2
,INTRODUCTION TO MATERNITY AND PEDIAT f f f f 3
RICNURSING
f 10THEDITIONLEIFER
Chapter 01: The Past, Present, and Future f f f
f
f f
f
f
f
MULTIPLE CHOICE f
1. A patient chooses to have the certified nurse midwife (CNM) provide care during her pregnancy. What does the CN
f f f f f f f f f f f f f f f f f f
Ms scope of practice include?
f f f f
a. Practice independent from medical supervision f f f f
b. Comprehensive prenatal care f f
c. Attendance at all deliveries f f f
d. Cesarean sections f
ANS: B f
The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated deliveries, and ensures that
f f f f f f f f f f f f f f
a backup physician is available in case of unforeseen problems.
f f f f f f f f f
DIF: Cognitive Level: Comprehension REF: Page 6
f f f f f f
TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: Implementation
f f f f f f f f f
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
f f f f f f f f f f f
2. Which medical pioneer discovered the relationship between the incidence of puerperal fever and unwashed hands
f f f f f f f f f f f f f f
?
a. Karl Cred f
b. Ignaz Semmelweis f
c. Louis Pasteur f
d. Joseph Lister f
ANS: B f
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the unwashed hands of
f f f f f f f f f f f f f f f f
physicians and medical students. f f f
NURSINGTB.COM
DIF: Cognitive Level: Knowledge REF: Page 2 TO
f f f f f f f
P: The Past KEY: Nursing Process Step: N/A
f f f f f f f
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
f f f f f f f f f
3. A pregnant woman who has recently immigrated to the United States comments to the nurse, I am afraid of childbi
f f f f f f f f f f f f f f f f f f f
rth. It is so dangerous. I am afraid I will die. What is the best nursing response reflecting cultural sensitivity?
f f f f f f f f f f f f f f f f f f f
a. Maternal mortality in the United States is extremely low. f f f f f f f f
b. Anesthesia is available to relieve pain during labor and childbirth. f f f f f f f f f
c. Tell me why you are afraid of childbirth.
f f f f f f f
d. Your condition will be monitored during labor and delivery.
f f f f f f f f
ANS: C f
Asking the patient about her concerns helps promote understanding and individualizes patient care.
f f f f f f f f f f f f
DIF: Cognitive Level: Application REF: Page 7
f f f f f f
TOP: Cross- f
Cultural Care KEY: Nursing Process Step: Implementation MSC: NCLEX
f f f f f f f f
: Psychosocial Integrity: Psychological Adaptation
f f f f
4. An urban area has been reported to have a high perinatal mortality rate. What information does this provide?
f f f f f f f f f f f f f f f f f
a. Maternal and infant deaths per 100,000 live births per year f f f f f f f f f
b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
f f f f f f f f f f f f
c. Deaths of infants up to 1 year of age per 1000 live births per year
f f f f f f f f f f f f f f
d. Fetal and neonatal deaths per 1000 live births per year
f f f f f f f f f
ANS: D f
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year. DIF
f f f f f f f f f f f f f f f
: Cognitive Level: Comprehension REF: Page 12
f f f f f f
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 10TH EDITION LEIFER TEST BANK f f f f f f f f f f
Test Bank - Introduction to Maternity and Pediatric Nursing 10e (by Leifer)
f f f f f f f f f f f 4
OBJ: 9 TOP: The Present-Child Care
f f f f f
KEY: Nursing Process Step: Implementation
f f f f
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
f f f f f f f
5. What is the focus of current maternity practice?
f f f f f f f
a. Hospital births for the majority of women f f f f f f
b. The traditional family unit f f f
c. Separation of labor rooms from delivery rooms f f f f f f
d. A quality family experience for each patient
f f f f f f
ANS: D f
Current maternity practice focuses on a high-quality family experience for all families, traditional or otherwise.
