Safe Maternity and Pediatric Nursing Care 2nd Edition Linnard-Palmer Test
SAFEMATERNITY
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LINNARD-PALMER TEST BANK Bank
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Chapter 1. Introduction to Maternity and Pediatric Nursing
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MULTIPLE CHOICE
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1. A patient chooses to have the certified nurse midwife (CNM) provide care during her
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vu pregnancy. What does the CNMs scope of practice include? vu vu vu vu vu vu vu vu
a. Practice independent from medical supervision v u v u v u v u
b. Comprehensive prenatal care v u v u
c. Attendance at all deliveries v u v u v u
d. Cesarean sections vu
vu ANS: B vu
The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated deliveries, and
vu vu vu vu vu vu vu vu vu vu vu
vu ensures that a backup physician is available in case of unforeseen problems.
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DIF: Cognitive Level: Comprehension REF: Page 6 OBJ: 12
v u v u v u v u v u v u v u v u
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
v u v u v u v u v u v u v u v u v u v u v u
2. Which medical pioneer discovered the relationship between the incidence of puerperal fever and
vu vu vu vu vu vu vu vu vu vu vu vu
vu unwashed hands? vu
a. Karl Cred v u
b. Ignaz Semmelweis v u
c. Louis Pasteur vu
d. JosephLister vu
vu ANS: B vu
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the
vu vu vu vu vu vu vu vu vu vu vu vu
vu unwashed hands of physicians and medical students. vu vu vu vu vu vu
DIF: Cognitive Level: Knowledge REF: Page 2 OBJ: 1 TOP:
vu vu vu vu vu vu vu vu vu
The Past KEY: Nursing Process Step: N/A
vu vu vu vu vu vu vu
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
v u v u v u v u v u v u v u v u v u
3. A pregnant woman who has recently immigrated to the United States comments to the nurse, I
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,am afraid of childbirth. It is so dangerous. I am afraid I will die. What is the best nursing response
vu vu vu vu vu vu vu vu vu vu vu vu vu vu vu vu vu vu vu
vu reflecting cultural sensitivity? vu vu
a. Maternal mortality in the United States is extremely low. v u v u v u v u v u v u v u v u
b. Anesthesia is available to relieve pain during labor and childbirth. v u v u v u v u v u v u v u v u v u
c. Tell me why you are afraid of childbirth. vu v u v u vu v u vu vu
d. Your condition will be monitored during labor and delivery. vu vu vu vu vu vu vu vu
vu ANS: C vu
Asking the patient about her concerns helps promote understanding and individualizes patient care.
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DIF: Cognitive Level: Application REF: Page 7-8 OBJ: 8
v u v u v u v u v u v u v u v u
TOP: Cross-Cultural Care KEY: Nursing Process Step: Implementation
vu vu vu vu vu vu vu
MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
vu vu vu vu vu vu
4. An urban area has been reported to have a high perinatal mortality rate. What information does this
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vu provide?
a. Maternal and infant deaths per 100,000 live births per year v u v u v u v u v u v u v u v u v u
b. Deaths of fetuses weighing more than 500 g per 10,000 births per year v u v u v u v u v u vu v u v u v u v u v u vu
c. Deaths of infants up to 1 year of age per 1000 live births per year vu vu vu vu vu v u vu vu vu vu vu vu vu vu
d. Fetal and neonatal deaths per 1000 live births per year vu vu vu vu vu vu vu vu vu
vu ANS: D vu
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
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DIF: Cognitive Level: Comprehension REF: Page 12, Box 1-6
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vu OBJ: 9 TOP: The Present-Child Care
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KEY: Nursing Process Step: Implementationv u v u v u v u
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
v u v u v u v u v u v u v u
5. What is the focus of current maternity practice? v u v u v u v u v u v u v u
a. Hospital births for the majority of women v u v u v u v u v u v u
b. The traditional family unit v u v u v u
c. Separation of labor rooms from delivery rooms v u v u v u v u v u v u
d. A quality family experience for each patient
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vu ANS: D vu
Current maternity practice focuses on a high-quality family experience for all families, traditional or
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vu otherwise.
