1
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Chapter 01: The Past, Present, and Future
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Leifer: Introduction to Maternity and Pediatric Nursing, 10th Edition
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MULTIPLE CHOICE zl
1. A patient chooses to have the certified nurse-
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midwife (CNM) provide care during herpregnancy. What
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does the CNM‗s scope of practice include?
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, 1
a. Practice independent from medical supervision zl zl zl zl
b. Comprehensive prenatal care zl zl
c. Attendance at all deliveries zl zl zl
d. Cesarean sections zl
ANS: B z l
The CNM provides comprehensive prenatal and postnatal c
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are, attends uncomplicated deliveries, and ensures that a ba
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ckup physician is available in case of unforeseen problems.
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DIF: Cognitive Level: Comprehension zl zl
REF: p. 6 zl zl zl
OBJ: 5 zl
TOP: Advance Practice Nursing Roles
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KEY: Nursing Process Step: Implementation MS zl zl zl zl zl
C: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
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2. Which medical pioneer discovered the relationship between the incidence of puerperal fever
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and unwashed hands?
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a. Karl Credé zl
b. Ignaz Semmelweis zl
c. Louis Pasteur zl
d. Joseph Lister zl
ANS: B z l
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by t
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he unwashed hands of physicians and medical students.
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DIF: Cognitive Level: Knowledge REF: p. 2 zl zl z l zl
OBJ: 1 TOP: The Past zl zl z l zl
KEY: Nursing Process Step: N/A zl zl zl zl
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
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3. A pregnant woman who has recently immigrated to the United States comments to the nurse, ―
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I am afraid of childbirth. It is so dangerous. I am afraid I will die.‖ What is the best nursing re
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sponse reflecting cultural sensitivity?
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a. ―Maternal mortality in the United States is extremely low.‖ zl zl zl zl zl zl zl zl
b. ―Anesthesia is available to relieve pain during labor and childbirth.‖ zl zl zl zl zl zl zl zl zl
c. ―Tell me why you are afraid of childbirth.‖
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d. ―Your condition will be monitored during labor and delivery.‖
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ANS: C zl
Asking the patient about her concerns helps promote understanding and individualizes patient car
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e.
DIF: Cognitive Level: Application zl zl REF: zlzl pp. 6-8 zl OBJ: 8 zl
TOP: Cross-Cultural Care z l zl
KEY: Nursing Process Step: Implementation zl zl zl zl zl
MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
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4
4. An urban area has been reported to have a high perinatal mortality rate. What information
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does this provide?
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a. Maternal and infant deaths per 100,000 live births per year zl zl zl zl zl zl zl zl zl
b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
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c. Deaths of infants up to 1 year of age per 1000 live births per year
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d. Fetal and neonatal deaths per 1000 live births per year
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ANS: D zl
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
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DIF: Cognitive Level: Comprehension zl zl
REF: p. 13 | Box 1.6 OBJ: 9 TOP: The Present-zl zl zl zl zl zl z l zl zl
Child Care zl
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 maternity practice?
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a. Hospital births for the majority of women zl zl zl zl zl zl
b. The traditional family unit zl zl zl
c. Separation of labor rooms from delivery rooms zl zl zl zl zl zl
d. A quality family experience for each patient
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ANS: D zl
Current maternity practice focuses on a high-
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quality family experience for all families, traditional or otherwise.
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DIF: Cognitive Level: Comprehension REF: p. 6 zl zl z l zl
OBJ: 5 TOP: The Present-Maternity Care zl zl z l zl zl
KEY: Nursing Process Step: N/A MSC: NCLEX: Health Promotion an
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d Maintenance
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6. Who advocated the establishment of the Children‗s Bureau?
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a. Lillian Wald zl
b. Florence Nightingale zl
c. Florence Kelly zl
d. Clara Barton zl
ANS: A zl
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 zl zl z l zl
OBJ: 1 | 2 TOP: The Past zl zl zl zl z l zl
KEY: Nursing Process Step: Implementation zl zl zl zl
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 Children‗s Bureau?
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a. Children with heart problems are now cared for by pediatric cardiologists.
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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. Children‗s asylums were founded. zl zl zl
ANS: C zl
School hot lunch programs were developed as a result of research by the Children‗s Bureau on th
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e effects of economic depression on children.
