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: 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 OBJ: 1 TOP: The Past KEY:
Nursing Process Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection
Control
3. Apregnant 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 births 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 traditional family unit
c. Separation of labor 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.
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: 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 OBJ: 1 TOP: The Past KEY:
Nursing Process Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection
Control
3. Apregnant 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 births 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 traditional family unit
c. Separation of labor 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.
