Test Bank For Introduction to Maternity and Pediatric Nursing 9th Edition 1
,Test Bank For Introduction to Maternity and Pediatric Nursing 9th Edition Leifer 2
Chapter 01: The Past, Present, and Future
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Leifer: Introduction to Maternity and Pediatric Nursing, 9th Edition
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MULTIPLE CHOICE g1
1. A patient chooses to have the certified nurse-
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midwife (CNM) provide care during herpregnancy. Wha
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t does the CNM‗s scope of practice include?
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a. Practice independent from medical supervision g1 g1 g1 g1
b. Comprehensive prenatal care g1 g1
c. Attendance at all deliveries g1 g1 g1
d. Cesarean sections g1
ANS: B g 1
The CNM provides comprehensive prenatal and postnatal
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care, attends uncomplicated deliveries, and ensures that a
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backup physician is available in case of unforeseen probl
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ems.
DIF: Cognitive Level: Comprehension g1 g1
REF: p. 6 g1 g1
g1 OBJ: 5 g1
TOP: g 1 Advance Practice Nursing Roles g1 g1 g1
KEY: Nursing Process Step: Implementation M g1 g1 g1 g1 g1
SC: 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 fev
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er and unwashed hands?
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a. Karl Credé g1
b. Ignaz Semmelweis g1
c. Louis Pasteur g1
d. Joseph Lister g1
ANS: B g 1
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted b
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y the unwashed hands of physicians and medical students.
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DIF: Cognitive Level: Knowledge REF: p. 2 g1 g1 g 1 g1
OBJ: 1 TOP: The Past g1 g1 g 1 g1
KEY: Nursing Process Step: N/A g1 g1 g1 g1
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 nurs
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e, ―I am afraid of childbirth. It is so dangerous. I am afraid I will die.‖ What is the best n
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ursing response reflecting cultural sensitivity?
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a. ―Maternal mortality in the United States is extremely low.‖ g1 g1 g1 g1 g1 g1 g1 g1
,Test Bank For Introduction to Maternity and Pediatric Nursing 9th Edition 1
b. ―Anesthesia is available to relieve pain during labor and childbirth.‖
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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: Cg1
Asking the patient about her concerns helps promote understanding and individualizes patient
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care.
DIF: Cognitive Level: Application g1 g1 REF: g1g1 pp. 6-8
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g1
TOP: Cross-Cultural Care
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KEY: Nursing Process Step: Implementatio g1 g1 g1 g1
n MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
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, Test Bank For Introduction to Maternity and Pediatric Nursing 9th Edition Leifer 4
4. An urban area has been reported to have a high perinatal mortality rate. What informati
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on does this 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 g1
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
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DIF: Cognitive Level: Comprehension g1 g1
REF: p. 13 | Box 1.6 OBJ: 9 TOP: The Present-
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Child Care g1
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 g1 g1 g1 g1 g1 g1
b. The traditional family unit
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c. Separation of labor rooms from delivery rooms g1 g1 g1 g1 g1 g1
d. A quality family experience for each patient
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ANS: D g1
Current maternity practice focuses on a high-
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quality family experience for all families, traditional or otherwise.
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DIF: Cognitive Level: Comprehension REF: p. 6 g1 g1 g 1 g1
OBJ: 5 TOP: The Present-Maternity Care g1 g1 g 1 g1 g1
KEY: Nursing Process Step: N/A MSC: NCLEX: Health Promotion
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and Maintenance
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6. Who advocated the establishment of the Children‗s Bureau?
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a. Lillian Wald g1
b. Florence Nightingale g1
c. Florence Kelly g1
d. Clara Barton g1
ANS: A g1
Lillian Wald is credited with suggesting the establishment of a federal Children‗s Bureau.
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DIF: Cognitive Level: Knowledge REF: p. 4 g1 g1 g 1 g1
OBJ: 1 | 2 TOP: The Past g1 g1 g1 g1 g 1 g1
KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
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7. What was the result of research done in the 1930s by the Children‗s 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. Children‗s asylums were founded. g1 g1 g1
ANS: C g1
School hot lunch programs were developed as a result of research by the Children‗s Bureau on
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the effects of economic depression on children.
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DIF: Cognitive Level: Knowledge g1 g1 REF: g1 g1 p. 4 g1 OBJ: 2 | 3 g1 g1 g1
,Test Bank For Introduction to Maternity and Pediatric Nursing 9th Edition Leifer 2
Chapter 01: The Past, Present, and Future
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Leifer: Introduction to Maternity and Pediatric Nursing, 9th Edition
g1 g1 g1 g1 g1 g1 g1 g1
MULTIPLE CHOICE g1
1. A patient chooses to have the certified nurse-
g1 g1 g1 g1 g1 g1 g1
midwife (CNM) provide care during herpregnancy. Wha
g1 g1 g1 g1 g1 g1
t does the CNM‗s scope of practice include?
