INTRODUCTIONjTOjMATERNITYjANDjPEDIATRICjINjCANADAj1STjEDITIONjBYjLEIFER
,TESTjBANKjFORjLEIFER’SjINTRODUCTIONjTOjMATERNITYjANDjPEDIATRICjNURSINGjINjC
ANADAj1STjEDITIONjBYjLEIFER
Chapterj01:jOverviewjofjPerinataljandjPediatricjNursingjinjCanada
MULTIPLEjCHOICE
1.jAjpatientjchoosesjtojhavejthejcertifiedjnursejmidwifej(CNM)jprovidejcarejduringjherjpregnancy.jWhatjdoesjthe
jCNMsjscopejofjpracticejinclude?
a. Practicej independentj fromj medicalj supervision
b. Comprehensivejprenataljcare
c. Attendancejatjalljdeliveries
d. Cesareanjsections
ANS:j B
ThejCNMjprovidesjcomprehensivejprenataljandjpostnataljcare,jattendsjuncomplicatedjdeliveries,jandjensuresjthat
jajbackupjphysicianjisjavailablejinjcasejofjunforeseenjproblems.
DIF:jCognitivejLevel:jComprehensionj REF:j Pagej 6
TOP:jAdvancej PracticejNursingj RolesjKEY:jNursingj Processj Step:j Implementation
MSC:jNCLEX:jHealthj Promotionj andj Maintenance:jPreventionj andjEarlyjDetectionj ofjDisease
2. Whichjmedicaljpioneerjdiscoveredjthejrelationshipjbetweenjthejincidencejofjpuerperaljfeverjandjunwashedjha
nds?
a. KarljCred
b. Ignazj Semmelweis
c. Louisj Pasteur
d. Josephj Lister
ANS:j B
IgnazjSemmelweisjdeducedjthatjpuerperaljfeverjwasjseptic,jcontagious,jandjtransmittedjbyjthejunwashedjhandsj
ofjphysiciansjandjmedicaljstudents.
DIF:jCognitivejLevel:jKnowledgejREF:jPagej2jTOP
:jThejPastjKEY:jNursingj Processj Step:jN/A
MSC:jNCLEX:jSafe,jEffectivej CarejEnvironment:j Safetyj andjInfectionj Control
3. AjpregnantjwomanjwhojhasjrecentlyjimmigratedjtojthejUnitedjStatesjcommentsjtojthejnurse,jIjamjafraidjofjchil
dbirth.j Itjisjsoj dangerous.jIjamjafraidjIjwilljdie.j Whatjisjthejbestjnursingj responsejreflectingj culturaljsensitivity?
a. MaternaljmortalityjinjthejUnitedjStatesjisjextremelyjlow.
b. Anesthesiajisjavailablejtojrelievejpainjduringjlaborjandjchildbirth.
c. Telljmejwhyjyoujarejafraidjofjchildbirth.
d. Yourjconditionjwilljbej monitoredj duringjlaborjandjdelivery.
ANS:j C
Askingjthejpatientjaboutjherjconcernsjhelpsjpromotej understandingj andjindividualizesj patientj care.
DIF:jCognitivejLevel:jApplicationj REF:jPagej 7
TOP:jCross-
CulturaljCarejKEY:jNursingjProcessjStep:jImplementationjMSC:jNCLEX
:jPsychosocialjIntegrity:jPsychologicaljAdaptation
4. Anjurbanjareajhasjbeenj reportedjtoj havejajhighj perinataljmortalityjrate.j Whatjinformationj doesjthisj provide?
a. Maternaljandjinfantjdeathsj perj100,000jlivej birthsjperjyear
b. Deathsjofjfetusesjweighingjmorej thanj500jgjperj10,000jbirthsj perj year
c. Deathsjofjinfantsjupjtoj1jyearjofjagejperj1000jlivejbirthsj perjyear
d. Fetaljandjneonataljdeathsj perj1000jlivejbirthsj perjyear
ANS:j D
,Thejperinataljmortalityjratejincludesjfetaljandjneonataljdeathsjperj1000jlivejbirthsjperjyear.jDIF
:jCognitivejLevel:jComprehensionjREF:jPagej12
OBJ:j9jTOP:j ThejPresent-Childj Care
KEY:jNursingj Processj Step:jImplementation
MSC:jNCLEX:jSafe,jEffectivej CarejEnvironment:j Coordinatedj Care
5. Whatjisjthejfocusjofj currentjmaternityjpractice?
a. Hospitaljbirthsjforjthejmajorityjofjwomen
b. Thejtraditionaljfamilyjunit
c. Separationjofjlaborjroomsjfromj deliveryj rooms
d. Ajqualityjfamilyjexperiencejforjeachjpatient
ANS:j D
Currentjmaternityjpracticej focusesj onjajhigh-qualityjfamilyj experiencejforjalljfamilies,j traditionaljorjotherwise.