,DIF: Cognitive Level: Comprehension REF: Page 6 OBJ: 7
v u v u v u v u v u v u v u v u
TOP: The Present-Maternity Care KEY: Nursing Process Step: N/A MSC:
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vu NCLEX: Health Promotion and Maintenance vu vu vu vu
6. Who advocated the establishment of the Childrens Bureau?
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a. Lillian Wald v u
b. Florence Nightingale v u
c. Florence Kelly v u
d. ClaraBarton vu
vu ANS: A vu
Lillian Wald is credited with suggesting the establishment of a federal Childrens Bureau.
v u v u v u v u v u v u v u v u v u v u v u v u
DIF: Cognitive Level: Knowledge REF: Page 4 OBJ: 1 | 2 TOP:
vu vu vu vu vu vu vu vu vu vu vu
The Past 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 Childrens Bureau?
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a. Children with heart problems are now cared for by pediatric cardiologists. v u v u v u v u v u v u v u v u v u v u
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. vu vu vu
vu ANS: C vu
School hot lunch programs were developed as a result of research by the Childrens Bureau on the
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vu effects of economic depression on children.
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DIF: Cognitive Level: Knowledge REF: Page 4 OBJ: 2 | 3
vu vu vu vu vu vu vu vu vu vu
TOP: The Past KEY: Nursing Process Step: N/A
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MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care
v u v u v u v u v u v u v u
8. What government program was implemented to increase the educational exposure of
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vu preschool children? vu
a. WIC
b. Title XIX of Medicaid vu vu vu
c. The Childrens Charter v u v u
d. HeadStart vu
vu ANS: D vu
Head Start programs were established to increase educational exposure of preschool children.
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, DIF: Cognitive Level: Knowledge REF: Page 3 OBJ: 5
v u v u v u v u v u v u v u v u
TOP: Government Influences in Maternity and Pediatric Care KEY: Nursing Process Step: N/A MSC:
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vu 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
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vu timeframe from different areas of care provision? vu vu vu vu vu vu
a. Clinical pathways v u
b. Nursing outcome criteria v u v u
c. Standards of care vu vu
d. Nursing care plan vu vu
vu ANS: A vu
Clinical pathways, also known as critical pathways or care maps, are collaborative guidelines that
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vu define patient care across disciplines. Expected progress within a specified timeline is identified.
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DIF: Cognitive Level: Knowledge REF: Page 12 OBJ: 14
v u v u v u v u v u v u v u v u
TOP: Health Care Delivery Systems KEY: Nursing Process Step: N/A
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vu 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
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v u collected admission data. What is the next step the student will take to develop a nursing care
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vu plan for this child?
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a. Identify measurable outcomes with a timeline. v u v u v u v u v u
b. Choose specific nursing interventions for the child. v u v u v u v u v u v u
c. Determine appropriate nursing diagnoses. v u v u v u
d. State nursing actions related to the childs medical diagnosis.
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vu ANS: C vu
The nurse uses assessment data to select appropriate nursing diagnoses from the NANDA-I list.
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vu Outcomes and interventions are then developed to address the relevant nursing diagnoses.
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DIF: Cognitive Level: Application REF: Page 11 OBJ: 13
v u v u v u v u v u v u v u v u
TOP: Nursing Process KEY: Nursing Process Step: Nursing Diagnosis
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vu MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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11. A nursing student on an obstetric rotation questions the floor nurse about the definition of the
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vu LVN/LPN scope of practice. What resource can the nurse suggest to the student? vu vu vu vu vu vu vu vu vu vu vu vu
a. American Nurses Association v u v u
SAFEMATERNITY
vu AND PEDIATRICNURSING CARE2ND EDITION v u
vu
v u v u
vu
v u v u
vu
v u v u
vu
v u
vu vu
v u
LINNARD-PALMER TEST BANK Bank
vu vu vu
Chapter 1. Introduction to Maternity and Pediatric Nursing
vu vu vu vu vu vu vu
MULTIPLE CHOICE
vu vu
1. A patient chooses to have the certified nurse midwife (CNM) provide care during her
vu vu vu vu vu vu vu vu vu vu vu vu vu
vu pregnancy. What does the CNMs scope of practice include? vu vu vu vu vu vu vu vu
a. Practice independent from medical supervision v u v u v u v u
b. Comprehensive prenatal care v u v u
c. Attendance at all deliveries v u v u v u
d. Cesarean sections vu
vu ANS: B vu
The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated deliveries, and
vu vu vu vu vu vu vu vu vu vu vu
vu ensures that a backup physician is available in case of unforeseen problems.
