G G
Introduction to Maternity and Pediatric Nursing,8
G G G G G G
th Edition
G G
UNITGI:GAnGOverviewGofGMaternityGandGPediatricGNursing
ChapterG 1:GTheGPast,GPresent,GandGFuture
UNITGII:GMaternal-
NewbornGNursingGandGWomen’sGHealthGChapterG2:GHumanG
ReproductiveGAnatomyGandGPhysiologyGChapterG 3:GFetalGDev
elopment
ChapterG4:GPrenatalGCareGandGAdaptationsGtoGPregnancy
ChapterG5:GNursingGCareGofGWomenGwithGComplicationsGduringGPregnan
cyGChapterG6:GNursingGCareGofGMotherGandGInfantGduringGLaborGandGBirt
hGChapterG 7:GNursingGManagementGofGPainGduringGLaborGandGBirth
ChapterG8:GNursingGCareGofGWomenGwithGComplicationsGduringGLaborGa
ndGBirth
ChapterG9:GTheGFamilyGafterGBirth
ChapterG10:GNursingGCareGofGWomenGwithGComplicationsGFollowingGBir
thGChapterG 11:GTheGNurse’sGRoleGinGWomen’sGHealthGCare
ChapterG 12:GTheGTermGNewborn
ChapterG 13:GPretermGandGPost-TermGNewborns
ChapterG14:GTheGNewbornGwithGaGPerinatalGInjuryGorG Congenit
alGMalformation
UNITGIII:GTheGGrowingGChildGandGFamily
ChapterG15:GAnGOverviewGofGGrowth,GDevelopment,GandGNutritionGChap
terG 16:GTheGInfant
ChapterG 17:GTheGToddlerGChapt
erG18:GTheGPreschoolGChild
ChapterG19:GTheGSchool-
AgeGChildGChapterG 20:GTheGAdole
scent
UNITGIV:GAdaptingGCareGtoGtheGPediatricGPatient
ChapterG21:GTheGChild’sGExperienceGofGHospitalizationGChap
terG22:GHealthGCareGAdaptationsGforGtheGChildGandGFamilyGUN
ITG V:GTheGChildGNeedingGNursingGCare
ChapterG23:GTheGChildGwithGaGSensoryGorGNeurologicalGConditi
onGChapterG 24:GTheGChildGwithGaG MusculoskeletalGConditionGCh
apterG 25:GTheGChildGwithGaG RespiratoryGDisorder
ChapterG26:GTheGChildGwithGaGCardiovascularGDisorder
ChapterG27:GTheGChildGwithGaGConditionGofGtheGBlood,GBlood-
FormingGOrgansGorGLymphaticGSystemGChapterG 28:GTheGChildGwithGaG GastrointestinalGCondition
ChapterG29:GTheGChildGwithGaGGenitourinaryGConditionGChapt
erG 30:GTheGChildGwithGaG SkinGCondition
ChapterG31:GTheGChildGwithGaGMetabolicGCondition
ChapterG32:GChildhoodGCommunicableGDiseases,GBioterrorism,GNaturalGDisastersGandGtheGMaternal-
ChildGPatient
ChapterG33:GTheGChildGwithGanGEmotionalGorGBehavioralGCondition
UNITGVI:GTheGChangingGHealthGCareGEnvironment
ChapterG34:GComplementaryGandGAlternativeGTherapiesGinGMaternityGandGPediatricGNursing
, INTRODUCTIONGTOGMATERNITYGANDGPEDIATRICGNURSINGG8THGEDITIONGLEIFERGTESTGBA
NK
2
Chapter 01: The Past, Present, and Future
G G G G G G
MULTIPLEG CHOICE
1. AGpatientG choosesG toG haveG theG certifiedG nurseG midwifeG (CNM)G provideG careG duringG herG pregnancy.G WhatG d
oesGtheG CNMsG scopeG ofG practiceGinclude?
a. PracticeG independentG fromG medicalG supervisio
nGb.G ComprehensiveGprenatalGcare
c.G AttendanceG atGallGdeliveries
d.G CesareanGsections
ANS:GB
TheG CNMG providesG comprehensiveG prenatalG andG postnatalG care,G attendsG uncomplicatedG deliveries,G andG ensure
sGthatGaG backupG physicianGisG availableGinG caseG ofG unforeseenG problems.
DIF:G CognitiveG Level:G ComprehensionG REF:G PageG 6
TOP:G AdvanceG PracticeG NursingG RolesG KEY:G NursingGProcessG Step:G Implementation
MSC:G NCLEX:G HealthG PromotionG andG Maintenance:G PreventionG andG EarlyG DetectionG ofG Disease
2. WhichG medicalG pioneerG discoveredG theG relationshipG betweenG theG incidenceG ofG puerperalG feverG andG unwas
hedGhands?
a. KarlG Cred
b. IgnazG Semmelweis
c. LouisG Pasteur
d. JosephG Lister
ANS:GB
IgnazGSemmelweisGdeducedGthatGpuerperalGfeverGwasGseptic,Gcontagious,GandGtransmittedGbyGtheGunwashedGh
andsGofGphysiciansGandGmedicalGstudents.
