Introduction to Maternity and Pediatric Nursing 9th
Edition Gloria Leifer Test Bank Chapters 1–34
Unit I: An Overview of Maternity and Pediatric Nursing
1. A patient chooses to have the certified nurse-midwife (CNM) provide care during her pregnancy.
What does the CNM's scope of practice include?
a. Practice independent from medical supervision
b. Comprehensive prenatal care
c. Attendance at all deliveries
d. Cesarean sections
Correct Answer: b. Comprehensive prenatal care
Rationale: The CNM provides comprehensive prenatal and postnatal care,
attends uncomplicated deliveries, and ensures a backup physician is available. They do not perform
Cesarean sections .
2. Which medical pioneer discovered the relationship between the incidence of puerperal fever and
unwashed hands?
a. Karl Credé
b. Ignaz Semmelweis
c. Louis Pasteur
d. Joseph Lister
Correct Answer: b. Ignaz Semmelweis
Rationale: Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by
the unwashed hands of physicians and medical students .
3. 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 nursing response
reflecting cultural sensitivity?
a. "Maternal mortality in the United States is extremely low."
b. "Anesthesia is available to relieve pain during labor and childbirth."
c. "Tell me why you are afraid of childbirth."
d. "Your condition will be monitored during labor and delivery."
Correct Answer: c. "Tell me why you are afraid of childbirth."
,Rationale: Asking the patient about her concerns helps promote understanding, shows respect for her
beliefs, and individualizes patient care .
4. An urban area has been reported to have a high perinatal mortality rate. What information does
this provide?
a. Maternal and infant deaths per 100,000 live births per year
b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
c. Deaths of infants up to 1 year of age per 1000 live births per year
d. Fetal and neonatal deaths per 1000 live births per year
Correct Answer: d. Fetal and neonatal deaths per 1000 live births per year
Rationale: The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year .
5. What is the focus of current maternity practice?
a. Hospital births for the majority of women
b. The traditional family unit
c. Separation of labor rooms from delivery rooms
d. A quality family experience for each patient
Correct Answer: d. A quality family experience for each patient
Rationale: Current maternity practice focuses on a high-quality family experience for all families,
traditional or otherwise, emphasizing family-centered care .
6. Who advocated the establishment of the Children's Bureau?
a. Lillian Wald
b. Florence Nightingale
c. Florence Kelly
d. Clara Barton
Correct Answer: a. Lillian Wald
Rationale: Lillian Wald is credited with suggesting the establishment of a federal Children's Bureau .
7. What was the result of research done in the 1930s by the Children's Bureau?
a. Children with heart problems are now cared for by pediatric cardiologists.
b. The Child Abuse and Prevention Act was passed.
c. Hot lunch programs were established in many schools.
d. Children's asylums were founded.
Correct Answer: c. Hot lunch programs were established in many schools.
Rationale: School hot lunch programs were developed as a result of research by the Children's Bureau
on the effects of economic depression on children .
, 8. The United States ranks 50th in the world for maternal mortality. When developing programs to
decrease these rates, which factor would most likely need to be addressed as having the greatest
impact?
a. Resolving all language and cultural differences
b. Assuring early and adequate prenatal care
c. Providing more extensive women's shelters
d. Encouraging all women to eat a balanced diet
Correct Answer: b. Assuring early and adequate prenatal care
Rationale: Early and adequate prenatal care is crucial for identifying risk factors, managing chronic
conditions, and preventing complications, which directly impacts maternal mortality rates .
9. When integrating the principles of family-centered care, the nurse would include which of the
following?
a. Childbirth is viewed as a procedural event
b. Families are unable to make informed choices
c. Childbirth results in changes in relationships
d. Families require little information to make appropriate decisions
Correct Answer: c. Childbirth results in changes in relationships
Rationale: Family-centered care recognizes that childbirth is a significant life event that affects family
dynamics and relationships. It empowers families to make informed choices, not the opposite .
Unit II: Maternal-Newborn Nursing and Women's Health
10. What is the hormone that initiates the maturation of the ovarian follicle?
a. FSH (Follicle-Stimulating Hormone)
b. LH (Luteinizing Hormone)
c. Progesterone
d. Estrogen
Correct Answer: a. FSH
Rationale: FSH is released by the anterior pituitary gland and is responsible for the recruitment and
maturation of ovarian follicles each month .
