TEST BANK FOR
LEIFER’S
INTRODUCTION TO
MATERNITY AND
PEDIATRIC NURSING
IN CANADA 1ST
EDITION BY LEIFER
,Chapterh 01:h Overview h ofh Perinatal h and h Pediatric h Nursing h inh Canada
MULTIPLEh CHOICE
1. Ah patienth choosesh toh haveh theh certifiedh nurseh midwifeh (CNM)h provideh careh duringh herh pregnancy.h Whath
doeshthehCNMshscopehofhpracticehinclude?
a. Practiceh independenth fromh medicalh supervision
b. Comprehensiveh prenatalh care
c. Attendanceh ath allh deliveries
d. Cesareanh sections
ANS:hB
Theh CNMh providesh comprehensiveh prenatalh andh postnatalh care,h attendsh uncomplicatedh deliveries,h andh ensu
reshthathahbackuphphysicianhishavailablehinhcasehofhunforeseenhproblems.
DIF:h Cognitiveh Level:h Comprehensionh REF:h Pageh 6h OBJ:h 12
TOP:h Advanceh Practiceh Nursingh Rolesh KEY:h Nursingh Processh Step:h Implementation
MSC:h NCLEX:h Healthh Promotionh andh Maintenance:h Preventionh andh Earlyh Detectionh ofh Disease
2. Whichh medicalh pioneerh discoveredh theh relationshiph betweenh theh incidenceh ofh puerperalh feverh andh unwas
hedhhands?
a. KarlhCred
b. Ignazh Semmelweis
c. Louish Pasteur
d. Josephh Lister
ANS:hB
Ignazh Semmelweish deducedh thath puerperalh feverh wash septic,h contagious,h andh transmittedh byh theh unwashedh
handshofhphysicianshandhmedicalhstudents.
DIF:h Cognitiveh Level:h Knowledgeh REF:h Pageh 2h OBJ:h 1h
TOP:hThehPasthKEY:hNursinghProcesshStep:hN/A
MSC:h NCLEX:h Safe,h Effectiveh Careh Environment:h Safetyh andh Infectionh Control
3. Ah pregnanth womanh whoh hash recentlyh immigratedh toh theh Unitedh Stateshcommentsh toh theh nurse,hIh amh afr
aidh ofhchildbirth.hIthishsohdangerous.hIhamhafraidhIhwillhdie.hWhathishthehbesthnursinghresponsehreflectin
ghculturalhsensitivity?
a. Maternalh mortalityhinh theh Unitedh Statesh ish extremelyh low.
b. Anesthesiah ishavailableh toh relieveh painh duringh laborh andh childbirth.
c. Tellhmehwhyhyouharehafraidhofhchildbirth.
d. Yourh conditionh willh beh monitoredh duringh laborh andh delivery.
ANS:hC
Askingh theh patienth abouth herh concernsh helpsh promoteh understandingh andh individualizesh patienth care.
DIF:h Cognitiveh Level:h Applicationh REF:h Pageh 7-8h OBJ:h 8
TOP:h Cross-
Culturalh Careh KEY:h Nursingh Processh Step:h ImplementationhMSC:hNCLE
X:hPsychosocialhIntegrity:hPsychologicalhAdaptation
4. Anhurbanh areahhash beenh reportedh toh haveh ah highh perinatalh mortalityh rate.h Whath informationh doesh thish provide
?
a. Maternalh andhinfanth deathsh perh 100,000h liveh birthsh perh year
b. Deathsh ofhfetusesh weighingh moreh thanh 500h gh perh 10,000h birthsh perh year
c. Deathshofhinfantshuphtoh1hyearhofhagehperh1000hlivehbirthshperhyear
d. Fetalh andh neonatalh deathsh perh 1000h liveh birthsh perh year
ANS:hD
Theh perinatalh mortalityh rateh includesh fetalh andh neonatalh deathsh perh 1000h liveh birthsh perh year.
DIF:hCognitivehLevel:hComprehensionhREF:hPageh12,hBoxh1-6
,OBJ:h 9h TOP:h Theh Present-Childh Care
KEY:h Nursingh Processh Step:h Implementation
MSC:h NCLEX:h Safe,h Effectiveh Careh Environment:h Coordinatedh Care
5. Whath ish theh focushofh currenth maternityh practice?
a. Hospitalh birthsh forh theh majorityh ofh women
b. Thehtraditionalh familyh unit
c. Separationh ofh laborh roomsh fromh deliveryh rooms
d. Ahqualityh familyh experienceh forheachh patient
ANS:hD
Currenth maternityh practiceh focusesh onh ah high-
qualityh familyh experienceh forh allh families,h traditionalh orh otherwise.