f f f f f f f f f f f f f f
DIF: Cognitive Level: Comprehension REF: Page 6
f f f f f f
TOP: The Present- f f
Maternity Care KEY: Nursing Process Step: N/A MSC: NCLEX: Health
f f f f f f f f f f
Promotion and Maintenance f f
6. Who advocated the establishment of the Childrens Bureau?
f f f f f f f
a. Lillian Wald f
b. Florence Nightingale f
c. Florence Kelly f
d. Clara Barton f
ANS: A f
Lillian Wald is credited with suggesting the establishment of a federal Childrens Bureau.
f f f f f f f f f f f f
DIF: Cognitive Level: Knowledge REF: Page 4
f f f f f f
TOP: The Past KEY: Nursing Process Step: Implementation
f f f f f f f
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
f f f f f f f f
NURSINGTB.COM
7. What was the result of research done in the 1930s by the Childrens Bureau?
f f f f f f f f f f f f f
a. Children with heart problems are now cared for by pediatric cardiologists.
f f f f f f f f f f
b. The Child Abuse and Prevention Act was passed.
f f f f f f f
c. Hot lunch programs were established in many schools.
f f f f f f f
d. Childrens asylums were founded. f f f
ANS: C f
School hot lunch programs were developed as a result of research by the Childrens Bureau on the effects of econom
f f f f f f f f f f f f f f f f f f f
ic depression on children.
f f f
DIF: Cognitive Level: Knowledge REF: Page 4 TO
f f f f f f f
P: The Past KEY: Nursing Process Step: N/A
f f f f f f f
MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care
f f f f f f f
8. What government program was implemented to increase the educational exposure of preschool children?
f f f f f f f f f f f f
a. WIC
b. Title XIX of Medicaid f f f
c. The Childrens Charter f f
d. Head Start f
ANS: D f
Head Start programs were established to increase educational exposure of preschool children.
f f f f f f f f f f f
DIF: Cognitive Level: Knowledge REF: Page 3
f f f f f f
TOP: Government Influences in Maternity and Pediatric Care KEY: Nursing Process Step: N/A MS
f f f f f f f f f f f f f
C: NCLEX: Health Promotion and Maintenance: Growth and Development
f f f f f f f f
9. What guidelines define multidisciplinary patient care in terms of expected outcome and timeframe from differ
f f f f f f f f f f f f f f
ent areas of care provision?
f f f f
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 10TH EDITION LEIFER TEST BANK f f f f f f f f f f
Test Bank - Introduction to Maternity and Pediatric Nursing 10e (by Leifer)
f f f f f f f f f f f 5
a. Clinical pathways f
b. Nursing outcome criteria f f
c. Standards of care f f
d. Nursing care plan f f
ANS: A f
Clinical pathways, also known as critical pathways or care maps, are collaborative guidelines that define patient ca
f f f f f f f f f f f f f f f f
re across disciplines. Expected progress within a specified timeline is identified.
f f f f f f f f f f
DIF: Cognitive Level: Knowledge REF: Page 12
f f f f f f
TOP: Health Care Delivery Systems KEY: Nursing Process Step: N/A MS
f f f f f f f f f f
C: NCLEX: Safe, Effective Care Environment: Coordinated Care
f f f f f f f
10. A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her mother, and collected admis
f f f f f f f f f f f f f f f
sion data. What is the next step the student will take to develop a nursing care plan for this child?
f f f f f f f f f f f f f f f f f f f
a. Identify measurable outcomes with a timeline. f f f f f
b. Choose specific nursing interventions for the child. f f f f f f
c. Determine appropriate nursing diagnoses. f f f
d. State nursing actions related to the childs medical diagnosis.
f f f f f f f f
ANS: C f
The nurse uses assessment data to select appropriate nursing diagnoses from the NANDA-
f f f f f f f f f f f f
I list. Outcomes and interventions are then developed to address the relevant nursing diagnoses.
