TEST BANK
Davis Advantage for Maternal-Child
Nursing Care Third Edition by Meredith
J Scannell & Kristine Ruggiero
TEST BANK
,Chapter 1. Core Concepts of Maternal and Pediatric Healthcare Across the Continuum
Test Bank: Davis Advantage for Maternal-Child Nursing Care 3rd Edition Scannell Ruggiero
MULTIPLE CHOICE
A patient chooses to have the certified nurse midwife (CNM) provide care
during her pregnancy. What does the CNMs scope of practice include?
• Practice independent from medical supervision
• Comprehensive prenatal care
• Attendance at all deliveries
• Cesarean sections
ANS: B - The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated
deliveries, and ensures that a backup physician is available in case of unforeseen
problems.
REF: Page6
Which medical pioneer discovered the relationship between the incidence of
puerperal fever and unwashed hands?
• Karl Cred
• Ignaz Semmelweis
• Louis Pasteur
• Joseph List
ANS: B - Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the
unwashed hands of physicians and medical students.
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?
• Maternal mortality in the United States is extremely low.
• Anesthesia is available to relieve pain during labor and childbirth.
• Tell me why you are afraid of childbirth.
• Your condition will be monitored during labor and delivery.
1|Page
,ANS: C - Asking the patient about her concerns helps promote understanding and individualizes
patient care.
• An urban area has been reported to have a high perinatal mortality rate.
What information does this provide?
• Maternal and infant deaths per 100,000 live births per year
• Deaths of fetuses weighing more than 500 g per 10,000 births per year
• Deaths of infants up to 1 year of age per 1000 live births per year
• Fetal and neonatal deaths per 1000 live births per year
ANS: D - The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
• What is the focus of current maternity practice?
• Hospital births for the majority of women
• The traditional family unit
• Separation of labor rooms from delivery rooms
• A quality family experience for each patient
ANS: D - Current maternity practice focuses on a high-quality family experience for all
families, traditional or otherwise.
: REF: Page 6 7 : The Present-Maternity Care N/A : Health Promotion and Maintenance
• Who advocated the establishment of the Childrens Bureau?
• Lillian Wald
• Florence Nightingale
• Florence Kelly
• Clara Barton
ANS: A - Lillian Wald is credited with suggesting the establishment of a federal Childrens Bureau.
• What was the result of research done in the 1930s by the Childrens Bureau?
• Children with heart problems are now cared for by pediatric cardiologists.
• The Child Abuse and Prevention Act was passed.
• Hot lunch programs were established in many schools.
• Childrens asylums were founded.
ANS: C - School hot lunch programs were developed as a result of research by the Childrens Bureau on
2|Page
, The effects of economic depression on children.
• What government program was implemented to increase the
educational exposure of preschool children?
• WIC
• Title XIX of Medicaid
• The Childrens Charter
• Head Start
ANS:D - Head Start programs were established to increase educational exposure of preschool children.
• What guidelines define multidisciplinary patient care in terms of
expected outcome and timeframe from different areas of care provision?
• Clinical pathways
• Nursing outcome criteria
• Standards of care
• Nursing care plan
ANS: A - Clinical pathways, also known as critical pathways or care maps, are
collaborative guidelines that define patient care across disciplines. Expected progress
within a specified timeline is identified.
• A nursing student has reviewed a hospitalized pediatric patient chart,
interviewed her mother, and collected admission data. What is the next step the
student will take to develop a nursing care plan for this child?
• Identify measurable outcomes with a timeline.
• Choose specific nursing interventions for the child.
• Determine appropriate nursing diagnoses.
• State nursing actions related to the childs medical diagnosis.
ANS: C - The nurse uses assessment data to select appropriate nursing diagnoses from the NANDA-I
list. Outcomes and interventions are then developed to address the relevant nursing diagnoses.
• A nursing student on an obstetric rotation questions the floor nurse about
the definition of the LVN/LPN scope of practice. What resource can the nurse
suggest to the student?
