Introduction to Maternity and Pediatric Nursing,
g g g g g
8th Edition by Gloria Leifer
g g g g g
UNIT gI: gAn gOverview gof gMaternity gand gPediatric gNursing
Chapter g1: gThe gPast, gPresent, gand gFuture
UNIT gII: gMaternal-Newborn gNursing gand gWomen’s
gHealth gChapter g2: gHuman gReproductive gAnatomy gand
gPhysiology gChapter g3: gFetal gDevelopment
Chapter g4: gPrenatal gCare gand gAdaptations gto gPregnancy
Chapter g5: gNursing gCare gof gWomen gwith gComplications gduring gPregnancy
gChapter g6: gNursing gCare gof gMother gand gInfant gduring gLabor gand gBirth
gChapter g7: gNursing gManagement gof gPain gduring gLabor gand gBirth
Chapter g8: gNursing gCare gof gWomen gwith gComplications gduring gLabor gand
gBirth
Chapter g9: gThe gFamily gafter gBirth
Chapter g10: gNursing gCare gof gWomen gwith gComplications gFollowing gBirth
gChapter g11: gThe gNurse’s gRole gin gWomen’s gHealth gCare
Chapter g 12: gThe gTermgNewborn
Chapter g13: gPretermgand gPost-TermgNewborns
Chapter g14: gThe gNewborn gwith ga gPerinatal gInjury gor
gCongenital gMalformation
UNIT gIII: gThe gGrowing gChild gand gFamily
Chapter g15: gAngOverview gof gGrowth, gDevelopment, gand gNutrition
gChapter g16: gThe gInfant
Chapter g17: gThe gToddler
gChapter g18: gThe gPreschool
gChild
Chapter g19: gThe gSchool-Age gChild
gChapter g20: gThe gAdolescent
UNIT gIV: gAdapting gCare gto gthe gPediatric gPatient
Chapter g21: gThe gChild’s gExperience gof gHospitalization
gChapter g22: gHealth gCare gAdaptations gfor gthe gChild gand
gFamily gUNIT gV: gThe gChild gNeeding gNursing gCare
Chapter g23: gThe gChild gwith ga gSensory gor gNeurological
gCondition gChapter g24: gThe gChild gwith ga gMusculoskeletal
gCondition gChapter g25: gThe gChild gwith ga gRespiratory
gDisorder
Chapter g26: gThe gChild gwith ga gCardiovascular gDisorder
Chapter g27: gThe gChild gwith ga gCondition gof gthe gBlood, gBlood-Forming gOrgans gor gLymphatic gSystem
gChapter g28: gThe gChild gwith ga gGastrointestinal gCondition
Chapter g29: gThe gChild gwith ga gGenitourinary
gCondition gChapter g30: gThe gChild gwith ga gSkin
gCondition g Chapter g31: gThe gChild gwith ga
gMetabolic gCondition
Chapter g32: gChildhood gCommunicable gDiseases, gBioterrorism, gNatural gDisasters gand gthe gMaternal-Child
gPatient
Chapter g33: gThe gChild gwith gan gEmotional gor gBehavioral gCondition
UNIT gVI: gThe gChanging gHealth gCare gEnvironment
Chapter g34: gComplementary gand gAlternative gTherapies gin gMaternity gand gPediatric gNursing
, INTRODUCTION gTO gMATERNITY gAND gPEDIATRIC gNURSING g8TH gEDITION gLEIFER gTEST
gBANK
2
Chapter 01: The Past, Present, and Future
g g g g g g
MULTIPLE gCHOICE
1. A gpatient gchooses gto ghave gthe gcertified gnurse gmidwife g(CNM) gprovide gcare gduring gher gpregnancy. gWhat
gdoes gthe gCNMs gscope gof gpractice ginclude?
a. Practice gindependent g from gmedical g supervision
b. Comprehensive gprenatal gcare
c. Attendance gat gall gdeliveries
d. Cesarean gsections
ANS: gB
The gCNM gprovides gcomprehensive gprenatal gand gpostnatal gcare, gattends guncomplicated gdeliveries, gand
gensures gthat ga g backup g physician g is g available gin g case g of g unforeseen g problems.
DIF: gCognitive g Level: gComprehension gREF: gPage g6
TOP: gAdvance gPractice gNursing gRoles gKEY: gNursing gProcess g Step: gImplementation
MSC: gNCLEX: gHealth gPromotion gand gMaintenance: g Prevention gand gEarly gDetection gof gDisease
2. Which gmedical gpioneer gdiscovered gthe grelationship gbetween gthe gincidence gof gpuerperal gfever gand
gunwashed ghands?
a. Karl gCred
b. Ignaz gSemmelweis
c. Louis g Pasteur
d. Joseph g Lister
ANS: gB
Ignaz gSemmelweis gdeduced gthat gpuerperal gfever gwas gseptic, gcontagious, gand gtransmitted gby gthe gunwashed
ghands gof gphysicians gand gmedical gstudents.
