TestuBanku-uIntroductionutouMaternityuanduPediatricuNursingu8eu(byuLeifer) 2
Chapter 01: The Past, Present, and Future
u u u u u u
MULTIPLEu CHOICE
1. Au patientu choosesu tou haveu theu certifiedu nurseu midwifeu (CNM)u provideu careu duringu heru pregnancy.u Whatu doesu
theuCNMsuscopeuofupracticeuinclude?
a. Practiceu independentu fromu medicalu supervision
b. Comprehensiveu prenatalu care
c. Attendanceu atu allu deliveries
d. Cesareanu sections
ANS:uB
Theu CNMu providesu comprehensiveu prenatalu andu postnatalu care,u attendsu uncomplicatedu deliveries,u andu ensuresut
hatuaubackupuphysicianuisuavailableuinucaseuofuunforeseenuproblems.
DIF:u Cognitiveu Level:u Comprehensionu REF:u Pageu 6
TOP:u Advanceu Practiceu Nursingu Rolesu KEY:u Nursingu Processu Step:u Implementation
MSC:u NCLEX:u Healthu Promotionu andu Maintenance:u Preventionu andu Earlyu Detectionu ofu Disease
2. Whichu medicalu pioneeru discoveredu theu relationshipu betweenu theu incidenceu ofu puerperalu feveru andu unwashedu
hands?
a. KarluCred
b. Ignazu Semmelweis
c. Louisu Pasteur
d. Josephu Lister
ANS:uB
Ignazu Semmelweisu deducedu thatu puerperalu feveru wasu septic,u contagious,u andu transmittedu byu theu unwasheduhand
suofuphysiciansuandumedicalustudents.
DIF:uCognitiveuLevel:uKnowledgeuREF:uPageu2u
TOP:u Theu Pastu KEY:u Nursingu Processu Step:u N/A
MSC:u NCLEX:u Safe,u Effectiveu Careu Environment:u Safetyu andu Infectionu Control
3. Au pregnantu womanu whou hasu recentlyu immigratedu tou theu Unitedu Statesu commentsu tou theu nurse,u Iu amu afraidu ofu
childbirth.uItuisusoudangerous.uIuamuafraiduIuwilludie.uWhatuisutheubestunursinguresponseureflectinguculturalusen
sitivity?
a. Maternalu mortalityuinu theu Unitedu Statesu isu extremelyu low.
b. Anesthesiau isu availableu tou relieveu painu duringu laboru andu childbirth.
c. Tellumeuwhyuyouuareuafraiduofuchildbirth.
d. Youruconditionu willu beu monitoredu duringu laboru andu delivery.
ANS:uC
Askingu theu patientu aboutu heru concernsu helpsu promoteu understandingu andu individualizesu patientu care.
DIF:u Cognitiveu Level:u Applicationu REF:u Pageu 7
TOP:u Cross-
Culturalu Careu KEY:u Nursingu Processu Step:u ImplementationuMSC:u NCLE
X:u Psychosocialu Integrity:u Psychologicalu Adaptation
4. Anu urbanu areau hasu beenu reportedu tou haveu au highu perinatalu mortalityu rate.u Whatu informationu doesu thisu provide?
a. Maternalu anduinfantu deathsu peru 100,000u liveu birthsu peru year
b. Deathsu ofufetusesu weighingu moreu thanu 500u gu peru 10,000u birthsu peru year
c. Deathsuofuinfantsuuputou1uyearuofuageuperu1000uliveubirthsuperuyear
d. Fetalu andu neonatalu deathsu peru 1000u liveu birthsu peruyear
ANS:uD
Theu perinatalu mortalityu rateu includesu fetalu andu neonatalu deathsu peru 1000u liveu birthsu peru year.u
DIF:uCognitiveuLevel:uComprehensionuREF:uPageu12
, INTRODUCTIONuTOuMATERNITYuANDuPEDIATRICuNURSINGu8THuEDITIONuLEIFERuTESTuBANK
TestuBanku-uIntroductionutouMaternityuanduPediatricuNursingu8eu(byuLeifer) 3
OBJ:u 9u TOP:u Theu Present-Childu Care
KEY:u Nursingu Processu Step:u Implementation
MSC:u NCLEX:u Safe,u Effectiveu Careu Environment:u Coordinatedu Care
5. Whatu isu theu focusuofu currentu maternityu practice?
a. Hospitalu birthsu foru theu majorityu ofu women
b. Theutraditionalu familyu unit
c. Separationu ofu laboru roomsu fromu deliveryu rooms
d. Auqualityu familyu experienceu foru eachu patient
ANS:uD
Currentu maternityu practiceu focusesu onu au high-qualityu familyu experienceu foru allu families,u traditionalu oru otherwise.
DIF:u Cognitiveu Level:u Comprehensionu REF:u Pageu 6
TOP:u Theu Present-
Maternityu Careu KEY:u Nursingu Processu Step:u N/AuMSC:uNCLEX:uHealthu
PromotionuanduMaintenance
6. Whou advocatedu theu establishmentu ofu theu Childrensu Bureau?
a. LillianuWald
b. Florenceu Nightingale
c. Florenceu Kelly
d. Clarau Barton
ANS:uA
Lillianu Waldu isu creditedu withu suggestingu theu establishmentu ofu au federalu Childrensu Bureau.
