TEST BANK i
Test Bank for Introduction to Maternity and Pediatric Nursing
i i i i i i i i
i 9th Edition by Gloria Leifer.
i i i i
Introduction toMaternityand PediatricNursing NINTHEDITION
i i i i i i
Gloria Leifer
i
,TESTBANKIntroductiontoMaternity andPediatricNursing9/EGloriaLeifer
i i i i i i i i i i
Chapter 01: The Past, Present, and Future
i i i i i i
MULTIPLE CHOICE i
1. A patient chooses to have the certified nurse-midwife (CNM) provide care during her
i i i i i i i i i i i i
ipregnancy. What does the CNM’s scope of practice include? i i i i i i i i
a. Practice independent from medical supervision i i i i
b. Comprehensive prenatal care i i
c. Attendance at all deliveries i i i
d. Cesarean sections i
ANS: B i
The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated
i i i i i i i i i
deliveries, and ensures that a backup physician is available in case of unforeseen problems.
i i i i i i i i i i i i i i
DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: 5 i i i i i i i
TOP: Advance Practice Nursing Roles
i KEY: Nursing Process Step: Implementation i i i i i i i
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
i i i i i i i i i i i i
2. Which medical pioneer discovered the relationship between the incidence of puerperal fever
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iand unwashed hands?
i i
a. Karl Credé i
b. Ignaz Semmelweis i
c. Louis Pasteur i
d. Joseph Lister i
ANS: B i
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the
i i i i i i i i i i i i
unwashed hands of physicians and medical students.
i i i i i i i
DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: i i i i
i1 TOP: The Past KEY: Nursing Process Step: N/A
i i i i i i i
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
i i i i i i i i i
3. A pregnant woman who has recently immigrated to the United States comments to the nurse, “I
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iam afraid of childbirth. It is so dangerous. I am afraid I will die.” What is the best nursing
i i i i i i i i i i i i i i i i i i
iresponse reflecting cultural sensitivity? i i i
a. “Maternal mortality in the United States is extremely low.” i i i i i i i i
b. “Anesthesia is available to relieve pain during labor and childbirth.” i i i i i i i i i
c. “Tell me why you are afraid of childbirth.” i i i i i i i
d. “Your condition will be monitored during labor and delivery.”
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ANS: C i
Asking the patient about her concerns helps promote understanding and individualizes patient
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care.
i
DIF: Cognitive Level: Application REF: pp. 6-8 OBJ: 8 i i i i i i i
TOP: Cross-Cultural Care i KEY: Nursing Process Step: Implementation i i i i i
MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
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,4. An urban area has been reported to have a high perinatal mortality rate. What information
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does this provide?
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a. Maternal and infant deaths per 100,000 live births per year i i i i i i i i i
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 i
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
i i i i i i i i i i i i i i
DIF: Cognitive Level: Comprehension REF: p. 13 | Box 1.6 i i i i i i i
OBJ:
i i 9 TOP: The Present-Child Care i i i
KEY: i Nursing Process Step: Implementation i i i
MSC: i NCLEX: Safe, Effective Care Environment: Coordinated Care i i i i i i
5. What is the focus of current maternity practice?
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a. Hospital births for the majority of women i i i i i i
b. The traditional family unit i i i
c. Separation of labor rooms from delivery rooms i i i i i i
d. A quality family experience for each patient
i i i i i i
ANS: D i
Current maternity practice focuses on a high-quality family experience for all families, traditional
i i i i i i i i i i i i
or otherwise.
i i
DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: 5 i i i i i
TOP: The Present-Maternity Care
i i KEY: Nursing Process Step: N/A i i i i i i
MSC: NCLEX: Health Promotion and Maintenance
i i i i i i
6. Who advocated the establishment of the Children’s Bureau?
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a. Lillian Wald i
b. Florence Nightingale i
c. Florence Kelly i
d. Clara Barton i
ANS: A i
Lillian Wald is credited with suggesting the establishment of a federal Children’s Bureau.
i i i i i i i i i i i i
DIF: Cognitive Level: Knowledge REF: p. 4 OBJ: 1 | 2 i i i i i i i
TOP: The Past
i KEY: Nursing Process Step: Implementation
i i i i i i
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
i i i i i i i i
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. i i i i i i i i i i
b. The Child Abuse and Prevention Act was passed.
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c. Hot lunch programs were established in many schools.
i i i i i i i
d. Children’s asylums were founded. i i i
ANS: C i
School hot lunch programs were developed as a result of research by the Children’s Bureau on the
i i i i i i i i i i i i i i i i
effects of economic depression on children.
i i i i i i
DIF: Cognitive Level: Knowledge i i REF: p. 4 i i i OBJ: 2 | 3 i i i i
, TOP: The Past KEY: Nursing Process Step: N/A
i i i i i i
MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care
i i i i i i i
8. What government program was implemented to increase the educational exposure of
i i i i i i i i i i
ipreschool children? i
a. WIC
b. Title XIX of Medicaid i i i
c. The Children’s Charter i i
d. Head Start i
ANS: D i
Head Start programs were established to increase educational exposure of preschool children.
