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,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
1. A patient chooses to have the certified nurse-
midwife (CNM) provide care during herpregnancy. What
does the CNM‗s 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 c
are, attends uncomplicated deliveries, and ensures that a ba
ckup physician is available in case of unforeseen problems.
DIF: Cognitive Level: Comprehension
REF: p. 6
OBJ: 5
TOP: Advance Practice Nursing Roles
KEY: Nursing Process Step: Implementation MS
C: 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 Credé
b. Ignaz Semmelweis
c. Louis Pasteur
d. Joseph Lister
ANS: B
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by t ki
he unwashed hands of physicians and medical students.
DIF: Cognitive Level: Knowledge REF: p. 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 recentlyimmigrated 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
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response reflecting cultural sensitivity?
a. ―Maternal mortalityin the United States is extremely low.‖
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.‖ ki
ANS: C
Asking the patient about her concerns helps promote understanding and individualizes patient carki
e.
DIF: Cognitive Level: Application REF: pp. 6-8 OBJ: 8
TOP: Cross-Cultural Care
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
,Test Bank For Introduction to Maternity and Pediatric Nursing 9th Editio
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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 mortalityrate includes fetal and neonatal deaths per 1000 live births per year.
DIF: Cognitive Level: Comprehension
REF: p. 13 |Box 1.6 OBJ: 9 TOP: The Present-
Child Care
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 maternitypractice?
a. Hospital births for the majorityof women
b. The traditional familyunit
c. Separation of labor rooms from deliveryrooms
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: p. 6
OBJ: 5 TOP: The Present-Maternity Care
KEY: Nursing Process Step: N/A MSC: NCLEX: Health Promotion a
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nd Maintenance
6. Who advocated the establishment of the Children‗s Bureau?
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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.
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DIF: Cognitive Level: Knowledge REF: p. 4
OBJ: 1 | 2 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 bythe Children‗s Bureau?
a. Children with heart problems are now cared for bypediatric cardiologists.
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b. The Child Abuse and Prevention Act was passed.
c. Hot lunch programs were established in manyschools.
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d. Children‗s asylums were founded.
ANS: C
School hot lunch programs were developed as a result of research by the Children‗s Bureau on th
e effects of economic depression on children.
DIF: Cognitive Level: Knowledge REF: p. 4 OBJ: 2 | 3
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