Test Bank for Davis Advantage for Maternal-Child Nursing Care Third Edition by Meredith J Scannell and Kristine Ruggiero

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Bank
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,Chapter 1.Core Concepts of Maternal and PediatricHealthcare Across the
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Continuum
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MULTIPLE CHOICE eh




• A patient chooses to have the certified nurse midwife (CNM) provide care
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during her pregnancy. What does the CNMs scope of practice include?
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• Practice independent from medical supervision eh eh eh eh




• Comprehensive prenatal care eh eh




• Attendance at all deliveries eh eh eh




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The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated
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deliveries, and 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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• Which medical pioneer discovered the relationship between the incidence of
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puerperal fever and unwashed hands?
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• Karl Cred eh




• Ignaz Semmelweis eh




• Louis Pasteur eh




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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:
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1 TOP: 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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• A pregnant woman who has recently immigrated to the United States comments to the
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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
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response reflecting cultural sensitivity?
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• Maternal mortality in the United States is extremely low. eh eh eh eh eh eh eh eh




• Anesthesia is available to relieve pain during labor and childbirth. eh eh eh eh eh eh eh eh e h




• Tell me why you are afraid of childbirth. eh eh eh eh eh eh eh




• Your conditionwill be monitored during eh eh eh eh eh




labor and delivery. ANS: C
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Asking the patient about her concerns helps promote understanding and individualizes
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patient care.
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DIF: Cognitive Level: Application REF: Page 7-8 OBJ: 8 TOP:
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Cross-Cultural Care KEY: Nursing Process Step:
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ImplementationMSC: NCLEX: Psychosocial Integrity: eh eh eh eh




Psychological Adaptation eh




• An urban area has been reported to have a high perinatal mortality rate. What
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information does this provide?
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• Maternal and infant deaths per 100,000 live births per year eh eh eh eh eh eh eh eh e h




• Deaths of fetuses weighing more than 500 g per 10,000 births per year
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• Deaths of infants up to 1 year of age per 1000 live births per year
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• Fetal and neonatal deaths per 1000 live
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births per year 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,
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Box 1-6 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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• What is the focus of current maternity practice?
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• Hospital births for the majority of women eh eh eh eh eh eh




• The traditional family unit
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• Separation of labor rooms from delivery rooms eh eh eh eh eh eh




• A quality family
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experienceforeach
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patient ANS: D
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Current maternity practice focuses on a high-quality family experience forall families,
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traditional or 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 ProcessStep: N/A
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MSC: NCLEX: Health Promotion and Maintenance
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• Who advocated the establishment of the Childrens Bureau?
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• Lillian Wald eh




• Florence Nightingale eh




• Florence Kelly eh




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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
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TOP: The Past KEY: Nursing Process Step:
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