Test Bank For Introduction to Maternity and Pediatric Nursing, 10th Edition, By Gloria Leifer, All Chapters 1-34. Latest 2025

,TEST BANK Introduction to Maternity and Pediatric Nursing 9/E Gloria Leifer
nn nn nn nn nn nn nn nn nn nn




Chapter 01: The Past, Present, and Future
nn nn nn nn nn nn




MULTIPLE CHOICE nn




1. A patient chooses to have the certified nurse-midwife (CNM) provide care during
nn nn nn nn nn nn nn nn nn nn nn


her pregnancy. What does the CNM‘s scope of practice include?
nn nn nn nn nn nn nn nn nn nn


a. Practice independent from medical supervision nn nn nn nn


b. Comprehensive prenatal care nn nn


c. Attendance at all deliveries nn nn nn


d. Cesarean sections nn




ANS: n n B
The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated
nn nn nn nn nn nn nn nn nn


deliveries, and ensures that a backup physician is available in case of unforeseen
nn nn nn nn nn nn nn nn nn nn nn nn nn


problems.
nn




DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: 5 nn nn nn nn nn n n n n


TOP: Advance Practice Nursing Roles KEY:
n n Nursing Process Step: Implementationnn nn nn n n nn nn nn


MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of
nn n n nn nn nn nn nn nn nn nn nn


Disease
nn




2. Which medical pioneer discovered the relationship between the incidence of puerperal
nn nn nn nn nn nn nn nn nn nn


nn fever and unwashed hands?
nn nn nn


a. Karl Credé nn


b. Ignaz Semmelweis nn


c. Louis Pasteur nn


d. Joseph Lister nn




ANS: n n B
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the
nn nn nn nn nn nn nn nn nn nn nn nn


unwashed hands of physicians and medical students.
nn nn nn nn nn nn nn




DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: nn nn n n nn


n 1 TOP:
n The Past
nn KEY: Nursing Process
n n nn n n nn


Step: N/A
nn nn


MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
n n nn nn nn nn nn nn nn nn




3. A pregnant woman who has recently immigrated to the United States comments to the
nn nn nn nn nn nn nn nn nn nn nn nn nn


nurse, ―I am afraid of childbirth. It is so dangerous. I am afraid I will die.‖ What is
nn nn nn nn nn nn nn nn nn nn nn nn nn nn nn nn nn nn


the best nursing response reflecting cultural sensitivity?
nn nn nn nn nn nn nn


a. ―Maternal mortality in the United States is extremely low.‖ nn nn nn nn nn nn nn nn


b. ―Anesthesia is available to relieve pain during labor and childbirth.‖ nn nn nn nn nn nn nn nn nn


c. ―Tell me why you are afraid of childbirth.‖
nn nn nn nn nn nn nn


d. ―Your condition will be monitored during labor and delivery.‖
nn nn nn nn nn nn nn nn




ANS: n n C
Asking the patient about her concerns helps promote understanding and individualizes
nn nn nn nn nn nn nn nn nn nn


patient care.
nn nn




DIF: Cognitive Level: Application nn nn REF: nn nn pp. 6-8 OBJ:nn 8 n n n n


TOP: Cross-Cultural Care n n nn KEY: n n Nursing Process Step: nn nn

, Implementation MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
nn nn n n nn nn nn nn

, 4. An urban area has been reported to have a high perinatal mortality rate. What
nn nn nn nn nn nn nn nn nn nn nn nn nn


nn information does this provide? nn nn nn


a. Maternal and infant deaths per 100,000 live births per year
nn nn nn nn nn nn nn nn nn


b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
nn nn nn nn nn nn nn nn nn nn nn nn


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


d. Fetal and neonatal deaths per 1000 live births per year
nn nn nn nn nn nn nn nn nn




ANS: n n D
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
nn nn nn nn nn nn nn nn nn nn nn nn nn nn




DIF: Cognitive Level: Comprehension REF: p. 13 | Box nn nn n n nn nn nn


1.6 OBJ:
nn 9
nn TOP: The Present-Child Care
n n n n nn nn


KEY: Nursing Process Step: Implementation
n n nn nn nn


MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
n n nn nn nn nn nn nn




5. What is the focus of current maternity practice?
nn nn nn nn nn nn nn


a. Hospital births for the majority of women nn nn nn nn nn nn


b. The traditional family unit nn nn nn


c. Separation of labor rooms from delivery rooms nn nn nn nn nn nn


d. A quality family experience for each patient
nn nn nn nn nn nn




ANS: n n D
Current maternity practice focuses on a high-quality family experience for all families,
nn nn nn nn nn nn nn nn nn nn nn


traditional or otherwise.
nn nn nn




DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: 5 nn nn n n nn n n


TOP:
nn The Present-Maternity Care
n nKEY: Nursing Process Step:
nn nn n n nn nn


N/A MSC: NCLEX: Health Promotion and Maintenance
nn nn n n nn nn nn nn




6. Who advocated the establishment of the Children‘s Bureau?
nn nn nn nn nn nn nn


a. Lillian Wald nn


b. Florence Nightingale nn


c. Florence Kelly nn


d. Clara Barton nn




ANS: n n A
Lillian Wald is credited with suggesting the establishment of a federal Children‘s Bureau.
nn nn nn nn nn nn nn nn nn nn nn nn




DIF: Cognitive Level: Knowledge REF: p. 4 OBJ: 1 nn nn n n nn n n


| 2 TOP:
nn nn nnThe Past KEY: Nursing Process Step:
n n nn n n nn nn


Implementation
nn


MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
n n nn nn nn nn nn nn nn




7. What was the result of research done in the 1930s by the Children‘s Bureau?
nn nn nn nn nn nn nn nn nn nn nn nn nn


a. Children with heart problems are now cared for by pediatric cardiologists.
nn nn nn nn nn nn nn nn nn nn


b. The Child Abuse and Prevention Act was passed.
nn nn nn nn nn nn nn


c. Hot lunch programs were established in many schools.
nn nn nn nn nn nn nn


d. Children‘s asylums were founded. nn nn nn




ANS: n n C
School hot lunch programs were developed as a result of research by the Children‘s
nn nn nn nn nn nn nn nn nn nn nn nn nn


Bureau on the effects of economic depression on children.
nn nn nn nn nn nn nn nn nn




DIF: Cognitive Level: Knowledge nn nn REF: nn nn p. 4 nn OBJ: n n n n 2 | 3
nn nn