, 1
Davis.Advantage.for.Maternal-Child.Nursing.Care.3rd.Edition.Scannell
Ruggiero.Test.Bank
Chapter.1.Core.Concepts.of.Maternal.and.Pediatric.Healthcare.Across.the.Continuum
MULTIPLE.CHOICE
A.patient.chooses.to.have.the.certified.nurse.midwife.(CNM).provide.care.during
.her.pregnancy..What.does.the.CNMs.scope.of.practice.include?
• Practice.independent.from.medical.supervision
• Comprehensive.prenatal.care
• Attendance.at.all.deliveries
• Cesarean.sections
ANS:B.-
.The.CNM.provides.comprehensive.prenatal.and.postnatal.care,.attends.uncomplicated.deliverie
s,.and.ensures.that.a.backup.physician.is.available.in.case.of.unforeseen
problems.
REF:.Page.6
Which.medical.pioneer.discovered.the.relationship.between.the.incidence.of.pu
erperal.fever.and.unwashed.hands?
• Karl.Cred
• Ignaz.Semmelweis
• Louis.Pasteur
• Joseph.List
ANS;B.-
.Ignaz.Semmelweis.deduced.that.puerperal.fever.was.septic,.contagious,.and.transmitted.by.the.unwashe
d.hands.of.physicians.and.medical.students.
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.n
ursing.response.reflecting.cultural.sensitivity?
• Maternal.mortality.in.the.United.States.is.extremely.low.
• Anesthesia.is.available.to.relieve.pain.during.labor.and.childbirth.
• Tell.me.why.you.are.afraid.of.childbirth.
• Your.condition.will.be.monitored.during.labor.and.delivery.
, 2
ANS;C.-
.Asking.the.patient.about.her.concerns.helps.promote.understanding.and.individualizes.patient.c
are.
• An.urban.area.has.been.reported.to.have.a.high.perinatal.mortality.rate..What.i
nformation.does.this.provide?
• Maternal.and.infant.deaths.per.100,000.live.births.per.year
• Deaths.of.fetuses.weighing.more.than.500.g.per.10,000.births.per.year
• Deaths.of.infants.up.to.1.year.of.age.per.1000.live.births.per.year
• 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.
• What.is.the.focus.of.current.maternity.practice?
• Hospital.births.for.the.majority.of.women
• The.traditional.family.unit
• Separation.of.labor.rooms.from.delivery.rooms
• 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.
:.REF:.Page.6.7.:.The.Present-Maternity.Care.N/A.:.Health.Promotion.and.Maintenance
• Who.advocated.the.establishment.of.the.Childrens.Bureau?
• Lillian.Wald
• Florence.Nightingale
• Florence.Kelly
• Clara.Barton
ANS:A.-.Lillian.Wald.is.credited.with.suggesting.the.establishment.of.a.federal.Childrens.Bureau.
• What.was.the.result.of.research.done.in.the.1930s.by.the.Childrens.Bureau?
• Children.with.heart.problems.are.now.cared.for.by.pediatric.cardiologists.
• The.Child.Abuse.and.Prevention.Act.was.passed.
• Hot.lunch.programs.were.established.in.many.schools.
• Childrens.asylums.were.founded.
ANS;C.-.School.hot.lunch.programs.were.developed.as.a.result.of.research.by.the.Childrens.Bureau.on
, 3
The.effects.of.economic.depression.on.children.
• What.government.program.was.implemented.to.increase.the.educational.
exposure.of.preschool.children?
• WIC
• Title.XIX.of.Medicaid
• The.Childrens.Charter
• Head.Start
ANS:D.-.Head.Start.programs.were.established.to.increase.educational.exposure.of.preschool.children.
• What.guidelines.define.multidisciplinary.patient.care.in.terms.of.expected.
outcome.and.timeframe.from.different.areas.of.care.provision?
• Clinical.pathways
• Nursing.outcome.criteria
• Standards.of.care
• Nursing.care.plan
ANS:A.-
.Clinical.pathways,.also.known.as.critical.pathways.or.care.maps,.are.collaborative.guidelin
es.that.define.patient.care.across.disciplines..Expected.progress.within.a.specified.timelin
e.is.identified.
• A.nursing.student.has.reviewed.a.hospitalized.pediatric.patient.chart,.interviewed.
her.mother,.and.collected.admission.data..What.is.the.next.step.the.student.will.take.t
o.develop.a.nursing.care.plan.for.this.child?
• Identify.measurable.outcomes.with.a.timeline.
• Choose.specific.nursing.interventions.for.the.child.
• Determine.appropriate.nursing.diagnoses.
• State.nursing.actions.related.to.the.childs.medical.diagnosis.
ANS;C.-.The.nurse.uses.assessment.data.to.select.appropriate.nursing.diagnoses.from.the.NANDA-
I.list..Outcomes.and.interventions.are.then.developed.to.address.the.relevant.nursing.diagnoses.
• A.nursing.student.on.an.obstetric.rotation.questions.the.floor.nurse.about.the.
definition.of.the.LVN/LPN.scope.of.practice..What.resource.can.the.nurse.suggest.t
o.the.student?
