,Table contents page
Chapter 1. Introduction to Maternity and Pediatric Nursing ....................................................... 3-18
Chapter 2. Culture........................................................................................................................ 19-34
Chapter 3. Women’s Health Promotion Across the Life Span...................................................... 34-46
Chapter 4. Human Reproduction and Fetal Development .......................................................... 46-59
Chapter 5. Physical and Psychological Changes of Pregnancy ................................................... 60-100
Chapter 7. Promoting a Healthy Pregnancy ............................................................................... 100-107
Chapter 8 & Chapter 9. Nursing Care of the Woman With Complications During Pregnancy…107-150
Chapter 10. Nursing Care of the Woman with Complications during Labor and Birth ............. 150-183
Chapter 11. Birth-Related Procedures ......................................................................................... 183-215
Chapter 12. Postpartum Nursing Care.......................................................................................... 215-229
Chapter 13. Postpartum Complications ....................................................................................... 229-250
Chapter 14. Physiological and Behavioral Adaptations of the Newborn .....................................250-262
Chapter 15. Nursing Care of the Newborn................................................................................... 262-276
Chapter 16. Newborn Nutrition ...................................................................................................276-290
Chapter 17. Nursing Care of the Newborn at Risk ...................................................................... 290-313
Chapter 18. Health Promotion of the Infant: Birth to One Year .................................................. 313-326
Chapter 19. Health Promotion of the Toddler .............................................................................. 326-339
Chapter 20. Health Promotion of the Preschooler ...................................................................... 339-350
Chapter 21. Health Promotion of the School-Aged Child ............................................................. 350-360
Chapter 22. Health Promotion of the Adolescent......................................................................... 360-371
Chapter 23. Nursing Care of the Hospitalized Child ...................................................................... 371-385
Chapter 24. Acutely Ill Children and Their Needs ......................................................................... 385-403
Chapter 25. Adapting to Chronic Illness and Supporting the Family............................................. 403-411
Chapter 26. The Abused Child ....................................................................................................... 411-425
Chapter 27. Child With a Neurological Condition .......................................................................... 425-438
Chapter 28. Child With a Sensory Impairment ............................................................................... 438-455
Chapter 29. Child With a Mental Health Condition ........................................................................ 455-470
Chapter 30. Child With a Respiratory Condition ............................................................................ 470-492
Chapter 31. Child With a Cardiac Condition ................................................................................... 492-510
Chapter 32. Child With a Metabolic Condition................................................................................ 510-522
Chapter 33. Child With a Musculoskeletal Condition ..................................................................... 522-536
Chapter 34. Child With a Gastrointestinal Condition ..................................................................... 536-556
Chapter 35. Child With a Genitourinary Condition......................................................................... 556-572
Chapter 36. Child With a Skin Condition ........................................................................................ 572-591
Chapter 37. Child With a Communicable Disease .......................................................................... 591-603
Chapter 38. Child With an Oncological or Hematological ............................................................... 603-620
,Safe Maternity and Pediatric Nursing Care 2nd Edition Linnard-Palmer Test Bank
Chapter 1. Introduction to Maternity and Pediatric Nursing
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 OBJ: 12
TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Preventionand 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 medicalstudents.
DIF: Cognitive Level: Knowledge REF: Page 2 OBJ: 1 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 7-8 OBJ: 8
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 birth s per year.
DIF: Cognitive Level: Comprehension REF: Page 12, Box 1-6 OBJ: 9 TOP: The Present-Child Care
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
5. What is the focus of current maternity practice?
a. Hospital births for the majority of women
,b. The jtraditional jfamily junit
c. Separation jof jlabor jrooms jfrom j delivery jrooms
d. A jquality jfamily jexperience jfor jeach jpatient j ANS: jD
Current jmaternity jpractice jfocuses jon ja jhigh-quality jfamily jexperience jfor jall j families, jtraditional jor
jotherwise.
DIF: jCognitive jLevel: j Comprehension jREF: jPage j6 jOBJ: j7
TOP: jThe jPresent-Maternity jCare jKEY: jNursing jProcess jStep: jN/A jMSC: jNCLEX: jHealth jPromotion jand
jMaintenance
6. Who j advocated jthe jestablishment jof jthe jChildrens jBureau?
a. Lillian jWald
b. Florence j Nightingale
c. Florence jKelly
d. Clara jBarton jANS: jA
Lillian jWald jis jcredited jwith jsuggesting jthe jestablishment jof ja jfederal jChildrens jBureau.