DIF:h Cognitiveh Level:h Comprehensionh REF:h Pageh 6h OBJ:h 7
TOP:h Theh Present-
Maternityh Careh KEY:h Nursingh Processh Step:h N/AhMSC:hNCLEX:hH
ealthhPromotionhandhMaintenance
6. Whoh advocatedh theh establishmenth ofh theh Childrensh Bureau?
a. LillianhWald
b. Florenceh Nightingale
c. Florenceh Kelly
d. ClarahBarton
ANS:hA
Lillianh Waldh ish creditedh withh suggestingh theh establishmenth ofh ah federalh Childrensh Bureau.
DIF:hCognitivehLevel:hKnowledgehREF:hPageh4hOBJ:h1h|
h2hTOP:h Theh Pasth KEY:h Nursingh Processh Step:h Implement
ation
MSC:h NCLEX:h Healthh Promotionh andh Maintenance:h Growthh andh Development
7. Whath wash theh resulth ofh researchh doneh inh theh 1930sh byh theh Childrensh Bureau?
a. Childrenh withh hearth problemsh areh nowh caredh forh byh pediatrich cardiologists.
b. Theh Childh Abuseh andh Preventionh Acth wash passed.
c. Hoth lunchh programsh wereh establishedh inh manyh schools.
d. Childrensh asylumsh wereh founded.
ANS:hC
Schoolh hoth lunchh programsh wereh developedh ash ah resulth ofh researchhbyh theh Childrensh Bureauh onh theh effectsh ofh
economichdepressionhonhchildren.
DIF:h Cognitiveh Level:h Knowledgeh REF:h Pageh 4h OBJ:h 2h |
h 3hTOP:hThehPasthKEY:hNursinghProcesshStep:hN/A
MSC:h NCLEX:h Healthh Promotionh andh Maintenance:h Coordinatedh Care
8. Whath governmenth programh wash implementedh toh increaseh theh educationalh exposureh ofh preschoolh children?
a. WIC
b. Titleh XIXh ofh Medicaid
c. Theh Childrensh Charter
d. HeadhStart
ANS:hD
Headh Starth programsh wereh establishedh toh increaseh educationalh exposureh ofh preschoolh children.
DIF:h Cognitiveh Level:h Knowledgeh REF:h Pageh 3hOBJ:h 5
TOP:h Governmenth Influencesh inh Maternityh andh Pediatrich Careh KEY:h Nursingh Processh Step:h
N/AhMSC:hNCLEX:hHealthhPromotionhandhMaintenance:hGrowthhandhDevelopment
9. Whath guidelinesh defineh multidisciplinaryh patienth careh inh termsh ofh expectedh outcomeh andh timeframeh f
romhdifferenthareashofhcarehprovision?
, a. Clinicalh pathways
b. Nursingh outcomeh criteria
c. Standardsh ofh care
d. Nursingh careh plan
ANS:hA
Clinicalh pathways,h alsoh knownh ash criticalh pathwaysh orh careh maps,h areh collaborativeh guidelinesh thath defineh
patienthcarehacrosshdisciplines.hExpectedhprogresshwithinhahspecifiedhtimelinehishidentified.
DIF:h Cognitiveh Level:h Knowledgeh REF:h Pageh 12h OBJ:h 14
TOP:h Healthh Careh Deliveryh Systemsh KEY:h Nursingh Processh Step:h N/
AhMSC:h NCLEX:h Safe,h Effectiveh Careh Environment:h Coordinatedh Ca
re
10. Ah nursingh studenth hash reviewedh ah hospitalizedh pediatrich patienth chart,h interviewedh herh mother,h andh colle
ctedhadmissionhdata.hWhathishthehnexthstephthehstudenthwillhtakehtohdevelophahnursinghcarehplanhforhthishc
hild?
a. Identifyh measurableh outcomesh withh ah timeline.
b. Chooseh specifich nursingh interventionsh forh theh child.
c. Determineh appropriateh nursingh diagnoses.
d. Stateh nursingh actionsh relatedh toh theh childsh medicalh diagnosis.
ANS:hC
Theh nurseh usesh assessmenth datah toh selecth appropriateh nursingh diagnosesh fromh theh NANDA-
Ih list.h Outcomesh andhinterventionsharehthenhdevelopedhtohaddresshthehrelevanthnursinghdiagnoses.