DIF: gCognitive gLevel: gKnowledge gREF: gPage g2
gTOP: gThe gPast gKEY: gNursing gProcess gStep: gN/A
MSC: gNCLEX: g Safe, gEffective gCare gEnvironment: g Safety gand g Infection gControl
3. A gpregnant gwoman gwho ghas grecently gimmigrated gto gthe gUnited gStates gcomments gto gthe gnurse, gI gam
gafraid gof gchildbirth. gIt gis gso gdangerous. gI gam gafraid gI gwill gdie. gWhat gis gthe gbest gnursing gresponse
greflecting gcultural gsensitivity?
a. Maternal g mortality gin gthe gUnited gStates gis g extremely glow.
b. Anesthesia gis gavailable gto grelieve g pain g during glabor gand gchildbirth.
c. Tell g me gwhy gyou gare gafraid gof gchildbirth.
d. Your gcondition gwill gbe gmonitored gduring glabor g and gdelivery.
ANS: gC
Asking gthe gpatient gabout gher gconcerns ghelps g promote gunderstanding gand gindividualizes g patient gcare.
DIF: gCognitive g Level: g Application gREF: gPage g7
TOP: gCross-Cultural gCare gKEY: gNursing gProcess gStep:
gImplementation gMSC: gNCLEX: gPsychosocial gIntegrity:
g Psychological gAdaptation
4. An gurban garea ghas gbeen greported gto g have ga g high gperinatal g mortality grate. g What ginformation g does gthis gprovide?
a. Maternal gand ginfant gdeaths g per g100,000 glive gbirths gper g year
b. Deaths gof gfetuses gweighing gmore gthan g500 g g gper g 10,000 gbirths gper g year
c. Deaths gof ginfants gup gto g1 g year gof gage gper g1000 glive gbirths gper g year
d. Fetal gand gneonatal gdeaths g per g1000 glive gbirths gper g year
ANS: gD
The gperinatal gmortality grate gincludes gfetal gand gneonatal gdeaths gper g1000 glive gbirths gper
g year. gDIF: gCognitive gLevel: gComprehension gREF: gPage g12
, INTRODUCTION gTO gMATERNITY gAND gPEDIATRIC gNURSING g8TH gEDITION gLEIFER gTEST
gBANK
3
OBJ: g9 g TOP: gThe gPresent-Child gCare
KEY: gNursing gProcess g Step: g Implementation
MSC: gNCLEX: gSafe, gEffective gCare gEnvironment: gCoordinated gCare
5. What gis gthe gfocus gof gcurrent g maternity gpractice?
a. Hospital gbirths gfor g the g majority gof g women
b. The gtraditional gfamily gunit
c. Separation gof glabor grooms gfrom gdelivery grooms
d. A gquality gfamily gexperience gfor g each gpatient
ANS: gD
Current gmaternity gpractice gfocuses gon ga ghigh-quality gfamily gexperience gfor gall gfamilies, gtraditional g or g otherwise.
DIF: gCognitive g Level: gComprehension gREF: gPage g6
TOP: gThe gPresent-Maternity gCare gKEY: gNursing gProcess gStep: gN/A
gMSC: gNCLEX: gHealth gPromotion gand gMaintenance
6. Who gadvocated gthe gestablishment gof gthe gChildrens g Bureau?
a. Lillian gWald
b. Florence gNightingale
c. Florence gKelly
d. Clara gBarton
ANS: g A
Lillian gWald gis gcredited gwith gsuggesting gthe gestablishment g of ga gfederal gChildrens gBureau.
DIF: gCognitive g Level: gKnowledge gREF: gPage g4
TOP: gThe gPast gKEY: gNursing gProcess gStep: gImplementation
MSC: gNCLEX: gHealth gPromotion gand gMaintenance: gGrowth gand gDevelopment
7. What gwas g the g result gof gresearch g done gin gthe g 1930s gbythe g Childrens gBureau?
a. Children gwith gheart gproblems gare gnow gcared gfor gby gpediatric gcardiologists.
b. The gChild gAbuse gand gPrevention g Act gwas gpassed.
c. Hot glunch gprograms g were gestablished gin gmany gschools.
d. Childrens gasylums gwere gfounded.
ANS: gC
School ghot glunch gprograms gwere gdeveloped gas ga gresult gof gresearch gby gthe gChildrens gBureau gon gthe
geffects g of geconomic gdepression gon gchildren.
