,Chapter j 1. j Introduction j to j Maternity j and j Pediatric j Nursing
MULTIPLE j CHOICE
1. A j patient j chooses j to j have j the j certified j nurse j midwife j (CNM) j provide j care
j during j herjpregnancy. j What jdoes jthe jCNMs jscope jof jpractice jinclude?
a. Practice j independent j from j medical j supervision
b. Comprehensive j prenatal j care
c. Attendance j at j all j deliveries
d. Cesarean
j sectionsjANS: jB
The j CNM j provides j comprehensive j prenatal j and j postnatal j care, j attends j uncomplicated
j deliveries,jand j ensures j that ja j backup j physician j is javailable j in j case j of j unforeseen j problems.
DIF: j Cognitive j Level: j Comprehension j REF: j Page j 6 j OBJ: j 12
TOP: j Advance j Practice j Nursing j Roles j KEY: j Nursing j Process j Step: j Implementation
MSC: j NCLEX: j Health j Promotion j and j Maintenance: j Prevention j and j Early j Detection j of j Disease
2. Which j medical j pioneer j discovered j the j relationship j between j the j incidence j of j puerperal
j feverjand junwashed jhands?
a. Karl j Cred
b. Ignaz j Semmelweis
c. Louis j Pasteur
d. Joseph
j ListerjANS: jB
Ignaz j Semmelweis j deduced j that j puerperal j fever j was j septic, j contagious, j and j transmitted j by
j thejunwashed jhands jof jphysicians jand jmedical jstudents.
DIF: j Cognitive j Level: j Knowledge j REF: j Page j 2 j OBJ:
j 1jTOP: j The j Past j KEY: jNursing j Process j Step: j N/A
MSC: j NCLEX: j Safe, j Effective j Care j Environment: j Safety j and j Infection j Control
3. A j pregnant j woman j who j has j recently j immigrated j to j the j United j States j comments j to j the j nurse, j I
,am j afraid j of j childbirth. j It j is j so j dangerous. j I j am j afraid j I j will j die. j What j is j the j best
j nursingjresponse jreflecting jcultural jsensitivity?
a. Maternal j mortality j in j the j United j States j is j extremely j low.
b. Anesthesia j is j available j to j relieve j pain j during j labor j and j childbirth.
c. Tell j me j why j you j are j afraid j of j childbirth.
d. Your j condition j will j be j monitored j during j labor j and
j delivery.jANS: jC
Asking j the j patient j about j her j concerns j helps j promote j understanding j and j individualizes
j patientjcare.
DIF: j Cognitive j Level: j Application j REF: j Page j 7-8 j OBJ: j 8
TOP: j Cross-Cultural j Care j KEY: j Nursing j Process j Step:
j ImplementationjMSC: j NCLEX: j Psychosocial j Integrity: j Psychological
j Adaptation
4. An j urban j area j has j been j reported j to j have j a j high j perinatal j mortality j rate. j What
j information j doesjthis jprovide?
a. Maternal j and j infant j deaths j per j 100,000 j live j births j per j year
b. Deaths j of j fetuses j weighing j more j than j 500 j g j per j 10,000 j births j per j year
c. Deaths j of j infants j up j to j1 j year j of j age j per j 1000 jlive j births j per j year
d. Fetal j and j neonatal j deaths j per j 1000 j live j births j per
j yearjANS: jD
The j perinatal j mortality j rate j includes j fetal j and j neonatal j deaths j per j 1000 j live j births j per j year.
DIF: j Cognitive j Level: j Comprehension j REF: j Page j 12, j Box
j 1-6jOBJ: j9 jTOP: jThe jPresent-Child jCare
KEY: j Nursing j Process j Step: j Implementation
MSC: j NCLEX: j Safe, j Effective j Care j Environment: j Coordinated j Care
5. What j is j the j focus j of j current j maternity j practice?
a. Hospital j births j for j the j majority j of j women
b. The j traditional j family j unit
c. Separation j of j labor j rooms j from j delivery j rooms
d. A j quality j family j experience j for j each
j patientjANS: jD
Current j maternity j practice j focuses j on j a j high-quality j family j experience j for j all
j families,jtraditional jor jotherwise.
