INTRODUCTION TO MATERNITY AND PEDIATRIC IN CANADA 1ST EDITION BY LEIFER
%ft %ft %ft %ft %ft %ft %ft %ft %ft %ft
,TEST BANK FOR LEIFER’S INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING IN
CANADA 1ST EDITION BY LEIFER
Chapter 01: Overview of Perinatal and Pediatric Nursing in Canada
MULTIPLE CHOICE
1. A patient chooses to have the certified nurse midwife (CNM) provide care during her pregnancy. What does
the CNMs scope of practice include?
a. Practice independent from medical supervision
b. Comprehensive prenatal care
c. Attendance at all deliveries
d. Cesarean sections
ANS: B
The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated deliveries, and ensures
that a backup physician is available in case of unforeseen problems.
DIF: Cognitive Level: Comprehension REF: Page 6
TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
2. Which medical pioneer discovered the relationship between the incidence of puerperal fever and unwashed
hands?
a. Karl Cred
b. Ignaz Semmelweis
c. Louis Pasteur
d. Joseph Lister
ANS: B
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the unwashed
hands of physicians and medical students.
DIF: Cognitive Level: Knowledge REF: Page 2
TOP: The Past KEY: Nursing Process Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
3. A pregnant woman who has recently immigrated to the United States comments to the nurse, I am afraid of
childbirth. It is so dangerous. I am afraid I will die. What is the best nursing response reflecting cultural
sensitivity?
a. Maternal mortality in the United States is extremely low.
b. Anesthesia is available to relieve pain during labor and childbirth.
c. Tell me why you are afraid of childbirth.
d. Your condition will be monitored during labor and delivery.
ANS: C
Asking the patient about her concerns helps promote understanding and individualizes patient care.
DIF: Cognitive Level: Application REF: Page 7
TOP: Cross-Cultural Care KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
4. An urban area has been reported to have a high perinatal mortality rate. What information does this provide?
a. Maternal and infant deaths per 100,000 live births per year
b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
c. Deaths of infants up to 1 year of age per 1000 live births per year
d. Fetal and neonatal deaths per 1000 live births per year
ANS: D
,The %ftperinatal %ftmortality %ftrate %ftincludes %ftfetal %ftand %ftneonatal %ftdeaths %ftper %ft1000 %ftlive
%ft births %ftper %ftyear. %ftDIF: %ftCognitive %ftLevel: %ftComprehension %ftREF: %ftPage %ft12
OBJ: %ft9 %ftTOP: %ft The %ftPresent-Child %ftCare
KEY: %ftNursing %ftProcess %ft Step: %ftImplementation
MSC: %ftNCLEX: %ftSafe, %ftEffective %ft Care %ftEnvironment: %ftCoordinated %ft Care
5. What %ftis %ftthe %ftfocus %ftof %ftcurrent %ftmaternity %ftpractice?
a. Hospital %ftbirths %ftfor %ftthe %ftmajority %ftof %ftwomen
b. The %fttraditional %ftfamily %ftunit
c. Separation %ftof %ftlabor %ftrooms %ftfrom %ftdelivery %ft rooms
d. A %ftquality %ftfamily %ftexperience %ftfor %fteach %ftpatient
ANS: %ftD
Current %ftmaternity %ftpractice %ft focuses %ft on %fta %fthigh-quality %ftfamily %ft experience %ftfor %ftall %ftfamilies, %ft traditional %ftor
%ft otherwise.
DIF: %ftCognitive %ftLevel: %ftComprehension %ftREF: %ft Page %ft6
TOP: %ftThe %ftPresent-Maternity %ftCare %ftKEY: %ftNursing %ftProcess %ftStep:
%ftN/A %ftMSC: %ftNCLEX: %ftHealth %ftPromotion %ftand %ftMaintenance
6. Who %ftadvocated %ftthe %ftestablishment %ft of %ftthe %ftChildrens %ft Bureau?
a. Lillian %ftWald
b. Florence %ftNightingale
c. Florence %ftKelly
d. Clara %ftBarton
ANS: %ftA
Lillian %ftWald %ftis %ftcredited %ftwith %ftsuggesting %ftthe %ftestablishment %ftof %fta %ftfederal %ftChildrens %ftBureau.
