition dof dthe
dLVN/LPN dscope dof dpractice. dWhat dresource dcan dthe dnurseNsUuRgSgIeNstGtTo dBth.CeOstMudent?
a. American d Nurses d Association
b. States d board d of dnursing
c. Joint dCommission
d. Association d of dWomens d Health, d Obstetric d and dNeonatal d Nurses
ANS: dB
The dscope d of d practice d of d the d LVN/LPN d is dpublished dby dthe dstates d board d of d nursing.
DIF: dCognitive dLevel: dComprehension dREF:
dPage d3 dOBJ: d18 dTOP: dCritical dThinking
KEY: d Nursing dProcess d Step: d Implementation
MSC: d NCLEX: d Safe, d Effective d Care d Environment: d Coordinated d Care
12. What d was d recommended d by dKarl d Cred din d1884?
a. All d women dshould dbe d delivered din da d hospital d setting.
b. Chemical d means d should dbe d used dto dcombat dinfection.
c. Podalic d version dshould dbe d done d on dall d fetuses.
d. Silver d nitrate d should dbe dplaced din dthe deyes d of d newborns.
ANS: dD
In d1884 dKarl dCred drecommended dthe duse dof d2% dsilver dnitrate din dthe deyes dof dnewborns dto dreduce dthe
dincidence dof dblindness.
DIF: d Cognitive d Level: d Knowledge dREF: d Page d 2
TOP: dUse dof dSilver d Nitrate d KEY: dNursing dProcess d Step: dN/A
MSC: dNCLEX: d Health dPromotion d and d Maintenance: d Prevention d and dEarly dDetection d of dDisease
13. What dis d the d purpose d of dthe d White dHouse d Conference d on dChildren d and dYouth?
a. Set dcriteria d for d normal d growth d patterns.
Introduction to Maternity and Pediatric
Nursing, 8th Edition by Gloria Leifer
UNIT I: An Overview of Maternity and Pediatric Nursing
Chapter 1: The Past, Present, and Future
UNIT II: Maternal-Newborn Nursing and Women’s Health
Chapter 2: Human Reproductive Anatomy and Physiology
Chapter 3: Fetal Development
Chapter 4: Prenatal Care and Adaptations to Pregnancy
Chapter 5: Nursing Care of Women with Complications during Pregnancy
Chapter 6: Nursing Care of Mother and Infant during Labor and Birth
Chapter 7: Nursing Management of Pain during Labor and Birth
Chapter 8: Nursing Care of Women with Complications during Labor
and Birth
Chapter 9: The Family after Birth
Chapter 10: Nursing Care of Women with Complications Following Birth
Chapter 11: The Nurse’s Role in Women’s Health Care
Chapter 12: The Term Newborn
Chapter 13: Preterm and Post-Term Newborns
Chapter 14: The Newborn with a Perinatal Injury or
Congenital Malformation
UNIT III: The Growing Child and Family
Chapter 15: An Overview of Growth, Development, and Nutrition
Chapter 16: The Infant
Chapter 17: The Toddler
Chapter 18: The Preschool
Child
Chapter 19: The School-Age
Child Chapter 20: The Adolescent
UNIT IV: Adapting Care to the Pediatric Patient
Chapter 21: The Child’s Experience of Hospitalization
Chapter 22: Health Care Adaptations for the Child and
Family UNIT V: The Child Needing Nursing Care
Chapter 23: The Child with a Sensory or Neurological Condition
Chapter 24: The Child with a Musculoskeletal Condition
Chapter 25: The Child with a Respiratory Disorder
Chapter 26: The Child with a Cardiovascular Disorder
Chapter 27: The Child with a Condition of the Blood, Blood-Forming Organs or Lymphatic System
Chapter 28: The Child with a Gastrointestinal Condition
Chapter 29: The Child with a Genitourinary Condition
Chapter 30: The Child with a Skin Condition
Chapter 31: The Child with a Metabolic Condition
Chapter 32: Childhood Communicable Diseases, Bioterrorism, Natural Disasters and the Maternal-Child
Patient
Chapter 33: The Child with an Emotional or Behavioral Condition
UNIT VI: The Changing Health Care Environment
Chapter 34: Complementary and Alternative Therapies in Maternity and Pediatric Nursing
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
2
Chapter 01: The Past, Present, and Future
MULTIPLE CHOICE
1. A patient chooses to have the certified nurse midwife (CNM) provide care during her pregnancy. What does
the CNMs scope of practice include?
a. Practice independent from medical supervision
b. Comprehensive prenatal care
c. Attendance at all deliveries
d. Cesarean sections
ANS: B
The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated deliveries, and ensures
that a backup physician is available in case of unforeseen problems.
