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Ruggiero Test Bank zs zs
Chapter 1.Core Concepts of Maternal and Pediatric Healthcare Across the Continuum
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MULTIPLE CHOICE zs
A patient chooses to have the certified nurse midwife (CNM) provide care during
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zs her pregnancy. What does the CNMs scope of practice include?
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• Practice independent from medical supervision zs zs zs zs
• Comprehensive prenatal care zs zs
• Attendance at all deliveries zs zs zs
• Cesarean sections zs
ANS:B - The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated
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zs deliveries, and ensures that a backup physician is available in case of unforeseen
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problems.
REF: Page 6 zs zs
Which medical pioneer discovered the relationship between the incidence of
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zs puerperal fever and unwashed hands? zs zs zs zs
• Karl Cred zs
• Ignaz Semmelweis zs
• Louis Pasteur zs
• Joseph List zs
ANS: B - Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the
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zs unwashed hands of physicians and medical students. zs zs zs zs zs zs
A pregnant woman who has recently immigrated to the United States comments to
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zs the nurse, I Am afraid of childbirth. It is so dangerous. I am afraid I will die. What is the
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best nursing response reflecting cultural sensitivity?
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• Maternal mortality in the United States is extremely low. zs zs zs zs zs zs zs zs
• Anesthesia is available to relieve pain during labor and childbirth. zs zs zs zs zs zs zs zs zs
• Tell me why you are afraid of childbirth.
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• Your condition will be monitored during labor and delivery.
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, 2
ANS: C - Asking the patient about her concerns helps promote understanding and individualizes
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zs patient care. zs
• An urban area has been reported to have a high perinatal mortality rate. What
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zs information does this provide? zs zs zs
• Maternal and infant deaths per 100,000 live births per year zs zs zs zs zs zs zs zs zs
• Deaths of fetuses weighing more than 500 g per 10,000 births per year
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• Deaths of infants up to 1 year of age per 1000 live births per year
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• Fetal and neonatal deaths per 1000 live births per year
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ANS: D - The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
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• What is the focus of current maternity practice?
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• Hospital births for the majority of women zs zs zs zs zs zs
• The traditional family unit
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• Separation of labor rooms from delivery rooms zs zs zs zs zs zs
• A quality family experience for each patient
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ANS: D - Current maternity practice focuses on a high-quality family experience for all
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zs families, traditional or otherwise. zs zs zs
: REF: Page 6 7 : The Present-Maternity Care N/A : Health Promotion and Maintenance
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• Who advocated the establishment of the Childrens Bureau?
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• Lillian Wald zs
• Florence Nightingale zs
• Florence Kelly zs
• Clara Barton zs
ANS:A - Lillian Wald is credited with suggesting the establishment of a federal Childrens Bureau.
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• What was the result of research done in the 1930s by the Childrens Bureau?
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• Children with heart problems are now cared for by pediatric cardiologists.
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• The Child Abuse and Prevention Act was passed.
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• Hot lunch programs were established in many schools.
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• Childrens asylums were founded. zs zs zs
ANS: C - School hot lunch programs were developed as a result of research by the Childrens Bureau on
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, 3
The effects of economic depression on children.
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• What government program was implemented to increase the educational
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zs exposure of preschool children? zs zs zs
• WIC
• Title XIX of Medicaid zs zs zs
• The Childrens Charterzs zs
• Head Start zs
ANS:D - Head Start programs were established to increase educational exposure of preschool children.
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• What guidelines define multidisciplinary patient care in terms of expected
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zs outcome and timeframe from different areas of care provision?
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• Clinical pathways zs
• Nursing outcome criteria zs zs
• Standards of care zs zs
• Nursing care plan zs zs
ANS:A - Clinical pathways, also known as critical pathways or care maps, are collaborative
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zs guidelines that define patient care across disciplines. Expected progress within a
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zs specified timeline is identified. zs zs zs
• A nursing student has reviewed a hospitalized pediatric patient chart,
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zs interviewed her mother, and collected admission data. What is the next step thezs zs zs zs zs zs zs zs zs zs zs zs
student will take to develop a nursing care plan for this child?
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• Identify measurable outcomes with a timeline. zs zs zs zs zs
• Choose specific nursing interventions for the child.
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• Determine appropriate nursing diagnoses. zs zs zs
• State nursing actions related to the childs medical diagnosis.
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ANS: C - The nurse uses assessment data to select appropriate nursing diagnoses from the NANDA-I
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zs list. Outcomes and interventions are then developed to address the relevant nursing diagnoses.
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• A nursing student on an obstetric rotation questions the floor nurse about
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zs the definition of the LVN/LPN scope of practice. What resource can the nurse
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suggest to the student?
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