DIF:h Cognitiveh Level:h Applicationh REF:h Pageh 11h OBJ:h 13
TOP:h Nursingh Processh KEY:h Nursingh Processh Step:h Nursingh DiagnosishM
SC:h NCLEX:h Safe,h Effectiveh Careh Environment:h Coordinatedh Care
11. Ah nursingh studenth onh anh obstetrich rotationh questionsh theh floorh nurseh abouth theh definitionh ofh theh LVN/
LPNhscopehofhpractice.hWhathresourcehcanhthehnursehsuggesthtohthehstudent?
a. Americanh Nursesh Association
b. Statesh boardhofh nursing
c. Jointh Commission
d. Associationh ofh Womensh Health,h Obstetrich andh Neonatalh Nurses
ANS:hB
Theh scopeh ofhpracticeh ofh theh LVN/LPNh ish publishedh byh thehstatesh boardh ofh nursing.
DIF:h Cognitiveh Level:h Comprehensionh REF:h Pageh 3,h Legalh andh Ethicalh Considerati
onshOBJ:h18hTOP:hCriticalhThinking
KEY:h Nursingh Processh Step:h Implementation
MSC:h NCLEX:h Safe,h Effectiveh Careh Environment:h Coordinatedh Care
12. Whath wash recommendedh byh Karlh Credh inh 1884?
a. Allh womenh shouldh beh deliveredh inh ah hospitalh setting.
b. Chemicalh meansh shouldh beh usedh toh combath infection.
c. Podalich versionh shouldh beh doneh onh allh fetuses.
d. Silverh nitrateh shouldhbeh placedh inh theh eyesh ofh newborns.
ANS:hD
Inh1884h Karlh Credh recommendedh theh useh ofh2%h silverh nitrateh inh theh eyesh ofh newbornsh toh reduceh theh incidenc
eh ofhblindness.
DIF:hCognitivehLevel:hKnowledgehREF:hPageh2hOBJ:h1h
TOP:h Useh ofh Silverh Nitrateh KEY:h Nursingh Processh Step:h N/
A
MSC:h NCLEX:h Healthh Promotionh andh Maintenance:h Preventionh andh Earlyh Detectionh ofh Disease
13. Whath ish theh purposeh ofh theh Whiteh Househ Conferenceh onh Childrenh andh Youth?
a. Sethcriteriah forh normalh growthh patterns.
LEIFER’S
INTRODUCTION TO
MATERNITY AND
PEDIATRIC NURSING
IN CANADA 1ST
EDITION BY LEIFER
,Chapterh 01:h Overview h ofh Perinatal h and h Pediatric h Nursing h inh Canada
MULTIPLEh CHOICE
1. Ah patienth choosesh toh haveh theh certifiedh nurseh midwifeh (CNM)h provideh careh duringh herh pregnancy.h Whath
doeshthehCNMshscopehofhpracticehinclude?
a. Practiceh independenth fromh medicalh supervision
b. Comprehensiveh prenatalh care
c. Attendanceh ath allh deliveries
d. Cesareanh sections
ANS:hB
Theh CNMh providesh comprehensiveh prenatalh andh postnatalh care,h attendsh uncomplicatedh deliveries,h andh ensu
reshthathahbackuphphysicianhishavailablehinhcasehofhunforeseenhproblems.
DIF:h Cognitiveh Level:h Comprehensionh REF:h Pageh 6h OBJ:h 12
TOP:h Advanceh Practiceh Nursingh Rolesh KEY:h Nursingh Processh Step:h Implementation
MSC:h NCLEX:h Healthh Promotionh andh Maintenance:h Preventionh andh Earlyh Detectionh ofh Disease
2. Whichh medicalh pioneerh discoveredh theh relationshiph betweenh theh incidenceh ofh puerperalh feverh andh unwas
hedhhands?
a. KarlhCred
b. Ignazh Semmelweis
c. Louish Pasteur
d. Josephh Lister
ANS:hB
Ignazh Semmelweish deducedh thath puerperalh feverh wash septic,h contagious,h andh transmittedh byh theh unwashedh
handshofhphysicianshandhmedicalhstudents.
DIF:h Cognitiveh Level:h Knowledgeh REF:h Pageh 2h OBJ:h 1h
TOP:hThehPasthKEY:hNursinghProcesshStep:hN/A
MSC:h NCLEX:h Safe,h Effectiveh Careh Environment:h Safetyh andh Infectionh Control
3. Ah pregnanth womanh whoh hash recentlyh immigratedh toh theh Unitedh Stateshcommentsh toh theh nurse,hIh amh afr
aidh ofhchildbirth.hIthishsohdangerous.hIhamhafraidhIhwillhdie.hWhathishthehbesthnursinghresponsehreflectin
ghculturalhsensitivity?
a. Maternalh mortalityhinh theh Unitedh Statesh ish extremelyh low.
b. Anesthesiah ishavailableh toh relieveh painh duringh laborh andh childbirth.
c. Tellhmehwhyhyouharehafraidhofhchildbirth.
d. Yourh conditionh willh beh monitoredh duringh laborh andh delivery.
