INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION BY
GLORIA LEIFER CHAPTER 1-34 (NEWEST VERSION 2025)
,chapter 01: the past, present, and future .....................................................................................3
chapter 2: the nurses role in women’s health care ....................................................................18
chapter 03: human reproductive anatomy and physiology........................................................32
chapter 04: fetal development ...................................................................................................47
chapter 05: prenatal care and adaptations to pregnancy ..........................................................60
chapter 06: nursing care of women with complications during pregnancy ...............................74
chapter 07: nursing care of mother and infant during labor and birth ......................................89
chapter 08: nursing management of pain during labor and birth ........................................... 105
chapter 09: nursing care of women with complications during labor and birth ..................... 120
chapter 10: the family after birth ............................................................................................ 134
chapter 11: nursing care of women with complications after birth ........................................ 149
chapter 12: the term newborn ................................................................................................ 162
chapter 13: preterm and post term newborns ........................................................................ 177
chapter 14: the newborn with a perinatal injury or congenital malformation........................ 191
chapter 15: an overview of growth, development, and nutrition ........................................... 209
chapter 16: the infant .............................................................................................................. 224
chapter 17: the toddler............................................................................................................ 238
chapter 18: the preschool child ............................................................................................... 252
chapter 19: the school-age child .............................................................................................. 266
chapter 20: the adolescent ...................................................................................................... 281
chapter 21: the childs experience of hospitalization ............................................................... 295
chapter 22: health care adaptations for the child and family ................................................. 309
chapter 23: complementary and alternative therapies in maternity and pediatric nursing ... 324
chapter 24: the child with a sensory or neurological condition .............................................. 336
chapter 25: the child with a musculoskeletal condition .......................................................... 352
chapter 26: the child with a respiratory disorder .................................................................... 366
chapter 27: the child with a cardiovascular disorder .............................................................. 380
chapter 27: the child with a condition of the blood, blood-forming organs, or lymphatic system393
chapter 28: the child with a condition of the blood, blood-forming organs, or lymphatic system409
chapter 29: the child with a gastrointestinal condition ........................................................... 423
chapter 30: the child with a genitourinary condition .............................................................. 441
chapter 31: the child with a skin condition.............................................................................. 455
chapter 32: the child with a metabolic condition .................................................................... 470
chapter 33: childhood communicable diseases, bioterrorism, natural disasters and the maternal-
child patient ............................................................................................................................. 485
chapter 34: the child with an emotional or behavioral condition ........................................... 498
,Chapter 01: the past, present, and future
Multiple choice
1. A patient chooses to have the certified nurse midwife (cnm) provide care during her
pregnancy. What does the cnms scope of practice include?
A. Practice independent from medical supervision
B. Comprehensive prenatal care
C. Attendance at all deliveries
D. Cesarean sections
ans:b
The cnm provides comprehensive prenatal and postnatal care, attends uncomplicated
deliveries, and ensures that a backup physician is available in case of unforeseen problems.
2. Which medical pioneer discovered the relationship between the incidence of puerperal
fever and unwashed hands?
A. Karl cred
B. Ignaz Semmelweis
C. Louis Pasteur
D. Joseph lister
ans:b
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the
unwashed hands of physicians and medical students.
3. A pregnant woman who has recently immigrated to the united states comments to the
nurse, i am afraid of childbirth. It is so dangerous. I am afraid i will die. What is the best nursing
response reflecting cultural sensitivity?
A. Maternal mortality in the united states is extremely low.
B. Anesthesia is available to relieve pain during labor and childbirth.
,C. Tell me why you are afraid of childbirth.
D. Your condition will be monitored during labor and delivery.
Ans:c
Asking the patient about her concerns helps promote understanding and individualizes patient
care.
4. An urban area has been reported to have a high perinatal mortality rate. What
information does this provide?
A. Maternal and infant deaths per 100,000 live births per year
B. Deaths of fetuses weighing more than 500 g per 10,000 births per year
C. Deaths of infants up to 1 year of age per 1000 live births per year
D. Fetal and neonatal deaths per 1000 live births per year
ans:d
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
Ref: page 12, box 1-6 obj: 9 top: the present-child care key: nursing process step:
implementation
5. What is the focus of current maternity practice?
A. Hospital births for the majority of women
B. The traditional family unit
C. Separation of labor rooms from delivery rooms
D. A quality family experience for each patient
ans:d
Current maternity practice focuses on a high-quality family experience for all families,
traditional or otherwise.
,6. Who advocated the establishment of the childrens bureau?
A. Lillian wald
B. Florence nightingale
C. Florence kelly
D. Clara barton
ans:a
Lillian wald is credited with suggesting the establishment of a federal childrens bureau.
7. What was the result of research done in the 1930s by the childrens bureau?
A. Children with heart problems are now cared for by pediatric cardiologists.
B. The child abuse and prevention act was passed.
C. Hot lunch programs were established in many schools.
D. Childrens asylums were founded.
Ans:c
School hot lunch programs were developed as a result of research by the childrens bureau on
the effects of economic depression on children.
8. What government program was implemented to increase the educational exposure of
preschool children?
A. Wic
B. Title xix of medicaid
C. The childrens charter
, D. Head start
ans:d
Head start programs were established to increase educational exposure of preschool children.
What guidelines define multidisciplinary patient care in terms of expected outcome and
timeframe from different areas of care provision?
E. Clinical pathways
F. Nursing outcome criteria
G. Standards of care
H. Nursing care plan
ans:a
Clinical pathways, also known as critical pathways or care maps, are collaborative guidelines
that define patient care across disciplines. Expected progress within a specified timeline is
identified.
9. A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her
mother, and collected admission data. What is the next step the student will take to develop a
nursing care plan for this child?
A. Identify measurable outcomes with a timeline.
B. Choose specific nursing interventions for the child.
C. Determine appropriate nursing diagnoses.
D. State nursing actions related to the child’s medical diagnosis.
Ans:c
The nurse uses assessment data to select appropriate nursing diagnoses from the nanda- i list.
Outcomes and interventions are then developed to address the relevant nursing diagnoses.