11. What is the main purpose of the chorionic villi?
a. Provide a site for exchange of nutrients and wastes
b. Produce estrogen and progesterone
c. Protect the fetus from trauma
d. Form the umbilical cord
Edition Gloria Leifer Test Bank Chapters 1–34
Unit I: An Overview of Maternity and Pediatric Nursing
1. A patient chooses to have the certified nurse-midwife (CNM) provide care during her pregnancy.
What does the CNM's scope of practice include?
a. Practice independent from medical supervision
b. Comprehensive prenatal care
c. Attendance at all deliveries
d. Cesarean sections
Correct Answer: b. Comprehensive prenatal care
Rationale: The CNM provides comprehensive prenatal and postnatal care,
attends uncomplicated deliveries, and ensures a backup physician is available. They do not perform
Cesarean sections .
2. Which medical pioneer discovered the relationship between the incidence of puerperal fever and
unwashed hands?
a. Karl Credé
b. Ignaz Semmelweis
c. Louis Pasteur
d. Joseph Lister
Correct Answer: b. Ignaz Semmelweis
Rationale: Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by
the unwashed hands of physicians and medical students .
3. 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 nursing response
reflecting cultural sensitivity?
a. "Maternal mortality in the United States is extremely low."
b. "Anesthesia is available to relieve pain during labor and childbirth."
c. "Tell me why you are afraid of childbirth."
d. "Your condition will be monitored during labor and delivery."
Correct Answer: c. "Tell me why you are afraid of childbirth."
,Rationale: Asking the patient about her concerns helps promote understanding, shows respect for her
beliefs, and individualizes patient care .
4. An urban area has been reported to have a high perinatal mortality rate. What information does
this provide?
a. Maternal and infant deaths per 100,000 live births per year
b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
c. Deaths of infants up to 1 year of age per 1000 live births per year
d. Fetal and neonatal deaths per 1000 live births per year
Correct Answer: d. Fetal and neonatal deaths per 1000 live births per year
Rationale: The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year .
5. What is the focus of current maternity practice?
a. Hospital births for the majority of women
b. The traditional family unit
c. Separation of labor rooms from delivery rooms
d. A quality family experience for each patient
Correct Answer: d. A quality family experience for each patient
Rationale: Current maternity practice focuses on a high-quality family experience for all families,
traditional or otherwise, emphasizing family-centered care .
6. Who advocated the establishment of the Children's Bureau?
a. Lillian Wald
b. Florence Nightingale
c. Florence Kelly
d. Clara Barton
Correct Answer: a. Lillian Wald
Rationale: Lillian Wald is credited with suggesting the establishment of a federal Children's Bureau .
7. What was the result of research done in the 1930s by the Children's Bureau?
a. Children with heart problems are now cared for by pediatric cardiologists.
b. The Child Abuse and Prevention Act was passed.
c. Hot lunch programs were established in many schools.
d. Children's asylums were founded.
Correct Answer: c. Hot lunch programs were established in many schools.
Rationale: School hot lunch programs were developed as a result of research by the Children's Bureau
on the effects of economic depression on children .
, 8. The United States ranks 50th in the world for maternal mortality. When developing programs to
decrease these rates, which factor would most likely need to be addressed as having the greatest
impact?
a. Resolving all language and cultural differences
b. Assuring early and adequate prenatal care
c. Providing more extensive women's shelters
d. Encouraging all women to eat a balanced diet
Correct Answer: b. Assuring early and adequate prenatal care
Rationale: Early and adequate prenatal care is crucial for identifying risk factors, managing chronic
conditions, and preventing complications, which directly impacts maternal mortality rates .
9. When integrating the principles of family-centered care, the nurse would include which of the
following?
a. Childbirth is viewed as a procedural event
b. Families are unable to make informed choices
c. Childbirth results in changes in relationships
d. Families require little information to make appropriate decisions
Correct Answer: c. Childbirth results in changes in relationships
Rationale: Family-centered care recognizes that childbirth is a significant life event that affects family
dynamics and relationships. It empowers families to make informed choices, not the opposite .
Unit II: Maternal-Newborn Nursing and Women's Health
10. What is the hormone that initiates the maturation of the ovarian follicle?
a. FSH (Follicle-Stimulating Hormone)
b. LH (Luteinizing Hormone)
c. Progesterone
d. Estrogen
Correct Answer: a. FSH
Rationale: FSH is released by the anterior pituitary gland and is responsible for the recruitment and
maturation of ovarian follicles each month .
11. What is the main purpose of the chorionic villi?
a. Provide a site for exchange of nutrients and wastes
b. Produce estrogen and progesterone
c. Protect the fetus from trauma
d. Form the umbilical cord
