TEST BANK INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER ALL
CHAPTERS GRADED A+
,Contents
Chapter 01: The Past, Present, and Future.......................................................... 4
Chapter 02: Human Reproductive Anatomy and Physiology ............................. 20
Chapter 03: Fetal Development ........................................................................ 36
Chapter 04: Prenatal Care and Adaptations to Pregnancy ................................ 51
Chapter 05: Nursing Care of Women with Complications During...................... 67
Pregnancy ......................................................................................................... 67
Chapter 06: Nursing Care of Mother and Infant During Labor and Birth ........... 85
Chapter 07: Nursing Management of Pain During Labour and Birth ............... 104
Chapter 08: Nursing Care of Women with Complications During Labor .......... 122
and Birth ......................................................................................................... 122
Chapter 09: The Family After Birth.................................................................. 139
Chapter 10: Nursing Care of Women with Complications After Birth.............. 156
Chapter 11: The Nurses Role in Women’s Health Care ................................... 171
Chapter 12: The Term Newborn ..................................................................... 187
Chapter 13: Preterm and Post term Newborns ............................................... 204
Chapter 14: The Newborn with a Perinatal Injury or Congenital ..................... 221
Malformation.................................................................................................. 221
Chapter 15: An Overview of Growth, Development, and Nutrition ................. 240
Chapter 16: The Infant .................................................................................... 275
Chapter 17: The Toddler ................................................................................. 292
Chapter 18: The Preschool Child ..................................................................... 307
Chapter 19: The School-Age Child ................................................................... 322
Chapter 20: The Adolescent ............................................................................ 337
Chapter 21: The Childs Experience of Hospitalization ..................................... 353
Chapter 22: Health Care Adaptations for the Child and Family ....................... 370
,Chapter 23: The Child with a Sensory or Neurological Condition .................... 387
Chapter 24: The Child with a Musculoskeletal Condition ................................ 405
Chapter 25: The Child with a Respiratory Disorder ......................................... 422
Chapter 26: The Child with a Cardiovascular Disorder .................................... 438
Chapter 27: The Child with a Condition of the Blood, Blood-Forming ............. 453
Organs, or Lymphatic System.......................................................................... 453
Chapter 28: The Child with a Gastrointestinal Condition ................................ 472
Chapter 29: The Child with a Genitourinary Condition.................................... 491
Chapter 30: The Child with a Skin Condition ................................................... 507
Chapter 31: The Child with a Metabolic Condition .......................................... 526
Chapter 32: Childhood Communicable Diseases, Bioterrorism, Natural ......... 543
Disasters and the Maternal-Child Patient ....................................................... 543
Chapter 33: The Child with an Emotional or Behavioural Condition ............... 558
Chapter 34: Complementary and Alternative Therapies in Maternity and ...... 576
Pediatric Nursing ............................................................................................ 576
,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. Caesarean 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 foetuses 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
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 traditional family unit
c. Separation of labour rooms from delivery rooms
d. A quality family experience for each patient
ANS:D
Current maternity practice focuses on a high-quality family experience for all families, traditional or
otherwise.
DIF: Cognitive Level: Comprehension REF: Page 6
TOP: The Present-Maternity Care KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance
6. Who advocated the establishment of the Children’s Bureau?
a. Lillian Wald
b. Florence Nightingale
c. Florence Kelly
d. Clara Barton
ANS:A
Lillian Wald is credited with suggesting the establishment of a federal Children’s Bureau.
DIF: Cognitive Level: Knowledge REF: Page 4
TOP: The Past KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
7. What was the result of research done in the 1930s by the Childrens Bureau?
a. Children with heart problems are now cared for by pediatric cardiologists.
b. The Child Abuse and Prevention Act was passed.
c. Hot lunch programs were established in many schools.
d. Children’s asylums were founded.
ANS:C
,School hot lunch programs were developed as a result of research by the Childrens Bureau on the
effects of
economic depression on children.