i i i i i i i i i i i
DIF: Cognitive Level: Knowledge REF: p. 3 OBJ: 3 i i i i i i i
TOP: Government Influences in Maternity and Pediatric Care
i KEY: Nursing Process Step: N/A i i i i i i i i i i
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
i i i i i i i i i
9. What guidelines define multidisciplinary patient care in terms of expected outcome and
i i i i i i i i i i i
itimeframe from different areas of care provision? i i i i i i
a. Clinical pathways i
b. Nursing outcome criteria i i
c. Standards of care i i
d. Nursing care plan i i
ANS: A i
Clinical pathways, also known as critical pathways or care maps, are collaborative guidelines that
i i i i i i i i i i i i i
define patient care across disciplines. Expected progress within a specified timeline is
i i i i i i i i i i i i
identified.
i
DIF: Cognitive Level: Knowledge REF: p. 13 OBJ: 10 i i i i i
TOP: Health Care Delivery Systems
i i KEY: Nursing Process Step: N/A i i i i i i i
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
i i i i i i i i
10. A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her mother,
i i i i i i i i i i i i
iand collected admission data. What is the next step the student will take to develop a nursing
i i i i i i i i i i i i i i i i
icare plan for this child?
i i i i
a. Identify measurable outcomes with a timeline. i i i i i
b. Choose specific nursing interventions for the child. i i i i i i
c. Determine appropriate nursing diagnoses. i i i
d. State nursing actions related to the child’s medical diagnosis.
i i i i i i i i
ANS: C i
The nurse uses assessment data to select appropriate nursing diagnoses. Outcomes and
i i i i i i i i i i i
interventions are then developed to address the relevant nursing diagnoses.
i i i i i i i i i i
DIF: Cognitive Level: Application REF: p. 12 OBJ: 7 i i i i i i i
TOP: Nursing Processi KEY: Nursing Process Step: Nursing Diagnosis i i i i i i
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
i i i i i i i i
11. A nursing student on an obstetric rotation questions the floor nurse about the definition of the
i i i i i i i i i i i i i i i
iLVN/LPN scope of practice. What resource can the nurse suggest to the student?
i i i i i i i i i i i i
a. American Nurses Association i i
Test Bank for Introduction to Maternity and Pediatric Nursing
i i i i i i i i
i 9th Edition by Gloria Leifer.
i i i i
Introduction toMaternityand PediatricNursing NINTHEDITION
i i i i i i
Gloria Leifer
i
,TESTBANKIntroductiontoMaternity andPediatricNursing9/EGloriaLeifer
i i i i i i i i i i
Chapter 01: The Past, Present, and Future
i i i i i i
MULTIPLE CHOICE i
1. A patient chooses to have the certified nurse-midwife (CNM) provide care during her
i i i i i i i i i i i i
ipregnancy. What does the CNM’s scope of practice include? i i i i i i i i
a. Practice independent from medical supervision i i i i
b. Comprehensive prenatal care i i
c. Attendance at all deliveries i i i
d. Cesarean sections i
ANS: B i
The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated
i i i i i i i i i
deliveries, and ensures that a backup physician is available in case of unforeseen problems.
i i i i i i i i i i i i i i
DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: 5 i i i i i i i
TOP: Advance Practice Nursing Roles
i KEY: Nursing Process Step: Implementation i i i i i i i
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
i i i i i i i i i i i i
2. Which medical pioneer discovered the relationship between the incidence of puerperal fever
i i i i i i i i i i i
iand unwashed hands?
i i
a. Karl Credé i
b. Ignaz Semmelweis i
c. Louis Pasteur i
d. Joseph Lister i
ANS: B i
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the
i i i i i i i i i i i i
unwashed hands of physicians and medical students.
i i i i i i i
DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: i i i i
i1 TOP: The Past KEY: Nursing Process Step: N/A
i i i i i i i
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
i i i i i i i i i
3. A pregnant woman who has recently immigrated to the United States comments to the nurse, “I
i i i i i i i i i i i i i i i
iam afraid of childbirth. It is so dangerous. I am afraid I will die.” What is the best nursing
i i i i i i i i i i i i i i i i i i
iresponse reflecting cultural sensitivity? i i i
a. “Maternal mortality in the United States is extremely low.” i i i i i i i i
b. “Anesthesia is available to relieve pain during labor and childbirth.” i i i i i i i i i
c. “Tell me why you are afraid of childbirth.” i i i i i i i
d. “Your condition will be monitored during labor and delivery.”
i i i i i i i i
ANS: C i
Asking the patient about her concerns helps promote understanding and individualizes patient
i i i i i i i i i i i
care.
i
DIF: Cognitive Level: Application REF: pp. 6-8 OBJ: 8 i i i i i i i
TOP: Cross-Cultural Care i KEY: Nursing Process Step: Implementation i i i i i
MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
i i i i i i
,4. An urban area has been reported to have a high perinatal mortality rate. What information
i i i i i i i i i i i i i i
does this provide?