DIF:jCognitivejLevel:jComprehensionjREF:jPagej6
TOP:jThejPresent-
MaternityjCarejKEY:jNursingjProcessjStep:jN/AjMSC:jNCLEX:jHealthjP
romotionjandjMaintenance
6. Whojadvocatedjthejestablishmentj ofjthejChildrensj Bureau?
a. LillianjWald
b. FlorencejNightingale
c. FlorencejKelly
d. ClarajBarton
ANS:j A
LillianjWaldjisjcreditedjwithjsuggestingjthejestablishmentj ofjajfederaljChildrensj Bureau.
DIF:jCognitivejLevel:jKnowledgejREF:jPagej4
TOP:jThejPastjKEY:jNursingj Processj Step:j Implementation
MSC:jNCLEX:jHealthj Promotionj andj Maintenance:jGrowthj andjDevelopment
NURSINGTB.COM
7. Whatjwasj thejresultj ofjresearchj donejinjthej 1930sj byjthejChildrensjBureau?
a. Childrenjwithj heartjproblemsj arejnowj caredjforjbyj pediatricj cardiologists.
b. ThejChildjAbusejandj Preventionj Actjwasj passed.
c. Hotjlunchjprogramsjwerejestablishedj inj manyjschools.
d. Childrensjasylumsjwerej founded.
ANS:j C
SchooljhotjlunchjprogramsjwerejdevelopedjasjajresultjofjresearchjbyjthejChildrensjBureaujonjthejeffectsjofjecono
micjdepressionjonjchildren.
DIF:jCognitivejLevel:jKnowledgejREF:jPagej4jTOP
:jThejPastjKEY:jNursingj Processj Step:jN/A
MSC:jNCLEX:jHealthj Promotionj andj Maintenance:jCoordinatedjCare
8. Whatjgovernmentj programjwasjimplementedjtoj increasej thej educationaljexposurej ofjpreschoolj children?
a. WIC
b. Titlej XIXj ofj Medicaid
c. Thej Childrensj Charter
d. HeadjStart
ANS:j D
HeadjStartjprogramsjwerej establishedj toj increasejeducationalj exposurej ofj preschoolj children.
DIF:jCognitivejLevel:jKnowledgejREF:jPagej3
TOP:jGovernmentjInfluencesj inj Maternityj andj Pediatricj CarejKEY:jNursingj ProcessjStep:jN/A
, MSC:jNCLEX:jHealthjPromotionj andjMaintenance:jGrowthjandjDevelopment
9. Whatjguidelinesjdefinejmultidisciplinaryjpatientjcarejinjtermsjofjexpectedjoutcomejandjtimeframejfromjdif
ferentjareasjofjcarejprovision?
a. Clinicaljpathways
b. Nursingjoutcomejcriteria
c. Standardsjofjcare
d. Nursingjcarejplan
ANS:j A
Clinicaljpathways,jalsojknownjasjcriticaljpathwaysjorjcarejmaps,jarejcollaborativejguidelinesjthatjdefinejpatientj
carejacrossjdisciplines.jExpectedjprogressjwithinjajspecifiedjtimelinejisjidentified.
DIF:jCognitivejLevel:jKnowledgejREF:j Pagej 12
TOP:jHealthjCarejDeliveryjSystemsjKEY:jNursingjProcessjStep:jN/AjMS
C:jNCLEX:jSafe,jEffectivejCarejEnvironment:jCoordinatedjCare
10. Ajnursingjstudentjhasjreviewedjajhospitalizedjpediatricjpatientjchart,jinterviewedjherjmother,jandjcollectedjad
missionjdata.jWhatjisjthejnextjstepjthejstudentjwilljtakejtojdevelopjajnursingjcarejplanjforjthisjchild?
a. Identifyjmeasurablejoutcomesjwithj ajtimeline.
b. Choosejspecificjnursingj interventionsjforjthejchild.
c. Determinej appropriatej nursingj diagnoses.
d. Statejnursingjactionsjrelatedjtojthejchildsj medicaljdiagnosis.