DIF: Cognitive Level: Knowledge REF: Page 4
TOP: The Past KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care
8. What government program was implemented to increase the educational exposure of preschool
children?
a. WIC
b. Title XIX of Medicaid
c. The Childrens Charter
d. Head Start
ANS:D
Head Start programs were established to increase educational exposure of preschool children.
DIF: Cognitive Level: Knowledge REF: Page 3
TOP: Government Influencesin Maternity and Pediatric Care KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
9. What guidelines define multidisciplinary patient care in terms of expected outcome and timeframe
from
different areas of care provision?
a. Clinical pathways
b. Nursing outcome criteria
c. Standards of care
d. Nursing care plan
ANS:A
Clinical pathways, also known as critical pathways or care maps, are collaborative guidelines that define
patient care across disciplines. Expected progress within a specified timeline is identified.
, DIF: Cognitive Level: Knowledge REF: Page 12
TOP: Health Care Delivery Systems KEY: Nursing Process Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
10. A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her mother, and
collected
admission data. What is the next step the student will take to develop a nursing care plan for this child?
a. Identify measurable outcomes with a timeline.
b. Choose specific nursing interventions for the child.
c. Determine appropriate nursing diagnoses.
d. State nursing actions related to the childs medical diagnosis.
ANS:C
The nurse uses assessment data to select appropriate nursing diagnoses from the NANDA-I list.
Outcomes and
interventions are then developed to address the relevant nursing diagnoses.
DIF: Cognitive Level: Application REF: Page 11
TOP: Nursing Process KEY: Nursing Process Step: Nursing Diagnosis
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
11. A nursing student on an obstetric rotation questions the floor nurse about the definition of the
LVN/LPN
scope of practice. What resource can the nurseNsUuRgSgeINstGtoTBth.CeOstMudent?
a. American Nurses Association
b. States board of nursing
c. Joint Commission
d. Association of Women’s Health, Obstetric and Neonatal Nurses
ANS:B
The scope of practice of the LVN/LPN is published by the states board of nursing.
DIF: Cognitive Level: Comprehension REF: Page 3
OBJ: 18 TOP: Critical Thinking
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
CHAPTERS GRADED A+
,Contents
Chapter 01: The Past, Present, and Future.......................................................... 4
Chapter 02: Human Reproductive Anatomy and Physiology ............................. 20
Chapter 03: Fetal Development ........................................................................ 36
Chapter 04: Prenatal Care and Adaptations to Pregnancy ................................ 51
Chapter 05: Nursing Care of Women with Complications During...................... 67
Pregnancy ......................................................................................................... 67
Chapter 06: Nursing Care of Mother and Infant During Labor and Birth ........... 85
Chapter 07: Nursing Management of Pain During Labour and Birth ............... 104
Chapter 08: Nursing Care of Women with Complications During Labor .......... 122
and Birth ......................................................................................................... 122
Chapter 09: The Family After Birth.................................................................. 139
Chapter 10: Nursing Care of Women with Complications After Birth.............. 156
Chapter 11: The Nurses Role in Women’s Health Care ................................... 171
Chapter 12: The Term Newborn ..................................................................... 187
Chapter 13: Preterm and Post term Newborns ............................................... 204
Chapter 14: The Newborn with a Perinatal Injury or Congenital ..................... 221
Malformation.................................................................................................. 221
Chapter 15: An Overview of Growth, Development, and Nutrition ................. 240
Chapter 16: The Infant .................................................................................... 275
Chapter 17: The Toddler ................................................................................. 292
Chapter 18: The Preschool Child ..................................................................... 307
Chapter 19: The School-Age Child ................................................................... 322
Chapter 20: The Adolescent ............................................................................ 337
Chapter 21: The Childs Experience of Hospitalization ..................................... 353
Chapter 22: Health Care Adaptations for the Child and Family ....................... 370
,Chapter 23: The Child with a Sensory or Neurological Condition .................... 387
Chapter 24: The Child with a Musculoskeletal Condition ................................ 405
Chapter 25: The Child with a Respiratory Disorder ......................................... 422
Chapter 26: The Child with a Cardiovascular Disorder .................................... 438
Chapter 27: The Child with a Condition of the Blood, Blood-Forming ............. 453
Organs, or Lymphatic System.......................................................................... 453
Chapter 28: The Child with a Gastrointestinal Condition ................................ 472
Chapter 29: The Child with a Genitourinary Condition.................................... 491
Chapter 30: The Child with a Skin Condition ................................................... 507
Chapter 31: The Child with a Metabolic Condition .......................................... 526
Chapter 32: Childhood Communicable Diseases, Bioterrorism, Natural ......... 543
Disasters and the Maternal-Child Patient ....................................................... 543
Chapter 33: The Child with an Emotional or Behavioural Condition ............... 558
Chapter 34: Complementary and Alternative Therapies in Maternity and ...... 576
Pediatric Nursing ............................................................................................ 576
,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. Caesarean 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 foetuses 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
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 traditional family unit
c. Separation of labour rooms from delivery rooms
d. A quality family experience for each patient
ANS:D
Current maternity practice focuses on a high-quality family experience for all families, traditional or
otherwise.
