,Chapter 01: The Past, Present, and Future
o o o o o o
MULTIPLE CHOICE o
1. A patient chooses to have the certified nurse-midwife (CNM) provide care during
o o o o o o o o o o o
o her pregnancy. What does the CNM’s scope of practice include?
o o o o o o o o o
a. Practice independent from medical supervision o o o o
b. Comprehensive prenatal care o o
c. Attendance at all deliveries o o o
d. Cesarean sections o
ANS: B
The CNM provides comprehensive prenatal and postnatal care, attends
o o o o o o o o
uncomplicated deliveries, and ensures that a backup physician is available in case of
o o o o o o o o o o o o o
unforeseen problems.
o o
DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: 5 o o o
TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: o o o o o o
Implementation MSC:
o NCLEX: Health Promotion and o o o o o
Maintenance: Prevention and Early Detection of Disease
o o o o o o o
2. Which medical pioneer discovered the relationship between the incidence of puerperal
o o o o o o o o o o
fever and unwashed hands?
o o o o
a. Karl Credé o
b. Ignaz Semmelweis o
c. Louis Pasteur o
d. Joseph Lister o
ANS: B
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by
o o o o o o o o o o o
the unwashed hands of physicians and medical students.
o o o o o o o o
DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: o o o
1 TOP: The Past
o o KEY: Nursing Process o o
Step: N/A o
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control o o o o o o o o
3. A pregnant woman who has recently immigrated to the United States comments to the
o o o o o o o o o o o o o
nurse, “I am afraid of childbirth. It is so dangerous. I am afraid I will die.”
o o o o o o o o o o o o o o o o
What is the best nursing response reflecting cultural sensitivity?
o o o o o o o o o
a. “Maternal mortality in the United States is extremely low.” o o o o o o o o
b. “Anesthesia is available to relieve pain during labor and childbirth.” o o o o o o o o o
c. “Tell me why you are afraid of childbirth.” o o o o o o o
d. “Your condition will be monitored during labor and delivery.”
o o o o o o o o
ANS: C
Asking the patient about her concerns helps promote understanding and individualizes
o o o o o o o o o o
patient care.
o o
DIF: Cognitive Level: Application REF: pp. 6-8 OBJ: 8 o o o
TOP: Cross-Cultural Care
o KEY: Nursing Process Step: o o o
Implementation MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation o o o o o
, 4. An urban area has been reported to have a high perinatal mortality rate.
o o o o o o o o o o o o
o What information does this provide?
o o o o
a. Maternal and infant deaths per 100,000 live births per yearo o o o o o o o o
b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
o o o o o o o o o o o o
c. Deaths of infants up to 1 year of age per 1000 live births per year
o o o o o o o o o o o o o o
d. Fetal and neonatal deaths per 1000 live births per year
o o o o o o o o o
ANS: D
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
o o o o o o o o o o o o o o
DIF: Cognitive Level: Comprehension REF: p. 13 | Box o o o o o
1.6 OBJ: 9 TOP:
o The Present-Child o
Care KEY: Nursing Process Step: Implementation
o o o o o
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care o o o o o o
5. What is the focus of current maternity practice?
o o o o o o o
a. Hospital births for the majority of women o o o o o o
b. The traditional family unit o o o
c. Separation of labor rooms from delivery rooms o o o o o o
d. A quality family experience for each patient
o o o o o o
ANS: D
Current maternity practice focuses on a high-quality family experience for all families,
o o o o o o o o o o o
traditional or otherwise.
o o o
DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: 5 o o o o
TOP: The Present-Maternity Care
o KEY: Nursing Process Step: o o o o
N/A MSC: NCLEX: Health Promotion and Maintenance
o o o o o o
6. Who advocated the establishment of the Children’s Bureau?
o o o o o o o
a. Lillian Wald o
b. Florence Nightingale o
c. Florence Kelly o
d. Clara Barton o
ANS: A
Lillian Wald is credited with suggesting the establishment of a federal Children’s Bureau.
o o o o o o o o o o o o
DIF: Cognitive Level: Knowledge REF: p. 4 OBJ: 1 o o o
| 2 TOP: The Past
o o KEY: Nursing Process o o
Step: Implementation
o o
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development o o o o o o o
7. What was the result of research done in the 1930s by the Children’s Bureau?
o o o o o o o o o o o o o
a. Children with heart problems are now cared for by pediatric cardiologists.
o o o o o o o o o o
b. The Child Abuse and Prevention Act was passed.
o o o o o o o
c. Hot lunch programs were established in many schools.
o o o o o o o
d. Children’s asylums were founded. o o o
ANS: C
School hot lunch programs were developed as a result of research by the Children’s
o o o o o o o o o o o o o
Bureau on the effects of economic depression on children.
o o o o o o o o
DIF: Cognitive Level: Knowledge o o REF: p. 4 o OBJ: 2 | 3o o
, TOP: The Past KEY: Nursing Process Step: N/A
o o o o
MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care
o o o o o o
8. What government program was implemented to increase the educational exposure
o o o o o o o o o
oof preschool children?
