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TEST BANK: INTRODUCTION TO MATERNITY
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AND PEDIATRIC NURSING 8TH EDITION LEIFER
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,Test Bank - Introduction to Maternity and Pediatric Nursing, 8th Edition by Gloria Leifer
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.
Chapter 01: The Past, Present, and Future
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MULTIPLE CHOICE L
1. A patient chooses to have the certified nurse midwife (CNM) provide care during her
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pregnancy. What does the CNMs scope of practice include?
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a. Practice independent from medical supervision
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b. Comprehensive prenatal care L L
c. Attendance at all deliveries L L L
d. Cesarean sections L
ANS: B L
The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated deliveries,
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and ensures that a backup 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
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and unwashed hands?
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a. Karl Cred L
b. Ignaz Semmelweis L
c. Louis Pasteur L
d. Joseph Lister L
ANS: B L
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the
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unwashed hands of physicians and medical students.
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DIF: Cognitive Level: Knowledge REF: Page
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2 TOP: The Past KEY: Nursing Process Step:
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N/A
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
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am afraid of childbirth. It is so dangerous. I am afraid I will die. What is the best nursing response
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,Test Bank - Introduction to Maternity and Pediatric Nursing, 8th Edition by Gloria Leifer
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reflecting cultural sensitivity? L L
a. Maternal mortality in the United States is extremely low.
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b. Anesthesia is available to relieve pain during labor and childbirth.
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c. Tell me why you are afraid of childbirth.
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d. Your condition will be monitored during labor and delivery.
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ANS: C L
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:
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Implementation MSC: NCLEX: Psychosocial Integrity: L L L L
Psychological Adaptation L
4. An urban area has been reported to have a high perinatal mortality rate. What information does
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L this provide? L
a. Maternal and infant deaths per 100,000 live births per year
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b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
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c. Deaths of infants up to 1 year of age per 1000 live births per year
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d. Fetal and neonatal deaths per 1000 live births per year
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ANS: D L
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live
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L births per year. DIF: Cognitive Level: Comprehension REF: Page 12
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, Test Bank - Introduction to Maternity and Pediatric Nursing, 8th Edition by Gloria Leifer
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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?
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a. Hospital births for the majority of women L L L L L L
b. The traditional family unit
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c. Separation of labor rooms from delivery rooms L L L L L L
d. A quality family experience for each patient
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ANS: D L
Current maternity practice focuses on a high-quality family experience for all families, traditional or
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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:
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N/A MSC: NCLEX: Health Promotion and Maintenance
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6. Who advocated the establishment of the Children Bureau?
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a. Lillian Wald L
b. Florence Nightingale L
c. Florence Kelly L
d. Clara Barton L
ANS: A L
Lillian Wald is credited with suggesting the establishment of a federal Children 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 Children Bureau?
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a. Children with heart problems are now cared for by pediatric cardiologists.
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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. Children asylums were founded. L L L