Test Bank For Introduction to Maternity and Pediatric Nursing 8th Edition By Gloria Leifer (), 9780323483971, Chapter 1-34 Complete Questions And Answers A+

TESTBANK FOR c2 c2




IntroductiontoMaternityandPediatricNursing, 8th c2 c2 c2 c2 c2 c2




Edition by Gloria Leifer
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UNIT I: AnOverview ofMaternity andPediatric Nursing
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Chapter 1:ThePast,Present, andFuture c2 c2 c2 c2 c2 c2




UNITII:Maternal-NewbornNursingandWomen’s Health
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Chapter 2: Human Reproductive Anatomy and Physiology Chapter
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3: Fetal Development
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Chapter 4:PrenatalCareand Adaptations toPregnancy
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Chapter 5:NursingCareof Women withComplications duringPregnancy
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Chapter 6: Nursing Care of Mother and Infant during Labor and Birth Chapter 7:
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Nursing Management of Pain during Labor and Birth
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Chapter 8:NursingCareofWomen withComplications duringLabor and Birth
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Chapter 9:TheFamilyafter Birth c2 c2 c2 c2 c2




Chapter 10:NursingCareofWomen withComplications FollowingBirth Chapter
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11: The Nurse’s Role in Women’s Health Care
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Chapter 12:TheTermNewborn c2 c2 c2 c2




Chapter 13:PretermandPost-TermNewborns c2 c2 c2 c2 c2




Chapter 14:TheNewbornwitha PerinatalInjuryor Congenital
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Malformation
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UNIT III:TheGrowing Child andFamily
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Chapter 15:AnOverviewofGrowth, Development, andNutrition
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Chapter 16: The Infant
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Chapter 17: The Toddler Chapter c2 c2 c2 c2




18:ThePreschoolChild
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Chapter19:TheSchool-AgeChild Chapter c2 c2 c2 c2 c2




20: The Adolescent
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UNIT IV:Adapting Caretothe PediatricPatient
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Chapter 21: The Child’s Experience of Hospitalization Chapter
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22:HealthCareAdaptations for theChildandFamily UNIT V:
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The Child Needing Nursing Care
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Chapter 23:TheChildwitha Sensoryor Neurological Condition
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Chapter 24: The Child with a Musculoskeletal Condition Chapter
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25: The Child with a Respiratory Disorder
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Chapter 26:TheChild witha Cardiovascular Disorder
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Chapter 27:TheChildwitha Condition oftheBlood, Blood-FormingOrgans or LymphaticSystem Chapter 28:
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The Child with a Gastrointestinal Condition
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Chapter 29:TheChildwitha GenitourinaryCondition Chapter
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30: The Child with a Skin Condition
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Chapter 31:TheChild witha Metabolic Condition c2 c2 c2 c2 c2 c2 c2




Chapter 32:ChildhoodCommunicableDiseases, Bioterrorism, Natural Disasters andtheMaternal-Child
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Patient
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Chapter 33:TheChild withanEmotional or BehavioralCondition
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UNIT VI:The Changing HealthCare Environment
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Chapter 34:ComplementaryandAlternativeTherapies inMaternityandPediatric Nursing
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, INTRODUCTIONTOMATERNITYANDPEDIATRICNURSING8THEDITIONLEIFERTESTBANK c2 c2 c2 c2 c2 c2 c2 c2 c2 c2




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Chapter 01: The Past, Present, and Future c 2 c2 c 2 c2 c2 c2




MULTIPLE CHOICE c2




1. A patient chooses to have the certified nurse midwife (CNM) provide care during her pregnancy. What does the
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CNMs scope of practice include?
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a. Practice independent from medical supervision c2 c 2 c2 c 2




b. Comprehensive prenatal care c 2 c 2




c. Attendance at all deliveries c2 c2 c2




d. Cesarean sections c 2




ANS: B c2




The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated deliveries, and ensures that a
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cbackup physician is available in case of unforeseen problems.
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DIF: Cognitive Level: Comprehension REF: Page 6
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TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
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2. Which medical pioneer discovered the relationship between the incidence of puerperal fever and unwashed
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hands?
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a. Karl Cred c2




b. Ignaz Semmelweis c2




c. Louis Pasteur c 2




d. Joseph Lister c 2




ANS: B c2




Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the unwashed hands of
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physicians and medical students.
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DIF: Cognitive Level: Knowledge REF: Page 2 TOP:
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The Past KEY: Nursing Process Step: N/A
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MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
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3. A pregnant woman who has recently immigrated to the United States comments to the nurse, I am afraid of
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childbirth. It is so dangerous. I am afraid I will die. What is the best nursing response reflecting
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ccultural sensitivity?
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a. Maternal mortality in the United States is extremely low. c 2 c2 c2 c 2 c2 c2 c2 c2




b. Anesthesia is available to relieve pain during labor and childbirth. c 2 c2 c2 c2 c 2 c2 c2 c2 c2




c. Tell me why you are afraid of childbirth.c 2 c2 c2 c2 c2 c2 c2




d. Your condition will be monitored during labor and delivery.
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ANS: C c2




Asking the patient about her concerns helps promote understanding and individualizes patient care.
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DIF: Cognitive Level: Application REF: Page 7
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TOP: Cross-Cultural Care KEY: Nursing Process Step: Implementation
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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 does this provide?
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a. Maternal and infant deaths per 100,000 live births per year c2 c2 c2 c 2 c2 c2 c2 c2 c2




b. Deaths of fetuses weighing more than 500 g per 10,000 births per year c2 c2 c 2 c 2 c2 c2 c2 c2 c 2 c2 c2 c2




c. Deaths of infants up to 1 year of age per 1000 live births per year c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2




d. Fetal and neonatal deaths per 1000 live births per year
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ANS: D c2




