,TESTBANKIntroductiontoMaternityandPediatricNursing10EGloriaLeifer
Chapter01:ThePast,Present,andFuture n
MULTIPLECHOICE
1. Apatientchoosestohavethecertifiednurse-midwife(CNM)providecareduringher
h pregnancy.Whatdoes theCNM’sscopeofpracticeinclude? n
a. Practiceindependentfrommedicalsupervision
b. Comprehensiveprenatalcare
c. Attendanceatalldeliveries n
d. Cesareansections
ANS: B
TheCNMprovidescomprehensiveprenatalandpostnatalcare,attendsuncomplicated
n
deliveries,andensuresthatabackupphysicianisavailableincaseofunforeseenproblems.
h h
DIF: CognitiveLevel:Comprehension REF: p.6 OBJ: 5 h
TOP: AdvancePractice Nursing Roles KEY: NursingProcessStep:Implementation
h h h
MSC: NCLEX:HealthPromotionandMaintenance:PreventionandEarlyDetectionofDisease
h h n h
2. Whichmedicalpioneerdiscoveredtherelationshipbetweentheincidenceofpuerperalfeverand
unwashedhands?
h
a. KarlCredé
b. IgnazSemmelweis n
c. LouisPasteur
d. JosephLister
ANS: B
IgnazSemmelweisdeducedthatpuerperalfeverwasseptic,contagious,andtransmittedbytheunwashed
handsofphysicians andmedicalstudents.
h n
DIF: CognitiveLevel:Knowledge REF: p. 2 OBJ: h h
1TOP: ThePast KEY: NursingProcessStep:N/A
h h h
MSC: NCLEX:Safe,EffectiveCareEnvironment:SafetyandInfectionControl
h n n
3. Apregnantwomanwhohasrecentlyimmigratedtothe United Statescommentstothenurse, “I am h h h h
afraid of childbirth. It is so dangerous. I am afraid I will die.” What is the best nursing response
h h h h h h h h h h h h h h h h h h h
reflectingculturalsensitivity?
h
a. “MaternalmortalityintheUnitedStatesisextremelylow.” n
b. “Anesthesiaisavailabletorelievepainduringlaborandchildbirth.”
h h h
c. “Tellmewhyyouareafraidofchildbirth.”
d. “Yourconditionwillbemonitoredduringlaboranddelivery.” n
ANS: C
Askingthepatientaboutherconcerns helpspromoteunderstandingandindividualizespatient n h
care. h
DIF: CognitiveLevel:Application REF: pp.6-8 OBJ: 8 h
TOP: Cross-Cultural Care
h h KEY: h
NursingProcessStep:Implementation MSC: NCLEX:Psychosocial Integrity:
h h h n
PsychologicalAdaptation
h
,4. Anurbanareahasbeenreportedtohaveahighperinatalmortalityrate.Whatinformationdoes
h h h h h h
thisprovide?
h
a. Maternalandinfantdeathsper100,000livebirthsperyear
b. Deathsoffetusesweighingmorethan500gper10,000birthsperyear
c. Deathsofinfantsupto1yearofageper1000livebirthsperyear
d. Fetalandneonataldeathsper1000livebirthsperyear
ANS: D
Theperinatalmortalityrateincludesfetalandneonataldeathsper 1000 livebirthsperyear. h h
DIF: CognitiveLevel:Comprehensionn REF: p.13|Box1.6 n
OBJ:
h h 9 TOP: ThePresent-Child Care h n
KEY: NursingProcessStep:Implementation
MSC: h NCLEX:Safe,EffectiveCareEnvironment:CoordinatedCare
n n
5. Whatisthefocusofcurrentmaternitypractice?
a. Hospitalbirthsforthemajorityofwomen
b. Thetraditionalfamilyunit
c. Separation oflaborroomsfrom delivery rooms n
d. Aqualityfamilyexperienceforeachpatient n
ANS: D
Currentmaternitypracticefocusesona high-qualityfamilyexperienceforallfamilies,traditionalh n
orotherwise.
h
DIF: CognitiveLevel:Comprehension REF: p. 6 n h h h OBJ: 5 h
TOP: ThePresent-MaternityCare
h KEY: h h
NursingProcessStep:N/A MSC: NCLEX:HealthPromotion and
h h h h h n
Maintenance
h
6. WhoadvocatedtheestablishmentoftheChildren’s Bureau? h h
a. Lillian Wald n
b. FlorenceNightingale
c. FlorenceKelly
d. ClaraBarton n
ANS: A
Lillian Waldiscreditedwithsuggestingtheestablishmentofa federal
n h n Children’sBureau.