, DIF: j Cognitive j Level: j Comprehension j REF: j Page j 6 j OBJ: j 7
TOP: j The j Present-Maternity j Care j KEY: j Nursing j Process j Step:
j N/AjMSC: jNCLEX: jHealth jPromotion jand jMaintenance
6. Who j advocated j the j establishment j of j the j Childrens j Bureau?
a. Lillian j Wald
b. Florence j Nightingale
c. Florence j Kelly
d. Clara
j BartonjANS:
jA
Lillian j Wald j is j credited j with j suggesting j the j establishment j of j a j federal j Childrens j Bureau.
DIF: j Cognitive j Level: j Knowledge j REF: j Page j 4 jOBJ: j 1 j | j 2
jTOP: j The j Past j KEY: j Nursing j Process j Step:
j Implementation
MSC: j NCLEX: j Health j Promotion j and j Maintenance: j Growth j and j Development
7. What j was j the j result j of j research j done j in j the j 1930s j by j the j Childrens j Bureau?
a. Children j with j heart j problems j are j now j cared j for j by j pediatric j cardiologists.
b. The j Child j Abuse j and j Prevention j Act j was j passed.
c. Hot j lunch j programs j were j established j in j many j schools.
d. Childrens j asylums j were
j founded.jANS: jC
School j hot j lunch j programs j were j developed j as j a j result j of j research j by j the j Childrens j Bureau
j on j thejeffects jof jeconomic jdepression jon jchildren.
DIF: j Cognitive j Level: j Knowledge j REF: j Page j 4 j OBJ: j 2
j | j 3jTOP: jThe j Past j KEY: j Nursing j Process jStep: j N/A
MSC: j NCLEX: j Health j Promotion j and j Maintenance: j Coordinated j Care
8. What j government j program j was j implemented j to j increase j the j educational
j exposure j ofjpreschool jchildren?
a. WIC
b. Title j XIX j of j Medicaid
c. The j Childrens j Charter
d. Head
j StartjANS:
jD
Head j Start j programs j were j established j to j increase j educational j exposure j of j preschool j children.
MULTIPLE j CHOICE
1. A j patient j chooses j to j have j the j certified j nurse j midwife j (CNM) j provide j care
j during j herjpregnancy. j What jdoes jthe jCNMs jscope jof jpractice jinclude?
a. Practice j independent j from j medical j supervision
b. Comprehensive j prenatal j care
c. Attendance j at j all j deliveries
d. Cesarean
j sectionsjANS: jB
The j CNM j provides j comprehensive j prenatal j and j postnatal j care, j attends j uncomplicated
j deliveries,jand j ensures j that ja j backup j physician j is javailable j in j case j of j unforeseen j problems.
DIF: j Cognitive j Level: j Comprehension j REF: j Page j 6 j OBJ: j 12
TOP: j Advance j Practice j Nursing j Roles j KEY: j Nursing j Process j Step: j Implementation
MSC: j NCLEX: j Health j Promotion j and j Maintenance: j Prevention j and j Early j Detection j of j Disease
2. Which j medical j pioneer j discovered j the j relationship j between j the j incidence j of j puerperal
j feverjand junwashed jhands?
a. Karl j Cred
b. Ignaz j Semmelweis
c. Louis j Pasteur
d. Joseph
j ListerjANS: jB
Ignaz j Semmelweis j deduced j that j puerperal j fever j was j septic, j contagious, j and j transmitted j by
j thejunwashed jhands jof jphysicians jand jmedical jstudents.
DIF: j Cognitive j Level: j Knowledge j REF: j Page j 2 j OBJ:
j 1jTOP: j The j Past j KEY: jNursing j Process j Step: j N/A
MSC: j NCLEX: j Safe, j Effective j Care j Environment: j Safety j and j Infection j Control
3. A j pregnant j woman j who j has j recently j immigrated j to j the j United j States j comments j to j the j nurse, j I
,am j afraid j of j childbirth. j It j is j so j dangerous. j I j am j afraid j I j will j die. j What j is j the j best
j nursingjresponse jreflecting jcultural jsensitivity?
a. Maternal j mortality j in j the j United j States j is j extremely j low.
b. Anesthesia j is j available j to j relieve j pain j during j labor j and j childbirth.
c. Tell j me j why j you j are j afraid j of j childbirth.
d. Your j condition j will j be j monitored j during j labor j and
j delivery.jANS: jC
Asking j the j patient j about j her j concerns j helps j promote j understanding j and j individualizes
j patientjcare.