ANS:hC
Askingh theh patienth abouth herh concernsh helpsh promoteh understandingh andh individualizesh patienth care.
DIF:h Cognitiveh Level:h Applicationh REF:h Pageh 7-8h OBJ:h 8
TOP:h Cross-
Culturalh Careh KEY:h Nursingh Processh Step:h ImplementationhMSC:hNCLE
X:hPsychosocialhIntegrity:hPsychologicalhAdaptation
4. Anhurbanh areahhash beenh reportedh toh haveh ah highh perinatalh mortalityh rate.h Whath informationh doesh thish provide
?
a. Maternalh andhinfanth deathsh perh 100,000h liveh birthsh perh year
b. Deathsh ofhfetusesh weighingh moreh thanh 500h gh perh 10,000h birthsh perh year
c. Deathshofhinfantshuphtoh1hyearhofhagehperh1000hlivehbirthshperhyear
d. Fetalh andh neonatalh deathsh perh 1000h liveh birthsh perh year
ANS:hD
Theh perinatalh mortalityh rateh includesh fetalh andh neonatalh deathsh perh 1000h liveh birthsh perh year.
DIF:hCognitivehLevel:hComprehensionhREF:hPageh12,hBoxh1-6
,OBJ:h 9h TOP:h Theh Present-Childh Care
KEY:h Nursingh Processh Step:h Implementation
MSC:h NCLEX:h Safe,h Effectiveh Careh Environment:h Coordinatedh Care
5. Whath ish theh focushofh currenth maternityh practice?
a. Hospitalh birthsh forh theh majorityh ofh women
b. Thehtraditionalh familyh unit
c. Separationh ofh laborh roomsh fromh deliveryh rooms
d. Ahqualityh familyh experienceh forheachh patient
ANS:hD
Currenth maternityh practiceh focusesh onh ah high-
qualityh familyh experienceh forh allh families,h traditionalh orh otherwise.
DIF:h Cognitiveh Level:h Comprehensionh REF:h Pageh 6h OBJ:h 7
TOP:h Theh Present-
Maternityh Careh KEY:h Nursingh Processh Step:h N/AhMSC:hNCLEX:hH
ealthhPromotionhandhMaintenance
6. Whoh advocatedh theh establishmenth ofh theh Childrensh Bureau?
a. LillianhWald
b. Florenceh Nightingale
c. Florenceh Kelly
d. ClarahBarton
ANS:hA
Lillianh Waldh ish creditedh withh suggestingh theh establishmenth ofh ah federalh Childrensh Bureau.
DIF:hCognitivehLevel:hKnowledgehREF:hPageh4hOBJ:h1h|
h2hTOP:h Theh Pasth KEY:h Nursingh Processh Step:h Implement
ation
MSC:h NCLEX:h Healthh Promotionh andh Maintenance:h Growthh andh Development
7. Whath wash theh resulth ofh researchh doneh inh theh 1930sh byh theh Childrensh Bureau?
a. Childrenh withh hearth problemsh areh nowh caredh forh byh pediatrich cardiologists.
b. Theh Childh Abuseh andh Preventionh Acth wash passed.
c. Hoth lunchh programsh wereh establishedh inh manyh schools.
d. Childrensh asylumsh wereh founded.
ANS:hC
Schoolh hoth lunchh programsh wereh developedh ash ah resulth ofh researchhbyh theh Childrensh Bureauh onh theh effectsh ofh
economichdepressionhonhchildren.
DIF:h Cognitiveh Level:h Knowledgeh REF:h Pageh 4h OBJ:h 2h |
h 3hTOP:hThehPasthKEY:hNursinghProcesshStep:hN/A
MSC:h NCLEX:h Healthh Promotionh andh Maintenance:h Coordinatedh Care
8. Whath governmenth programh wash implementedh toh increaseh theh educationalh exposureh ofh preschoolh children?
a. WIC
b. Titleh XIXh ofh Medicaid
c. Theh Childrensh Charter
d. HeadhStart
ANS:hD
Headh Starth programsh wereh establishedh toh increaseh educationalh exposureh ofh preschoolh children.