DIF: CognitiveLevel:Knowledge REF: p. 4 n OBJ: 1|2 h h h
TOP: ThePast
h KEY: NursingProcessStep:Implementation
h h
MSC: NCLEX:HealthPromotionandMaintenance:GrowthandDevelopment
h h n n
7. Whatwastheresultofresearchdoneinthe 1930sbythe Children’s Bureau? h h h
a. Childrenwithheartproblemsarenowcaredforbypediatriccardiologists.
b. TheChildAbuseandPreventionActwaspassed.
h
c. Hot lunchprograms wereestablishedinmanyschools.
n h
d. Children’sasylumswerefounded.
ANS: C
Schoolhotlunchprogramsweredeveloped asaresultofresearchbytheChildren’sBureauonthe
n n h h
effectsofeconomicdepressiononchildren.
h
DIF: CognitiveLevel:Knowledge REF: p.4 h OBJ: 2|3
, TOP: ThePast KEY: NursingProcessStep:N/A h h
MSC: NCLEX:HealthPromotionandMaintenance:CoordinatedCare
h n
8. Whatgovernmentprogramwasimplementedtoincreasetheeducationalexposureof h h
preschoolchildren?
h
a. WIC
b. TitleXIXofMedicaid
c. TheChildren’sCharter
d. HeadStart
ANS: D
Head Start programs wereestablished toincreaseeducational exposureofpreschool children.
n h h
DIF: CognitiveLevel:Knowledge REF: p.3 OBJ: 3 h
TOP: Government Influences in Maternityand Pediatric Care KEY: h h h h h
NursingProcessStep:N/A MSC: NCLEX:Health Promotion andMaintenance: Growthand
h h h n n h
Development
h
9. Whatguidelinesdefinemultidisciplinarypatientcareintermsofexpectedoutcomeand h
h timeframefrom differentareas ofcareprovision? n
a. Clinicalpathways
b. Nursingoutcomecriteria
c. Standardsofcare
d. Nursingcareplan
ANS: A
Clinicalpathways,alsoknownascriticalpathwaysorcaremaps,arecollaborativeguidelinesthat n
definepatientcareacrossdisciplines.Expectedprogresswithin aspecifiedtimelineisidentified.
h n n n n n
DIF: CognitiveLevel:Knowledge REF: p. 13 OBJ: 10
n h h h
TOP: HealthCare Delivery Systems
h KEY: h h h
NursingProcessStep:N/AMSC: NCLEX:Safe,EffectiveCareEnvironment: h h
Coordinated Care
h n
10. Anursingstudenthasreviewedahospitalized pediatricpatient chart, interviewed hermother, and h h h h h
hcollected admission data. What is the nextstepthe student will taketo develop a nursing careplan for
h h h h h h h h h h h h h h
hthischild?
a. Identifymeasurableoutcomeswith atimeline. n
b. Choosespecificnursinginterventionsforthechild.
c. Determineappropriatenursingdiagnoses.
d. Statenursingactions relatedtothechild’smedical diagnosis. h h
ANS: C
Thenurseusesassessmentdatatoselectappropriatenursingdiagnoses.Outcomesand
h h h h
interventionsarethendevelopedtoaddresstherelevantnursing diagnoses.
