Introduction to Maternity and Pediatric Nursing, 9th Edition TEST BANK by Gloria Leifer |CHAPTER 1 - 34 VERIFIED

TestBankfor Introduction toMaternityandPediatric
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Nursing 9th Edition BY Gloria Leifer Chapter 1-34 Newest
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Version 2024 o, o,

,Chapter01:The Past, Present,andFuture
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Leifer:IntroductiontoMaternityandPediatricNursing,9thEdition
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MULTIPLE CHOICE o,




1. A patient chooses to have the certified nurse-midwife(CNM) provide care duringher
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pregnancy. What does the CNM‘s scope of practice include?
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a. Practiceindependent from medical supervision o, o, o, o,




b. Comprehensive prenatal care o, o,




c. Attendance at all deliveries o, o, o,




d. Cesareansections o,




ANS: B o ,




The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated
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deliveries,and ensures that a backup physician isavailable in case of unforeseen problems.
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DIF: CognitiveLevel: Comprehension REF: p. 6 OBJ: 5 o, o, o , o , o, o ,




TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: Implementation MSC:
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NCLEX: Health Promotion andMaintenance: Prevention and EarlyDetection ofDisease
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2. Whichmedical pioneer discoveredthe relationship between theincidence of puerperal fever and
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o, unwashed hands? o,




a. KarlCredé o,




b. Ignaz Semmelweis o,




c. LouisPasteur o,




d. Joseph Lister o,




ANS: B o ,




Ignaz Semmelweis deduced thatpuerperal 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: p. 2 OBJ:1 o, o, o , o, o,




TOP: The Past
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MSC:NCLEX: Safe, Effective Care Environment: Safetyand Infection Control
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3. A pregnant woman who has recentlyimmigratedto the United States commentsto thenurse, “Iam
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afraid of childbirth. It is so dangerous. Iam afraid Iwill die.” What is the best nursing response
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reflecting cultural sensitivity?
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a. “Maternal mortalityin the United States is extremelylow.” o, o, o, o, o, o, o, o,




b. “Anesthesiaisavailabletorelievepainduringlaborandchildbirth.” o, o, o, o, o, o, o, o, o,




c. “Tellmewhyyouareafraidofchildbirth.” o, o, o, o, o, o, o,




d. “Yourconditionwillbemonitoredduringlaboranddelivery.” o, o, o, o, o, o, o, o,




ANS:C o,




Askingthe patientabout her concerns helpspromoteunderstandingand individualizes patient care.
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DIF: CognitiveLevel: Application REF: pp. 6-8 OBJ: 8 o, o, o , o , o, o ,




TOP: Cross-Cultural Care KEY:NursingProcessStep: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 mortalityrate.What information does
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this provide?
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a. Maternal and infant deaths per 100,000 live births per year o, o, o, o, o, o, o, o, o,




b. Deaths of fetuses weighingmore than 500 g per 10,000 births per year o, o, o, o, o, o, o, o, o, o, o, o,




c. Deaths of infants up to 1 year of age per 1000 live births per year o, o, o, o, o, o, o, o, o, o, o, o, o, o,




d. Fetal and neonatal deaths per 1000 live births per year o, o, o, o, o, o, o, o, o ,




ANS:D o,




Theperinatal mortalityrate includes fetal and neonatal deaths per 1000 live births per year.
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DIF: Cognitive Level: Comprehension REF:p.13|Box1.6 o, o, o, o, o, o, o,




OBJ: 9
o, TOP: The Present-Child Care
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KEY: NursingProcess Step: Implementation
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MSC:NCLEX:Safe,EffectiveCareEnvironment:CoordinatedCare
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5. What is the focus of current maternitypractice?
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a. Hospital births for the majorityofwomen o, o, o, o, o, o,




b. Thetraditional familyunit o, o, o,




c. Separation of labor rooms from deliveryrooms o, o, o, o, o, o,




d. A qualityfamilyexperience for eachpatient
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ANS:D o,




Current maternitypractice focuseson a high-qualityfamilyexperiencefor all families, traditional
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or otherwise.
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DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: 5 o, o, o , o, o,




TOP: The Present-Maternity Care
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MSC: NCLEX: Health Promotion and Maintenance
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6. Who advocated theestablishment of the Children‘sBureau?
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a. LillianWald o,




b. FlorenceNightingale o,




c. FlorenceKelly o,




d. ClaraBarton o,




ANS:A o,




LillianWald iscredited with suggesting the establishment of a federal Children‘s Bureau.
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DIF: Cognitive Level: Knowledge REF: p. 4 OBJ:1|2 o, o, o , o, o, o, o,




TOP: The Past
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MSC:NCLEX: Health Promotion andMaintenance: Growth andDevelopment
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7. Whatwas the result of research done in the 1930s bythe Children‘sBureau?
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a. Childrenwith heart problems are now cared for by pediatriccardiologists. o, o, o, o, o, o, o, o, o, o,




b. The Child Abuseand Prevention Act waspassed. o, o, o, o, o, o, o,




c. Hot lunch programs were established in manyschools. o, o, o, o, o, o, o,




d. Children‘sasylumswere founded. o, o, o,




ANS:C o,




School hot lunch programs were developedas a result of research bythe Children‘s Bureau on the
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effects of economic depression on children.
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DIF: CognitiveLevel:Knowledge o, o, REF: p. 4 o , o , o, OBJ: 2 | 3 o, o, o ,

, TOP: ThePast KEY: NursingProcess Step: N/A
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MSC:NCLEX:Health PromotionandMaintenance: Coordinated Care
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8. Whatgovernmentprogramwas implemented to increasethe educational exposureof
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preschool children?
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a. WIC
b. Title XIX ofMedicaid o, o, o,




c. TheChildren‘sCharter o, o,




d. Head Start o,




ANS:D o,




Head Start programs wereestablished to increase educational exposure of preschool children.
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DIF: CognitiveLevel:Knowledge REF: p. 3 OBJ: 3 o, o, o , o , o, o ,




TOP: Government Influences in Maternity andPediatric Care
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MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
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9. Whatguidelines define multidisciplinarypatientcarein terms of expected outcome and
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timeframe from different areas of care provision?
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a. Clinical pathways o,




b. Nursing outcomecriteria o, o,




c. Standards ofcare o, o,




d. Nursing careplan o, o,




ANS:A o,




Clinicalpathways, also known ascritical pathwaysor caremaps, arecollaborative guidelines that
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define patient care across disciplines. Expected progress within a specified timeline is identified.
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DIF: Cognitive Level: Knowledge REF: p. 13 OBJ: 10 o, o, o , o, o,




TOP: Health Care Delivery Systems
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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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collected admission data. What is the next step the student will take to develop a nursing care plan
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for this child?
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a. Identifymeasurable outcomes with atimeline. o, o, o, o, o,




b. Choose specific nursinginterventions for thechild. o, o, o, o, o, o,




c. Determine appropriate nursingdiagnoses. o, o, o,




d. Statenursing actions related to the child‘s medical diagnosis. o, o, o, o, o, o, o, o,




ANS:C o,




Thenurseuses assessment data to selectappropriatenursingdiagnoses. Outcomes and
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interventions are then developed to address the relevant nursing diagnoses.
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DIF: CognitiveLevel: Application REF: p. 12 OBJ: 7 o, o, o , o , o, o ,




TOP: Nursing Process o KEY:NursingProcessStep: NursingDiagnosis
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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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LVN/LPN scope of practice. What resource can the nurse suggest to the student?
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a. AmericanNurses Association o, o,