DIF: jCognitive jLevel: jKnowledge jREF: jPage j4 jOBJ: j1 j| j2 jTOP: jThe jPast jKEY: j Nursing jProcess jStep:
jImplementation
MSC: jNCLEX: jHealth j Promotion jand jMaintenance: jGrowth jand jDevelopment
7. What jwas jthe jresult jof jresearch jdone jin jthe j1930s j by jthe jChildrens jBureau?
a. Children jwith jheart jproblems jare jnow jcared jfor jby jpediatric jcardiologists.
b. The jChild jAbuse jand jPrevention jAct jwas jpassed.
c. Hot jlunch jprograms j were jestablished jin jmany jschools.
d. Childrens jasylums jwere jfounded. j ANS: jC
Schoolhot jlunch jprograms jwere jdeveloped jas ja jresult jof jresearch jby jthe jChildrens jBureau jon jthe jeffects
jof jeconomic jdepression jon jchildren.
,DIF: jCognitive jLevel: jKnowledge jREF: jPage j4 jOBJ: j2 j| j3 jTOP: jThe jPast jKEY: j Nursing jProcess jStep: jN/A
jMSC: jNCLEX: jHealth jPromotion jand jMaintenance: jCoordinated jCare
8. What jgovernment jprogram jwas jimplemented jto jincrease jthe jeducational jexposure jof jpreschool
jchildren?
a. WIC
b. Title jXIX jof jMedicaid
c. The j Childrens jCharter
d. Head jStart ANS: D
Head jStart jprograms jwere jestablished jto jincrease jeducationalexposure jof jpreschool jchildren.
DIF: jCognitive jLevel: jKnowledge jREF: jPage j3 j OBJ: j5
TOP: jGovernment jInfluences jin jMaternity jand jPediatric jCare jKEY: j Nursing jProcess jStep: jN/A jMSC:
jNCLEX: jHealth jPromotion jand jMaintenance: jGrowth jand jDevelopment
9. What jguidelines jdefine jmultidisciplinary jpatient jcare jin jterms jof jexpected joutcome
jand jtimeframe jfrom jdifferent jareas jof jcare jprovision?
a. Clinical jpathways
b. Nursing joutcome j criteria
c. Standards jof jcare
d. Nursing jcare jplan ANS: A
Clinical j pathways, jalso jknown jas jcritical jpathways jor jcare jmaps, jare jcollaborative jguidelines jthat jdefine
jpatient jcare jacross jdisciplines. jExpected jprogress jwithin ja jspecified jtimeline jis jidentified.
DIF: jCognitive jLevel: jKnowledge jREF: jPage j12 j OBJ: j14
TOP: jHealth jCare jDelivery jSystems jKEY: jNursing jProcess jStep: jN/A jMSC: jNCLEX: jSafe, jEffective jCare
jEnvironment: jCoordinated jCare
10. A j nursing jstudent jhas jreviewed ja jhospitalized jpediatric jpatient jchart, jinterviewed jher
jmother, jand jcollected jadmission jdata. jWhat jis jthe jnext jstep jthe jstudent jwill jtake jto jdevelop ja
jnursing jcare jplan jfor jthis jchild?
,a. Identify jmeasurable joutcomes jwith ja jtimeline.
b. Choose jspecific jnursing jinterventions jfor jthe jchild.
c. Determine jappropriate jnursing j diagnoses.
d. State jnursing jactions jrelated jto jthe jchilds jmedical jdiagnosis. j ANS: jC
The jnurse juses jassessment jdata jto jselect jappropriate jnursing jdiagnoses jfrom jthe jNANDA-I jlist.
jOutcomes jand jinterventions jare jthen jdeveloped jto jaddress jthe jrelevant jnursing jdiagnoses.
DIF: jCognitive jLevel: jApplication jREF: jPage j11 j OBJ: j13
TOP: jNursing jProcess jKEY: jNursing jProcess jStep: jNursing jDiagnosis jMSC: jNCLEX: jSafe, jEffective jCare
jEnvironment: jCoordinated jCare
11. A jnursing jstudent jon jan jobstetric jrotation jquestions jthe jfloor jnurse jabout jthe jdefinition jof jthe
jLVN/LPN jscope jof jpractice. jWhat jresource jcan jthe j nurse jsuggest jto jthe jstudent?
a. American jNurses jAssociation
b. States jboard jof jnursing
c. Joint jCommission
d. Association jof jWomens jHealth, jObstetric jand jNeonatal jNurses j ANS: jB
The jscope jof j practice jof j the jLVN/LPN jis jpublished jby jthe jstates jboard jof jnursing.