ANS:j C
ThejnursejusesjassessmentjdatajtojselectjappropriatejnursingjdiagnosesjfromjthejNANDA-
Ijlist.jOutcomesjandjinterventionsjarejthenjdevelopedjtojaddressjthejrelevantjnursingjdiagnoses.
DIF:jCognitivejLevel:jApplicationj REF:j Pagej11
TOP:jNursingjProcessjKEY:jNursingjProcessjStep:jNursingjDiagnosisjMS
C:jNCLEX:jSafe,jEffectivejCarejEnvironment:jCoordinatedjCare
11. AjnursingjstudentjonjanjobstetricjrotationjquestionsjthejfloorjnursejaboutjthejdefinitionjofjthejLVN/LPNjscop
ejofjpractice.jWhatjresourcejcanjthejn u rs eNsUuRg Sg IeNs tGtoT Bth. Ce jOstM
udent?
a. AmericanjNursesjAssociation
b. Statesj boardjofjnursing
c. JointjCommission
d. AssociationjofjWomensjHealth,j ObstetricjandjNeonatalj Nurses
ANS:j B
ThejscopejofjpracticejofjthejLVN/LPNj isjpublishedj byjthejstatesj boardjofjnursing.
DIF:jCognitivejLevel:jComprehensionjREF:jPagej3j
OBJ:j18jTOP:jCriticaljThinking
KEY:jNursingj Processj Step:jImplementation
MSC:jNCLEX:jSafe,jEffectivej CarejEnvironment:j Coordinatedj Care
12. Whatjwasj recommendedj byjKarljCredjinj 1884?
a. Alljwomenjshouldjbejdeliveredj inj ajhospitalj setting.
b. Chemicaljmeansjshouldj bej usedj tojcombatjinfection.
c. Podalicjversionj shouldjbejdonejonjalljfetuses.
d. Silverjnitratejshouldjbejplacedjinj thejeyesjofjnewborns.
ANS:j D
Inj1884jKarljCredjrecommendedjthejusejofj2%jsilverjnitratejinjthejeyesjofjnewbornsjtojreducejthejincidencejofjbli
ndness.
DIF:jCognitivejLevel:jKnowledgejREF:jPagej2
TOP:jUsejofjSilverjNitratej KEY:jNursingjProcessj Step:jN/A
MSC:jNCLEX:jHealthj Promotionj andj Maintenance:j Preventionj andjEarlyjDetectionj ofj Disease
,TESTjBANKjFORjLEIFER’SjINTRODUCTIONjTOjMATERNITYjANDjPEDIATRICjNURSINGjINjC
ANADAj1STjEDITIONjBYjLEIFER
Chapterj01:jOverviewjofjPerinataljandjPediatricjNursingjinjCanada
MULTIPLEjCHOICE
1.jAjpatientjchoosesjtojhavejthejcertifiedjnursejmidwifej(CNM)jprovidejcarejduringjherjpregnancy.jWhatjdoesjthe
jCNMsjscopejofjpracticejinclude?
a. Practicej independentj fromj medicalj supervision
b. Comprehensivejprenataljcare
c. Attendancejatjalljdeliveries
d. Cesareanjsections
ANS:j B
ThejCNMjprovidesjcomprehensivejprenataljandjpostnataljcare,jattendsjuncomplicatedjdeliveries,jandjensuresjthat
jajbackupjphysicianjisjavailablejinjcasejofjunforeseenjproblems.
DIF:jCognitivejLevel:jComprehensionj REF:j Pagej 6
TOP:jAdvancej PracticejNursingj RolesjKEY:jNursingj Processj Step:j Implementation
MSC:jNCLEX:jHealthj Promotionj andj Maintenance:jPreventionj andjEarlyjDetectionj ofjDisease
2. Whichjmedicaljpioneerjdiscoveredjthejrelationshipjbetweenjthejincidencejofjpuerperaljfeverjandjunwashedjha
nds?
a. KarljCred
b. Ignazj Semmelweis
c. Louisj Pasteur
d. Josephj Lister
ANS:j B
IgnazjSemmelweisjdeducedjthatjpuerperaljfeverjwasjseptic,jcontagious,jandjtransmittedjbyjthejunwashedjhandsj
ofjphysiciansjandjmedicaljstudents.