DIF: %ftCognitive %ftLevel: %ftKnowledge %ftREF: %ftPage %ft4
TOP: %ftThe %ftPast %ftKEY: %ftNursing %ft Process %ft Step: %ft Implementation
MSC: %ftNCLEX: %ftHealth %ft Promotion %ft and %ft Maintenance: %ftGrowth % ft and %ftDevelopment
NURSINGTB.COM
7. What %ftwas %ft the %ftresult %ft of %ftresearch %f t done %ftin %ftthe %ft1930s %ft by %ftthe %ftChildrens %ftBureau?
a. Children %ftwith %ft heart %ftproblems %ft are %ftnow %ft cared %ftfor %ftby %ft pediatric %ft cardiologists.
b. The %ftChild %ftAbuse %ftand %ftPrevention %ftAct %ftwas %ft passed.
c. Hot %ftlunch %ftprograms %ftwere %ftestablished %ft in %ft many %ftschools.
d. Childrens %ftasylums %ftwere %ft founded.
ANS: %ftC
School %fthot %ftlunch %ftprograms %ftwere %ftdeveloped %ftas %fta %ftresult %ftof %ftresearch %ftby %ftthe %ftChildrens %ftBureau
%fton %ftthe %fteffects %ftof %fteconomic %ftdepression %fton %ftchildren.
DIF: %ftCognitive %ftLevel: %ftKnowledge %ftREF:
%ftPage %ft4 %ftTOP: %ftThe %ft Past %ft KEY: %ft Nursing
% f t Process %ft Step: %ft N/A
MSC: %ftNCLEX: %ftHealth %ft Promotion %ft and %ft Maintenance: %ft Coordinated %ftCare
8. What %ftgovernment %ft program %ftwas %ftimplemented %ftto %ft increase %ft the %ft educational %ftexposure % ft of %ftpreschool
%ft children?
a. WIC
b. Title %ft XIX % f t of %ft Medicaid
c. The % f t Childrens % f t Charter
d. Head %ftStart
ANS: %ftD
Head %ftStart %ftprograms %ftwere %ft established %ft to %ft increase %fteducational %ft exposure %ft of %ft preschool %ft children.
DIF: %ftCognitive %ftLevel: %ftKnowledge %ftREF: %ftPage %ft3
TOP: %ftGovernment %ftInfluences %ft in %ft Maternity %ft and %ft Pediatric %ft Care %ftKEY: %ftNursing %ft Process %ftStep: %ftN/A
, MSC: %ftNCLEX: %ftHealth %ftPromotion %ft and %ftMaintenance: %ftGrowth %ftand %ftDevelopment
9. What %ftguidelines %ftdefine %ftmultidisciplinary %ftpatient %ftcare %ftin %ftterms %ftof %ftexpected %ftoutcome %ftand
%fttimeframe %ftfrom %ftdifferent %ftareas %ftof %ftcare %ftprovision?
a. Clinical %ftpathways
b. Nursing %ftoutcome %ftcriteria
c. Standards %ftof %ftcare
d. Nursing %ftcare %ftplan
ANS: %ftA
Clinical %ftpathways, %ftalso %ftknown %ftas %ftcritical %ftpathways %ftor %ftcare %ftmaps, %ftare %ftcollaborative %ftguidelines
%ftthat %ftdefine %ftpatient %ftcare %ftacross %ftdisciplines. %ftExpected %ftprogress %ftwithin %fta %ftspecified %fttimeline %ftis
%ftidentified.