DIF:h Cognitiveh Level:h Knowledgeh REF:h Pageh 3hOBJ:h 5
TOP:h Governmenth Influencesh inh Maternityh andh Pediatrich Careh KEY:h Nursingh Processh Step:h
N/AhMSC:hNCLEX:hHealthhPromotionhandhMaintenance:hGrowthhandhDevelopment
9. Whath guidelinesh defineh multidisciplinaryh patienth careh inh termsh ofh expectedh outcomeh andh timeframeh f
romhdifferenthareashofhcarehprovision?
, a. Clinicalh pathways
b. Nursingh outcomeh criteria
c. Standardsh ofh care
d. Nursingh careh plan
ANS:hA
Clinicalh pathways,h alsoh knownh ash criticalh pathwaysh orh careh maps,h areh collaborativeh guidelinesh thath defineh
patienthcarehacrosshdisciplines.hExpectedhprogresshwithinhahspecifiedhtimelinehishidentified.
DIF:h Cognitiveh Level:h Knowledgeh REF:h Pageh 12h OBJ:h 14
TOP:h Healthh Careh Deliveryh Systemsh KEY:h Nursingh Processh Step:h N/
AhMSC:h NCLEX:h Safe,h Effectiveh Careh Environment:h Coordinatedh Ca
re
10. Ah nursingh studenth hash reviewedh ah hospitalizedh pediatrich patienth chart,h interviewedh herh mother,h andh colle
ctedhadmissionhdata.hWhathishthehnexthstephthehstudenthwillhtakehtohdevelophahnursinghcarehplanhforhthishc
hild?
a. Identifyh measurableh outcomesh withh ah timeline.
b. Chooseh specifich nursingh interventionsh forh theh child.
c. Determineh appropriateh nursingh diagnoses.
d. Stateh nursingh actionsh relatedh toh theh childsh medicalh diagnosis.
ANS:hC
Theh nurseh usesh assessmenth datah toh selecth appropriateh nursingh diagnosesh fromh theh NANDA-
Ih list.h Outcomesh andhinterventionsharehthenhdevelopedhtohaddresshthehrelevanthnursinghdiagnoses.
DIF:h Cognitiveh Level:h Applicationh REF:h Pageh 11h OBJ:h 13
TOP:h Nursingh Processh KEY:h Nursingh Processh Step:h Nursingh DiagnosishM
SC:h NCLEX:h Safe,h Effectiveh Careh Environment:h Coordinatedh Care
11. Ah nursingh studenth onh anh obstetrich rotationh questionsh theh floorh nurseh abouth theh definitionh ofh theh LVN/
LPNhscopehofhpractice.hWhathresourcehcanhthehnursehsuggesthtohthehstudent?
a. Americanh Nursesh Association
b. Statesh boardhofh nursing
c. Jointh Commission
d. Associationh ofh Womensh Health,h Obstetrich andh Neonatalh Nurses
ANS:hB
Theh scopeh ofhpracticeh ofh theh LVN/LPNh ish publishedh byh thehstatesh boardh ofh nursing.
DIF:h Cognitiveh Level:h Comprehensionh REF:h Pageh 3,h Legalh andh Ethicalh Considerati
onshOBJ:h18hTOP:hCriticalhThinking
KEY:h Nursingh Processh Step:h Implementation
MSC:h NCLEX:h Safe,h Effectiveh Careh Environment:h Coordinatedh Care
12. Whath wash recommendedh byh Karlh Credh inh 1884?
a. Allh womenh shouldh beh deliveredh inh ah hospitalh setting.
b. Chemicalh meansh shouldh beh usedh toh combath infection.
c. Podalich versionh shouldh beh doneh onh allh fetuses.
d. Silverh nitrateh shouldhbeh placedh inh theh eyesh ofh newborns.
ANS:hD
Inh1884h Karlh Credh recommendedh theh useh ofh2%h silverh nitrateh inh theh eyesh ofh newbornsh toh reduceh theh incidenc
eh ofhblindness.
DIF:hCognitivehLevel:hKnowledgehREF:hPageh2hOBJ:h1h
TOP:h Useh ofh Silverh Nitrateh KEY:h Nursingh Processh Step:h N/
A
MSC:h NCLEX:h Healthh Promotionh andh Maintenance:h Preventionh andh Earlyh Detectionh ofh Disease
13. Whath ish theh purposeh ofh theh Whiteh Househ Conferenceh onh Childrenh andh Youth?
a. Sethcriteriah forh normalh growthh patterns.