DIF: Cognitive Level: Comprehension REF: Page 6
TOP: The Present-Maternity Care KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance
6. Who advocated the establishment of the Children’s Bureau?
a. Lillian Wald
b. Florence Nightingale
c. Florence Kelly
d. Clara Barton
ANS:A
Lillian Wald is credited with suggesting the establishment of a federal Children’s Bureau.
DIF: Cognitive Level: Knowledge REF: Page 4
TOP: The Past KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
7. What was the result of research done in the 1930s by the Childrens Bureau?
a. Children with heart problems are now cared for by pediatric cardiologists.
b. The Child Abuse and Prevention Act was passed.
c. Hot lunch programs were established in many schools.
d. Children’s asylums were founded.
ANS:C
,School hot lunch programs were developed as a result of research by the Childrens Bureau on the
effects of
economic depression on children.
DIF: Cognitive Level: Knowledge REF: Page 4
TOP: The Past KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care
8. What government program was implemented to increase the educational exposure of preschool
children?
a. WIC
b. Title XIX of Medicaid
c. The Childrens Charter
d. Head Start
ANS:D
Head Start programs were established to increase educational exposure of preschool children.
DIF: Cognitive Level: Knowledge REF: Page 3
TOP: Government Influencesin Maternity and Pediatric Care KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
9. What guidelines define multidisciplinary patient care in terms of expected outcome and timeframe
from
different areas of care provision?
a. Clinical pathways
b. Nursing outcome criteria
c. Standards of care
d. Nursing care plan
ANS:A
Clinical pathways, also known as critical pathways or care maps, are collaborative guidelines that define
patient care across disciplines. Expected progress within a specified timeline is identified.
, DIF: Cognitive Level: Knowledge REF: Page 12
TOP: Health Care Delivery Systems KEY: Nursing Process Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
10. A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her mother, and
collected
admission data. What is the next step the student will take to develop a nursing care plan for this child?
a. Identify measurable outcomes with a timeline.
b. Choose specific nursing interventions for the child.
c. Determine appropriate nursing diagnoses.
d. State nursing actions related to the childs medical diagnosis.
ANS:C
The nurse uses assessment data to select appropriate nursing diagnoses from the NANDA-I list.
Outcomes and
interventions are then developed to address the relevant nursing diagnoses.
DIF: Cognitive Level: Application REF: Page 11
TOP: Nursing Process KEY: Nursing Process Step: Nursing Diagnosis
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
11. A nursing student on an obstetric rotation questions the floor nurse about the definition of the
LVN/LPN
scope of practice. What resource can the nurseNsUuRgSgeINstGtoTBth.CeOstMudent?
a. American Nurses Association
b. States board of nursing
c. Joint Commission
d. Association of Women’s Health, Obstetric and Neonatal Nurses
ANS:B
The scope of practice of the LVN/LPN is published by the states board of nursing.
DIF: Cognitive Level: Comprehension REF: Page 3
OBJ: 18 TOP: Critical Thinking
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