f f f f f f f f f f f f f
DIF: Cognitive Level: Application REF: Page 11
f f f f f f
TOP: Nursing Process KEY: Nursing Process Step: Nursing Diagnosis MS
f f f f f f f f f
C: NCLEX: Safe, Effective Care Environment: Coordinated Care
f f f f f f f
11. A nursing student on an obstetric rotation questions the floor nurse about the definition of the LVN/LPN scope of
f f f f f f f f f f f f f f f f f f
practice. What resource can the n u rseNsUuRggSIeNstGtoT Bth. Ce OstM
f f ud e nt? f f f f
a. American Nurses Association f f
b. States board of nursing f f f
c. Joint Commission f
d. Association of Womens Health, Obstetric and Neonatal Nurses f f f f f f f
ANS: B f
The scope of practice of the LVN/LPN is published by the states board of nursing.
f f f f f f f f f f f f f f
DIF: Cognitive Level: Comprehension REF: Page 3 O
f f f f f f f
BJ: 18 TOP: Critical Thinking
f f f f
KEY: Nursing Process Step: Implementation
f f f f
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
f f f f f f f
12. What was recommended by Karl Cred in 1884? f f f f f f f
a. All women should be delivered in a hospital setting.
f f f f f f f f
b. Chemical means should be used to combat infection. f f f f f f f
c. Podalic version should be done on all fetuses. f f f f f f f
d. Silver nitrate should be placed in the eyes of newborns.
f f f f f f f f f
ANS: D f
In 1884 Karl Cred recommended the use of 2% silver nitrate in the eyes of newborns to reduce the incidence of blindn
f f f f f f f f f f f f f f f f f f f f f
ess.
DIF: Cognitive Level: Knowledge REF: Page 2
f f f f f f
TOP: Use of Silver Nitrate KEY: Nursing Process Step: N/A
f f f f f f f f f
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
f f f f f f f f f f f
13. What is the purpose of the White House Conference on Children and Youth?
f f f f f f f f f f f f
a. Set criteria for normal growth patterns.
f f f f f
,INTRODUCTION TO MATERNITY AND PEDIAT f f f f 3
RICNURSING
f 10THEDITIONLEIFER
Chapter 01: The Past, Present, and Future f f f
f
f f
f
f
f
MULTIPLE CHOICE f
1. A patient chooses to have the certified nurse midwife (CNM) provide care during her pregnancy. What does the CN
f f f f f f f f f f f f f f f f f f
Ms scope of practice include?
f f f f
a. Practice independent from medical supervision f f f f
b. Comprehensive prenatal care f f
c. Attendance at all deliveries f f f
d. Cesarean sections f
ANS: B f
The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated deliveries, and ensures that
f f f f f f f f f f f f f f
a backup physician is available in case of unforeseen problems.
f f f f f f f f f
DIF: Cognitive Level: Comprehension REF: Page 6
f f f f f f
TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: Implementation
f f f f f f f f f
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
f f f f f f f f f f f
2. Which medical pioneer discovered the relationship between the incidence of puerperal fever and unwashed hands
f f f f f f f f f f f f f f
?
a. Karl Cred f
b. Ignaz Semmelweis f
c. Louis Pasteur f
d. Joseph Lister f
ANS: B f
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the unwashed hands of
f f f f f f f f f f f f f f f f
physicians and medical students. f f f
NURSINGTB.COM
DIF: Cognitive Level: Knowledge REF: Page 2 TO
f f f f f f f
P: The Past KEY: Nursing Process Step: N/A
f f f f f f f
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
f f f f f f f f f
3. A pregnant woman who has recently immigrated to the United States comments to the nurse, I am afraid of childbi
f f f f f f f f f f f f f f f f f f f
rth. It is so dangerous. I am afraid I will die. What is the best nursing response reflecting cultural sensitivity?
f f f f f f f f f f f f f f f f f f f
a. Maternal mortality in the United States is extremely low. f f f f f f f f
b. Anesthesia is available to relieve pain during labor and childbirth. f f f f f f f f f
c. Tell me why you are afraid of childbirth.