DIF: Cognitive Level: Comprehension REF: Page 6
TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
2. Which medical pioneer discovered the relationship between the incidence of puerperal fever and unwashed
hands?
a. Karl Cred
b. Ignaz Semmelweis
c. Louis Pasteur
d. Joseph Lister
ANS: B
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the unwashed
hands of physicians and medical students.
DIF: Cognitive Level: Knowledge REF: Page 2
TOP: The Past KEY: Nursing Process Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
3. A pregnant woman who has recently immigrated to the United States comments to the nurse, I am afraid of
childbirth. It is so dangerous. I am afraid I will die. What is the best nursing response reflecting cultural
sensitivity?
a. Maternal mortality in the United States is extremely low.
b. Anesthesia is available to relieve pain during labor and childbirth.
c. Tell me why you are afraid of childbirth.
d. Your condition will be monitored during labor and delivery.
ANS: C
Asking the patient about her concerns helps promote understanding and individualizes patient care.
DIF: Cognitive Level: Application REF: Page 7
TOP: Cross-Cultural Care KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
4. An urban area has been reported to have a high perinatal mortality rate. What information does this provide?
a. Maternal and infant deaths per 100,000 live births per year
b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
c. Deaths of infants up to 1 year of age per 1000 live births per year
d. Fetal and neonatal deaths per 1000 live births per year
ANS: D
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
DIF: Cognitive Level: Comprehension REF: Page 12
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
3
OBJ: 9 TOP: dThe dPresent-Child d Care
KEY: d Nursing dProcess d Step: d Implementation
MSC: d NCLEX: d Safe, d Effective d Care d Environment: d Coordinated d Care
5. What dis dthe dfocus dof dcurrent d maternity d practice?
a. Hospital dbirths d for d the d majority dof d women
b. The dtraditional dfamily dunit
c. Separation d of d labor d rooms d from d delivery d rooms
d. A dquality dfamily dexperience dfor deach dpatient
ANS: dD
Current d maternity d practice d focuses d on da dhigh-quality d family dexperience d for d all dfamilies, d traditional d or
d otherwise.
DIF: dCognitive d Level: d Comprehension dREF: dPage d6
TOP: dThe dPresent-Maternity dCare dKEY: dNursing dProcess dStep:
dN/A dMSC: dNCLEX: dHealth dPromotion dand dMaintenance
6. Who dadvocated dthe destablishment dof dthe dChildrens dBureau?
a. Lillian dWald
b. Florence d Nightingale
c. Florence dKelly
d. Clara d Barton
ANS: d A
Lillian dWald dis d credited dwith dsuggesting dthe d establishment d of da d federal dChildrens d Bureau.
DIF: d Cognitive d Level: d Knowledge dREF: d Page d 4
TOP: d The dPast d KEY: d Nursing d Process d Step: d Implementation
MSC: d NCLEX: d Health dPromotion d and d Maintenance: d Growth d and dDevelopment
7. What dwas d the dresult d of dresearch d done din dthe d1930s d by dthe d Childrens d Bureau?
a. Children d with dheart d problems d are dnow dcared dfor d by d pediatric d cardiologists.
b. The d Child d Abuse d and dPrevention d Act d was d passed.
c. Hot dlunch d programs d were destablished d in d many dschools.
d. Childrens d asylums d were d founded.
ANS: dC
School dhot dlunch dprograms dwere ddeveloped das da dresult dof dresearch dby dthe dChildrens dBureau don dthe
deffects dof deconomic ddepression don dchildren.
DIF: dCognitive d Level: dKnowledge dREF: dPage
d4 dTOP: d The d Past d KEY: d Nursing d Process
d Step: d N/A
MSC: d NCLEX: d Health dPromotion d and d Maintenance: d Coordinated d Care
8. What dgovernment d program d was d implemented d to dincrease d the d educational d exposure d of d preschool
d children?
a. WIC
b. Title d XIX d of d Medicaid
c. The d Childrens d Charter
d. Head dStart
ANS: dD
Head dStart dprograms d were d established d to dincrease d educational d exposure d of d preschool d children.