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a. Practice independent from medical supervision g1 g1 g1 g1
b. Comprehensive prenatal care g1 g1
c. Attendance at all deliveries g1 g1 g1
d. Cesarean sections g1
ANS: B g 1
The CNM provides comprehensive prenatal and postnatal
g1 g1 g1 g1 g1 g1 g1
care, attends uncomplicated deliveries, and ensures that a
g1 g1 g1 g1 g1 g1 g1 g
backup physician is available in case of unforeseen probl
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ems.
DIF: Cognitive Level: Comprehension g1 g1
REF: p. 6 g1 g1
g1 OBJ: 5 g1
TOP: g 1 Advance Practice Nursing Roles g1 g1 g1
KEY: Nursing Process Step: Implementation M g1 g1 g1 g1 g1
SC: 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 fev
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er and unwashed hands?
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a. Karl Credé g1
b. Ignaz Semmelweis g1
c. Louis Pasteur g1
d. Joseph Lister g1
ANS: B g 1
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted b
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y the unwashed hands of physicians and medical students.
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DIF: Cognitive Level: Knowledge REF: p. 2 g1 g1 g 1 g1
OBJ: 1 TOP: The Past g1 g1 g 1 g1
KEY: Nursing Process Step: N/A g1 g1 g1 g1
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 nurs
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e, ―I am afraid of childbirth. It is so dangerous. I am afraid I will die.‖ What is the best n
g1 g1 g1 g1 g1 g1 g1 g1 g1 g1 g1 g1 g1 g1 g1 g1 g1 g1 g1 g1
ursing response reflecting cultural sensitivity?
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a. ―Maternal mortality in the United States is extremely low.‖ g1 g1 g1 g1 g1 g1 g1 g1
,Test Bank For Introduction to Maternity and Pediatric Nursing 9th Edition 1
b. ―Anesthesia is available to relieve pain during labor and childbirth.‖
g1 g1 g1 g1 g1 g1 g1 g1 g1
c. ―Tell me why you are afraid of childbirth.‖
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d. ―Your condition will be monitored during labor and delivery.‖
g1 g1 g1 g1 g1 g1 g1 g1
ANS: Cg1
Asking the patient about her concerns helps promote understanding and individualizes patient
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care.
DIF: Cognitive Level: Application g1 g1 REF: g1g1 pp. 6-8
g1 OBJ: 8
g1
TOP: Cross-Cultural Care
g 1 g1
KEY: Nursing Process Step: Implementatio g1 g1 g1 g1
n MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
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, Test Bank For Introduction to Maternity and Pediatric Nursing 9th Edition Leifer 4
4. An urban area has been reported to have a high perinatal mortality rate. What informati
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on does this provide?
g1 g1 g1
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
g1 g1 g1 g1 g1 g1 g1 g1 g1 g1 g1 g1
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 g1
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
g1 g1 g1 g1 g1 g1 g1 g1 g1 g1 g1 g1 g1 g1
DIF: Cognitive Level: Comprehension g1 g1
REF: p. 13 | Box 1.6 OBJ: 9 TOP: The Present-
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Child Care g1
KEY: Nursing Process Step: Implementation
g1 g1 g1 g1
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 g1 g1 g1 g1 g1 g1
b. The traditional family unit
g1 g1 g1
c. Separation of labor rooms from delivery rooms g1 g1 g1 g1 g1 g1
d. A quality family experience for each patient
g1 g1 g1 g1 g1 g1
ANS: D g1
Current maternity practice focuses on a high-
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quality family experience for all families, traditional or otherwise.
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DIF: Cognitive Level: Comprehension REF: p. 6 g1 g1 g 1 g1
OBJ: 5 TOP: The Present-Maternity Care g1 g1 g 1 g1 g1
KEY: Nursing Process Step: N/A MSC: NCLEX: Health Promotion
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and Maintenance
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6. Who advocated the establishment of the Children‗s Bureau?
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a. Lillian Wald g1
b. Florence Nightingale g1
c. Florence Kelly g1
d. Clara Barton g1
ANS: A g1
Lillian Wald is credited with suggesting the establishment of a federal Children‗s Bureau.
g1 g1 g1 g1 g1 g1 g1 g1 g1 g1 g1 g1
DIF: Cognitive Level: Knowledge REF: p. 4 g1 g1 g 1 g1
OBJ: 1 | 2 TOP: The Past g1 g1 g1 g1 g 1 g1
KEY: Nursing Process Step: Implementation
g1 g1 g1 g1
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
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7. What was the result of research done in the 1930s by the Children‗s 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.
g1 g1 g1 g1 g1 g1 g1
d. Children‗s asylums were founded. g1 g1 g1
ANS: C g1
School hot lunch programs were developed as a result of research by the Children‗s Bureau on
g1 g1 g1 g1 g1 g1 g1 g1 g1 g1 g1 g1 g1 g1 g1
the effects of economic depression on children.
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DIF: Cognitive Level: Knowledge g1 g1 REF: g1 g1 p. 4 g1 OBJ: 2 | 3 g1 g1 g1
