Test Bank For Introduction to Maternity and Pediatric Nursing, 10th Edition, By Gloria Leifer, All Chapters 1-34. Latest 2025

,TESTBANK Introduction to Maternity and Pediatric Nursing 9/E Gloria Leifer
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Chapter 01: The Past, Present, and Future
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MULTIPLE CHOICE jj




1. A patient chooses to have the certified nurse-midwife (CNM) provide care during
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j j her pregnancy. What does the CNM‘s scope of practice include?
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a. Practice independent from medical supervision jj jj jj jj


b. Comprehensive prenatal care jj jj


c. Attendance at all deliveries jj j j j j


d. Cesarean sections jj




ANS: B
The CNM provides comprehensive prenatal and postnatal care, attends
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uncomplicated deliveries, and ensures that a backup physician is available in
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case of unforeseen problems.
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DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: 5 jj jj j j


TOP: Advance Practice Nursing Roles KEY:Nursing Process Step: j j j j j j j j jj jj


Implementation MSC:
j j NCLEX: Health Promotion and jj j j j j j jj


Maintenance: Prevention and Early Detection of Disease
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2. Which medical pioneer discovered the relationship between the incidence of puerperal
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j j fever and unwashed hands? j j j j j j


a. Karl Credé jj


b. Ignaz Semmelweis jj


c. Louis Pasteur jj


d. Joseph Lister jj




ANS: B
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by
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the unwashed hands of physicians and medical students.
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DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: j j j j j j


1 TOP: The Past
jj j j KEY: Nursing j j


Process j j


Step: N/A j j


MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control j j jj jj jj j j jj j j jj




3. A pregnant woman who has recently immigrated to the United States comments to the
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nurse, ―I am afraid of childbirth. It is so dangerous. I am afraid I will
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die.‖ What is the best nursing response reflecting cultural sensitivity?
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a. ―Maternal mortality in the United States is extremely low.‖ jj jj jj jj jj jj jj jj


b. ―Anesthesia is available to relieve pain during labor and childbirth.‖ jj jj jj jj jj jj jj jj jj


c. ―Tell me why you are afraid of childbirth.‖ jj jj jj jj jj jj jj


d. ―Your condition will be monitored during labor and delivery.‖ jj jj jj jj jj jj jj jj




ANS: C
Asking the patient about her concerns helps promote understanding and individualizes
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patient care.
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DIF: Cognitive Level: Application jj jj REF: pp. 6-8 OBJ: 8 j j


TOP: Cross-Cultural Care
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,Implementation MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
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, 4. An urban area has been reported to have a high perinatal mortality rate.
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jj What information does this provide?
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a. Maternal and infant deaths per 100,000 live births per year
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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
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per yea
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DIF: Cognitive Level: Comprehension REF: p. 13 | Box j j j j jj jj jj


1.6 OBJ: 9 TOP:
j j The Present-Child jj


Care KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care jj jj jj jj j j jj




5. What is the focus of current maternity practice?
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a. Hospital births for the majority of women jj j j jj j j jj j j


b. The traditional family unit jj j j jj


c. Separation of labor rooms from delivery rooms jj jj j j jj jj jj


d. A quality family experience for each patient
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ANS: D
Current maternity practice focuses on a high-quality family experience for all families,
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traditional or otherwise.
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DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: 5 j j j j j jj j j


TOP: The Present-Maternity Care KEY: Nursing Process Step:
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N/A MSC: NCLEX: Health Promotion and Maintenance
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6. Who advocated the establishment of the Children‘s Bureau?
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a. Lillian Wald jj


b. Florence Nightingale jj


c. Florence Kelly jj


d. Clara Barton jj




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 j j j j j j


| 2 TOP: The Past
jj j j KEY: Nursing Process j j jj


Step: Implementation
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MSC: NCLEX: Health Promotion and Maintenance: Growth and Development jj jj jj jj jj jj jj




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. jj jj jj




ANS: C
School hot lunch programs were developed as a result of research by the
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Children‘s Bureau on the effects of economic depression on children.
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DIF: Cognitive Level: Knowledge jj jj REF: p. 4 j j OBJ: 2 | 3 j j j j