Test Bank for Leifer’s Introduction to Maternity and Pediatric Nursing by Kim Cooper & Kelly Gosnell – Complete 2025/2026 Questions & Answers ISBN 9780443127571

,TESTBANKIntroductiontoMaternityandPediatricNursing10EGloriaLeifer


Chapter01:ThePast,Present,andFuture n n n n




MULTIPLECHOICE

1. Apatientchoosestohavethecertifiednurse-midwife(CNM)providecareduringher n




n pregnancy. What does theCNM’s scope of practice include? n n n n n n n n




a. Practiceindependentfrommedicalsupervision
b. Comprehensiveprenatalcare
c. Attendanceatalldeliveries n n n




d. Cesareansections
ANS: B n n




TheCNMprovides comprehensiveprenatal and postnatal care, attends uncomplicated
n n n n n n n n n




deliveries, andensuresthatabackupphysicianisavailableincaseofunforeseenproblems.
n n




DIF: CognitiveLevel:Comprehension REF: p.6 OBJ: 5 n n n n n




TOP: Advance Practice Nursing Roles
n KEY: Nursing Process Step: Implementation n n n n n n n




MSC: NCLEX:HealthPromotion and Maintenance:PreventionandEarlyDetection ofDisease
n n n n n n n n n n n




2. Whichmedicalpioneerdiscoveredtherelationshipbetweentheincidenceofpuerperalfeverand n




n unwashedhands? n




a. KarlCredé n




b. IgnazSemmelweis n




c. LouisPasteur
d. JosephLister n




ANS: B n n




IgnazSemmelweisdeducedthatpuerperalfeverwasseptic,contagious,andtransmittedbythe unwashed
n n n n




nhands of physicians andmedical students.
n n n n




DIF: CognitiveLevel: Knowledge REF: p. 2 OBJ: n n n n




1 TOP: The Past KEY: Nursing Process Step: N/A
n n n n n n n n




MSC: NCLEX:Safe,EffectiveCareEnvironment:SafetyandInfectionControl
n n n n n n n n




3. Apregnant woman who has recently immigrated to the United States comments to the nurse, “I am
n n n n n n n n n n n n n n n




nafraid of childbirth. It is so dangerous. I am afraid I will die.” What is the best nursing response
n n n n n n n n n n n n n n n n n n




nreflecting cultural sensitivity? n n




a. “MaternalmortalityintheUnitedStatesisextremelylow.” n n n




b. “Anesthesiais availableto relievepainduring laborand childbirth.” n




c. “Tellmewhyyouareafraidofchildbirth.”
d. “Yourconditionwillbemonitoredduringlaboranddelivery.” n




ANS: C n n




Askingthepatientaboutherconcerns helpspromoteunderstandingandindividualizespatient n n




ncare.

DIF: CognitiveLevel:Application REF: pp.6-8 OBJ: 8 n n n n n




TOP: Cross-Cultural Care
n KEY: n




nNursingProcessStep:Implementation MSC: NCLEX: Psychosocial Integrity: n n n n




Psychological Adaptation
n n

,4. Anurbanareahasbeenreportedtohavea highperinatalmortalityrate.Whatinformation does
n n n




n thisprovide?
a. Maternalandinfantdeathsper 100,000livebirthsperyear n n




b. Deathsoffetusesweighingmorethan 500gper10,000birthsperyear n n n n




c. Deathsofinfants upto1yearof age per1000livebirthsper year n n n n n n n n




d. Fetalandneonataldeathsper 1000livebirthsper year n n n




ANS: D n n




Theperinatalmortalityrateincludesfetalandneonataldeathsper 1000 livebirthsperyear. n n




DIF: CognitiveLevel: Comprehension REF: p.13|Box1.6
n n n n n




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




KEY: n nNursing ProcessStep:Implementation
n n n




MSC: n NCLEX:Safe,EffectiveCareEnvironment:CoordinatedCare
n n n n n




5. What is the focusofcurrentmaternitypractice?
n n




a. Hospitalbirthsforthemajorityofwomen
b. Thetraditionalfamilyunit
c. Separationoflaborroomsfrom delivery rooms n




d. Aqualityfamilyexperiencefor eachpatient n n




ANS: D n n




Currentmaternitypracticefocusesona high-qualityfamilyexperienceforallfamilies,traditional n n




norotherwise.
n




DIF: CognitiveLevel: Comprehension REF: p. 6 OBJ: 5 n n n n n




TOP: The Present-Maternity Care
n n KEY: n n




nNursingProcessStep:N/A MSC: NCLEX: Health Promotion and n n n n n




Maintenance
n




6. Whoadvocated theestablishmentoftheChildren’s Bureau? n n




a. Lillian Wald n




b. FlorenceNightingale n




c. FlorenceKelly n




d. ClaraBarton n




ANS: A n n




Lillian Waldiscredited withsuggestingtheestablishment ofa federal
n n n n n n Children’sBureau.