DIF: %ftCognitive %ftLevel: %ftKnowledge %ftREF: %ft Page %ft 12
TOP: %ftHealth %ftCare %ftDelivery %ftSystems %ftKEY: %ftNursing %ftProcess
%ftStep: %ftN/A %ftMSC: %ftNCLEX: %ftSafe, %ftEffective %ftCare %ftEnvironment:
%ftCoordinated %ftCare
10. A %ftnursing %ftstudent %fthas %ftreviewed %fta %fthospitalized %ftpediatric %ftpatient %ftchart, %ftinterviewed %fther
%ftmother, %ftand %ftcollected %ftadmission %ftdata. %ftWhat %ftis %ftthe %ftnext %ftstep %ftthe %ftstudent %ftwill %fttake %ftto
%ftdevelop %fta %ftnursing %ftcare %ftplan %ftfor %ftthis %ftchild?
a. Identify %ftmeasurable %ftoutcomes %ftwith %ft a %fttimeline.
b. Choose %ftspecific %ftnursing %ft interventions %ftfor %ftthe %ftchild.
c. Determine %ft appropriate %ft nursing % f t diagnoses.
d. State %ftnursing %ftactions %ftrelated %ftto %ftthe %ftchilds %ft medical %ftdiagnosis.
ANS: %ftC
The %ftnurse %ftuses %ftassessment %ftdata %ftto %ftselect %ftappropriate %ftnursing %ftdiagnoses %ftfrom %ftthe %ftNANDA-I
%ftlist. %ftOutcomes %ftand %ftinterventions %ftare %ftthen %ftdeveloped %ftto %ftaddress %ftthe %ftrelevant %ftnursing
%ftdiagnoses.
DIF: %ftCognitive %ftLevel: %ftApplication %ft REF: %ft Page %ft11
TOP: %ftNursing %ftProcess %ftKEY: %ftNursing %ftProcess %ftStep: %ftNursing
%ftDiagnosis %ftMSC: %ftNCLEX: %ftSafe, %ftEffective %ftCare %ftEnvironment:
%ftCoordinated %ftCare
11. A %ftnursing %ftstudent %fton %ftan %ftobstetric %ftrotation %ftquestions %ftthe %ftfloor %ftnurse %ftabout %ftthe %ftdefinition
%ftof %ftthe %ftLVN/LPN %ftscope %ftof %ftpractice. %ftWhat %ftresource %ftcan %ftthe %ft n u rs eNsUuRg Sg IeNs tGtoT Bth. Ce %O
ft stM
udent?
a. American %ftNurses %ftAssociation
b. States %ft board %ftof %ftnursing
c. Joint %ftCommission
d. Association %ftof %ftWomens %ftHealth, %ftObstetric %ftand %ftNeonatal %ft Nurses
ANS: %ftB
The %ftscope %ftof %ftpractice %ftof %ftthe %ftLVN/LPN %ft is %ftpublished %ft by %ftthe %ftstates %ft board %ftof %ftnursing.
DIF: %ftCognitive %ftLevel: %ftComprehension %ftREF:
%ftPage %ft3 %ftOBJ: %ft18 %ftTOP: %ftCritical %ftThinking
KEY: %ftNursing %ftProcess %ft Step: %ftImplementation
MSC: %ftNCLEX: %ftSafe, %ftEffective %ft Care %ftEnvironment: %ftCoordinated %ft Care
12. What %ftwas %ft recommended %ft by %ftKarl %ftCred %ftin %ft 1884?
a. All %ftwomen %ftshould %ftbe %ftdelivered %ft in %ft a %fthospital %ft setting.
b. Chemical %ftmeans %ftshould %ftbe %ft used %ft to %ftcombat %ftinfection.
c. Podalic %ftversion %ft should %ftbe %ft done %fton %ftall %ftfetuses.
d. Silver %ftnitrate %ftshould %ftbe %ftplaced %ftin %ft the %fteyes %ftof %ftnewborns.
ANS: %ftD
In %ft1884 %ftKarl %ftCred %ftrecommended %ftthe %ftuse %ftof %ft2% %ftsilver %ftnitrate %ftin %ftthe %fteyes %ftof %ftnewborns %ftto
%ftreduce %ftthe %ftincidence %ftof %ftblindness.