f f f f f f f
d. Your condition will be monitored during labor and delivery.
f f f f f f f f
ANS: C f
Asking the patient about her concerns helps promote understanding and individualizes patient care.
f f f f f f f f f f f f
DIF: Cognitive Level: Application REF: Page 7
f f f f f f
TOP: Cross- f
Cultural Care KEY: Nursing Process Step: Implementation MSC: NCLEX
f f f f f f f f
: Psychosocial Integrity: Psychological Adaptation
f f f f
4. An urban area has been reported to have a high perinatal mortality rate. What information does this provide?
f f f f f f f f f f f f f f f f f
a. Maternal and infant deaths per 100,000 live births per year f f f f f f f f f
b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
f f f f f f f f f f f f
c. Deaths of infants up to 1 year of age per 1000 live births per year
f f f f f f f f f f f f f f
d. Fetal and neonatal deaths per 1000 live births per year
f f f f f f f f f
ANS: D f
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year. DIF
f f f f f f f f f f f f f f f
: Cognitive Level: Comprehension REF: Page 12
f f f f f f
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 10TH EDITION LEIFER TEST BANK f f f f f f f f f f
Test Bank - Introduction to Maternity and Pediatric Nursing 10e (by Leifer)
f f f f f f f f f f f 4
OBJ: 9 TOP: The Present-Child Care
f f f f f
KEY: Nursing Process Step: Implementation
f f f f
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
f f f f f f f
5. What is the focus of current maternity practice?
f f f f f f f
a. Hospital births for the majority of women f f f f f f
b. The traditional family unit f f f
c. Separation of labor rooms from delivery rooms f f f f f f
d. A quality family experience for each patient
f f f f f f
ANS: D f
Current maternity practice focuses on a high-quality family experience for all families, traditional or otherwise.
f f f f f f f f f f f f f f
DIF: Cognitive Level: Comprehension REF: Page 6
f f f f f f
TOP: The Present- f f
Maternity Care KEY: Nursing Process Step: N/A MSC: NCLEX: Health
f f f f f f f f f f
Promotion and Maintenance f f
6. Who advocated the establishment of the Childrens Bureau?
f f f f f f f
a. Lillian Wald f
b. Florence Nightingale f
c. Florence Kelly f
d. Clara Barton f
ANS: A f
Lillian Wald is credited with suggesting the establishment of a federal Childrens Bureau.
f f f f f f f f f f f f
DIF: Cognitive Level: Knowledge REF: Page 4
f f f f f f
TOP: The Past KEY: Nursing Process Step: Implementation
f f f f f f f
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
f f f f f f f f
NURSINGTB.COM
7. What was the result of research done in the 1930s by the Childrens Bureau?
f f f f f f f f f f f f f
a. Children with heart problems are now cared for by pediatric cardiologists.
f f f f f f f f f f
b. The Child Abuse and Prevention Act was passed.
f f f f f f f
c. Hot lunch programs were established in many schools.
f f f f f f f
d. Childrens asylums were founded. f f f
ANS: C f
School hot lunch programs were developed as a result of research by the Childrens Bureau on the effects of econom
f f f f f f f f f f f f f f f f f f f
ic depression on children.
f f f
DIF: Cognitive Level: Knowledge REF: Page 4 TO
f f f f f f f
P: The Past KEY: Nursing Process Step: N/A
f f f f f f f
MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care
f f f f f f f
8. What government program was implemented to increase the educational exposure of preschool children?
f f f f f f f f f f f f
a. WIC
b. Title XIX of Medicaid f f f
c. The Childrens Charter f f
d. Head Start f
ANS: D f
Head Start programs were established to increase educational exposure of preschool children.
