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Test Bank For Introduction to Maternity and Pediatric Nursing 10th 1
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,Test Bank For Introduction to Maternity and Pediatric Nursing 10th Edition 2
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,Test Bank For Introduction to Maternity and Pediatric Nursing 10th 1
Edition 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 5%




1. A patient chooses to have the certified nurse-
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midwife (CNM) provide care during herpregnancy. Wha
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t does the CNM‘s scope of practice include?
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a. Practice independent from medical supervision 5% 5% 5% 5%



b. Comprehensive prenatal care 5% 5%



c. Attendance at all deliveries 5% 5% 5%



d. Cesarean sections 5%




ANS: B 5 %



The CNM provides comprehensive prenatal and postnatal
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care, attends uncomplicated deliveries, and ensures that a
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backup physician is available in case of unforeseen probl
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ems.

DIF: Cognitive Level: Comprehension 5% 5%



REF: p. 6 5% 5%



5% OBJ: 5 5%



TOP: 5 % Advance Practice Nursing Roles 5% 5% 5%



KEY: Nursing Process Step: Implementation M 5% 5% 5% 5% 5%



SC: 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 fev
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er and unwashed hands?
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a. Karl Credé 5%



b. Ignaz Semmelweis 5%



c. Louis Pasteur 5%



d. Joseph Lister 5%




ANS: B 5 %



Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted b
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y the unwashed hands of physicians and medical students.
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DIF: Cognitive Level: Knowledge REF: p. 2 5% 5% 5 % 5%



OBJ: 1 TOP: The Past 5% 5% 5 % 5%



KEY: Nursing Process Step: N/A 5% 5% 5% 5%



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 nurs
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e, “I am afraid of childbirth. It is so dangerous. I am afraid I will die.” What is the best n
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ursing response reflecting cultural sensitivity?
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a. “Maternal mortality in the United States is extremely low.” 5% 5% 5% 5% 5% 5% 5% 5%



b. “Anesthesia is available to relieve pain during labor and childbirth.” 5% 5% 5% 5% 5% 5% 5% 5% 5%



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 5%



Asking the patient about her concerns helps promote understanding and individualizes patient
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care.

DIF: Cognitive Level: Application 5% 5% REF: 5 % 5 % pp. 6-8 5% OBJ: 8 5%



TOP: Cross-Cultural Care
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KEY: Nursing Process Step: Implementatio 5% 5% 5% 5%



n MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
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, Test Bank For Introduction to Maternity and Pediatric Nursing 10th Edition 4
Leifer

4. An urban area has been reported to have a high perinatal mortality rate. What informati
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on 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 5%



The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
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DIF: Cognitive Level: Comprehension 5% 5%



REF: p. 13 | Box 1.6 OBJ: 9 TOP: The Present-
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Child Care 5%



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 5% 5% 5% 5% 5% 5%



b. The traditional family unit
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c. Separation of labor rooms from delivery rooms 5% 5% 5% 5% 5% 5%



d. A quality family experience for each patient
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ANS: D 5%



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 5% 5% 5 % 5%



OBJ: 5 TOP: The Present-Maternity Care 5% 5% 5 % 5% 5%



KEY: Nursing Process Step: N/A MSC: NCLEX: Health Promotion
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and Maintenance
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6. Who advocated the establishment of the Children‘s Bureau?
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a. Lillian Wald 5%



b. Florence Nightingale 5%



c. Florence Kelly 5%



d. Clara Barton 5%




ANS: A 5%



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 5% 5% 5 % 5%



OBJ: 1 | 2 TOP: The Past 5% 5% 5% 5% 5 % 5%



KEY: Nursing Process Step: Implementation
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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. 5% 5% 5%




ANS: C 5%



School hot lunch programs were developed as a result of research by the Children‘s Bureau on
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the effects of economic depression on children.
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DIF: Cognitive Level: Knowledge 5% 5% REF: 5 % 5 % p. 4 5% OBJ: 2 | 3 5% 5% 5 %