Davis.Advantage.for.Maternal-Child.Nursing.Care.3rd.Edition.Scannell
Ruggiero.Test.Bank
Chapter.1.Core.Concepts.of.Maternal.and.Pediatric.Healthcare.Across.the.Continuum
MULTIPLE.CHOICE
A.patient.chooses.to.have.the.certified.nurse.midwife.(CNM).provide.care.during
.her.pregnancy..What.does.the.CNMs.scope.of.practice.include?
• Practice.independent.from.medical.supervision
• Comprehensive.prenatal.care
• Attendance.at.all.deliveries
• Cesarean.sections
ANS:B.-
.The.CNM.provides.comprehensive.prenatal.and.postnatal.care,.attends.uncomplicated.deliverie
s,.and.ensures.that.a.backup.physician.is.available.in.case.of.unforeseen
problems.
REF:.Page.6
Which.medical.pioneer.discovered.the.relationship.between.the.incidence.of.pu
erperal.fever.and.unwashed.hands?
• Karl.Cred
• Ignaz.Semmelweis
• Louis.Pasteur
• Joseph.List
ANS;B.-
.Ignaz.Semmelweis.deduced.that.puerperal.fever.was.septic,.contagious,.and.transmitted.by.the.unwashe
d.hands.of.physicians.and.medical.students.
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.n
ursing.response.reflecting.cultural.sensitivity?
• Maternal.mortality.in.the.United.States.is.extremely.low.
• Anesthesia.is.available.to.relieve.pain.during.labor.and.childbirth.
• Tell.me.why.you.are.afraid.of.childbirth.
• Your.condition.will.be.monitored.during.labor.and.delivery.
, 2
ANS;C.-
.Asking.the.patient.about.her.concerns.helps.promote.understanding.and.individualizes.patient.c
are.
• An.urban.area.has.been.reported.to.have.a.high.perinatal.mortality.rate..What.i
nformation.does.this.provide?
• Maternal.and.infant.deaths.per.100,000.live.births.per.year
• Deaths.of.fetuses.weighing.more.than.500.g.per.10,000.births.per.year
• Deaths.of.infants.up.to.1.year.of.age.per.1000.live.births.per.year
• 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.
• What.is.the.focus.of.current.maternity.practice?
• Hospital.births.for.the.majority.of.women
• The.traditional.family.unit
• Separation.of.labor.rooms.from.delivery.rooms
• 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.
:.REF:.Page.6.7.:.The.Present-Maternity.Care.N/A.:.Health.Promotion.and.Maintenance
• Who.advocated.the.establishment.of.the.Childrens.Bureau?
• Lillian.Wald
• Florence.Nightingale
• Florence.Kelly
• Clara.Barton
ANS:A.-.Lillian.Wald.is.credited.with.suggesting.the.establishment.of.a.federal.Childrens.Bureau.
• What.was.the.result.of.research.done.in.the.1930s.by.the.Childrens.Bureau?
• Children.with.heart.problems.are.now.cared.for.by.pediatric.cardiologists.
• The.Child.Abuse.and.Prevention.Act.was.passed.
• Hot.lunch.programs.were.established.in.many.schools.
• Childrens.asylums.were.founded.
ANS;C.-.School.hot.lunch.programs.were.developed.as.a.result.of.research.by.the.Childrens.Bureau.on
, 3
The.effects.of.economic.depression.on.children.
• What.government.program.was.implemented.to.increase.the.educational.
exposure.of.preschool.children?
• WIC
• Title.XIX.of.Medicaid
• The.Childrens.Charter
• Head.Start
ANS:D.-.Head.Start.programs.were.established.to.increase.educational.exposure.of.preschool.children.
• What.guidelines.define.multidisciplinary.patient.care.in.terms.of.expected.
outcome.and.timeframe.from.different.areas.of.care.provision?
• Clinical.pathways
• Nursing.outcome.criteria
• Standards.of.care
• Nursing.care.plan
ANS:A.-
.Clinical.pathways,.also.known.as.critical.pathways.or.care.maps,.are.collaborative.guidelin
es.that.define.patient.care.across.disciplines..Expected.progress.within.a.specified.timelin
e.is.identified.
• A.nursing.student.has.reviewed.a.hospitalized.pediatric.patient.chart,.interviewed.
her.mother,.and.collected.admission.data..What.is.the.next.step.the.student.will.take.t
o.develop.a.nursing.care.plan.for.this.child?
• Identify.measurable.outcomes.with.a.timeline.
• Choose.specific.nursing.interventions.for.the.child.
• Determine.appropriate.nursing.diagnoses.
• State.nursing.actions.related.to.the.childs.medical.diagnosis.
ANS;C.-.The.nurse.uses.assessment.data.to.select.appropriate.nursing.diagnoses.from.the.NANDA-
I.list..Outcomes.and.interventions.are.then.developed.to.address.the.relevant.nursing.diagnoses.
• A.nursing.student.on.an.obstetric.rotation.questions.the.floor.nurse.about.the.
definition.of.the.LVN/LPN.scope.of.practice..What.resource.can.the.nurse.suggest.t
o.the.student?