o o
a. WIC
b. Title XIX of Medicaid o o o
c. The Children’s Charter o o
d. Head Start o
ANS: D
Head Start programs were established to increase educational exposure of preschool children.
o o o o o o o o o o o
DIF: Cognitive Level: Knowledge REF: p. 3 OBJ: 3 o o o
TOP: Government Influences in Maternity and Pediatric Care KEY: Nursing o o o o o o
Process Step: N/A MSC:
o o NCLEX: Health
o o o
Promotion and Maintenance: Growth and Development
o o o o o o
9. What guidelines define multidisciplinary patient care in terms of expected outcome
o o o o o o o o o o
o and timeframe from different areas of care provision?
o o o o o o o
a. Clinical pathways o
b. Nursing outcome criteria o o
c. Standards of care o o
d. Nursing care plan o o
ANS: A
Clinical pathways, also known as critical pathways or care maps, are collaborative
o o o o o o o o o o o
guidelines that define patient care across disciplines. Expected progress within a
o o o o o o o o o o o
specified timeline is identified.
o o o o
DIF: Cognitive Level: Knowledge REF: p. 13 OBJ: 10 o o o o
TOP: Health Care Delivery Systems KEY: Nursing Process Step:
o o o o o o
N/A MSC: NCLEX: Safe, Effective Care Environment: Coordinated
o o o o o o o
Care
o
10. A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her
o o o o o o o o o o o
omother, and collected admission data. What is the next step the student will take
o o o o o o o o o o o o o
oto develop a nursing care plan for this child?
o o o o o o o o
a. Identify measurable outcomes with a timeline. o o o o o
b. Choose specific nursing interventions for the child.
o o o o o o
c. Determine appropriate nursing diagnoses. o o o
d. State nursing actions related to the child’s medical diagnosis.
o o o o o o o o
ANS: C
The nurse uses assessment data to select appropriate nursing diagnoses. Outcomes and
o o o o o o o o o o o
interventions are then developed to address the relevant nursing diagnoses.
o o o o o o o o o o
DIF: Cognitive Level: Application
o o REF: p. 12 OBJ: 7 o o o o o o o o o
TOP: Nursing Process KEY: Nursing Process Step: Nursing o o o o
Diagnosis MSC: NCLEX: Safe, Effective Care Environment: Coordinated
o o o o o o o
Care
o
11. A nursing student on an obstetric rotation questions the floor nurse about the
o o o o o o o o o o o o
odefinition of the LVN/LPN scope of practice. What resource can the nurse
o o o o o o o o o o o
osuggest to the student? o o o
a. American Nurses Association o o
o o o o o o
MULTIPLE CHOICE o
1. A patient chooses to have the certified nurse-midwife (CNM) provide care during
o o o o o o o o o o o
o her pregnancy. What does the CNM’s scope of practice include?
o o o o o o o o o
a. Practice independent from medical supervision o o o o
b. Comprehensive prenatal care o o
c. Attendance at all deliveries o o o
d. Cesarean sections o
ANS: B
The CNM provides comprehensive prenatal and postnatal care, attends
o o o o o o o o
uncomplicated deliveries, and ensures that a backup physician is available in case of
o o o o o o o o o o o o o
unforeseen problems.
o o
DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: 5 o o o
TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: o o o o o o
Implementation MSC:
o NCLEX: Health Promotion and o o o o o
Maintenance: Prevention and Early Detection of Disease
o o o o o o o
2. Which medical pioneer discovered the relationship between the incidence of puerperal
o o o o o o o o o o
fever and unwashed hands?
o o o o
a. Karl Credé o
b. Ignaz Semmelweis o
c. Louis Pasteur o
d. Joseph Lister o
ANS: B
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by
o o o o o o o o o o o
the unwashed hands of physicians and medical students.
o o o o o o o o
DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: o o o
1 TOP: The Past
o o KEY: Nursing Process o o
Step: N/A o
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control o o o o o o o o
3. A pregnant woman who has recently immigrated to the United States comments to the
o o o o o o o o o o o o o
nurse, “I am afraid of childbirth. It is so dangerous. I am afraid I will die.”
o o o o o o o o o o o o o o o o
What is the best nursing response reflecting cultural sensitivity?
o o o o o o o o o
a. “Maternal mortality in the United States is extremely low.” o o o o o o o o
b. “Anesthesia is available to relieve pain during labor and childbirth.” o o o o o o o o o
c. “Tell me why you are afraid of childbirth.” o o o o o o o
d. “Your condition will be monitored during labor and delivery.”
o o o o o o o o
ANS: C
Asking the patient about her concerns helps promote understanding and individualizes
o o o o o o o o o o
patient care.
o o
DIF: Cognitive Level: Application REF: pp. 6-8 OBJ: 8 o o o
TOP: Cross-Cultural Care
o KEY: Nursing Process Step: o o o
Implementation MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation o o o o o
, 4. An urban area has been reported to have a high perinatal mortality rate.
o o o o o o o o o o o o
o What information does this provide?