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DIF: Cognitive Level: Knowledge zl zl REF: zlzl p. 4 zl OBJ: 2 | 3 zl zl zl
,zlzl
2
Chapter 01: The Past, Present, and Future
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Leifer: Introduction to Maternity and Pediatric Nursing, 10th Edition
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MULTIPLE CHOICE zl
1. A patient chooses to have the certified nurse-
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midwife (CNM) provide care during herpregnancy. What
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does the CNM‗s scope of practice include?
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, 1
a. Practice independent from medical supervision zl zl zl zl
b. Comprehensive prenatal care zl zl
c. Attendance at all deliveries zl zl zl
d. Cesarean sections zl
ANS: B z l
The CNM provides comprehensive prenatal and postnatal c
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are, attends uncomplicated deliveries, and ensures that a ba
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ckup physician is available in case of unforeseen problems.
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DIF: Cognitive Level: Comprehension zl zl
REF: p. 6 zl zl zl
OBJ: 5 zl
TOP: Advance Practice Nursing Roles
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KEY: Nursing Process Step: Implementation MS zl zl zl zl zl
C: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
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2. Which medical pioneer discovered the relationship between the incidence of puerperal fever
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and unwashed hands?
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a. Karl Credé zl
b. Ignaz Semmelweis zl
c. Louis Pasteur zl
d. Joseph Lister zl
ANS: B z l
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by t
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he unwashed hands of physicians and medical students.
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DIF: Cognitive Level: Knowledge REF: p. 2 zl zl z l zl
OBJ: 1 TOP: The Past zl zl z l zl
KEY: Nursing Process Step: N/A zl zl zl zl
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
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3. A pregnant woman who has recently immigrated to the United States comments to the nurse, ―
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I am afraid of childbirth. It is so dangerous. I am afraid I will die.‖ What is the best nursing re
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sponse reflecting cultural sensitivity?
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a. ―Maternal mortality in the United States is extremely low.‖ zl zl zl zl zl zl zl zl
b. ―Anesthesia is available to relieve pain during labor and childbirth.‖ zl zl zl zl zl zl zl zl zl
c. ―Tell me why you are afraid of childbirth.‖
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d. ―Your condition will be monitored during labor and delivery.‖
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ANS: C zl
Asking the patient about her concerns helps promote understanding and individualizes patient car
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e.
DIF: Cognitive Level: Application zl zl REF: zlzl pp. 6-8 zl OBJ: 8 zl
TOP: Cross-Cultural Care z l zl
KEY: Nursing Process Step: Implementation zl zl zl zl zl
MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
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, zlzl
4
4. An urban area has been reported to have a high perinatal mortality rate. What information
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does this provide?
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a. Maternal and infant deaths per 100,000 live births per year zl zl zl zl zl zl zl zl zl
b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
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c. Deaths of infants up to 1 year of age per 1000 live births per year
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d. Fetal and neonatal deaths per 1000 live births per year
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ANS: D zl
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
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DIF: Cognitive Level: Comprehension zl zl
REF: p. 13 | Box 1.6 OBJ: 9 TOP: The Present-zl zl zl zl zl zl z l zl zl
Child Care zl
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 maternity practice?
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a. Hospital births for the majority of women zl zl zl zl zl zl
b. The traditional family unit zl zl zl
c. Separation of labor rooms from delivery rooms zl zl zl zl zl zl
d. A quality family experience for each patient
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ANS: D zl
Current maternity practice focuses on a high-
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quality family experience for all families, traditional or otherwise.
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DIF: Cognitive Level: Comprehension REF: p. 6 zl zl z l zl
OBJ: 5 TOP: The Present-Maternity Care zl zl z l zl zl
KEY: Nursing Process Step: N/A MSC: NCLEX: Health Promotion an
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d Maintenance
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6. Who advocated the establishment of the Children‗s Bureau?
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a. Lillian Wald zl
b. Florence Nightingale zl
c. Florence Kelly zl
d. Clara Barton zl
ANS: A zl
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 zl zl z l zl
OBJ: 1 | 2 TOP: The Past zl zl zl zl z l zl
KEY: Nursing Process Step: Implementation zl zl zl zl
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 Children‗s Bureau?
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a. Children with heart problems are now cared for by pediatric cardiologists.
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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. Children‗s asylums were founded. zl zl zl
ANS: C zl
School hot lunch programs were developed as a result of research by the Children‗s Bureau on th
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e effects of economic depression on children.
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DIF: Cognitive Level: Knowledge zl zl REF: zlzl p. 4 zl OBJ: 2 | 3 zl zl zl