i i i
a. Maternal and infant deaths per 100,000 live births per year i i i i i i i i i
b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
i i i i i i i i i i i i
c. Deaths of infants up to 1 year of age per 1000 live births per year
i i i i i i i i i i i i i i
d. Fetal and neonatal deaths per 1000 live births per year
i i i i i i i i i
ANS: D i
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
i i i i i i i i i i i i i i
DIF: Cognitive Level: Comprehension REF: p. 13 | Box 1.6 i i i i i i i
OBJ:
i i 9 TOP: The Present-Child Care i i i
KEY: i Nursing Process Step: Implementation i i i
MSC: i NCLEX: Safe, Effective Care Environment: Coordinated Care i i i i i i
5. What is the focus of current maternity practice?
i i i i i i i
a. Hospital births for the majority of women i i i i i i
b. The traditional family unit i i i
c. Separation of labor rooms from delivery rooms i i i i i i
d. A quality family experience for each patient
i i i i i i
ANS: D i
Current maternity practice focuses on a high-quality family experience for all families, traditional
i i i i i i i i i i i i
or otherwise.
i i
DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: 5 i i i i i
TOP: The Present-Maternity Care
i i KEY: Nursing Process Step: N/A i i i i i i
MSC: NCLEX: Health Promotion and Maintenance
i i i i i i
6. Who advocated the establishment of the Children’s Bureau?
i i i i i i i
a. Lillian Wald i
b. Florence Nightingale i
c. Florence Kelly i
d. Clara Barton i
ANS: A i
Lillian Wald is credited with suggesting the establishment of a federal Children’s Bureau.
i i i i i i i i i i i i
DIF: Cognitive Level: Knowledge REF: p. 4 OBJ: 1 | 2 i i i i i i i
TOP: The Past
i KEY: Nursing Process Step: Implementation
i i i i i i
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
i i i i i i i i
7. What was the result of research done in the 1930s by the Children’s Bureau?
i i i i i i i i i i i i i
a. Children with heart problems are now cared for by pediatric cardiologists. i i i i i i i i i i
b. The Child Abuse and Prevention Act was passed.
i i i i i i i
c. Hot lunch programs were established in many schools.
i i i i i i i
d. Children’s asylums were founded. i i i
ANS: C i
School hot lunch programs were developed as a result of research by the Children’s Bureau on the
i i i i i i i i i i i i i i i i
effects of economic depression on children.
i i i i i i
DIF: Cognitive Level: Knowledge i i REF: p. 4 i i i OBJ: 2 | 3 i i i i
, TOP: The Past KEY: Nursing Process Step: N/A
i i i i i i
MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care
i i i i i i i
8. What government program was implemented to increase the educational exposure of
i i i i i i i i i i
ipreschool children? i
a. WIC
b. Title XIX of Medicaid i i i
c. The Children’s Charter i i
d. Head Start i
ANS: D i
Head Start programs were established to increase educational exposure of preschool children.
i i i i i i i i i i i
DIF: Cognitive Level: Knowledge REF: p. 3 OBJ: 3 i i i i i i i
TOP: Government Influences in Maternity and Pediatric Care
i KEY: Nursing Process Step: N/A i i i i i i i i i i
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
i i i i i i i i i
9. What guidelines define multidisciplinary patient care in terms of expected outcome and
i i i i i i i i i i i
itimeframe from different areas of care provision? i i i i i i
a. Clinical pathways i
b. Nursing outcome criteria i i
c. Standards of care i i
d. Nursing care plan i i
ANS: A i
Clinical pathways, also known as critical pathways or care maps, are collaborative guidelines that
i i i i i i i i i i i i i
define patient care across disciplines. Expected progress within a specified timeline is
i i i i i i i i i i i i
identified.
i
DIF: Cognitive Level: Knowledge REF: p. 13 OBJ: 10 i i i i i
TOP: Health Care Delivery Systems
i i KEY: Nursing Process Step: N/A i i i i i i i
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
i i i i i i i i
10. A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her mother,
i i i i i i i i i i i i
iand collected admission data. What is the next step the student will take to develop a nursing
i i i i i i i i i i i i i i i i
icare plan for this child?
i i i i
a. Identify measurable outcomes with a timeline. i i i i i
b. Choose specific nursing interventions for the child. i i i i i i
c. Determine appropriate nursing diagnoses. i i i
d. State nursing actions related to the child’s medical diagnosis.
i i i i i i i i
ANS: C i
The nurse uses assessment data to select appropriate nursing diagnoses. Outcomes and
i i i i i i i i i i i
interventions are then developed to address the relevant nursing diagnoses.
i i i i i i i i i i
DIF: Cognitive Level: Application REF: p. 12 OBJ: 7 i i i i i i i
TOP: Nursing Processi KEY: Nursing Process Step: Nursing Diagnosis i i i i i i
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
i i i i i i i i
11. A nursing student on an obstetric rotation questions the floor nurse about the definition of the
i i i i i i i i i i i i i i i
iLVN/LPN scope of practice. What resource can the nurse suggest to the student?
i i i i i i i i i i i i
a. American Nurses Association i i