DIF:G CognitiveG Level:G KnowledgeG REF:G PageG 2GTO
P:G TheG PastG KEY:G NursingGProcessG Step:G N/A
MSC:G NCLEX:G Safe,G EffectiveG CareG Environment:G SafetyG andG InfectionG Control
3. AG pregnantG womanG whoG hasG recentlyG immigratedG toGtheG UnitedG StatesG commentsG toGtheG nurse,G IG amGafrai
dG ofGchildbirth.GItGisGsoGdangerous.GIGamGafraidGIGwillGdie.GWhatGisGtheGbestGnursingGresponseGreflectingGcultur
alGsensitivity?
a. MaternalG mortalityGinGtheG UnitedG StatesG isG extremelyGlow.
b. AnesthesiaGisGavailableGtoGrelieveGpainGduringGlaborGandGchildbirth
.Gc.G TellG meGwhyGyouGareGafraidGofGchildbirth.
d.G YourG conditionG willG beG monitoredG duringGlaborG andGdelivery.
ANS:GC
AskingG theG patientG aboutG herG concernsG helpsG promoteG understandingG andG individualizesG patientG care.
DIF:G CognitiveG Level:G ApplicationG REF:G PageG 7
TOP:G Cross-
CulturalG CareG KEY:G NursingG ProcessG Step:G ImplementationGMSC:G NC
LEX:G PsychosocialG Integrity:G PsychologicalG Adaptation
4. AnG urbanGareaG hasG beenGreportedG toG haveG aG highGperinatalG mortalityG rate.G WhatG informationG doesG thisG provide?
a. MaternalGandGinfantG deathsG perG 100,000G liveG birthsG perG year
b. DeathsGofGfetusesG weighingG moreG thanG500G gGperG 10,000G birthsG perG year
c. DeathsG ofGinfantsG upGtoG1G yearG ofGageG perG 1000GliveG birthsG perG y
earGd.G FetalGandGneonatalGdeathsGperG1000GliveGbirthsG perGyear
ANS:GD
TheG perinatalG mortalityGrateG includesG fetalG andGneonatalG deathsG perG 1000G liveG birthsG perG y
ear.GDIF:G CognitiveG Level:G ComprehensionG REF:G PageG12
, INTRODUCTIONGTOGMATERNITYGANDGPEDIATRICGNURSINGG8THGEDITIONGLEIFERGTESTGBA
NK
3
OBJ:G 9G TOP:G TheG Present-ChildG Care
KEY:G NursingG ProcessG Step:G Implementation
MSC:G NCLEX:G Safe,G EffectiveG CareG Environment:G CoordinatedG Care
5. WhatG isGtheG focusG ofG currentG maternityG practice?
a. HospitalGbirthsG forG theG majorityGofG women
b. TheG traditionalG familyG unit
c. SeparationG ofG laborG roomsG fromG deliveryG roo
msGd.G AGqualityGfamilyGexperienceGforGeachGpatie
nt
ANS:GD
CurrentG maternityG practiceG focusesG onGaG high-qualityG familyG experienceG forG allG families,G traditionalG orG otherwise.
DIF:G CognitiveG Level:G ComprehensionG REF:G PageG 6
TOP:G TheG Present-
MaternityG CareG KEY:G NursingG ProcessG Step:G N/AGMSC:G NCLEX:G Heal
thGPromotionG andGMaintenance
6. WhoGadvocatedGtheGestablishmentGofGtheGChildrensGBureau
?Ga.GLillianGWald
b. FlorenceG Nightingale
c. FlorenceG Kelly
d. ClaraG Barton
ANS:G A
LillianG WaldG isG creditedG withG suggestingG theG establishmentG ofG aG federalG ChildrensG Bureau.
DIF:G CognitiveG Level:G KnowledgeG REF:G PageG 4
TOP:G TheG PastG KEY:G NursingG ProcessG Step:G Implementation
MSC:G NCLEX:G HealthG PromotionG andG Maintenance:G GrowthG andG Development
7. WhatG wasG theG resultG ofGresearchG doneG inGtheG 1930sG byGtheG ChildrensG Bureau?
a. ChildrenG withG heartG problemsG areG nowG caredG forG byG pediatricG cardiologists.
b. TheG ChildG AbuseG andG PreventionG ActG wasG passed.
c. HotG lunchG programsG wereG establishedG inG manyGschools.
d. ChildrensG asylumsG wereG founded.
ANS:GC
SchoolG hotG lunchG programsG wereG developedG asG aG resultG ofG researchG byGtheG ChildrensG BureauGonGtheG effectsG ofGec
onomicG depressionG onG children.