vu vu vu vu vu vu vu vu vu vu vu
DIF: Cognitive Level: Comprehension REF: Page 6 OBJ: 12
v u v u v u v u v u v u v u v u
TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: Implementation
v u v u v u v u v u v u v u v u v u
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
v u v u v u v u v u v u v u v u v u v u v u
2. Which medical pioneer discovered the relationship between the incidence of puerperal fever and
vu vu vu vu vu vu vu vu vu vu vu vu
vu unwashed hands? vu
a. Karl Cred v u
b. Ignaz Semmelweis v u
c. Louis Pasteur vu
d. JosephLister vu
vu ANS: B vu
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the
vu vu vu vu vu vu vu vu vu vu vu vu
vu unwashed hands of physicians and medical students. vu vu vu vu vu vu
DIF: Cognitive Level: Knowledge REF: Page 2 OBJ: 1 TOP:
vu vu vu vu vu vu vu vu vu
The Past KEY: Nursing Process Step: N/A
vu vu vu vu vu vu vu
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
v u v u v u v u v u v u v u v u v u
3. A pregnant woman who has recently immigrated to the United States comments to the nurse, I
v u v u v u v u v u v u v u v u v u v u v u v u v u v u v u
,am afraid of childbirth. It is so dangerous. I am afraid I will die. What is the best nursing response
vu vu vu vu vu vu vu vu vu vu vu vu vu vu vu vu vu vu vu
vu reflecting cultural sensitivity? vu vu
a. Maternal mortality in the United States is extremely low. v u v u v u v u v u v u v u v u
b. Anesthesia is available to relieve pain during labor and childbirth. v u v u v u v u v u v u v u v u v u
c. Tell me why you are afraid of childbirth. vu v u v u vu v u vu vu
d. Your condition will be monitored during labor and delivery. vu vu vu vu vu vu vu vu
vu ANS: C vu
Asking the patient about her concerns helps promote understanding and individualizes patient care.
vu vu vu vu vu vu vu vu vu vu vu vu
DIF: Cognitive Level: Application REF: Page 7-8 OBJ: 8
v u v u v u v u v u v u v u v u
TOP: Cross-Cultural Care KEY: Nursing Process Step: Implementation
vu vu vu vu vu vu vu
MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
vu vu vu vu vu vu
4. An urban area has been reported to have a high perinatal mortality rate. What information does this
vu vu vu vu vu vu vu vu vu vu vu vu vu vu vu vu
vu provide?
a. Maternal and infant deaths per 100,000 live births per year v u v u v u v u v u v u v u v u v u
b. Deaths of fetuses weighing more than 500 g per 10,000 births per year v u v u v u v u v u vu v u v u v u v u v u vu
c. Deaths of infants up to 1 year of age per 1000 live births per year vu vu vu vu vu v u vu vu vu vu vu vu vu vu
d. Fetal and neonatal deaths per 1000 live births per year vu vu vu vu vu vu vu vu vu
vu ANS: D vu
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
v u v u v u v u v u v u v u v u v u v u v u v u v u v u
DIF: Cognitive Level: Comprehension REF: Page 12, Box 1-6
vu vu vu vu vu vu vu vu
vu OBJ: 9 TOP: The Present-Child Care
vu vu vu vu vu
KEY: Nursing Process Step: Implementationv u v u v u v u
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
v u v u v u v u v u v u v u
5. What is the focus of current maternity practice? v u v u v u v u v u v u v u
a. Hospital births for the majority of women v u v u v u v u v u v u
b. The traditional family unit v u v u v u
c. Separation of labor rooms from delivery rooms v u v u v u v u v u v u
d. A quality family experience for each patient
vu vu vu vu vu vu
vu ANS: D vu
Current maternity practice focuses on a high-quality family experience for all families, traditional or
vu vu vu vu vu vu vu vu vu vu vu vu vu
vu otherwise.
,DIF: Cognitive Level: Comprehension REF: Page 6 OBJ: 7
v u v u v u v u v u v u v u v u
TOP: The Present-Maternity Care KEY: Nursing Process Step: N/A MSC:
vu vu vu vu vu vu vu vu vu
vu NCLEX: Health Promotion and Maintenance vu vu vu vu
6. Who advocated the establishment of the Childrens Bureau?
v u v u v u v u v u v u v u
a. Lillian Wald v u
b. Florence Nightingale v u
c. Florence Kelly v u
d. ClaraBarton vu
vu ANS: A vu
Lillian Wald is credited with suggesting the establishment of a federal Childrens Bureau.