DIF:jCognitivejLevel:jKnowledgejREF:jPagej2jTOP
:jThejPastjKEY:jNursingj Processj Step:jN/A
MSC:jNCLEX:jSafe,jEffectivej CarejEnvironment:j Safetyj andjInfectionj Control
3. AjpregnantjwomanjwhojhasjrecentlyjimmigratedjtojthejUnitedjStatesjcommentsjtojthejnurse,jIjamjafraidjofjchil
dbirth.j Itjisjsoj dangerous.jIjamjafraidjIjwilljdie.j Whatjisjthejbestjnursingj responsejreflectingj culturaljsensitivity?
a. MaternaljmortalityjinjthejUnitedjStatesjisjextremelyjlow.
b. Anesthesiajisjavailablejtojrelievejpainjduringjlaborjandjchildbirth.
c. Telljmejwhyjyoujarejafraidjofjchildbirth.
d. Yourjconditionjwilljbej monitoredj duringjlaborjandjdelivery.
ANS:j C
Askingjthejpatientjaboutjherjconcernsjhelpsjpromotej understandingj andjindividualizesj patientj care.
DIF:jCognitivejLevel:jApplicationj REF:jPagej 7
TOP:jCross-
CulturaljCarejKEY:jNursingjProcessjStep:jImplementationjMSC:jNCLEX
:jPsychosocialjIntegrity:jPsychologicaljAdaptation
4. Anjurbanjareajhasjbeenj reportedjtoj havejajhighj perinataljmortalityjrate.j Whatjinformationj doesjthisj provide?
a. Maternaljandjinfantjdeathsj perj100,000jlivej birthsjperjyear
b. Deathsjofjfetusesjweighingjmorej thanj500jgjperj10,000jbirthsj perj year
c. Deathsjofjinfantsjupjtoj1jyearjofjagejperj1000jlivejbirthsj perjyear
d. Fetaljandjneonataljdeathsj perj1000jlivejbirthsj perjyear
ANS:j D
,Thejperinataljmortalityjratejincludesjfetaljandjneonataljdeathsjperj1000jlivejbirthsjperjyear.jDIF
:jCognitivejLevel:jComprehensionjREF:jPagej12
OBJ:j9jTOP:j ThejPresent-Childj Care
KEY:jNursingj Processj Step:jImplementation
MSC:jNCLEX:jSafe,jEffectivej CarejEnvironment:j Coordinatedj Care
5. Whatjisjthejfocusjofj currentjmaternityjpractice?
a. Hospitaljbirthsjforjthejmajorityjofjwomen
b. Thejtraditionaljfamilyjunit
c. Separationjofjlaborjroomsjfromj deliveryj rooms
d. Ajqualityjfamilyjexperiencejforjeachjpatient
ANS:j D
Currentjmaternityjpracticej focusesj onjajhigh-qualityjfamilyj experiencejforjalljfamilies,j traditionaljorjotherwise.
DIF:jCognitivejLevel:jComprehensionjREF:jPagej6
TOP:jThejPresent-
MaternityjCarejKEY:jNursingjProcessjStep:jN/AjMSC:jNCLEX:jHealthjP
romotionjandjMaintenance
6. Whojadvocatedjthejestablishmentj ofjthejChildrensj Bureau?
a. LillianjWald
b. FlorencejNightingale
c. FlorencejKelly
d. ClarajBarton
ANS:j A
LillianjWaldjisjcreditedjwithjsuggestingjthejestablishmentj ofjajfederaljChildrensj Bureau.
DIF:jCognitivejLevel:jKnowledgejREF:jPagej4
TOP:jThejPastjKEY:jNursingj Processj Step:j Implementation
MSC:jNCLEX:jHealthj Promotionj andj Maintenance:jGrowthj andjDevelopment
NURSINGTB.COM
7. Whatjwasj thejresultj ofjresearchj donejinjthej 1930sj byjthejChildrensjBureau?
a. Childrenjwithj heartjproblemsj arejnowj caredjforjbyj pediatricj cardiologists.
b. ThejChildjAbusejandj Preventionj Actjwasj passed.
c. Hotjlunchjprogramsjwerejestablishedj inj manyjschools.
d. Childrensjasylumsjwerej founded.
ANS:j C
SchooljhotjlunchjprogramsjwerejdevelopedjasjajresultjofjresearchjbyjthejChildrensjBureaujonjthejeffectsjofjecono
micjdepressionjonjchildren.
DIF:jCognitivejLevel:jKnowledgejREF:jPagej4jTOP
:jThejPastjKEY:jNursingj Processj Step:jN/A
MSC:jNCLEX:jHealthj Promotionj andj Maintenance:jCoordinatedjCare
8. Whatjgovernmentj programjwasjimplementedjtoj increasej thej educationaljexposurej ofjpreschoolj children?
a. WIC
b. Titlej XIXj ofj Medicaid
c. Thej Childrensj Charter
d. HeadjStart
ANS:j D
HeadjStartjprogramsjwerej establishedj toj increasejeducationalj exposurej ofj preschoolj children.