DIF: j Cognitive j Level: j Application j REF: j Page j 7-8 j OBJ: j 8
TOP: j Cross-Cultural j Care j KEY: j Nursing j Process j Step:
j ImplementationjMSC: j NCLEX: j Psychosocial j Integrity: j Psychological
j Adaptation
4. An j urban j area j has j been j reported j to j have j a j high j perinatal j mortality j rate. j What
j information j doesjthis jprovide?
a. Maternal j and j infant j deaths j per j 100,000 j live j births j per j year
b. Deaths j of j fetuses j weighing j more j than j 500 j g j per j 10,000 j births j per j year
c. Deaths j of j infants j up j to j1 j year j of j age j per j 1000 jlive j births j per j year
d. Fetal j and j neonatal j deaths j per j 1000 j live j births j per
j yearjANS: jD
The j perinatal j mortality j rate j includes j fetal j and j neonatal j deaths j per j 1000 j live j births j per j year.
DIF: j Cognitive j Level: j Comprehension j REF: j Page j 12, j Box
j 1-6jOBJ: j9 jTOP: jThe jPresent-Child jCare
KEY: j Nursing j Process j Step: j Implementation
MSC: j NCLEX: j Safe, j Effective j Care j Environment: j Coordinated j Care
5. What j is j the j focus j of j current j maternity j practice?
a. Hospital j births j for j the j majority j of j women
b. The j traditional j family j unit
c. Separation j of j labor j rooms j from j delivery j rooms
d. A j quality j family j experience j for j each
j patientjANS: jD
Current j maternity j practice j focuses j on j a j high-quality j family j experience j for j all
j families,jtraditional jor jotherwise.
, DIF: j Cognitive j Level: j Comprehension j REF: j Page j 6 j OBJ: j 7
TOP: j The j Present-Maternity j Care j KEY: j Nursing j Process j Step:
j N/AjMSC: jNCLEX: jHealth jPromotion jand jMaintenance
6. Who j advocated j the j establishment j of j the j Childrens j Bureau?
a. Lillian j Wald
b. Florence j Nightingale
c. Florence j Kelly
d. Clara
j BartonjANS:
jA
Lillian j Wald j is j credited j with j suggesting j the j establishment j of j a j federal j Childrens j Bureau.
DIF: j Cognitive j Level: j Knowledge j REF: j Page j 4 jOBJ: j 1 j | j 2
jTOP: j The j Past j KEY: j Nursing j Process j Step:
j Implementation
MSC: j NCLEX: j Health j Promotion j and j Maintenance: j Growth j and j Development
7. What j was j the j result j of j research j done j in j the j 1930s j by j the j Childrens j Bureau?
a. Children j with j heart j problems j are j now j cared j for j by j pediatric j cardiologists.
b. The j Child j Abuse j and j Prevention j Act j was j passed.
c. Hot j lunch j programs j were j established j in j many j schools.
d. Childrens j asylums j were
j founded.jANS: jC
School j hot j lunch j programs j were j developed j as j a j result j of j research j by j the j Childrens j Bureau
j on j thejeffects jof jeconomic jdepression jon jchildren.
DIF: j Cognitive j Level: j Knowledge j REF: j Page j 4 j OBJ: j 2
j | j 3jTOP: jThe j Past j KEY: j Nursing j Process jStep: j N/A
MSC: j NCLEX: j Health j Promotion j and j Maintenance: j Coordinated j Care
8. What j government j program j was j implemented j to j increase j the j educational
j exposure j ofjpreschool jchildren?
a. WIC
b. Title j XIX j of j Medicaid
c. The j Childrens j Charter
d. Head
j StartjANS:
jD
Head j Start j programs j were j established j to j increase j educational j exposure j of j preschool j children.
