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