DIF:jCognitivejLevel:jKnowledgejREF:jPagej3
TOP:jGovernmentjInfluencesj inj Maternityj andj Pediatricj CarejKEY:jNursingj ProcessjStep:jN/A
, MSC:jNCLEX:jHealthjPromotionj andjMaintenance:jGrowthjandjDevelopment
9. Whatjguidelinesjdefinejmultidisciplinaryjpatientjcarejinjtermsjofjexpectedjoutcomejandjtimeframejfromjdif
ferentjareasjofjcarejprovision?
a. Clinicaljpathways
b. Nursingjoutcomejcriteria
c. Standardsjofjcare
d. Nursingjcarejplan
ANS:j A
Clinicaljpathways,jalsojknownjasjcriticaljpathwaysjorjcarejmaps,jarejcollaborativejguidelinesjthatjdefinejpatientj
carejacrossjdisciplines.jExpectedjprogressjwithinjajspecifiedjtimelinejisjidentified.
DIF:jCognitivejLevel:jKnowledgejREF:j Pagej 12
TOP:jHealthjCarejDeliveryjSystemsjKEY:jNursingjProcessjStep:jN/AjMS
C:jNCLEX:jSafe,jEffectivejCarejEnvironment:jCoordinatedjCare
10. Ajnursingjstudentjhasjreviewedjajhospitalizedjpediatricjpatientjchart,jinterviewedjherjmother,jandjcollectedjad
missionjdata.jWhatjisjthejnextjstepjthejstudentjwilljtakejtojdevelopjajnursingjcarejplanjforjthisjchild?
a. Identifyjmeasurablejoutcomesjwithj ajtimeline.
b. Choosejspecificjnursingj interventionsjforjthejchild.
c. Determinej appropriatej nursingj diagnoses.
d. Statejnursingjactionsjrelatedjtojthejchildsj medicaljdiagnosis.
ANS:j C
ThejnursejusesjassessmentjdatajtojselectjappropriatejnursingjdiagnosesjfromjthejNANDA-
Ijlist.jOutcomesjandjinterventionsjarejthenjdevelopedjtojaddressjthejrelevantjnursingjdiagnoses.
DIF:jCognitivejLevel:jApplicationj REF:j Pagej11
TOP:jNursingjProcessjKEY:jNursingjProcessjStep:jNursingjDiagnosisjMS
C:jNCLEX:jSafe,jEffectivejCarejEnvironment:jCoordinatedjCare
11. AjnursingjstudentjonjanjobstetricjrotationjquestionsjthejfloorjnursejaboutjthejdefinitionjofjthejLVN/LPNjscop
ejofjpractice.jWhatjresourcejcanjthejn u rs eNsUuRg Sg IeNs tGtoT Bth. Ce jOstM
udent?
a. AmericanjNursesjAssociation
b. Statesj boardjofjnursing
c. JointjCommission
d. AssociationjofjWomensjHealth,j ObstetricjandjNeonatalj Nurses
ANS:j B
ThejscopejofjpracticejofjthejLVN/LPNj isjpublishedj byjthejstatesj boardjofjnursing.
DIF:jCognitivejLevel:jComprehensionjREF:jPagej3j
OBJ:j18jTOP:jCriticaljThinking
KEY:jNursingj Processj Step:jImplementation
MSC:jNCLEX:jSafe,jEffectivej CarejEnvironment:j Coordinatedj Care
12. Whatjwasj recommendedj byjKarljCredjinj 1884?
a. Alljwomenjshouldjbejdeliveredj inj ajhospitalj setting.
b. Chemicaljmeansjshouldj bej usedj tojcombatjinfection.
c. Podalicjversionj shouldjbejdonejonjalljfetuses.
d. Silverjnitratejshouldjbejplacedjinj thejeyesjofjnewborns.
ANS:j D
Inj1884jKarljCredjrecommendedjthejusejofj2%jsilverjnitratejinjthejeyesjofjnewbornsjtojreducejthejincidencejofjbli
ndness.
DIF:jCognitivejLevel:jKnowledgejREF:jPagej2
TOP:jUsejofjSilverjNitratej KEY:jNursingjProcessj Step:jN/A
MSC:jNCLEX:jHealthj Promotionj andj Maintenance:j Preventionj andjEarlyjDetectionj ofj Disease