DIF: d Cognitive d Level: d Knowledge dREF: d Page d 3
TOP: dGovernment dInfluences din dMaternity dand dPediatric dCare dKEY: dNursing dProcess
dStep: dN/A dMSC: dNCLEX: dHealth dPromotion dand dMaintenance: dGrowth dand
dDevelopment
9. What dguidelines ddefine dmultidisciplinary dpatient dcare din dterms dof dexpected doutcome dand
dtimeframe dfrom ddifferent dareas dof dcare dprovision?
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
4
a. Clinical dpathways
b. Nursing d outcome d criteria
c. Standards d of d care
d. Nursing dcare dplan
ANS: d A
Clinical dpathways, dalso dknown das dcritical dpathways dor dcare dmaps, dare dcollaborative dguidelines dthat
ddefine dpatient dcare dacross ddisciplines. dExpected dprogress dwithin da dspecified dtimeline dis didentified.
DIF: d Cognitive d Level: d Knowledge d REF: d Page d 12
TOP: dHealth dCare dDelivery dSystems dKEY: dNursing dProcess dStep:
dN/A dMSC: dNCLEX: dSafe, dEffective dCare dEnvironment:
dCoordinated dCare
10. A dnursing dstudent dhas dreviewed da dhospitalized dpediatric dpatient dchart, dinterviewed dher dmother, dand
dcollected dadmission ddata. dWhat dis dthe dnext dstep dthe dstudent d will dtake dto ddevelop da dnursing dcare
dplan dfor dthis dchild?
a. Identify d measurable d outcomes d with da dtimeline.
b. Choose dspecific dnursing dinterventions dfor dthe dchild.
c. Determine d appropriate d nursing d diagnoses.
d. State dnursing dactions drelated dto dthe d childs d medical ddiagnosis.
ANS: dC
The dnurse duses dassessment ddata dto dselect dappropriate dnursing ddiagnoses dfrom dthe dNANDA-I dlist. dOutcomes
dand dinterventions dare dthen ddeveloped dto daddress dthe drelevant dnursing ddiagnoses.
DIF: dCognitive d Level: d Application d REF: d Page d 11
TOP: dNursing dProcess dKEY: dNursing dProcess dStep: dNursing
dDiagnosis dMSC: dNCLEX: dSafe, dEffective dCare dEnvironment:
dCoordinated dCare
11. A dnursing dstudent don dan dobstetric drotation dquestions dthe dfloor dnurse dabout dthe ddefinition dof dthe
dLVN/LPN dscope dof dpractice. dWhat dresource dcan dthe dnurseNsUuRgSgIeNstGtTo dBth.CeOstMudent?
a. American d Nurses d Association
b. States d board d of dnursing
c. Joint dCommission
d. Association d of dWomens d Health, d Obstetric d and dNeonatal d Nurses
ANS: dB
The dscope d of d practice d of d the d LVN/LPN d is dpublished dby dthe dstates d board d of d nursing.
DIF: dCognitive dLevel: dComprehension dREF:
dPage d3 dOBJ: d18 dTOP: dCritical dThinking
KEY: d Nursing dProcess d Step: d Implementation
MSC: d NCLEX: d Safe, d Effective d Care d Environment: d Coordinated d Care
12. What d was d recommended d by dKarl d Cred din d1884?
a. All d women dshould dbe d delivered din da d hospital d setting.
b. Chemical d means d should dbe d used dto dcombat dinfection.
c. Podalic d version dshould dbe d done d on dall d fetuses.
d. Silver d nitrate d should dbe dplaced din dthe deyes d of d newborns.
ANS: dD
In d1884 dKarl dCred drecommended dthe duse dof d2% dsilver dnitrate din dthe deyes dof dnewborns dto dreduce dthe
dincidence dof dblindness.
DIF: d Cognitive d Level: d Knowledge dREF: d Page d 2
TOP: dUse dof dSilver d Nitrate d KEY: dNursing dProcess d Step: dN/A
MSC: dNCLEX: d Health dPromotion d and d Maintenance: d Prevention d and dEarly dDetection d of dDisease
13. What dis d the d purpose d of dthe d White dHouse d Conference d on dChildren d and dYouth?
a. Set dcriteria d for d normal d growth d patterns.