DIF:u Cognitiveu Level:u Knowledgeu REF:u Pageu 4
TOP:u Theu Pastu KEY:u Nursingu Processu Step:u Implementation
MSC:u NCLEX:u Healthu Promotionu andu Maintenance:u Growthu andu Development
NURSINGTB.COM
7. Whatu wasu theu resultu ofu researchu doneu inu theu 1930su byu theu Childrensu Bureau?
a. Childrenu withu heartu problemsu areu nowu caredu foru byu pediatricu cardiologists.
b. TheuChildu Abuseu andu Preventionu Actu wasu passed.
c. Hotu lunchu programsu wereu establishedu inu manyu schools.
d. Childrensu asylumsu wereu founded.
ANS:uC
Schoolu hotu lunchu programsu wereu developedu asu au resultu ofu researchu byu theu Childrensu Bureauu onu theu effectsu ofuec
onomicudepressionuonuchildren.
DIF:uCognitiveuLevel:uKnowledgeuREF:uPageu4u
TOP:u Theu Pastu KEY:u Nursingu Processu Step:u N/A
MSC:u NCLEX:u Healthu Promotionu andu Maintenance:u Coordinatedu Care
8. Whatu governmentu programu wasu implementedu tou increaseu theu educationalu exposureu ofu preschoolu children?
a. WIC
b. Titleu XIXu ofu Medicaid
c. Theu Childrensu Charter
d. HeaduStart
ANS:uD
Headu Startu programsu wereu establishedu tou increaseu educationalu exposureu ofu preschoolu children.
DIF:u Cognitiveu Level:u Knowledgeu REF:u Pageu 3
TOP:u Governmentu Influencesu inu Maternityu andu Pediatricu Careu KEY:u Nursingu Processu Step:u N/Au
MSC:uNCLEX:uHealthuPromotionuanduMaintenance:uGrowthuanduDevelopment
9. Whatu guidelinesu defineu multidisciplinaryu patientu careu inu termsu ofu expectedu outcomeu andu timeframeu fromu
differentuareasuofucareuprovision?
, INTRODUCTIONuTOuMATERNITYuANDuPEDIATRICuNURSINGu8THuEDITIONuLEIFERuTESTuBANK
TestuBanku-uIntroductionutouMaternityuanduPediatricuNursingu8eu(byuLeifer) 4
a. Clinicalu pathways
b. Nursingu outcomeu criteria
c. Standardsu ofu care
d. Nursingu careu plan
ANS:uA
Clinicalu pathways,u alsou knownu asu criticalu pathwaysu oru careu maps,u areu collaborativeu guidelinesu thatu defineupatien
tucareuacrossudisciplines.uExpecteduprogressuwithinuauspecifiedutimelineuisuidentified.
DIF:u Cognitiveu Level:u Knowledgeu REF:u Pageu 12
TOP:u Healthu Careu Deliveryu Systemsu KEY:u Nursingu Processu Step:u N/AuM
SC:u NCLEX:u Safe,u Effectiveu Careu Environment:u Coordinatedu Care
10. Au nursingu studentu hasu reviewedu au hospitalizedu pediatricu patientu chart,u interviewedu heru mother,u andu collectedu
admissionudata.uWhatuisutheunextusteputheustudentuwillutakeutoudevelopuaunursingucareuplanuforuthisuchild?
a. Identifyu measurableu outcomesu withu au timeline.
b. Chooseu specificu nursingu interventionsu foru theu child.
c. Determineu appropriateu nursingu diagnoses.
d. Stateu nursingu actionsu relatedu tou theu childsu medicalu diagnosis.
ANS:uC
Theu nurseu usesuassessmentu datau tou selectu appropriateu nursingu diagnosesu fromu theu NANDA-
Iu list.u Outcomesu anduinterventionsuareuthenudevelopedutouaddressutheurelevantunursingudiagnoses.
DIF:u Cognitiveu Level:u Applicationu REF:u Pageu 11
TOP:u Nursingu Processu KEY:u Nursingu Processu Step:u Nursingu DiagnosisuM
SC:u NCLEX:u Safe,u Effectiveu Careu Environment:u Coordinatedu Care
11. Au nursingu studentu onu anu obstetricu rotationu questionsu theu flooru nurseu aboutu theudefinitionu ofu theu LVN/LPNu
scopeuofupractice.uWhaturesourceucanutheunurseNsUuR ggSeI N
stGtoTBth.C
eOstM
udent?
a. Americanu Nursesu Association
b. Statesu boarduofu nursing
c. Jointu Commission
d. Associationu ofu Womensu Health,u Obstetricu andu Neonatalu Nurses
ANS:uB
Theu scopeu ofu practiceu ofutheu LVN/LPNu isu publishedu byu theustatesu boardu ofu nursing.