h n n
DIF: Cognitive Level:Application REF: p.12 n h OBJ: 7
TOP: Nursing Processh KEY: h
NursingProcessStep:NursingDiagnosis MSC:
h h
NCLEX:Safe,EffectiveCareEnvironment:CoordinatedCare
h
11. A nursing student on an obstetric rotation questions the floor nurse about the definition of the
h h h h h h h h h h h h h h h
h LVN/LPNscopeofpractice.Whatresourcecanthenursesuggesttothestudent? n n n n
a. AmericanNursesAssociation
Chapter01:ThePast,Present,andFuture n
MULTIPLECHOICE
1. Apatientchoosestohavethecertifiednurse-midwife(CNM)providecareduringher
h pregnancy.Whatdoes theCNM’sscopeofpracticeinclude? n
a. Practiceindependentfrommedicalsupervision
b. Comprehensiveprenatalcare
c. Attendanceatalldeliveries n
d. Cesareansections
ANS: B
TheCNMprovidescomprehensiveprenatalandpostnatalcare,attendsuncomplicated
n
deliveries,andensuresthatabackupphysicianisavailableincaseofunforeseenproblems.
h h
DIF: CognitiveLevel:Comprehension REF: p.6 OBJ: 5 h
TOP: AdvancePractice Nursing Roles KEY: NursingProcessStep:Implementation
h h h
MSC: NCLEX:HealthPromotionandMaintenance:PreventionandEarlyDetectionofDisease
h h n h
2. Whichmedicalpioneerdiscoveredtherelationshipbetweentheincidenceofpuerperalfeverand
unwashedhands?
h
a. KarlCredé
b. IgnazSemmelweis n
c. LouisPasteur
d. JosephLister
ANS: B
IgnazSemmelweisdeducedthatpuerperalfeverwasseptic,contagious,andtransmittedbytheunwashed
handsofphysicians andmedicalstudents.
h n
DIF: CognitiveLevel:Knowledge REF: p. 2 OBJ: h h
1TOP: ThePast KEY: NursingProcessStep:N/A
h h h
MSC: NCLEX:Safe,EffectiveCareEnvironment:SafetyandInfectionControl
h n n
3. Apregnantwomanwhohasrecentlyimmigratedtothe United Statescommentstothenurse, “I am h h h h
afraid of childbirth. It is so dangerous. I am afraid I will die.” What is the best nursing response
h h h h h h h h h h h h h h h h h h h
reflectingculturalsensitivity?
h
a. “MaternalmortalityintheUnitedStatesisextremelylow.” n
b. “Anesthesiaisavailabletorelievepainduringlaborandchildbirth.”
h h h
c. “Tellmewhyyouareafraidofchildbirth.”
d. “Yourconditionwillbemonitoredduringlaboranddelivery.” n
ANS: C
Askingthepatientaboutherconcerns helpspromoteunderstandingandindividualizespatient n h
care. h
DIF: CognitiveLevel:Application REF: pp.6-8 OBJ: 8 h
TOP: Cross-Cultural Care
h h KEY: h
NursingProcessStep:Implementation MSC: NCLEX:Psychosocial Integrity:
h h h n
PsychologicalAdaptation
h
,4. Anurbanareahasbeenreportedtohaveahighperinatalmortalityrate.Whatinformationdoes
h h h h h h
thisprovide?
h
a. Maternalandinfantdeathsper100,000livebirthsperyear
b. Deathsoffetusesweighingmorethan500gper10,000birthsperyear
c. Deathsofinfantsupto1yearofageper1000livebirthsperyear
d. Fetalandneonataldeathsper1000livebirthsperyear
ANS: D
Theperinatalmortalityrateincludesfetalandneonataldeathsper 1000 livebirthsperyear. h h
DIF: CognitiveLevel:Comprehensionn REF: p.13|Box1.6 n
OBJ:
h h 9 TOP: ThePresent-Child Care h n
KEY: NursingProcessStep:Implementation
MSC: h NCLEX:Safe,EffectiveCareEnvironment:CoordinatedCare
n n
5. Whatisthefocusofcurrentmaternitypractice?
a. Hospitalbirthsforthemajorityofwomen
b. Thetraditionalfamilyunit
c. Separation oflaborroomsfrom delivery rooms n
d. Aqualityfamilyexperienceforeachpatient n
ANS: D
Currentmaternitypracticefocusesona high-qualityfamilyexperienceforallfamilies,traditionalh n
orotherwise.
h
DIF: CognitiveLevel:Comprehension REF: p. 6 n h h h OBJ: 5 h
TOP: ThePresent-MaternityCare
h KEY: h h
NursingProcessStep:N/A MSC: NCLEX:HealthPromotion and
h h h h h n
Maintenance
h
6. WhoadvocatedtheestablishmentoftheChildren’s Bureau? h h
a. Lillian Wald n
b. FlorenceNightingale
c. FlorenceKelly
d. ClaraBarton n
ANS: A
Lillian Waldiscreditedwithsuggestingtheestablishmentofa federal
n h n Children’sBureau.