DIF: jCognitive jLevel: jComprehension jREF: jPage j3, jLegal jand jEthical jConsiderations jOBJ: j18 jTOP: jCritical
jThinking
KEY: jNursing jProcess jStep: jImplementation
MSC: jNCLEX: jSafe, jEffective jCare jEnvironment: jCoordinated jCare
12. What jwas jrecommended jby jKarl jCred jin j1884?
a. All jwomen jshould jbe jdelivered jin ja jhospital jsetting.
b. Chemical jmeans jshould jbe jused jto jcombat jinfection.
c. Podalic jversion jshould jbe jdone jon jall jfetuses.
,d. Silver jnitrate jshould jbe j placed jin jthe j eyes jof jnewborns. jANS: jD
In j1884 j Karl jCred jrecommended jtheuse jof j2% j silver jnitrate jin jthe jeyes jof jnewborns jto jreduce jthe
jincidence jof jblindness.
DIF: jCognitive jLevel: jKnowledge jREF: jPage j2 jOBJ: j1 jTOP: jUse jof jSilver j Nitrate jKEY: jNursing jProcess jStep:
jN/A
MSC: jNCLEX: jHealth j Promotion jand jMaintenance: jPreventionand jEarly jDetection jof jDisease
13. What jis jthe j purpose jof jthe jWhite jHouse jConference jon jChildren jand jYouth?
a. Set jcriteria jfor jnormal jgrowth jpatterns.
b. Examine jthe jnumber jof jlive jbirths jin jminoritypopulations.
c. Raise jmoney jto jsupport jwell-child jclinics jin jrural j areas.
d. Promote j comprehensive jchild jwelfare. jANS: jD
White jHouse jConferences jon jChildren jand jYouth jare jheld jevery j10 jyears jto jpromote jcomprehensive jchild
jwelfare.
DIF: jCognitive jLevel: jKnowledge jREF: jPage j4 j OBJ: j3
TOP: jWhite jHouse jConferences jKEY: jNursing jProcess jStep: jN/A
MSC: jNCLEX: jHealth j Promotion jand jMaintenance: jPreventionand jEarly jDetection jof jDisease
14. How jmany jhours jof j hospital jstay jdoes jlegislation jcurrently jallow jfor ja jpostpartum jpatient
who jhas j delivered jvaginally jwithout jcomplications?
a. 24
b. 48
c. 36
d. 72 j ANS: jB
Postpartum jpatients jwho jdeliver jvaginally jstay jin jthe jhospital jfor jan javerage jof j48 jhours; jpatients jwho
jhave jhad ja jcesarean jdelivery jusually jstay j4 jdays.
, DIF: jCognitive jLevel: jKnowledge jREF: jPage j6 jOBJ: j7 jTOP: jHospital jTerms j for jPostpartum jPatients
jKEY: jNursing jProcess jStep: jPlanning
MSC: jNCLEX: jHealth j Promotion jand jMaintenance: jPreventionand jEarly jDetection jof jDisease
15. How j does jthe jclinical jpathway jor jcritical jpathway jimprove jquality jof jcare?
a. Lists jdiagnosis-specific jimplementations
b. Outlines jexpected jprogress jwith jstated jtimelines
c. Prioritizes jeffective jnursing jdiagnoses
d. Describes jcommon jcomplications jANS: jB
Critical j pathways joutline jexpected jprogress jwith jstated jtimelines. jAny jdeviation jfrom jthose jtimelines jis
jcalled ja jvariance.
DIF: jCognitive jLevel: jComprehension jREF: jPage j12 jOBJ: j14
TOP: jCritical jPathway jKEY: jNursing jProcess jStep: jImplementation jMSC: jNCLEX: jSafe, jEffective jCare
jEnvironment: jCoordinated jCare
16. A jpatient jasks jthe jnurse jto jexplain jwhat jis jmeant jby jgene jtherapy. jWhat jis jthe jnurses
jbest jresponse?
a. Gene jtherapy jcan j replace jmissing jgenes.
b. Gene jtherapy jevaluates jthe jparents jgenes.
c. Gene jtherapy jcan jchange jthe jsex jof j the jfetus.
d. Gene jtherapy jsupports jthe jregeneration jof jdefective jgenes. j ANS: jA
Gene jtherapy jcan jreplace jmissing jor jdefective jgenes. jDIF: jCognitive jLevel: jKnowledge jREF: jPage j8 j OBJ: j7
TOP: jGene jTherapy jKEY: jNursing jProcess jStep: jImplementation
MSC: jNCLEX: jHealth j Promotion jand jMaintenance: jPreventionand jEarly jDetection jof jDisease
17. The jnurse jis jclarifying jinformation jto ja jpatient jregarding jdiagnosis-related jgroups j(DRGs). jWhat
jis jthe j nurses jbest jresponse jwhen jthe jpatient jasks jhow jDRGs jreduce jmedical jcare jcosts?