v u v u v u v u v u v u v u v u v u v u v u v u
DIF: Cognitive Level: Knowledge REF: Page 4 OBJ: 1 | 2 TOP:
vu vu vu vu vu vu vu vu vu vu vu
The Past KEY: Nursing Process Step: Implementation
vu vu vu vu vu vu vu
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
v u v u v u v u v u v u v u v u
7. What was the result of research done in the 1930s by the Childrens Bureau?
v u vu v u v u v u v u vu vu v u v u v u v u v u
a. Children with heart problems are now cared for by pediatric cardiologists. v u v u v u v u v u v u v u v u v u v u
b. The Child Abuse and Prevention Act was passed.
v u v u v u v u v u v u v u
c. Hot lunch programs were established in many schools.
v u v u v u v u v u v u v u
d. Childrens asylums were founded. vu vu vu
vu ANS: C vu
School hot lunch programs were developed as a result of research by the Childrens Bureau on the
vu vu vu vu vu vu vu vu vu vu vu vu vu vu vu vu
vu effects of economic depression on children.
vu vu vu vu vu
DIF: Cognitive Level: Knowledge REF: Page 4 OBJ: 2 | 3
vu vu vu vu vu vu vu vu vu vu
TOP: The Past KEY: Nursing Process Step: N/A
vu vu vu vu vu vu vu vu
MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care
v u v u v u v u v u v u v u
8. What government program was implemented to increase the educational exposure of
vu vu vu vu vu vu vu vu vu vu
vu preschool children? vu
a. WIC
b. Title XIX of Medicaid vu vu vu
c. The Childrens Charter v u v u
d. HeadStart vu
vu ANS: D vu
Head Start programs were established to increase educational exposure of preschool children.
v u v u v u v u v u v u v u v u v u v u v u
, DIF: Cognitive Level: Knowledge REF: Page 3 OBJ: 5
v u v u v u v u v u v u v u v u
TOP: Government Influences in Maternity and Pediatric Care KEY: Nursing Process Step: N/A MSC:
vu vu vu vu vu vu vu vu vu vu vu vu vu
vu NCLEX: Health Promotion and Maintenance: Growth and Development
vu vu vu vu vu vu vu
9. What guidelines define multidisciplinary patient care in terms of expected outcome and
vu vu vu vu vu vu vu vu vu vu vu
vu timeframe from different areas of care provision? vu vu vu vu vu vu
a. Clinical pathways v u
b. Nursing outcome criteria v u v u
c. Standards of care vu vu
d. Nursing care plan vu vu
vu ANS: A vu
Clinical pathways, also known as critical pathways or care maps, are collaborative guidelines that
vu vu vu vu vu vu vu vu vu vu vu vu vu
vu define patient care across disciplines. Expected progress within a specified timeline is identified.
vu vu vu vu vu vu vu vu vu vu vu vu
DIF: Cognitive Level: Knowledge REF: Page 12 OBJ: 14
v u v u v u v u v u v u v u v u
TOP: Health Care Delivery Systems KEY: Nursing Process Step: N/A
vu vu vu vu vu vu vu vu vu
vu MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
vu vu vu vu vu vu vu
10. A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her mother, and
vu vu vu vu vu vu vu vu vu vu vu vu vu
v u collected admission data. What is the next step the student will take to develop a nursing care
v u v u v u v u v u v u v u v u v u v u v u v u v u v u v u vu
vu plan for this child?
vu vu vu
a. Identify measurable outcomes with a timeline. v u v u v u v u v u
b. Choose specific nursing interventions for the child. v u v u v u v u v u v u
c. Determine appropriate nursing diagnoses. v u v u v u
d. State nursing actions related to the childs medical diagnosis.
vu vu vu vu vu vu vu vu
vu ANS: C vu
The nurse uses assessment data to select appropriate nursing diagnoses from the NANDA-I list.
vu vu vu vu vu vu vu vu vu vu vu vu vu
vu Outcomes and interventions are then developed to address the relevant nursing diagnoses.
vu vu vu vu vu vu vu vu vu vu vu
DIF: Cognitive Level: Application REF: Page 11 OBJ: 13
v u v u v u v u v u v u v u v u
TOP: Nursing Process KEY: Nursing Process Step: Nursing Diagnosis
vu vu vu vu vu vu vu vu
vu MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
vu vu vu vu vu vu vu
11. A nursing student on an obstetric rotation questions the floor nurse about the definition of the
vu vu vu vu vu vu vu vu vu vu vu vu vu vu vu
vu LVN/LPN scope of practice. What resource can the nurse suggest to the student? vu vu vu vu vu vu vu vu vu vu vu vu
a. American Nurses Association v u v u
