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Chapter 1. Introduction to Maternity and Pediatric
NursingMULTIPLE CHOICE
1. A patient chooses to have the certified nurse midwife (CNM) provide
care during herpregnancy. What does the CNMs scope of practice
include?
a. Practice independent from medical supervision
b. Comprehensive prenatal care
c. Attendance at all deliveries
d. Cesarean
sections ANS: 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.
DIF: Cognitive Level: Comprehension REF: Page 6 OBJ: 12
TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection
of Disease
2. Which medical pioneer discovered the relationship between the incidence
of puerperal feverand unwashed hands?
a. Karl Cred
b. Ignaz Semmelweis
c. Louis Pasteur
d. Joseph
Lister ANS: B
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and
transmitted by the unwashed hands of physicians and medical students.
,DIF: Cognitive Level: Knowledge REF: Page 2
OBJ: 1TOP: The Past KEY: Nursing Process
Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
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. ANS: C
Asking the patient about her concerns helps promote understanding and
individualizes patientcare.
DIF: Cognitive Level: Application REF: Page 7-8 OBJ: 8
TOP: Cross-Cultural Care KEY: Nursing Process Step:
Implementation MSC: NCLEX: Psychosocial Integrity:
Psychological Adaptation
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 ANS: D
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live
births per year.
DIF: Cognitive Level: Comprehension REF: Page
12, Box 1-6OBJ: 9 TOP: The Present-Child Care
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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 ANS: D
Current maternity practice focuses on a high-quality family experience for all
families,traditional or otherwise.
, DIF: Cognitive Level: Comprehension REF: Page 6 OBJ: 7
TOP: The Present-Maternity Care KEY: Nursing Process
Step: N/AMSC: NCLEX: Health Promotion and Maintenance
6. Who advocated the establishment of the Childrens Bureau?
a. Lillian Wald
b. Florence Nightingale
c. Florence Kelly
d. Clara
Barton ANS:
A
Lillian Wald is credited with suggesting the establishment of a federal Childrens
Bureau.
DIF: Cognitive Level: Knowledge REF: Page 4
OBJ: 1 | 2 TOP: The Past KEY: Nursing Process
Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
7. What was the result of research done in the 1930s by the Childrens 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.
d. Childrens asylums were
founded. ANS: C
School hot lunch programs were developed as a result of research by the
Childrens Bureau on the effects of economic depression on children.
DIF: Cognitive Level: Knowledge REF: Page 4
OBJ: 2 | 3 TOP: The Past KEY: Nursing Process
Step: N/A
MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care
8. What government program was implemented to increase the
educational exposure ofpreschool children?
a. WIC
b. Title XIX of Medicaid
c. The Childrens Charter