DIF: gCognitive gLevel: gKnowledge gREF: gPage g4
gTOP: gThe gPast gKEY: gNursing gProcess gStep: gN/A
MSC: gNCLEX: gHealth gPromotion gand g Maintenance: gCoordinated gCare
8. What ggovernment g program gwas gimplemented gto gincrease gthe geducational g exposure gof gpreschool g children?
a. WIC
b. Title gXIX gof g Medicaid
c. The gChildrens gCharter
d. Head gStart
ANS: gD
Head gStart gprograms g were gestablished gto gincrease geducational gexposure gof gpreschool gchildren.
DIF: gCognitive g Level: gKnowledge gREF: gPage g3
TOP: gGovernment gInfluences gin gMaternity gand gPediatric gCare gKEY: gNursing gProcess gStep:
gN/A gMSC: g NCLEX: g Health g Promotion g and g Maintenance: g Growth gand g Development
9. What gguidelines gdefine gmultidisciplinary gpatient gcare gin gterms gof gexpected goutcome gand gtimeframe
gfrom gdifferent gareas gof gcare gprovision?
, INTRODUCTION gTO gMATERNITY gAND gPEDIATRIC gNURSING g8TH gEDITION gLEIFER gTEST
gBANK
4
a. Clinical gpathways
b. Nursing goutcome gcriteria
c. Standards gof gcare
d. Nursing gcare gplan
ANS: g A
Clinical gpathways, galso gknown gas gcritical gpathways gor gcare gmaps, gare gcollaborative gguidelines gthat gdefine
gpatient g care g across g disciplines. g Expected g progress g within ga g specified g timeline g is g identified.
DIF: gCognitive g Level: gKnowledge gREF: gPage g12
TOP: gHealth gCare gDelivery gSystems gKEY: gNursing gProcess gStep:
gN/A gMSC: gNCLEX: gSafe, gEffective gCare gEnvironment: gCoordinated
gCare
10. A gnursing gstudent ghas greviewed ga ghospitalized gpediatric gpatient gchart, ginterviewed gher gmother, gand
gcollected gadmission g data. g What g is g the g next g step gthe g student g will g take g to g develop ga g nursing
g care gplan gfor g this g child?
a. Identify gmeasurable goutcomes g with ga gtimeline.
b. Choose gspecific gnursing ginterventions gfor gthe gchild.
c. Determine gappropriate gnursing gdiagnoses.
d. State gnursing gactions grelated gto gthe gchilds g medical gdiagnosis.
ANS: gC
The gnurse guses gassessment gdata gto gselect gappropriate gnursing gdiagnoses gfrom gthe gNANDA-I glist. gOutcomes
gand ginterventions g are g then g developed g to g address g the g relevant g nursing g diagnoses.
DIF: gCognitive g Level: g Application gREF: gPage g11
TOP: gNursing gProcess gKEY: gNursing gProcess gStep: gNursing gDiagnosis
gMSC: gNCLEX: gSafe, gEffective gCare gEnvironment: gCoordinated
gCare
11. A gnursing gstudent gon gan gobstetric grotation gquestions gthe gfloor gnurse gabout gthe gdefinition gof gthe
gLVN/LPN gscopegof gpractice.gWhatgresourcegcangthegnurseNsU u RggSggIe Ns gtgGtgoTBth.gCegOstgMu g dent?
a. American gNurses g Association
b. States gboard gof gnursing
c. Joint gCommission
d. Association gof gWomens gHealth, gObstetric gand gNeonatal g Nurses
ANS: gB
The gscope gof gpractice gof gthe gLVN/LPN gis gpublished gby gthe gstates g board gof g nursing.
DIF: gCognitive gLevel: gComprehension gREF: gPage
g3 gOBJ: g18 gTOP: gCritical gThinking
KEY: gNursing gProcess g Step: g Implementation
MSC: gNCLEX: gSafe, gEffective gCare gEnvironment: gCoordinated gCare
12. What gwas grecommended gby gKarl g Cred gin g1884?
a. All gwomen gshould gbe gdelivered gin ga ghospital g setting.
b. Chemical gmeans gshould gbe gused gto gcombat ginfection.
c. Podalic gversion gshould gbe g done gon gall g fetuses.
d. Silver g nitrate gshould gbe gplaced gin gthe geyes gof g newborns.
ANS: gD
In g1884 gKarl gCred grecommended gthe guse gof g2% gsilver gnitrate gin gthe geyes gof gnewborns gto greduce gthe
gincidence gof gblindness.
DIF: gCognitive g Level: gKnowledge gREF: gPage g2
TOP: gUse gof gSilver gNitrate gKEY: g Nursing gProcess g Step: g N/A
MSC: gNCLEX: gHealth gPromotion gand gMaintenance: g Prevention gand gEarly gDetection gof gDisease
13. What gis gthe g purpose gof gthe g White gHouse gConference gon gChildren gand gYouth?
a. Set gcriteria gfor gnormal ggrowth gpatterns.