o o o o
a. Maternal and infant deaths per 100,000 live births per yearo o o o o o o o o
b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
o o o o o o o o o o o o
c. Deaths of infants up to 1 year of age per 1000 live births per year
o o o o o o o o o o o o o o
d. Fetal and neonatal deaths per 1000 live births per year
o o o o o o o o o
ANS: D
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
o o o o o o o o o o o o o o
DIF: Cognitive Level: Comprehension REF: p. 13 | Box o o o o o
1.6 OBJ: 9 TOP:
o The Present-Child o
Care KEY: Nursing Process Step: Implementation
o o o o o
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care o o o o o o
5. What is the focus of current maternity practice?
o o o o o o o
a. Hospital births for the majority of women o o o o o o
b. The traditional family unit o o o
c. Separation of labor rooms from delivery rooms o o o o o o
d. A quality family experience for each patient
o o o o o o
ANS: D
Current maternity practice focuses on a high-quality family experience for all families,
o o o o o o o o o o o
traditional or otherwise.
o o o
DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: 5 o o o o
TOP: The Present-Maternity Care
o KEY: Nursing Process Step: o o o o
N/A MSC: NCLEX: Health Promotion and Maintenance
o o o o o o
6. Who advocated the establishment of the Children’s Bureau?
o o o o o o o
a. Lillian Wald o
b. Florence Nightingale o
c. Florence Kelly o
d. Clara Barton o
ANS: A
Lillian Wald is credited with suggesting the establishment of a federal Children’s Bureau.
o o o o o o o o o o o o
DIF: Cognitive Level: Knowledge REF: p. 4 OBJ: 1 o o o
| 2 TOP: The Past
o o KEY: Nursing Process o o
Step: Implementation
o o
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development o o o o o o o
7. What was the result of research done in the 1930s by the Children’s Bureau?
o o o o o o o o o o o o o
a. Children with heart problems are now cared for by pediatric cardiologists.
o o o o o o o o o o
b. The Child Abuse and Prevention Act was passed.
o o o o o o o
c. Hot lunch programs were established in many schools.
o o o o o o o
d. Children’s asylums were founded. o o o
ANS: C
School hot lunch programs were developed as a result of research by the Children’s
o o o o o o o o o o o o o
Bureau on the effects of economic depression on children.
o o o o o o o o
DIF: Cognitive Level: Knowledge o o REF: p. 4 o OBJ: 2 | 3o o
, TOP: The Past KEY: Nursing Process Step: N/A
o o o o
MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care
o o o o o o
8. What government program was implemented to increase the educational exposure
o o o o o o o o o
oof preschool children?
o o
a. WIC
b. Title XIX of Medicaid o o o
c. The Children’s Charter o o
d. Head Start o
ANS: D
Head Start programs were established to increase educational exposure of preschool children.
o o o o o o o o o o o
DIF: Cognitive Level: Knowledge REF: p. 3 OBJ: 3 o o o
TOP: Government Influences in Maternity and Pediatric Care KEY: Nursing o o o o o o
Process Step: N/A MSC:
o o NCLEX: Health
o o o
Promotion and Maintenance: Growth and Development
o o o o o o
9. What guidelines define multidisciplinary patient care in terms of expected outcome
o o o o o o o o o o
o and timeframe from different areas of care provision?
o o o o o o o
a. Clinical pathways o
b. Nursing outcome criteria o o
c. Standards of care o o
d. Nursing care plan o o
ANS: A
Clinical pathways, also known as critical pathways or care maps, are collaborative
o o o o o o o o o o o
guidelines that define patient care across disciplines. Expected progress within a
o o o o o o o o o o o
specified timeline is identified.
o o o o
DIF: Cognitive Level: Knowledge REF: p. 13 OBJ: 10 o o o o
TOP: Health Care Delivery Systems KEY: Nursing Process Step:
o o o o o o
N/A MSC: NCLEX: Safe, Effective Care Environment: Coordinated
o o o o o o o
Care
o
10. A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her
o o o o o o o o o o o
omother, and collected admission data. What is the next step the student will take
o o o o o o o o o o o o o
oto develop a nursing care plan for this child?
o o o o o o o o
a. Identify measurable outcomes with a timeline. o o o o o
b. Choose specific nursing interventions for the child.
o o o o o o
c. Determine appropriate nursing diagnoses. o o o
d. State nursing actions related to the child’s medical diagnosis.
o o o o o o o o
ANS: C
The nurse uses assessment data to select appropriate nursing diagnoses. Outcomes and
o o o o o o o o o o o
interventions are then developed to address the relevant nursing diagnoses.
o o o o o o o o o o
DIF: Cognitive Level: Application
o o REF: p. 12 OBJ: 7 o o o o o o o o o
TOP: Nursing Process KEY: Nursing Process Step: Nursing o o o o
Diagnosis MSC: NCLEX: Safe, Effective Care Environment: Coordinated
o o o o o o o
Care
o
11. A nursing student on an obstetric rotation questions the floor nurse about the
o o o o o o o o o o o o
odefinition of the LVN/LPN scope of practice. What resource can the nurse
o o o o o o o o o o o
osuggest to the student? o o o
a. American Nurses Association o o
