Test Bank for Introduction to Maternity and Pediatric
Nursing 9th Edition by Leifer
, Chapter 01: The Past, Present, and Future
Multiple Choice
1. A pregnant woman selects a certified nurse midwife (CNM) to manage her prenatal care. What
role is included within the CNM’s responsibilities?
a. Works independently without medical oversight
b. Offers full prenatal care services
c. Participates in all childbirths
d. Performs cesarean operations
Correct Answer: B
Rationale: A CNM delivers thorough prenatal and postnatal care and oversees uncomplicated labor
and birth. However, cesarean deliveries fall under a physician’s scope. CNMs ensure physician
backup is available for complications.
Reference: Page 6
2. Which early healthcare figure discovered that unwashed hands were connected to the occurrence
of puerperal fever?
a. Karl Credé
b. Ignaz Semmelweis
c. Louis Pasteur
d. Joseph Lister
Correct Answer: B
Rationale: Semmelweis identified that puerperal fever was transmitted by physicians and students
who failed to clean their hands between patient visits, contributing to maternal deaths. He introduced
,handwashing to prevent infection.
Reference: Page 2
3. A pregnant client who recently arrived in the U.S. tells the nurse, “I’m terrified of giving birth. I
think I might die.” Which response best reflects cultural sensitivity?
a. “Here in the U.S., childbirth deaths are rare.”
b. “Pain relief methods are available during labor.”
c. “Tell me more about why you feel afraid.”
d. “We’ll carefully observe your condition during labor.”
Correct Answer: C
Rationale: Asking the patient to share her fears encourages open dialogue and helps tailor care to
her personal and cultural background. This promotes understanding and builds trust.
Reference: Page 7
4. A city is reported to have a high perinatal mortality rate. What does this statistic measure?
a. Maternal and newborn deaths per 100,000 live births yearly
b. Deaths of fetuses over 500 g per 10,000 deliveries
c. Deaths of infants under one year per 1,000 live births
d. Deaths of fetuses and newborns per 1,000 live births
Correct Answer: D
Rationale: The perinatal mortality rate includes fetal deaths (after 20 weeks gestation) and newborn
deaths (within the first 28 days of life), reported per 1,000 live births each year.
Reference: Page 12
, 5. What is the main emphasis in contemporary maternity care?
a. Most births taking place in hospitals
b. Supporting the traditional family model
c. Keeping labor and delivery rooms separate
d. Creating a positive family-centered experience
Correct Answer: D
Rationale: Modern maternity care focuses on offering a supportive, inclusive experience for the
entire family. The approach values family participation and bonding regardless of family structure.
Reference: Page 6
6. Who promoted the formation of the Children’s Bureau?
a. Lillian Wald
b. Florence Nightingale
c. Florence Kelley
d. Clara Barton
Correct Answer: A
Rationale: Lillian Wald proposed creating the federal Children’s Bureau to improve the welfare of
children, making her instrumental in its establishment.
Reference: Page 4
7. What outcome resulted from the Children’s Bureau research during the 1930s?
Nursing 9th Edition by Leifer
, Chapter 01: The Past, Present, and Future
Multiple Choice
1. A pregnant woman selects a certified nurse midwife (CNM) to manage her prenatal care. What
role is included within the CNM’s responsibilities?
a. Works independently without medical oversight
b. Offers full prenatal care services
c. Participates in all childbirths
d. Performs cesarean operations
Correct Answer: B
Rationale: A CNM delivers thorough prenatal and postnatal care and oversees uncomplicated labor
and birth. However, cesarean deliveries fall under a physician’s scope. CNMs ensure physician
backup is available for complications.
Reference: Page 6
2. Which early healthcare figure discovered that unwashed hands were connected to the occurrence
of puerperal fever?
a. Karl Credé
b. Ignaz Semmelweis
c. Louis Pasteur
d. Joseph Lister
Correct Answer: B
Rationale: Semmelweis identified that puerperal fever was transmitted by physicians and students
who failed to clean their hands between patient visits, contributing to maternal deaths. He introduced
,handwashing to prevent infection.
Reference: Page 2
3. A pregnant client who recently arrived in the U.S. tells the nurse, “I’m terrified of giving birth. I
think I might die.” Which response best reflects cultural sensitivity?
a. “Here in the U.S., childbirth deaths are rare.”
b. “Pain relief methods are available during labor.”
c. “Tell me more about why you feel afraid.”
d. “We’ll carefully observe your condition during labor.”
Correct Answer: C
Rationale: Asking the patient to share her fears encourages open dialogue and helps tailor care to
her personal and cultural background. This promotes understanding and builds trust.
Reference: Page 7
4. A city is reported to have a high perinatal mortality rate. What does this statistic measure?
a. Maternal and newborn deaths per 100,000 live births yearly
b. Deaths of fetuses over 500 g per 10,000 deliveries
c. Deaths of infants under one year per 1,000 live births
d. Deaths of fetuses and newborns per 1,000 live births
Correct Answer: D
Rationale: The perinatal mortality rate includes fetal deaths (after 20 weeks gestation) and newborn
deaths (within the first 28 days of life), reported per 1,000 live births each year.
Reference: Page 12
, 5. What is the main emphasis in contemporary maternity care?
a. Most births taking place in hospitals
b. Supporting the traditional family model
c. Keeping labor and delivery rooms separate
d. Creating a positive family-centered experience
Correct Answer: D
Rationale: Modern maternity care focuses on offering a supportive, inclusive experience for the
entire family. The approach values family participation and bonding regardless of family structure.
Reference: Page 6
6. Who promoted the formation of the Children’s Bureau?
a. Lillian Wald
b. Florence Nightingale
c. Florence Kelley
d. Clara Barton
Correct Answer: A
Rationale: Lillian Wald proposed creating the federal Children’s Bureau to improve the welfare of
children, making her instrumental in its establishment.
Reference: Page 4
7. What outcome resulted from the Children’s Bureau research during the 1930s?
