Test Bank - Safe Maternity and Pediatric Nursing Care, 2nd Edition (Linnard-Palmer, 2021), Chapter 1-38 | All Chapters

Safe Maternity and Pediatric Nursing Care 2nd Edition Linnard-Palmer Test
SAFEMATERNITY
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LINNARD-PALMER TEST BANK Bank
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Chapter 1. Introduction to Maternity and Pediatric Nursing
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MULTIPLE CHOICE
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1. A patient chooses to have the certified nurse midwife (CNM) provide care during her
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pregnancy. What does the CNMs scope of practice include?
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a. Practice independent from medical supervision x t x t x t x t




b. Comprehensive prenatal care x t x t




c. Attendance at all deliveries x t x t x t




d. Cesarean sections xt




ANS: B
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The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated deliveries, and
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ensures that a backup physician is available in case of unforeseen problems.
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DIF: Cognitive Level: Comprehension REF: Page 6 OBJ: 12
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TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
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2. Which medical pioneer discovered the relationship between the incidence of puerperal fever and
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unwashed hands?
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a. Karl Cred x t




b. Ignaz Semmelweis x t




c. Louis Pasteur x t




d. JosephLister xt




ANS: B
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Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the
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unwashed hands of physicians and medical students.
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DIF: Cognitive Level: Knowledge REF: Page 2 OBJ: 1 TOP:
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The Past KEY: Nursing Process Step: N/A
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MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
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3. A pregnant woman who has recently immigrated to the United States comments to the nurse, I
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,am afraid of childbirth. It is so dangerous. I am afraid I will die. What is the best nursing response
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reflecting cultural sensitivity?
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a. Maternal mortality in the United States is extremely low. x t x t x t x t x t x t x t x t




b. Anesthesia is available to relieve pain during labor and childbirth. x t x t x t x t x t x t x t x t x t




c. Tell me why you are afraid of childbirth. x t x t x t x t x t x t x t




d. Your condition will be monitored during labor and delivery. xt xt xt xt xt xt xt xt




ANS: C
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Asking the patient about her concerns helps promote understanding and individualizes patient care.
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DIF: Cognitive Level: Application REF: Page 7-8 OBJ: 8
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TOP: Cross-Cultural Care KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
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4. An urban area has been reported to have a high perinatal mortality rate. What information does this
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provide?
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a. Maternal and infant deaths per 100,000 live births per year x t x t x t x t x t x t x t x t x t




b. Deaths of fetuses weighing more than 500 g per 10,000 births per year x t x t x t x t x t x t x t x t x t x t x t x t




c. Deaths of infants up to 1 year of age per 1000 live births per year x t x t x t x t x t x t x t x t x t x t x t x t x t x t




d. Fetal and neonatal deaths per 1000 live births per year xt xt xt xt xt xt xt xt xt




ANS: D
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The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
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DIF: Cognitive Level: Comprehension REF: Page 12, Box 1-6
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OBJ: 9 TOP: The Present-Child Care
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KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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5. What is the focus of current maternity practice? x t x t x t x t x t x t x t




a. Hospital births for the majority of women x t x t x t x t x t x t




b. The traditional family unit x t x t x t




c. Separation of labor rooms from delivery rooms x t x t x t x t x t x t




d. A quality family experience for each patient
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ANS: D
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Current maternity practice focuses on a high-quality family experience for all families, traditional or
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otherwise.
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,DIF: Cognitive Level: Comprehension REF: Page 6 OBJ: 7
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TOP: The Present-Maternity Care KEY: Nursing Process Step: N/A MSC:
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NCLEX: Health Promotion and Maintenance
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6. Who advocated the establishment of the Childrens Bureau?
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a. Lillian Wald x t




b. Florence Nightingale x t




c. Florence Kelly x t




d. ClaraBarton xt




ANS: A
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Lillian Wald is credited with suggesting the establishment of a federal Childrens Bureau.
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DIF: Cognitive Level: Knowledge REF: Page 4 OBJ: 1 | 2 TOP:
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The Past KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
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7. What was the result of research done in the 1930s by the Childrens Bureau?
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a. Children with heart problems are now cared for by pediatric cardiologists. x t x t x t x t x t x t x t x t x t x t




b. The Child Abuse and Prevention Act was passed.
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c. Hot lunch programs were established in many schools.
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d. Childrens asylums were founded. xt xt xt




ANS: C
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School hot lunch programs were developed as a result of research by the Childrens Bureau on the effects
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of economic depression on children.
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DIF: Cognitive Level: Knowledge REF: Page 4 OBJ: 2 | 3
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TOP: The Past KEY: Nursing Process Step: N/A
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MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care
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8. What government program was implemented to increase the educational exposure of
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preschool children?
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a. WIC
b. Title XIX of Medicaid x t x t x t




c. The Childrens Charter x t x t




d. HeadStart xt




ANS: D
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Head Start programs were established to increase educational exposure of preschool children.
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, DIF: Cognitive Level: Knowledge REF: Page 3 OBJ: 5
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TOP: Government Influences in Maternity and Pediatric Care KEY: Nursing Process Step: N/A MSC:
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xt NCLEX: Health Promotion and Maintenance: Growth and Development
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9. What guidelines define multidisciplinary patient care in terms of expected outcome and
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xt timeframe from different areas of care provision? xt xt xt xt xt xt




a. Clinical pathways x t




b. Nursing outcome criteria x t x t




c. Standards of care x t x t




d. Nursing care plan xt xt




xt ANS: A xt




Clinical pathways, also known as critical pathways or care maps, are collaborative guidelines that
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xt define patient care across disciplines. Expected progress within a specified timeline is identified.
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DIF: Cognitive Level: Knowledge REF: Page 12 OBJ: 14
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TOP: Health Care Delivery Systems KEY: Nursing Process Step: N/A
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xt MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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10. A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her mother, and
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x t collected admission data. What is the next step the student will take to develop a nursing care
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xt plan for this child?
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a. Identify measurable outcomes with a timeline. x t x t x t x t x t




b. Choose specific nursing interventions for the child. x t x t x t x t x t x t




c. Determine appropriate nursing diagnoses. x t x t x t




d. State nursing actions related to the childs medical diagnosis.
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xt ANS: C xt




The nurse uses assessment data to select appropriate nursing diagnoses from the NANDA-I list.
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xt Outcomes and interventions are then developed to address the relevant nursing diagnoses.
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DIF: Cognitive Level: Application REF: Page 11 OBJ: 13
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TOP: Nursing Process KEY: Nursing Process Step: Nursing Diagnosis
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xt MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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11. A nursing student on an obstetric rotation questions the floor nurse about the definition of the
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xt LVN/LPN scope of practice. What resource can the nurse suggest to the student? xt xt xt xt xt xt xt xt xt xt xt xt




a. American Nurses Association x t x t