DIF: CognitiveLevel: Knowledge REF: p. 4 OBJ: 1|2 n n n n n




TOP: The Past
n KEY: Nursing Process Step: Implementation
n n n n n n




MSC: NCLEX:HealthPromotionandMaintenance:GrowthandDevelopment
n n n n n n




7. Whatwastheresultofresearchdoneinthe 1930sbythe Children’s Bureau? n n n




a. Childrenwithheartproblemsarenowcaredforbypediatriccardiologists.
b. TheChild AbuseandPreventionActwaspassed. n n




c. Hot lunchprograms wereestablishedinmanyschools.
n




d. Children’sasylumswerefounded.

ANS: C n n




Schoolhot lunchprogramsweredeveloped asaresultofresearchbytheChildren’sBureauon the
n n n n n n




neffects of economic depression on children.
n n n n n




DIF: CognitiveLevel:Knowledge REF: p.4 n n n OBJ: 2|3 n n n n

, TOP: ThePast KEY: NursingProcessStep:N/A
n n n n n n n




MSC: NCLEX:HealthPromotionandMaintenance:CoordinatedCare
n n n n n




8. What governmentprogramwasimplementedtoincreasetheeducationalexposureof
n n




n preschoolchildren? n




a. WIC
b. TitleXIXofMedicaid n n




c. TheChildren’sCharter
d. HeadStart n




ANS: D n n




Head n n Start programswereestablished toincreaseeducationalexposureofpreschoolchildren.
n




DIF: CognitiveLevel:Knowledge REF: p.3 OBJ: 3 n n n n n




TOP: Government Influences in Maternity and Pediatric Care
n KEY: NursingProcess Step:N/A n n n n n n n n




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




9. What guidelinesdefinemultidisciplinarypatientcareintermsofexpectedoutcomeand
n n




n timeframe from different areas of careprovision? n n n n n




a. Clinicalpathways
b. Nursingoutcomecriteria
c. Standardsofcare
d. Nursingcareplan

ANS: A n n




Clinicalpathways,alsoknownascriticalpathwaysorcaremaps,arecollaborativeguidelines that n n n n




definepatientcareacrossdisciplines.Expectedprogresswithinaspecifiedtimelineisidentified.
n n n n n n n n n n n n n




DIF: CognitiveLevel: Knowledge REF: p. 13 OBJ: 10 n n n n n




TOP: Health Care Delivery Systems
n n KEY: n n n




nNursingProcessStep:N/A MSC: NCLEX: Safe, Effective Care Environment: n n n n n n




Coordinated Care
n n




10. Anursingstudenthasreviewedahospitalized pediatricpatient chart, interviewed hermother, and n n n n n




ncollected admission data. What is the next step the student will taketo develop a nursing careplan for
n n n n n n n n n n n n n n n n




nthischild?
n




a. Identifymeasurableoutcomeswith atimeline. n




b. Choosespecificnursinginterventionsforthechild.
c. Determineappropriatenursingdiagnoses.
d. Statenursing actions relatedtothechild’smedical diagnosis. n n n




ANS: C n n




Thenurseusesassessment data to select appropriatenursingdiagnoses.Outcomesand n n n n




interventions arethen developed to address the relevant nursing diagnoses.
n n n n n n n n n




DIF: Cognitive Level:Application REF: p.12 OBJ: 7 n n n n n n




TOP: Nursing Processn KEY: NursingProcessStep:Nursing Diagnosis n n n




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




11. A nursing student on an obstetric rotation questions the floor nurse about the definition of the
n n n n n n n n n n n n n n n




nLVN/LPNscopeofpractice. What resourcecan the nursesuggest tothestudent?
n n n n n n n n n n n




a. AmericanNursesAssociation n