f f f f f f f f f f f
DIF: Cognitive Level: Knowledge REF: Page 3
f f f f f f
TOP: Government Influences in Maternity and Pediatric Care KEY: Nursing Process Step: N/A MS
f f f f f f f f f f f f f
C: NCLEX: Health Promotion and Maintenance: Growth and Development
f f f f f f f f
9. What guidelines define multidisciplinary patient care in terms of expected outcome and timeframe from differ
f f f f f f f f f f f f f f
ent areas of care provision?
f f f f
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 10TH EDITION LEIFER TEST BANK f f f f f f f f f f
Test Bank - Introduction to Maternity and Pediatric Nursing 10e (by Leifer)
f f f f f f f f f f f 5
a. Clinical pathways f
b. Nursing outcome criteria f f
c. Standards of care f f
d. Nursing care plan f f
ANS: A f
Clinical pathways, also known as critical pathways or care maps, are collaborative guidelines that define patient ca
f f f f f f f f f f f f f f f f
re across disciplines. Expected progress within a specified timeline is identified.
f f f f f f f f f f
DIF: Cognitive Level: Knowledge REF: Page 12
f f f f f f
TOP: Health Care Delivery Systems KEY: Nursing Process Step: N/A MS
f f f f f f f f f f
C: NCLEX: Safe, Effective Care Environment: Coordinated Care
f f f f f f f
10. A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her mother, and collected admis
f f f f f f f f f f f f f f f
sion data. What is the next step the student will take to develop a nursing care plan for this child?
f f f f f f f f f f f f f f f f f f f
a. Identify measurable outcomes with a timeline. f f f f f
b. Choose specific nursing interventions for the child. f f f f f f
c. Determine appropriate nursing diagnoses. f f f
d. State nursing actions related to the childs medical diagnosis.
f f f f f f f f
ANS: C f
The nurse uses assessment data to select appropriate nursing diagnoses from the NANDA-
f f f f f f f f f f f f
I list. Outcomes and interventions are then developed to address the relevant nursing diagnoses.
f f f f f f f f f f f f f
DIF: Cognitive Level: Application REF: Page 11
f f f f f f
TOP: Nursing Process KEY: Nursing Process Step: Nursing Diagnosis MS
f f f f f f f f f
C: NCLEX: Safe, Effective Care Environment: Coordinated Care
f f f f f f f
11. A nursing student on an obstetric rotation questions the floor nurse about the definition of the LVN/LPN scope of
f f f f f f f f f f f f f f f f f f
practice. What resource can the n u rseNsUuRggSIeNstGtoT Bth. Ce OstM
f f ud e nt? f f f f
a. American Nurses Association f f
b. States board of nursing f f f
c. Joint Commission f
d. Association of Womens Health, Obstetric and Neonatal Nurses f f f f f f f
ANS: B f
The scope of practice of the LVN/LPN is published by the states board of nursing.
f f f f f f f f f f f f f f
DIF: Cognitive Level: Comprehension REF: Page 3 O
f f f f f f f
BJ: 18 TOP: Critical Thinking
f f f f
KEY: Nursing Process Step: Implementation
f f f f
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
f f f f f f f
12. What was recommended by Karl Cred in 1884? f f f f f f f
a. All women should be delivered in a hospital setting.
f f f f f f f f
b. Chemical means should be used to combat infection. f f f f f f f
c. Podalic version should be done on all fetuses. f f f f f f f
d. Silver nitrate should be placed in the eyes of newborns.
f f f f f f f f f
ANS: D f
In 1884 Karl Cred recommended the use of 2% silver nitrate in the eyes of newborns to reduce the incidence of blindn
f f f f f f f f f f f f f f f f f f f f f
ess.
DIF: Cognitive Level: Knowledge REF: Page 2
f f f f f f
TOP: Use of Silver Nitrate KEY: Nursing Process Step: N/A
f f f f f f f f f
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
f f f f f f f f f f f
13. What is the purpose of the White House Conference on Children and Youth?
f f f f f f f f f f f f
a. Set criteria for normal growth patterns.
f f f f f