DIF:uCognitiveuLevel:uComprehensionuREF:uPageu3uOB
J:u18uTOP:uCriticaluThinking
KEY:u Nursingu Processu Step:u Implementation
MSC:u NCLEX:u Safe,u Effectiveu Careu Environment:u Coordinatedu Care
12. Whatu wasu recommendedu byu Karlu Credu inu 1884?
a. Allu womenu shouldu beu deliveredu inu au hospitalu setting.
b. Chemicalu meansu shouldu beu usedu tou combatu infection.
c. Podalicu versionu shouldu beu doneu onu allu fetuses.
d. Silveru nitrateu shouldubeu placedu inu theu eyesu ofu newborns.
ANS:uD
Inu1884u Karlu Credu recommendedu theu useu ofu 2%u silveru nitrateu inu theueyesu ofu newbornsu tou reduceu theu incidenceu ofubli
ndness.
DIF:u Cognitiveu Level:u Knowledgeu REF:u Pageu 2
TOP:u Useu ofu Silveru Nitrateu KEY:u Nursingu Processu Step:u N/A
MSC:u NCLEX:u Healthu Promotionu andu Maintenance:u Preventionu andu Earlyu Detectionu ofu Disease
13. Whatu isu theu purposeu ofu theu Whiteu Houseu Conferenceu onu Childrenu andu Youth?
a. Setucriteriau foru normalu growthu patterns.
, INTRODUCTIONuTOuMATERNITYuANDuPEDIATRICuNURSINGu8THuEDITIONuLEIFERuTESTuBANK
TestuBanku-uIntroductionutouMaternityuanduPediatricuNursingu8eu(byuLeifer) 5
b. Examineutheu numberu ofu liveu birthsu inu minorityu populations.
c. Raiseu moneyu tou supportu well-childu clinicsu inu ruralu areas.
d. Promoteu comprehensiveu childu welfare.
ANS:u D
Whiteu Houseu Conferencesu onu Childrenu anduYouthu areu heldu everyu 10u yearsu tou promoteu comprehensiveu childuwelfar
e.
DIF:u Cognitiveu Level:u Knowledgeu REF:u Pageu 4
TOP:u Whiteu Houseu Conferencesu KEY:u Nursingu Processu Step:u N/A
MSC:u NCLEX:u Healthu Promotionu andu Maintenance:u Preventionu andu Earlyu Detectionu ofu Disease
14. Howu manyu hoursu ofu hospitalu stayu doesu legislationu currentlyu allowu foru au postpartumu patientu whou hasu
delivereduvaginallyuwithoutucomplications?
a. 24
b. 48
c. 36
d. 72
ANS:uB
Postpartumu patientsu whou deliveru vaginallyu stayu inu theu hospitalu foru anu averageu ofu 48u hours;u patientsu whou haveuha
duaucesareanudeliveryuusuallyustayu4udays.
DIF:u Cognitiveu Level:u Knowledgeu REF:u Pageu 6uT
OP:uHospitaluTermsuforuPostpartumuPatientsuK
EY:uNursinguProcessuStep:uPlanning
MSC:u NCLEX:u Healthu Promotionu andu Maintenance:u Preventionu andu Earlyu Detectionu ofu Disease
15. Howu doesutheu clinicalu pathwayu oru criticalu pathwayu improveu qualityu ofu care?
a. Listsu diagnosis-specificu implementations
b. Outlinesu expectedu progressu withu statedu timelines
c. Prioritizesu effectiveu nursingu diagnoses
d. Describesu commonu complications
ANS:uB
Criticalu pathwaysu outlineu expectedu progressu withu statedu timelines.u Anyu deviationu fromu thoseu timelinesu isu calledu
auvariance.
DIF:u Cognitiveu Level:u Comprehensionu REF:u Pageu 12
TOP:u Criticalu Pathwayu KEY:u Nursingu Processu Step:u ImplementationuMS
C:u NCLEX:u Safe,u Effectiveu Careu Environment:u Coordinatedu Care
16. Au patientu asksutheu nurseu tou explainu whatu isu meantu byu geneutherapy.u Whatu isu theu nursesu bestu response?
a. Geneu therapyu canu replaceu missingu genes.
b. Geneu therapyu evaluatesu theu parentsu genes.
c. Geneutherapyucanuchangeutheusexuofutheufetus.
d. Geneu therapyu supportsu theu regenerationu ofu defectiveu genes.
ANS:uA
Geneu therapyu canu replaceu missingu oru defectiveu genes.
DIF:u Cognitiveu Level:u Knowledgeu REF:u Pageu 8
TOP:u Geneu Therapyu KEY:u Nursingu Processu Step:u Implementation
MSC:u NCLEX:u Healthu Promotionu andu Maintenance:u Preventionu andu Earlyu Detectionu ofu Disease
17. Theu nurseu isu clarifyingu informationu tou au patientu regardingu diagnosis-
relatedu groupsu (DRGs).u Whatu isu theunursesubesturesponseuwhenutheupatientuasksuhowuDRGsureduceumedical
ucareucosts?
a. Byu determiningu paymentu basedu onu diagnosis
b. Byu requiringu twou medicalu opinionsu tou confirmu au diagnosis