Leifer: Introduction to Maternity and
Pediatric Nursing, 9th Edition Test Bank
All Chapters1-34 with answers | A+ PASS
1|Page
,Chapter 01: The Past, Present, and Future
Leifer: Introduction to Maternity and Pediatric Nursing, 9th Edition
MULTIPLE CHOICE
1.A patient chooses to have the certified nurse-midwife (CNM) provide care during herpregnancy. What
does the CNM‘s scope of practice include?
a. Practice independent from medical supervision
b. Comprehensive prenatal care
c. Attendance at all deliveries
d. Cesarean sections
ANSWER: B
The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated deliveries, and
ensures that a backup physician is available in case of unforeseen problems.
2.Which medical pioneer discovered the relationship between the incidence of puerperal fever and
unwashed hands?
a. Karl Credé
b. Ignaz Semmelweis
c. Louis Pasteur
d. Joseph Lister
ANSWER: B
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the unwashed
hands of physicians and medical students.
3.A pregnant woman who has recently immigrated to the United States comments to the nurse, “I am
afraid of childbirth. It is so dangerous. I am afraid I will die.” What is the best nursing response reflecting
cultural sensitivity?
a. “Maternal mortality in the United States is extremely low.”
b. “Anesthesia is available to relieve pain during labor and childbirth.”
c. “Tell me why you are afraid of childbirth.”
d. “Your condition will be monitored during labor and delivery.”
ANSWER: C
Asking the patient about her concerns helps promote understanding and individualizes patient care.
2|Page
,4.An urban area has been reported to have a high perinatal mortality rate. What information does this
provide?
a. Maternal and infant deaths per 100,000 live births per year
b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
c. Deaths of infants up to 1 year of age per 1000 live births per year
d. Fetal and neonatal deaths per 1000 live births per year
ANSWER: D
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
5.What is the focus of current maternity practice?
a. Hospital births for the majority of women
b. The traditional family unit
c. Separation of labor rooms from delivery rooms
d. A quality family experience for each patient
ANSWER: D
Current maternity practice focuses on a high-quality family experience for all families, traditional or
otherwise.
6.Who advocated the establishment of the Children‘s Bureau?
a. Lillian Wald
b. Florence Nightingale
c. Florence Kelly
d. Clara Barton
ANSWER: A
Lillian Wald is credited with suggesting the establishment of a federal Children‘s Bureau.
7.What was the result of research done in the 1930s by the Children‘s Bureau?
a. Children with heart problems are now cared for by pediatric cardiologists.
b. The Child Abuse and Prevention Act was passed.
c. Hot lunch programs were established in many schools.
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, d. Children‘s asylums were founded.
ANSWER: C
School hot lunch programs were developed as a result of research by the Children‘s Bureau on the effects
of economic depression on children.
8.What government program was implemented to increase the educational exposure of preschool
children?
a. WIC
b. Title XIX of Medicaid
c. The Children‘s Charter
d. Head Start
ANSWER: D
Head Start programs were established to increase educational exposure of preschool children.
9.What guidelines define multidisciplinary patient care in terms of expected outcome and timeframe from
different areas of care provision?
a. Clinical pathways
b. Nursing outcome criteria
c. Standards of care
d. Nursing care plan
ANSWER: A
Clinical pathways, also known as critical pathways or care maps, are collaborative guidelines that define
patient care across disciplines. Expected progress within a specified timeline is identified.
10.A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her mother, and
collected admission data. What is the next step the student will take to develop a nursing care plan for this
child?
a. Identify measurable outcomes with a timeline.
b. Choose specific nursing interventions for the child.
c. Determine appropriate nursing diagnoses.
d. State nursing actions related to the child‘s medical diagnosis.
4|Page
Pediatric Nursing, 9th Edition Test Bank
All Chapters1-34 with answers | A+ PASS
1|Page
,Chapter 01: The Past, Present, and Future
Leifer: Introduction to Maternity and Pediatric Nursing, 9th Edition
MULTIPLE CHOICE
1.A patient chooses to have the certified nurse-midwife (CNM) provide care during herpregnancy. What
does the CNM‘s scope of practice include?
a. Practice independent from medical supervision
b. Comprehensive prenatal care
c. Attendance at all deliveries
d. Cesarean sections
ANSWER: B
The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated deliveries, and
ensures that a backup physician is available in case of unforeseen problems.
2.Which medical pioneer discovered the relationship between the incidence of puerperal fever and
unwashed hands?
a. Karl Credé
b. Ignaz Semmelweis
c. Louis Pasteur
d. Joseph Lister
ANSWER: B
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the unwashed
hands of physicians and medical students.
3.A pregnant woman who has recently immigrated to the United States comments to the nurse, “I am
afraid of childbirth. It is so dangerous. I am afraid I will die.” What is the best nursing response reflecting
cultural sensitivity?
a. “Maternal mortality in the United States is extremely low.”
b. “Anesthesia is available to relieve pain during labor and childbirth.”
c. “Tell me why you are afraid of childbirth.”
d. “Your condition will be monitored during labor and delivery.”
ANSWER: C
Asking the patient about her concerns helps promote understanding and individualizes patient care.
2|Page
,4.An urban area has been reported to have a high perinatal mortality rate. What information does this
provide?
a. Maternal and infant deaths per 100,000 live births per year
b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
c. Deaths of infants up to 1 year of age per 1000 live births per year
d. Fetal and neonatal deaths per 1000 live births per year
ANSWER: D
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
5.What is the focus of current maternity practice?
a. Hospital births for the majority of women
b. The traditional family unit
c. Separation of labor rooms from delivery rooms
d. A quality family experience for each patient
ANSWER: D
Current maternity practice focuses on a high-quality family experience for all families, traditional or
otherwise.
6.Who advocated the establishment of the Children‘s Bureau?
a. Lillian Wald
b. Florence Nightingale
c. Florence Kelly
d. Clara Barton
ANSWER: A
Lillian Wald is credited with suggesting the establishment of a federal Children‘s Bureau.
7.What was the result of research done in the 1930s by the Children‘s Bureau?
a. Children with heart problems are now cared for by pediatric cardiologists.
b. The Child Abuse and Prevention Act was passed.
c. Hot lunch programs were established in many schools.
3|Page
, d. Children‘s asylums were founded.
ANSWER: C
School hot lunch programs were developed as a result of research by the Children‘s Bureau on the effects
of economic depression on children.
8.What government program was implemented to increase the educational exposure of preschool
children?
a. WIC
b. Title XIX of Medicaid
c. The Children‘s Charter
d. Head Start
ANSWER: D
Head Start programs were established to increase educational exposure of preschool children.
9.What guidelines define multidisciplinary patient care in terms of expected outcome and timeframe from
different areas of care provision?
a. Clinical pathways
b. Nursing outcome criteria
c. Standards of care
d. Nursing care plan
ANSWER: A
Clinical pathways, also known as critical pathways or care maps, are collaborative guidelines that define
patient care across disciplines. Expected progress within a specified timeline is identified.
10.A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her mother, and
collected admission data. What is the next step the student will take to develop a nursing care plan for this
child?
a. Identify measurable outcomes with a timeline.
b. Choose specific nursing interventions for the child.
c. Determine appropriate nursing diagnoses.
d. State nursing actions related to the child‘s medical diagnosis.
4|Page
