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

,Chapter 01: The Past, Present, and Future
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MULTIPLE CHOICE hh




1. A patient chooses to have the certified nurse-midwife (CNM) provide care during
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hh her pregnancy. What does the CNM’s scope of practice include?
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a. Practice independent from medical supervision hh hh hh hh


b. Comprehensive prenatal care hh hh


c. Attendance at all deliveries hh hh hh


d. Cesarean sections hh




ANS: h h B
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
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problems.
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DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: 5 hh hh hh hh hh h h h h


TOP: Advance Practice Nursing Roles KEY:
h h Nursing Process Step: Implementation hh hh hh h h hh hh hh


MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of
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Disease
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2. Which medical pioneer discovered the relationship between the incidence of puerperal
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fever and unwashed hands?
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a. Karl Credé hh


b. Ignaz Semmelweis hh


c. Louis Pasteur hh


d. Joseph Lister hh




ANS: h h B
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: p. 2 OBJ: hh hh h h hh


h 1 TOP:
h The Past
hh KEY: Nursing Process
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Step: N/A
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MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
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3. A pregnant woman who has recently immigrated to the United States comments to the
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nurse, “I am afraid of childbirth. It is so dangerous. I am afraid I will die.” What is
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the best nursing response reflecting cultural sensitivity?
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a. “Maternal mortality in the United States is extremely low.” hh hh hh hh hh hh hh hh


b. “Anesthesia is available to relieve pain during labor and childbirth.” hh hh hh hh hh hh hh hh hh


c. “Tell me why you are afraid of childbirth.”
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d. “Your condition will be monitored during labor and delivery.”
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ANS: h h C
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: pp. 6-8 OBJ: 8 hh hh hh hh hh h h h h


TOP: Cross-Cultural Care
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Implementation MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
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, 4. An urban area has been reported to have a high perinatal mortality rate. What
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hh information does this provide? hh hh hh


a. Maternal and infant deaths per 100,000 live births per year
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b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
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c. Deaths of infants up to 1 year of age per 1000 live births per year
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d. Fetal and neonatal deaths per 1000 live births per year
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ANS: h h D
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
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DIF: Cognitive Level: Comprehension REF: p. 13 | Box hh hh h h hh hh hh


1.6 OBJ:
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hh 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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5. What is the focus of current maternity practice?
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a. Hospital births for the majority of women hh hh hh hh hh hh


b. The traditional family unit hh hh hh


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


d. A quality family experience for each patient
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ANS: h h D
Current maternity practice focuses on a high-quality family experience for all families,
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traditional or otherwise.
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DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: 5 hh hh h h hh h h


TOP:
hh The Present-Maternity Care
h hKEY: Nursing Process Step:
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N/A MSC: NCLEX: Health Promotion and Maintenance
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6. Who advocated the establishment of the Children’s Bureau?
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a. Lillian Wald hh


b. Florence Nightingale hh


c. Florence Kelly hh


d. Clara Barton hh




ANS: h h A
Lillian Wald is credited with suggesting the establishment of a federal Children’s Bureau.
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DIF: Cognitive Level: Knowledge REF: p. 4 OBJ: 1 hh hh h h hh h h


| 2 TOP:
hh hh hhThe Past KEY: Nursing Process Step:
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Implementation
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MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
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7. What was the result of research done in the 1930s by the Children’s Bureau?
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a. Children with heart problems are now cared for by pediatric cardiologists.
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b. The Child Abuse and Prevention Act was passed.
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c. Hot lunch programs were established in many schools.
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d. Children’s asylums were founded. hh hh hh




ANS: h h C
School hot lunch programs were developed as a result of research by the Children’s
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Bureau on the effects of economic depression on children.
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DIF: Cognitive Level: Knowledge hh hh REF: hh hh p. 4 hh OBJ: h h h h 2 | 3
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, TOP: h h The Past KEY: Nursing Process Step: N/A
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MSC: h h NCLEX: Health Promotion and Maintenance: Coordinated Care
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8. What government program was implemented to increase the educational exposure
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of preschool children?
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a. WIC
b. Title XIX of Medicaid hh hh hh


c. The Children’s Charter hh hh


d. Head Start hh




ANS: h h D
Head Start programs were established to increase educational exposure of preschool children.
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DIF: Cognitive Level: Knowledge REF: p. 3 OBJ:hh3 hh hh hh hh h h h h


TOP: Government Influences in Maternity and Pediatric Care KEY: Nursing Process
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Step: N/A MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
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9. What guidelines define multidisciplinary patient care in terms of expected outcome
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and timeframe from different areas of care provision?
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a. Clinical pathways hh


b. Nursing outcome criteria hh hh


c. Standards of care hh hh


d. Nursing care plan hh hh




ANS: h h A
Clinical pathways, also known as critical pathways or care maps, are collaborative
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guidelines that define patient care across disciplines. Expected progress within a
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specified timeline is identified.
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DIF: Cognitive Level: Knowledge REF: p. 13 OBJ: 10hh hh h h hh h h


TOP:
hh Health Care Delivery Systems KEY: Nursing Process Step:
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N/A MSC: NCLEX: Safe, Effective Care Environment: Coordinated
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Care
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10. A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her
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mother, and collected admission data. What is the next step the student will take to
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develop a nursing care plan for this child?
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a. Identify measurable outcomes with a timeline. hh hh hh hh hh


b. Choose specific nursing interventions for the child.
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c. Determine appropriate nursing diagnoses. hh hh hh


d. State nursing actions related to the child’s medical diagnosis.
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ANS: h h C
The nurse uses assessment data to select appropriate nursing diagnoses. Outcomes and
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interventions are then developed to address the relevant nursing diagnoses.
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DIF: Cognitive Level: Application REF: p. 12 OBJ: 7hh hh hh hh hh h h h h


TOP: Nursing Processh h KEY: Nursing Process Step: Nursing
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Diagnosis MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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11. A nursing student on an obstetric rotation questions the floor nurse about the definition
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of the LVN/LPN scope of practice. What resource can the nurse suggest to the
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student?
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a. American Nurses Association hh hh