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 chooses a certified nurse midwife (CNM) for her prenatal care. Which
responsibility falls within the CNM’s role?
a. Practices independently without supervision
b. Provides complete prenatal care services
c. Attends all childbirths without exception
d. Conducts cesarean procedures
RIGHT ANSWER: B
Rationale: CNMs offer comprehensive prenatal and postnatal services and manage normal labor and
delivery. Cesarean operations remain a physician’s responsibility. CNMs ensure physician backup is
accessible if complications occur.
Reference: Page 6
Which early medical pioneer recognized that lack of handwashing contributed to puerperal fever?
a. Karl Credé
b. Ignaz Semmelweis
c. Louis Pasteur
d. Joseph Lister
RIGHT ANSWER: B
Rationale: Semmelweis observed that puerperal fever spread when physicians and students did not
wash their hands between patients. He introduced handwashing to decrease maternal deaths.
Reference: Page 2
A pregnant client newly arrived in the U.S. tells the nurse, “I’m terrified of giving birth. I think I
could die.” Which response shows cultural sensitivity?
a. “Childbirth deaths are uncommon in the U.S.”
b. “Pain management options are available during labor.”
c. “Can you explain more about your fears?”
d. “We will monitor your condition closely during labor.”
RIGHT ANSWER: C
Rationale: Encouraging the patient to share her fears promotes communication and allows care
tailored to her cultural and personal concerns. This approach supports trust and understanding.
Reference: Page 7
,A city reports an elevated perinatal mortality rate. What does this measure represent?
a. Maternal and infant deaths per 100,000 births yearly
b. Fetal deaths above 500 g per 10,000 deliveries
c. Infant deaths under one year per 1,000 live births
d. Fetal and newborn deaths per 1,000 live births
RIGHT ANSWER: D
Rationale: The perinatal mortality rate includes fetal losses after 20 weeks and newborn deaths
within 28 days, reported per 1,000 live births each year.
Reference: Page 12
What is the primary focus of modern maternity care?
a. Most deliveries occurring in hospitals
b. Supporting the traditional family unit
c. Keeping delivery and labor rooms separate
d. Promoting a family-centered birth experience
RIGHT ANSWER: D
Rationale: Contemporary maternity care emphasizes creating an inclusive, family-centered
experience. It supports bonding and participation, regardless of family structure.
Reference: Page 6
Who advocated for the establishment of the Children’s Bureau?
a. Lillian Wald
b. Florence Nightingale
c. Florence Kelley
d. Clara Barton
RIGHT ANSWER: A
Rationale: Lillian Wald initiated the proposal for a federal Children’s Bureau, aimed at enhancing
child welfare, leading to its creation.
Reference: Page 4
What outcome emerged from the Children’s Bureau research in the 1930s?
a. Pediatric cardiac care became widely available
b. Laws to prevent child abuse were passed
c. School hot lunch programs were developed
d. More orphanages were established
RIGHT ANSWER: C
Rationale: The Children’s Bureau examined the Depression’s effects on children, which led to the
creation of school lunch programs to combat hunger.
, Reference: Page 4
Which federal program was created to strengthen preschool education for children?
a. WIC
b. Title XIX of Medicaid
c. The Children’s Charter
d. Head Start
RIGHT ANSWER: D
Rationale: Head Start provides early learning and nutrition support for preschoolers, especially those
from disadvantaged families, to prepare them for school.
Reference: Page 3
What term describes structured care guidelines that outline expected outcomes and timelines across
health disciplines?
a. Clinical pathways
b. Nursing outcomes
c. Standards of care
d. Nursing care plans
RIGHT ANSWER: A
Rationale: Clinical pathways, also known as care maps, coordinate care goals and timing across
providers to enhance efficiency and patient outcomes.
Reference: Page 12
After a student nurse assesses a pediatric patient and reviews admission data, what is the next step in
creating the care plan?
a. Establish measurable goals with deadlines
b. Choose suitable nursing interventions
c. Identify accurate nursing diagnoses
d. Link care directly to medical diagnoses
RIGHT ANSWER: C
Rationale: Following assessment, the nurse formulates nursing diagnoses, which then form the
foundation for goals and interventions in the care plan.