3|Page
Davis Advantage for Maternal-Child
Nursing Care Third Edition by Meredith
J Scannell & Kristine Ruggiero
TEST BANK
,Chapter 1. Core Concepts of Maternal and Pediatric Healthcare Across the Continuum
Test Bank: Davis Advantage for Maternal-Child Nursing Care 3rd Edition Scannell Ruggiero
MULTIPLE CHOICE
A patient chooses to have the certified nurse midwife (CNM) provide care
during her pregnancy. What does the CNMs scope of practice include?
• Practice independent from medical supervision
• Comprehensive prenatal care
• Attendance at all deliveries
• Cesarean sections
ANS: B - The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated
deliveries, and ensures that a backup physician is available in case of unforeseen
problems.
REF: Page6
Which medical pioneer discovered the relationship between the incidence of
puerperal fever and unwashed hands?
• Karl Cred
• Ignaz Semmelweis
• Louis Pasteur
• Joseph List
ANS: B - Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the
unwashed hands of physicians and medical students.
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?
• Maternal mortality in the United States is extremely low.
• Anesthesia is available to relieve pain during labor and childbirth.
• Tell me why you are afraid of childbirth.
• Your condition will be monitored during labor and delivery.
1|Page
,ANS: C - Asking the patient about her concerns helps promote understanding and individualizes
patient care.
• An urban area has been reported to have a high perinatal mortality rate.
What information does this provide?
• Maternal and infant deaths per 100,000 live births per year
• Deaths of fetuses weighing more than 500 g per 10,000 births per year
• Deaths of infants up to 1 year of age per 1000 live births per year
• Fetal and neonatal deaths per 1000 live births per year
ANS: D - The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
• What is the focus of current maternity practice?
• Hospital births for the majority of women
• The traditional family unit
• Separation of labor rooms from delivery rooms
• A quality family experience for each patient
ANS: D - Current maternity practice focuses on a high-quality family experience for all
families, traditional or otherwise.
: REF: Page 6 7 : The Present-Maternity Care N/A : Health Promotion and Maintenance
• Who advocated the establishment of the Childrens Bureau?
• Lillian Wald
• Florence Nightingale
• Florence Kelly
• Clara Barton
ANS: A - Lillian Wald is credited with suggesting the establishment of a federal Childrens Bureau.
• What was the result of research done in the 1930s by the Childrens Bureau?
• Children with heart problems are now cared for by pediatric cardiologists.
• The Child Abuse and Prevention Act was passed.
• Hot lunch programs were established in many schools.
• Childrens asylums were founded.
ANS: C - School hot lunch programs were developed as a result of research by the Childrens Bureau on
2|Page
, The effects of economic depression on children.
• What government program was implemented to increase the
educational exposure of preschool children?
• WIC
• Title XIX of Medicaid
• The Childrens Charter
• Head Start
ANS:D - Head Start programs were established to increase educational exposure of preschool children.
• What guidelines define multidisciplinary patient care in terms of
expected outcome and timeframe from different areas of care provision?
• Clinical pathways
• Nursing outcome criteria
• Standards of care
• Nursing care plan
ANS: A - Clinical pathways, also known as critical pathways or care maps, are
collaborative guidelines that define patient care across disciplines. Expected progress
within a specified timeline is identified.
• A nursing student has reviewed a hospitalized pediatric patient chart,
interviewed her mother, and collected admission data. What is the next step the
student will take to develop a nursing care plan for this child?
• Identify measurable outcomes with a timeline.
• Choose specific nursing interventions for the child.
• Determine appropriate nursing diagnoses.
• State nursing actions related to the childs medical diagnosis.
ANS: C - The nurse uses assessment data to select appropriate nursing diagnoses from the NANDA-I
list. Outcomes and interventions are then developed to address the relevant nursing diagnoses.
• A nursing student on an obstetric rotation questions the floor nurse about
the definition of the LVN/LPN scope of practice. What resource can the nurse
suggest to the student?
3|Page
