C HAPTER 01: T HE P AST , P RESENT , AND
F UTURE
Introduction to Maternity and Pediatric Nursing , 8th Edition ; Leifer
MULTIPLE CHOICE
1. How many hours of hospital stay does legislation currentl y allow for a
postpartum patient who has delivered vaginall y without complicatio ns?
a. 24
b. 48
c. 36
d. 72
ANS: B
Postpartum patients who deliver vaginally stay in the hospital for an
average of 48 hours; patients who have had a cesarean delivery usuall y
stay 4 days.
DIF: Cognitive Level: Knowledge REF: Page 6 TOP:
Hospital Terms for Postp artum Patients KEY: Nursing
Process Step: Planning MSC: NC LEX: Health Promotion
and Maintenance: Prevention and Earl y Detection of Disease
2. How does the clinical pathway or critical pathway improve qualit y of
care?
a. Lists diagnosis -specific implementatio ns
, b. Outlines expected progress with stated timelines
c. Prioritizes effective nursing diagnoses
d. Describes common complications
ANS: B
Critical pathways outline expected progress with stated timelines. Any
deviation from those timelines is called a variance.
DIF: Cognitive Level: Comprehension REF: Page 12
TOP: Critical Pathway KEY: Nursing Process Step:
Implementation MSC: NC LEX: Safe, Effective Care
Environment: Coordinated Care
3. A patient asks the nurse to explain what is meant by gene therapy. What i s
the nurses best response?
a. Gene therapy can replace missing genes.
b. Gene therapy evaluates the parents genes.
c. Gene therapy can change the sex of the fetus.
d. Gene therapy supports the regeneration of defective genes.
ANS: A
Gene therapy can replace missin g or defective genes.
DIF: Cognitive Level: Knowledge REF: Page 8 TOP:
Gene Therapy KEY: Nursing Process Step: Implementation
MSC: NC LEX: Health Promotion and Maintenance:
Prevention and Earl y Detection of Disease
, 4. The nurse is clarifyi ng information to a patient regarding diagnosis -
related groups (DRGs). What is the nurses best response when the patient
asks how DRGs reduce medical care costs?
a. By determining payment based on diagnosis
b. By requiring two medical opinions to confirm a diagnosis
c. By organizing HMOs
d. By defining a person who will require hospitalization
ANS: A
DRGs determine the amount of payment and length of hospital stay
based on the diagnosis.
DIF: Cognitive Level: Comprehension REF: Page 8
TOP: DRGs KEY: Nursing Process Step:
Implementation MSC: NC LEX: Safe, Effective Care
Environment: Coordinated Care
5. What is the best example of a Nursing Interventions Classification (NIC)
intervention?
a. Patient will ambulate in the hall independentl y for 10 minutes three
times a day.
b. Nurse will report temperature elevations to the charge nurse.
c. Nurse will offer extra liquids at all meals.
d. Patient will express pain relief after massage.
ANS: C
F UTURE
Introduction to Maternity and Pediatric Nursing , 8th Edition ; Leifer
MULTIPLE CHOICE
1. How many hours of hospital stay does legislation currentl y allow for a
postpartum patient who has delivered vaginall y without complicatio ns?
a. 24
b. 48
c. 36
d. 72
ANS: B
Postpartum patients who deliver vaginally stay in the hospital for an
average of 48 hours; patients who have had a cesarean delivery usuall y
stay 4 days.
DIF: Cognitive Level: Knowledge REF: Page 6 TOP:
Hospital Terms for Postp artum Patients KEY: Nursing
Process Step: Planning MSC: NC LEX: Health Promotion
and Maintenance: Prevention and Earl y Detection of Disease
2. How does the clinical pathway or critical pathway improve qualit y of
care?
a. Lists diagnosis -specific implementatio ns
, b. Outlines expected progress with stated timelines
c. Prioritizes effective nursing diagnoses
d. Describes common complications
ANS: B
Critical pathways outline expected progress with stated timelines. Any
deviation from those timelines is called a variance.
DIF: Cognitive Level: Comprehension REF: Page 12
TOP: Critical Pathway KEY: Nursing Process Step:
Implementation MSC: NC LEX: Safe, Effective Care
Environment: Coordinated Care
3. A patient asks the nurse to explain what is meant by gene therapy. What i s
the nurses best response?
a. Gene therapy can replace missing genes.
b. Gene therapy evaluates the parents genes.
c. Gene therapy can change the sex of the fetus.
d. Gene therapy supports the regeneration of defective genes.
ANS: A
Gene therapy can replace missin g or defective genes.
DIF: Cognitive Level: Knowledge REF: Page 8 TOP:
Gene Therapy KEY: Nursing Process Step: Implementation
MSC: NC LEX: Health Promotion and Maintenance:
Prevention and Earl y Detection of Disease
, 4. The nurse is clarifyi ng information to a patient regarding diagnosis -
related groups (DRGs). What is the nurses best response when the patient
asks how DRGs reduce medical care costs?
a. By determining payment based on diagnosis
b. By requiring two medical opinions to confirm a diagnosis
c. By organizing HMOs
d. By defining a person who will require hospitalization
ANS: A
DRGs determine the amount of payment and length of hospital stay
based on the diagnosis.
DIF: Cognitive Level: Comprehension REF: Page 8
TOP: DRGs KEY: Nursing Process Step:
Implementation MSC: NC LEX: Safe, Effective Care
Environment: Coordinated Care
5. What is the best example of a Nursing Interventions Classification (NIC)
intervention?
a. Patient will ambulate in the hall independentl y for 10 minutes three
times a day.
b. Nurse will report temperature elevations to the charge nurse.
c. Nurse will offer extra liquids at all meals.
d. Patient will express pain relief after massage.
ANS: C