DIF:G CognitiveG Level:G KnowledgeG REF:G PageG 4GTO
P:G TheG PastG KEY:G NursingGProcessG Step:G N/A
MSC:G NCLEX:G HealthG PromotionG andG Maintenance:G CoordinatedG Care
8. WhatG governmentG programG wasG implementedG toG increaseG theG educationalG exposureG ofG preschoolG children?
a. WIC
b. TitleG XIXG ofG Medicaid
c. TheG ChildrensG Charte
rGd.G HeadGStart
ANS:GD
HeadG StartG programsG wereG establishedG toG increaseG educationalG exposureG ofG preschoolG children.
DIF:G CognitiveG Level:G KnowledgeG REF:G PageG 3
TOP:G GovernmentG InfluencesG inG MaternityGandG PediatricG CareG KEY:G NursingG ProcessG Step:G N
/AGMSC:G NCLEX:G HealthGPromotionG andG Maintenance:G GrowthGandGDevelopment
9. WhatGguidelinesGdefineGmultidisciplinaryGpatientGcareGinGtermsGofGexpectedGoutcomeGandGtimeframeGfro
mGdifferentGareasG ofG careGprovision?
, INTRODUCTIONGTOGMATERNITYGANDGPEDIATRICGNURSINGG8THGEDITIONGLEIFERGTESTGBA
NK
4
a. ClinicalG pathways
b. NursingG outcomeG criteria
c. StandardsG ofG care
d. NursingGcareG plan
ANS:G A
ClinicalG pathways,GalsoG knownG asG criticalG pathwaysG orG careG maps,G areG collaborativeG guidelinesG thatG defineG
patientG careGacrossG disciplines.G ExpectedG progressG withinGaG specifiedG timelineG isG identified.
DIF:G CognitiveG Level:G KnowledgeG REF:G PageG 12
TOP:G HealthG CareG DeliveryG SystemsG KEY:G NursingG ProcessG Step:G N/
AGMSC:G NCLEX:G Safe,G EffectiveG CareG Environment:G CoordinatedG Car
e
10. AG nursingG studentG hasGreviewedG aG hospitalizedG pediatricG patientG chart,G interviewedG herG mother,G andG collec
tedGadmissionG data.G WhatG isG theG nextG stepGtheG studentG willG takeG toG developGaG nursingG careG planGforG thisG child?
a. IdentifyG measurableG outcomesG withG aG timeline.
b. ChooseGspecificGnursingGinterventionsGforGtheGchild
.Gc.G DetermineG appropriateG nursingG diagnoses.
d.G StateG nursingGactionsGrelatedGtoGtheG childsG medicalG diagnosis.
ANS:GC
TheGnurseGusesGassessmentGdataGtoGselectGappropriateGnursingGdiagnosesGfromGtheGNANDA-
IGlist.GOutcomesGandGinterventionsG areGthenG developedGtoGaddressG theG relevantG nursingG diagnoses.
DIF:G CognitiveG Level:G ApplicationG REF:G PageG 11
TOP:G NursingG ProcessG KEY:G NursingG ProcessG Step:G NursingG Diagnosi
sGMSC:G NCLEX:G Safe,G EffectiveG CareG Environment:G CoordinatedG Care
11. AG nursingG studentG onGanG obstetricGrotationG questionsG theG floorG nurseG aboutG theG definitionG ofG theG LVN/
LPNGscopeGofG practice.GWhatGresourceGcanGtheGnurseNsUuR gS
gIeN
stGtT
oGBth.C
eOstM
udent?
a. AmericanG NursesG Association
b. StatesG boardG ofG nursing
c. JointG Commission
d. AssociationG ofG WomensG Health,G ObstetricG andG NeonatalG Nurses
ANS:GB
TheGscopeG ofG practiceG ofG theG LVN/LPNG isG publishedGbyG theG statesG boardG ofG nursing.
DIF:G CognitiveG Level:G ComprehensionG REF:G PageG 3G
OBJ:G18G TOP:GCriticalG Thinking
KEY:G NursingG ProcessG Step:G Implementation
MSC:G NCLEX:G Safe,G EffectiveG CareG Environment:G CoordinatedG Care
12. WhatG wasG recommendedG byGKarlG CredG inG1884?
a. AllG womenGshouldGbeG deliveredGinGaG hospitalG setting.
b. ChemicalG meansG shouldG beG usedG toGcombatGinfection.
c. PodalicG versionGshouldGbeG doneG onGallG fetuses.
d. SilverG nitrateG shouldGbeG placedGinGtheG eyesG ofG newborns.
ANS:GD
InG1884G KarlG CredGrecommendedG theG useG ofG2%G silverG nitrateG inGtheG eyesG ofG newbornsG toGreduceG theG incidenceG
ofGblindness.
DIF:G CognitiveG Level:G KnowledgeG REF:G PageG 2
TOP:GUseG ofG SilverG NitrateG KEY:G NursingGProcessG Step:G N/A
MSC:G NCLEX:G HealthG PromotionG andG Maintenance:G PreventionG andG EarlyG DetectionG ofG Disease
13. WhatG isG theG purposeG ofG theG WhiteG HouseG ConferenceG onG ChildrenG andGYouth?
a. SetGcriteriaG forG normalG growthG patterns.