Reference: Page 11
A nursing student asks about the legal practice limits for LVNs/LPNs. Which source provides this
information?
a. American Nurses Association
Nursing 9th Edition by Leifer
, Chapter 01: The Past, Present, and Future
Multiple Choice
1. A pregnant woman chooses a certified nurse midwife (CNM) for her prenatal care. Which
responsibility falls within the CNM’s role?
a. Practices independently without supervision
b. Provides complete prenatal care services
c. Attends all childbirths without exception
d. Conducts cesarean procedures
RIGHT ANSWER: B
Rationale: CNMs offer comprehensive prenatal and postnatal services and manage normal labor and
delivery. Cesarean operations remain a physician’s responsibility. CNMs ensure physician backup is
accessible if complications occur.
Reference: Page 6
Which early medical pioneer recognized that lack of handwashing contributed to puerperal fever?
a. Karl Credé
b. Ignaz Semmelweis
c. Louis Pasteur
d. Joseph Lister
RIGHT ANSWER: B
Rationale: Semmelweis observed that puerperal fever spread when physicians and students did not
wash their hands between patients. He introduced handwashing to decrease maternal deaths.
Reference: Page 2
A pregnant client newly arrived in the U.S. tells the nurse, “I’m terrified of giving birth. I think I
could die.” Which response shows cultural sensitivity?
a. “Childbirth deaths are uncommon in the U.S.”
b. “Pain management options are available during labor.”
c. “Can you explain more about your fears?”
d. “We will monitor your condition closely during labor.”
RIGHT ANSWER: C
Rationale: Encouraging the patient to share her fears promotes communication and allows care
tailored to her cultural and personal concerns. This approach supports trust and understanding.
Reference: Page 7
,A city reports an elevated perinatal mortality rate. What does this measure represent?
a. Maternal and infant deaths per 100,000 births yearly
b. Fetal deaths above 500 g per 10,000 deliveries
c. Infant deaths under one year per 1,000 live births
d. Fetal and newborn deaths per 1,000 live births
RIGHT ANSWER: D
Rationale: The perinatal mortality rate includes fetal losses after 20 weeks and newborn deaths
within 28 days, reported per 1,000 live births each year.
Reference: Page 12
What is the primary focus of modern maternity care?
a. Most deliveries occurring in hospitals
b. Supporting the traditional family unit
c. Keeping delivery and labor rooms separate
d. Promoting a family-centered birth experience
RIGHT ANSWER: D
Rationale: Contemporary maternity care emphasizes creating an inclusive, family-centered
experience. It supports bonding and participation, regardless of family structure.
Reference: Page 6
Who advocated for the establishment of the Children’s Bureau?
a. Lillian Wald
b. Florence Nightingale
c. Florence Kelley
d. Clara Barton
RIGHT ANSWER: A
Rationale: Lillian Wald initiated the proposal for a federal Children’s Bureau, aimed at enhancing
child welfare, leading to its creation.
Reference: Page 4
What outcome emerged from the Children’s Bureau research in the 1930s?
a. Pediatric cardiac care became widely available
b. Laws to prevent child abuse were passed
c. School hot lunch programs were developed
d. More orphanages were established
RIGHT ANSWER: C
Rationale: The Children’s Bureau examined the Depression’s effects on children, which led to the
creation of school lunch programs to combat hunger.
, Reference: Page 4
Which federal program was created to strengthen preschool education for children?
a. WIC
b. Title XIX of Medicaid
c. The Children’s Charter
d. Head Start
RIGHT ANSWER: D
Rationale: Head Start provides early learning and nutrition support for preschoolers, especially those
from disadvantaged families, to prepare them for school.
Reference: Page 3
What term describes structured care guidelines that outline expected outcomes and timelines across
health disciplines?
a. Clinical pathways
b. Nursing outcomes
c. Standards of care
d. Nursing care plans
RIGHT ANSWER: A
Rationale: Clinical pathways, also known as care maps, coordinate care goals and timing across
providers to enhance efficiency and patient outcomes.
Reference: Page 12
After a student nurse assesses a pediatric patient and reviews admission data, what is the next step in
creating the care plan?
a. Establish measurable goals with deadlines
b. Choose suitable nursing interventions
c. Identify accurate nursing diagnoses
d. Link care directly to medical diagnoses
RIGHT ANSWER: C
Rationale: Following assessment, the nurse formulates nursing diagnoses, which then form the
foundation for goals and interventions in the care plan.
Reference: Page 11
A nursing student asks about the legal practice limits for LVNs/LPNs. Which source provides this
information?
a. American Nurses Association
