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

TestBankfor Introduction toMaternityandPediatric
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yt Nursing 9th Edition BY Gloria Leifer Chapter 1-34 Newest
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Version 2024 yt yt

,Chapter01:The Past, Present,andFuture
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Leifer:IntroductiontoMaternity andPediatricNursing,9thEdition
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MULTIPLE CHOICE yt




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




b. Comprehensive prenatal care yt yt




c. Attendance at all deliveries yt yt yt




d. Cesareansections yt




ANS: B y t




The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated
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deliveries, and ensuresthat a backup physician isavailable in case of unforeseen problems.
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DIF: CognitiveLevel: Comprehension REF: p.6 OBJ: 5 yt yt y t y t yt y t




TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: Implementation MSC:
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NCLEX: Health Promotion andMaintenance: Prevention and EarlyDetection ofDisease
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2. Whichmedical pioneerdiscovered the relationship between the incidence of puerperalfever and
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yt unwashed hands? yt




a. KarlCredé yt




b. Ignaz Semmelweis yt




c. LouisPasteur yt




d. Joseph Lister yt




ANS: B y t




Ignaz Semmelweis deduced that puerperalfever was septic, contagious, and transmitted by the
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unwashed hands of physicians and medical students.
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DIF: Cognitive Level: Knowledge REF: p. 2 OBJ:1 yt yt y t yt yt




TOP: The Past
yt KEY: Nursing Process Step: N/A
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MSC:NCLEX: Safe, Effective Care Environment: Safetyand Infection Control
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3. A pregnant woman who has recentlyimmigratedto the United States comments to thenurse, “Iam
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afraid of childbirth. It is so dangerous. Iam afraid Iwill die.” What is the best nursing response
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reflecting cultural sensitivity?
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a. “Maternal mortalityin the United States is extremelylow.” yt yt yt yt yt yt yt yt




b. “Anesthesiaisavailabletorelievepainduringlaborandchildbirth.” yt yt yt yt yt yt yt yt yt




c. “Tellmewhyyouareafraidofchildbirth.” yt yt yt yt yt yt yt




d. “Yourconditionwillbemonitoredduringlaboranddelivery.” yt yt yt yt yt yt yt yt




ANS:C yt




Askingthe patientabout her concerns helps promoteunderstandingand individualizespatient care.
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DIF: CognitiveLevel: Application REF: pp. 6-8 OBJ: 8 yt yt y t y t yt y t




TOP: Cross-Cultural Care KEY:NursingProcessStep:Implementation
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MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
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,4. An urban area has been reported to have a high perinatal mortalityrate. What information does
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this provide?
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a. Maternal and infant deaths per 100,000 live births per year yt yt yt yt yt yt yt yt yt




b. Deaths of fetuses weighing more than 500 g per 10,000 births per year yt yt yt yt yt yt yt yt yt yt yt yt




c. Deaths of infants up to 1 year of age per 1000 live births per year yt yt yt yt yt yt yt yt yt yt yt yt yt yt




d. Fetal and neonatal deaths per 1000 live births per year yt yt yt yt yt yt yt yt yt




ANS:D yt




Theperinatal mortalityrate includes fetal and neonatal deaths per 1000 live births per year.
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DIF: Cognitive Level: Comprehension REF:p.13|Box1.6 yt yt yt yt yt yt yt




OBJ: 9
yt TOP: The Present-Child Care
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KEY: NursingProcess Step: Implementation
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MSC:NCLEX:Safe,EffectiveCareEnvironment:Coordinated Care
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5. What is the focus of current maternitypractice?
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a. Hospital births for themajorityofwomen yt yt yt yt yt yt




b. Thetraditional familyunit yt yt yt




c. Separation of labor rooms from deliveryrooms yt yt yt yt yt yt




d. A qualityfamilyexperience for eachpatient
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ANS:D yt




Current maternitypractice focuses on a high-qualityfamilyexperiencefor all families, traditional
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or otherwise.
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DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: 5 yt yt y t yt yt




TOP: The Present-Maternity Care
yt KEY:NursingProcessStep:N/A
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MSC: NCLEX: Health Promotion and Maintenance
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6. Who advocated the establishment of theChildren‘sBureau?
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a. LillianWald yt




b. FlorenceNightingale yt




c. Florence Kelly yt




d. ClaraBarton yt




ANS:A yt




LillianWald iscredited with suggesting the establishment of a federal Children‘s Bureau.
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DIF: Cognitive Level: Knowledge REF: p. 4 OBJ:1|2 yt yt y t yt yt yt yt




TOP: The Past
yt KEY: Nursing Process Step: Implementation
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MSC:NCLEX: Health Promotion andMaintenance: Growth and Development
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7. Whatwas the result of research done in the 1930s bythe Children‘sBureau?
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a. Childrenwith heart problems are now cared for by pediatriccardiologists. yt yt yt yt yt yt yt yt yt yt




b. The Child Abuse and Prevention Act waspassed. yt yt yt yt yt yt yt




c. Hot lunch programs were established in manyschools. yt yt yt yt yt yt yt




d. Children‘sasylumswere founded. yt yt yt




ANS:C yt




School hot lunch programs were developed as a result of research bythe Children‘s Bureau on the
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effects of economic depression on children.
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DIF: CognitiveLevel:Knowledge yt yt REF: p.4 y t y t yt OBJ: 2 | 3 yt yt y t

, TOP: The Past KEY: NursingProcess Step: N/A
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MSC: NCLEX:Health PromotionandMaintenance: Coordinated Care
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8. Whatgovernmentprogramwas implemented to increase theeducational exposureof
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preschool children?
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a. WIC
b. Title XIX ofMedicaid yt yt yt




c. TheChildren‘sCharter yt yt




d. Head Start yt




ANS:D yt




Head Start programs were established to increase educational exposure of preschool children.
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DIF: CognitiveLevel:Knowledge REF: p.3 OBJ: 3 yt yt y t y t yt y t




TOP: Government Influences in Maternity andPediatric Care
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MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
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9. Whatguidelines define multidisciplinarypatientcarein terms of expected outcome and
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timeframe from different areas of care provision?
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a. Clinical pathways yt




b. Nursing outcomecriteria yt yt




c. Standards ofcare yt yt




d. Nursing careplan yt yt




ANS:A yt




Clinicalpathways, also known ascritical pathways or care maps,are collaborativeguidelines that
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define patient care across disciplines. Expected progress within a specified timeline is identified.
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DIF: Cognitive Level: Knowledge REF: p. 13 OBJ: 10 yt yt y t yt yt




TOP: Health Care Delivery Systems
yt KEY:NursingProcessStep:N/A
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MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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10. A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her mother, and
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collected admission data. What is the next step the student will take to develop a nursing care plan
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for this child?
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a. Identifymeasurable outcomes with atimeline. yt yt yt yt yt




b. Choose specific nursing interventions for thechild. yt yt yt yt yt yt




c. Determine appropriate nursingdiagnoses. yt yt yt




d. Statenursing actions related to the child‘s medical diagnosis. yt yt yt yt yt yt yt yt




ANS:C yt




Thenurseuses assessment datato select appropriatenursingdiagnoses. Outcomes and
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interventions are then developed to address the relevant nursing diagnoses.
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DIF: CognitiveLevel: Application REF: p. 12 OBJ: 7 yt yt y t y t yt y t




TOP: Nursing Process y KEY:NursingProcessStep: NursingDiagnosis
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MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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11. A nursing student on an obstetric rotation questions the floor nurse about the definition of the
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LVN/LPN scope of practice. What resource can the nurse suggest to the student?
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a. AmericanNurses Association yt yt