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TEST BANK - Leifer’s Introduction to
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Maternity and Pediatric Nursing 10th
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Edition by Kim Cooper, Kelly Gosnell
ALL ANSWERS APPROVED|
CHAPTER 1-34
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Chapter 01: The Past, Present, and Future
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MULTIPLE CHOICE
1. A patient chooses to have the certified nurse-midwife (CNM) provide care during her pregnancy. What does
the CNM‗s scope of practice include?
c
a. Practice independent from medical supervision
b. Comprehensive prenatal care
c. Attendance at all deliveries
d. Cesarean sections
CORRECT 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.
DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: 5
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 fever and unwashed
hands?
a. Karl Credé
b. Ignaz Semmelweis
c. Louis Pasteur
d. Joseph Lister
CORRECT ANSWER: 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: p. 2 OBJ: 1 TOP: 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.‖
2
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c. ―Tell me why you are afraid of childbirth.‖
d. ―Your condition will be monitored during labor and delivery.‖
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CORRECT ANSWER: C
c
Asking the patient about her concerns helps promote understanding and individualizes patient care.
DIF: Cognitive Level: Application REF: pp. 6-8 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
CORRECT ANSWER: D
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
DIF: Cognitive Level: Comprehension REF: p. 13 | Box 1.6 OBJ: 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
CORRECT ANSWER: D
Current maternity practice focuses on a high-quality family experience for all families, traditional or otherwise.
DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: 5 TOP: The Present-Maternity Care KEY:
Nursing Process Step: N/A MSC: NCLEX: Health Promotion and Maintenance
6. Who advocated the establishment of the Children‗s Bureau?
3
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a. Lillian Wald
b. Florence Nightingale
Do
c. Florence Kelly
c
d. Clara Barton
CORRECT ANSWER: A
Lillian Wald is credited with suggesting the establishment of a federal Children‗s Bureau.
DIF: Cognitive Level: Knowledge REF: p. 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 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.
d. Children‗s asylums were founded.
CORRECT 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.
DIF: Cognitive Level: Knowledge REF: p. 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 of preschool children?
a. WIC
b. Title XIX of Medicaid
c. The Children‗s Charter
d. Head Start
CORRECT ANSWER: D
Head Start programs were established to increase educational exposure of preschool children.
DIF: Cognitive Level: Knowledge REF: p. 3 OBJ: 3
4
ch
TEST BANK - Leifer’s Introduction to
Do
Maternity and Pediatric Nursing 10th
c
Edition by Kim Cooper, Kelly Gosnell
ALL ANSWERS APPROVED|
CHAPTER 1-34
1
, Ar
ch
Chapter 01: The Past, Present, and Future
Do
MULTIPLE CHOICE
1. A patient chooses to have the certified nurse-midwife (CNM) provide care during her pregnancy. What does
the CNM‗s scope of practice include?
c
a. Practice independent from medical supervision
b. Comprehensive prenatal care
c. Attendance at all deliveries
d. Cesarean sections
CORRECT 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.
DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: 5
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 fever and unwashed
hands?
a. Karl Credé
b. Ignaz Semmelweis
c. Louis Pasteur
d. Joseph Lister
CORRECT ANSWER: 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: p. 2 OBJ: 1 TOP: 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.‖
2
, Ar
ch
c. ―Tell me why you are afraid of childbirth.‖
d. ―Your condition will be monitored during labor and delivery.‖
Do
CORRECT ANSWER: C
c
Asking the patient about her concerns helps promote understanding and individualizes patient care.
DIF: Cognitive Level: Application REF: pp. 6-8 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
CORRECT ANSWER: D
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
DIF: Cognitive Level: Comprehension REF: p. 13 | Box 1.6 OBJ: 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
CORRECT ANSWER: D
Current maternity practice focuses on a high-quality family experience for all families, traditional or otherwise.
DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: 5 TOP: The Present-Maternity Care KEY:
Nursing Process Step: N/A MSC: NCLEX: Health Promotion and Maintenance
6. Who advocated the establishment of the Children‗s Bureau?
3
, Ar
ch
a. Lillian Wald
b. Florence Nightingale
Do
c. Florence Kelly
c
d. Clara Barton
CORRECT ANSWER: A
Lillian Wald is credited with suggesting the establishment of a federal Children‗s Bureau.
DIF: Cognitive Level: Knowledge REF: p. 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 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.
d. Children‗s asylums were founded.
CORRECT 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.
DIF: Cognitive Level: Knowledge REF: p. 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 of preschool children?
a. WIC
b. Title XIX of Medicaid
c. The Children‗s Charter
d. Head Start
CORRECT ANSWER: D
Head Start programs were established to increase educational exposure of preschool children.
DIF: Cognitive Level: Knowledge REF: p. 3 OBJ: 3
4