DIF: %ftCognitive %ftLevel: %ftKnowledge %ftREF: %ftPage %ft2
%ft %ft %ft %ft %ft %ft %ft %ft %ft %ft
,TEST BANK FOR LEIFER’S INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING IN
CANADA 1ST EDITION BY LEIFER
Chapter 01: Overview of Perinatal and Pediatric Nursing in Canada
MULTIPLE CHOICE
1. A patient chooses to have the certified nurse midwife (CNM) provide care during her pregnancy. What does
the CNMs scope of practice include?
a. Practice independent from medical supervision
b. Comprehensive prenatal care
c. Attendance at all deliveries
d. Cesarean sections
ANS: B
The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated deliveries, and ensures
that a backup physician is available in case of unforeseen problems.
DIF: Cognitive Level: Comprehension REF: Page 6
TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
2. Which medical pioneer discovered the relationship between the incidence of puerperal fever and unwashed
hands?
a. Karl Cred
b. Ignaz Semmelweis
c. Louis Pasteur
d. Joseph Lister
ANS: B
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the unwashed
hands of physicians and medical students.
DIF: Cognitive Level: Knowledge REF: Page 2
TOP: The Past KEY: Nursing Process Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
3. A pregnant woman who has recently immigrated to the United States comments to the nurse, I am afraid of
childbirth. It is so dangerous. I am afraid I will die. What is the best nursing response reflecting cultural
sensitivity?
a. Maternal mortality in the United States is extremely low.
b. Anesthesia is available to relieve pain during labor and childbirth.
c. Tell me why you are afraid of childbirth.
d. Your condition will be monitored during labor and delivery.
ANS: C
Asking the patient about her concerns helps promote understanding and individualizes patient care.
DIF: Cognitive Level: Application REF: Page 7
TOP: Cross-Cultural Care KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
4. An urban area has been reported to have a high perinatal mortality rate. What information does this provide?
a. Maternal and infant deaths per 100,000 live births per year
b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
c. Deaths of infants up to 1 year of age per 1000 live births per year
d. Fetal and neonatal deaths per 1000 live births per year
ANS: D
,The %ftperinatal %ftmortality %ftrate %ftincludes %ftfetal %ftand %ftneonatal %ftdeaths %ftper %ft1000 %ftlive
%ft births %ftper %ftyear. %ftDIF: %ftCognitive %ftLevel: %ftComprehension %ftREF: %ftPage %ft12
OBJ: %ft9 %ftTOP: %ft The %ftPresent-Child %ftCare
KEY: %ftNursing %ftProcess %ft Step: %ftImplementation
MSC: %ftNCLEX: %ftSafe, %ftEffective %ft Care %ftEnvironment: %ftCoordinated %ft Care
5. What %ftis %ftthe %ftfocus %ftof %ftcurrent %ftmaternity %ftpractice?
a. Hospital %ftbirths %ftfor %ftthe %ftmajority %ftof %ftwomen
b. The %fttraditional %ftfamily %ftunit
c. Separation %ftof %ftlabor %ftrooms %ftfrom %ftdelivery %ft rooms
d. A %ftquality %ftfamily %ftexperience %ftfor %fteach %ftpatient
ANS: %ftD
Current %ftmaternity %ftpractice %ft focuses %ft on %fta %fthigh-quality %ftfamily %ft experience %ftfor %ftall %ftfamilies, %ft traditional %ftor
%ft otherwise.
DIF: %ftCognitive %ftLevel: %ftComprehension %ftREF: %ft Page %ft6
TOP: %ftThe %ftPresent-Maternity %ftCare %ftKEY: %ftNursing %ftProcess %ftStep:
%ftN/A %ftMSC: %ftNCLEX: %ftHealth %ftPromotion %ftand %ftMaintenance
6. Who %ftadvocated %ftthe %ftestablishment %ft of %ftthe %ftChildrens %ft Bureau?
a. Lillian %ftWald
b. Florence %ftNightingale
c. Florence %ftKelly
d. Clara %ftBarton
ANS: %ftA
Lillian %ftWald %ftis %ftcredited %ftwith %ftsuggesting %ftthe %ftestablishment %ftof %fta %ftfederal %ftChildrens %ftBureau.