DIF: CognitiveLevel:Knowledge REF: p. 4 n OBJ: 1|2 h h h
TOP: ThePast
h KEY: NursingProcessStep:Implementation
h h
MSC: NCLEX:HealthPromotionandMaintenance:GrowthandDevelopment
h h n n
7. Whatwastheresultofresearchdoneinthe 1930sbythe Children’s Bureau? h h h
a. Childrenwithheartproblemsarenowcaredforbypediatriccardiologists.
b. TheChildAbuseandPreventionActwaspassed.
h
c. Hot lunchprograms wereestablishedinmanyschools.
n h
d. Children’sasylumswerefounded.
ANS: C
Schoolhotlunchprogramsweredeveloped asaresultofresearchbytheChildren’sBureauonthe
n n h h
effectsofeconomicdepressiononchildren.
h
DIF: CognitiveLevel:Knowledge REF: p.4 h OBJ: 2|3
, TOP: ThePast KEY: NursingProcessStep:N/A h h
MSC: NCLEX:HealthPromotionandMaintenance:CoordinatedCare
h n
8. Whatgovernmentprogramwasimplementedtoincreasetheeducationalexposureof h h
preschoolchildren?
h
a. WIC
b. TitleXIXofMedicaid
c. TheChildren’sCharter
d. HeadStart
ANS: D
Head Start programs wereestablished toincreaseeducational exposureofpreschool children.
n h h
DIF: CognitiveLevel:Knowledge REF: p.3 OBJ: 3 h
TOP: Government Influences in Maternityand Pediatric Care KEY: h h h h h
NursingProcessStep:N/A MSC: NCLEX:Health Promotion andMaintenance: Growthand
h h h n n h
Development
h
9. Whatguidelinesdefinemultidisciplinarypatientcareintermsofexpectedoutcomeand h
h timeframefrom differentareas ofcareprovision? n
a. Clinicalpathways
b. Nursingoutcomecriteria
c. Standardsofcare
d. Nursingcareplan
ANS: A
Clinicalpathways,alsoknownascriticalpathwaysorcaremaps,arecollaborativeguidelinesthat n
definepatientcareacrossdisciplines.Expectedprogresswithin aspecifiedtimelineisidentified.
h n n n n n
DIF: CognitiveLevel:Knowledge REF: p. 13 OBJ: 10
n h h h
TOP: HealthCare Delivery Systems
h KEY: h h h
NursingProcessStep:N/AMSC: NCLEX:Safe,EffectiveCareEnvironment: h h
Coordinated Care
h n
10. Anursingstudenthasreviewedahospitalized pediatricpatient chart, interviewed hermother, and h h h h h
hcollected admission data. What is the nextstepthe student will taketo develop a nursing careplan for
h h h h h h h h h h h h h h
hthischild?
a. Identifymeasurableoutcomeswith atimeline. n
b. Choosespecificnursinginterventionsforthechild.
c. Determineappropriatenursingdiagnoses.
d. Statenursingactions relatedtothechild’smedical diagnosis. h h
ANS: C
Thenurseusesassessmentdatatoselectappropriatenursingdiagnoses.Outcomesand
h h h h
interventionsarethendevelopedtoaddresstherelevantnursing diagnoses.
h n n
DIF: Cognitive Level:Application REF: p.12 n h OBJ: 7
TOP: Nursing Processh KEY: h
NursingProcessStep:NursingDiagnosis MSC:
h h
NCLEX:Safe,EffectiveCareEnvironment:CoordinatedCare
h
11. A nursing student on an obstetric rotation questions the floor nurse about the definition of the
h h h h h h h h h h h h h h h
h LVN/LPNscopeofpractice.Whatresourcecanthenursesuggesttothestudent? n n n n
a. AmericanNursesAssociation