The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year. DIF:
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c2 Cognitive Level: Comprehension REF: Page 12 c2 c2 c2 c2 c2

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OBJ: 9 TOP: The Present-Child Care
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KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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5. What is the focus of current maternity practice? c2 c2 c2 c2 c2 c 2 c2




a. Hospital births for the majority of women c2 c2 c2 c 2 c2 c2




b. The traditional family unit c2 c2 c 2




c. Separation of labor rooms from delivery rooms c2 c2 c2 c2 c2 c2




d. A quality family experience for each patient
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ANS: D c2




Current maternity practice focuses on a high-quality family experience for all families, traditional or otherwise.
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DIF: Cognitive Level: Comprehension REF: Page 6
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TOP: The Present-Maternity Care KEY: Nursing Process Step: N/A MSC:
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NCLEX: Health Promotion and Maintenance
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6. Who advocated the establishment of the Childrens Bureau?
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a. Lillian Wald c2




b. Florence Nightingale c2




c. Florence Kelly c2




d. Clara Barton c2




ANS: A c 2




Lillian Wald is credited with suggesting the establishment of a federal Childrens Bureau.
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DIF: Cognitive Level: Knowledge REF: Page 4
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TOP: The Past KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
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7. What was the result of research done in the 1930s by the Childrens Bureau?
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a. Children with heart problems are now cared for by pediatric cardiologists. c2 c2 c2 c2 c2 c2 c2 c2 c2 c2




b. The Child Abuse and Prevention Act was passed.
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c. Hot lunch programs were established in many schools.
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d. Childrens asylums were founded. c2 c 2 c2




ANS: C c2




School hot lunch programs were developed as a result of research by the Childrens Bureau on the effects of
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economic depression on children.
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DIF: Cognitive Level: Knowledge REF: Page 4 TOP:
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The Past KEY: Nursing Process Step: N/A
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MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care
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8. What government program was implemented to increase the educational exposure of preschool children?
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a. WIC
b. Title XIX of Medicaid c2 c 2 c2




c. The Childrens Charter c 2 c 2




d. Head Start c2




ANS: D c2




Head Start programs were established to increase educational exposure of preschool children.
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DIF: Cognitive Level: Knowledge REF: Page 3
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TOP: Government Influences in Maternity and Pediatric Care KEY: Nursing Process Step: N/A
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MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
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9. What guidelines define multidisciplinary patient care in terms of expected outcome and timeframe from
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different areas of care provision?
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4


a. Clinical pathways c2




b. Nursing outcome criteria c2 c 2




c. Standards of care c 2 c2




d. Nursing care plan c2 c 2




ANS: A c 2




Clinical pathways, also known as critical pathways or care maps, are collaborative guidelines that define patient
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ccare across disciplines. Expected progress within a specified timeline is identified.
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DIF: Cognitive Level: Knowledge REF: Page 12
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TOP: Health Care Delivery Systems KEY: Nursing Process Step: N/A
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MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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10. A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her mother, and collected
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admission data. What is the next step the student will take to develop a nursing care plan for this child?
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a. Identify measurable outcomes with a timeline. c2 c2 c 2 c2 c2




b. Choose specific nursing interventions for the child. c2 c2 c2 c 2 c 2 c2




c. Determine appropriate nursing diagnoses. c2 c 2 c 2




d. State nursing actions related to the childs medical diagnosis.
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ANS: C c2




The nurse uses assessment data to select appropriate nursing diagnoses from the NANDA-I list. Outcomes and interventions
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care then developed to address the relevant nursing diagnoses.
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DIF: Cognitive Level: Application REF: Page 11
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TOP: Nursing Process KEY: Nursing Process Step: Nursing Diagnosis
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MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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11. A nursing student on an obstetric rotation questions the floor nurse about the definition of the LVN/LPN scope of
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c 2




practice.Whatresource canthe nu rseNsUuRg Sg IeNstGt oT Bth. Ce Os tM
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a. American Nurses Association c2 c 2




b. States board of nursing c2 c2 c2




c. Joint Commission c2




d. Association of Womens Health, Obstetric and Neonatal Nurses c2 c2 c 2 c 2 c2 c2 c 2




ANS: B c2




The scope of practice of the LVN/LPN is published by the states board of nursing.
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DIF: Cognitive Level: Comprehension REF: Page 3
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OBJ: 18 TOP: Critical Thinking
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KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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12. What was recommended by Karl Cred in 1884? c2 c2 c 2 c2 c2 c2 c2




a. All women should be delivered in a hospital setting.
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b. Chemical means should be used to combat infection. c 2 c2 c2 c2 c2 c2 c2




c. Podalic version should be done on all fetuses. c 2 c2 c2 c2 c 2 c2 c2




d. Silver nitrate should be placed in the eyes of newborns. c2 c2 c2 c2 c2 c2 c2 c 2 c2




ANS: D c2




In 1884 Karl Cred recommended the use of 2% silver nitrate in the eyes of newborns to reduce the incidence of blindness.
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DIF: Cognitive Level: Knowledge REF: Page 2
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TOP: Use of Silver Nitrate KEY: Nursing Process Step: N/A
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MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
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13. What is the purpose of the White House Conference on Children and Youth?
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a. Set criteria for normal growth patterns.
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