DIF: %ftCognitive %ftLevel: %ftKnowledge %ftREF: %ftPage %ft4
TOP: %ftThe %ftPast %ftKEY: %ftNursing %ft Process %ft Step: %ft Implementation
MSC: %ftNCLEX: %ftHealth %ft Promotion %ft and %ft Maintenance: %ftGrowth % ft and %ftDevelopment
NURSINGTB.COM
7. What %ftwas %ft the %ftresult %ft of %ftresearch %f t done %ftin %ftthe %ft1930s %ft by %ftthe %ftChildrens %ftBureau?
a. Children %ftwith %ft heart %ftproblems %ft are %ftnow %ft cared %ftfor %ftby %ft pediatric %ft cardiologists.
b. The %ftChild %ftAbuse %ftand %ftPrevention %ftAct %ftwas %ft passed.
c. Hot %ftlunch %ftprograms %ftwere %ftestablished %ft in %ft many %ftschools.
d. Childrens %ftasylums %ftwere %ft founded.
ANS: %ftC
School %fthot %ftlunch %ftprograms %ftwere %ftdeveloped %ftas %fta %ftresult %ftof %ftresearch %ftby %ftthe %ftChildrens %ftBureau
%fton %ftthe %fteffects %ftof %fteconomic %ftdepression %fton %ftchildren.
DIF: %ftCognitive %ftLevel: %ftKnowledge %ftREF:
%ftPage %ft4 %ftTOP: %ftThe %ft Past %ft KEY: %ft Nursing
% f t Process %ft Step: %ft N/A
MSC: %ftNCLEX: %ftHealth %ft Promotion %ft and %ft Maintenance: %ft Coordinated %ftCare
8. What %ftgovernment %ft program %ftwas %ftimplemented %ftto %ft increase %ft the %ft educational %ftexposure % ft of %ftpreschool
%ft children?
a. WIC
b. Title %ft XIX % f t of %ft Medicaid
c. The % f t Childrens % f t Charter
d. Head %ftStart
ANS: %ftD
Head %ftStart %ftprograms %ftwere %ft established %ft to %ft increase %fteducational %ft exposure %ft of %ft preschool %ft children.
DIF: %ftCognitive %ftLevel: %ftKnowledge %ftREF: %ftPage %ft3
TOP: %ftGovernment %ftInfluences %ft in %ft Maternity %ft and %ft Pediatric %ft Care %ftKEY: %ftNursing %ft Process %ftStep: %ftN/A
, MSC: %ftNCLEX: %ftHealth %ftPromotion %ft and %ftMaintenance: %ftGrowth %ftand %ftDevelopment
9. What %ftguidelines %ftdefine %ftmultidisciplinary %ftpatient %ftcare %ftin %ftterms %ftof %ftexpected %ftoutcome %ftand
%fttimeframe %ftfrom %ftdifferent %ftareas %ftof %ftcare %ftprovision?
a. Clinical %ftpathways
b. Nursing %ftoutcome %ftcriteria
c. Standards %ftof %ftcare
d. Nursing %ftcare %ftplan
ANS: %ftA
Clinical %ftpathways, %ftalso %ftknown %ftas %ftcritical %ftpathways %ftor %ftcare %ftmaps, %ftare %ftcollaborative %ftguidelines
%ftthat %ftdefine %ftpatient %ftcare %ftacross %ftdisciplines. %ftExpected %ftprogress %ftwithin %fta %ftspecified %fttimeline %ftis
%ftidentified.
DIF: %ftCognitive %ftLevel: %ftKnowledge %ftREF: %ft Page %ft 12
TOP: %ftHealth %ftCare %ftDelivery %ftSystems %ftKEY: %ftNursing %ftProcess
%ftStep: %ftN/A %ftMSC: %ftNCLEX: %ftSafe, %ftEffective %ftCare %ftEnvironment:
%ftCoordinated %ftCare
10. A %ftnursing %ftstudent %fthas %ftreviewed %fta %fthospitalized %ftpediatric %ftpatient %ftchart, %ftinterviewed %fther
%ftmother, %ftand %ftcollected %ftadmission %ftdata. %ftWhat %ftis %ftthe %ftnext %ftstep %ftthe %ftstudent %ftwill %fttake %ftto
%ftdevelop %fta %ftnursing %ftcare %ftplan %ftfor %ftthis %ftchild?
a. Identify %ftmeasurable %ftoutcomes %ftwith %ft a %fttimeline.
b. Choose %ftspecific %ftnursing %ft interventions %ftfor %ftthe %ftchild.
c. Determine %ft appropriate %ft nursing % f t diagnoses.
d. State %ftnursing %ftactions %ftrelated %ftto %ftthe %ftchilds %ft medical %ftdiagnosis.
ANS: %ftC
The %ftnurse %ftuses %ftassessment %ftdata %ftto %ftselect %ftappropriate %ftnursing %ftdiagnoses %ftfrom %ftthe %ftNANDA-I
%ftlist. %ftOutcomes %ftand %ftinterventions %ftare %ftthen %ftdeveloped %ftto %ftaddress %ftthe %ftrelevant %ftnursing
%ftdiagnoses.
DIF: %ftCognitive %ftLevel: %ftApplication %ft REF: %ft Page %ft11
TOP: %ftNursing %ftProcess %ftKEY: %ftNursing %ftProcess %ftStep: %ftNursing
%ftDiagnosis %ftMSC: %ftNCLEX: %ftSafe, %ftEffective %ftCare %ftEnvironment:
%ftCoordinated %ftCare
11. A %ftnursing %ftstudent %fton %ftan %ftobstetric %ftrotation %ftquestions %ftthe %ftfloor %ftnurse %ftabout %ftthe %ftdefinition
%ftof %ftthe %ftLVN/LPN %ftscope %ftof %ftpractice. %ftWhat %ftresource %ftcan %ftthe %ft n u rs eNsUuRg Sg IeNs tGtoT Bth. Ce %O
ft stM
udent?
a. American %ftNurses %ftAssociation
b. States %ft board %ftof %ftnursing
c. Joint %ftCommission
d. Association %ftof %ftWomens %ftHealth, %ftObstetric %ftand %ftNeonatal %ft Nurses
ANS: %ftB
The %ftscope %ftof %ftpractice %ftof %ftthe %ftLVN/LPN %ft is %ftpublished %ft by %ftthe %ftstates %ft board %ftof %ftnursing.
DIF: %ftCognitive %ftLevel: %ftComprehension %ftREF:
%ftPage %ft3 %ftOBJ: %ft18 %ftTOP: %ftCritical %ftThinking
KEY: %ftNursing %ftProcess %ft Step: %ftImplementation
MSC: %ftNCLEX: %ftSafe, %ftEffective %ft Care %ftEnvironment: %ftCoordinated %ft Care
12. What %ftwas %ft recommended %ft by %ftKarl %ftCred %ftin %ft 1884?
a. All %ftwomen %ftshould %ftbe %ftdelivered %ft in %ft a %fthospital %ft setting.
b. Chemical %ftmeans %ftshould %ftbe %ft used %ft to %ftcombat %ftinfection.
c. Podalic %ftversion %ft should %ftbe %ft done %fton %ftall %ftfetuses.
d. Silver %ftnitrate %ftshould %ftbe %ftplaced %ftin %ft the %fteyes %ftof %ftnewborns.
ANS: %ftD
In %ft1884 %ftKarl %ftCred %ftrecommended %ftthe %ftuse %ftof %ft2% %ftsilver %ftnitrate %ftin %ftthe %fteyes %ftof %ftnewborns %ftto
%ftreduce %ftthe %ftincidence %ftof %ftblindness.
DIF: %ftCognitive %ftLevel: %ftKnowledge %ftREF: %ftPage %ft2
