Test Bank for Introduction to Maternity and Pediatric Nursing 9th Edition BY Gloria Leifer Chapter 1-34 Newest Version

,Chapter 01: The Past, Present, and Future
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Leifer: Introduction to Maternity and Pediatric Nursing, 9th Edition
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MULTIPLE CHOICE ss




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



b. Comprehensive prenatal care ss s s



c. Attendance at all deliveries ss ss ss



d. Cesarean sections ss




ANS: 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 ss ss ss s s



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



MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection
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ofDisease
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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 ss



b. Ignaz Semmelweis ss



c. Louis Pasteur ss



d. Joseph Lister ss




ANS: B
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by
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the unwashed hands of physicians and medical students.
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DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: 1 ss ss ss s



TOP: The Past
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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 the
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best nursing response reflecting cultural sensitivity?
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a. ―Maternal mortalityin the United States is extremelylow.‖ ss s ss ss ss ss ss s



b. ―Anesthesia is available to relieve pain during labor and childbirth.‖ pp ss ss ss ss ss ss ss ss



c. ―Tellme whyyou are afraid ofchildbirth.‖ s ss ss ss ss s



d. ―Yourcondition will bemonitored duringlaborand delivery.‖ s pp ss s ss s s ss




ANS: C ss



Asking the patient about her concerns helps promote understanding and individualizes patient
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care.
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DIF: Cognitive Level: Application REF: pp. 6-8 OBJ: 8 ss ss ss s s



TOP: Cross-Cultural Care KEY: Nursing Process Step: Implementation ss ss ss ss ss



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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information does this provide?
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a. Maternal and infant deaths per 100,000 live births per year ss ss ss ss ss ss ss ss s s



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: D ss



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 1.6 ss ss ss ss ss s pp



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



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 maternitypractice?
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a. Hospital births for the majority of women ss ss ss ss ss ss



b. The traditional familyunit ss ss



c. Separation of labor rooms from deliveryrooms ss ss ss ss ss s



d. A quality family experience for eachpatient
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ANS: D ss



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 ss ss ss ss



TOP: The Present-Maternity Care
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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 ss



b. Florence Nightingale ss



c. Florence Kelly ss



d. Clara Barton ss




ANS: A ss



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 | 2 ss ss ss ss ss ss



TOP: The Past
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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 manyschools.
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d. Children‗s asylums were founded. ss ss ss




ANS: C ss



School hot lunch programs were developed as a result of research by the Children‗s Bureau
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on the effects of economic depression on children.
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DIF: Cognitive Level: Knowledge ss ss REF: p. 4 ss OBJ: 2 | 3 ss ss s s

, TOP: The Past KEY: Nursing Process Step: N/A ss ss ss ss s s



MSC: 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 ss ss ss



c. The Children‗s Charter ss ss



d. Head Start ss




ANS: D ss



Head Start programs were established to increase educational exposure of preschool children.
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DIF: Cognitive Level: Knowledge REF: p. 3 OBJ: 3 ss ss ss s s



TOP: Government Influences in Maternity andPediatric Care KEY: Nursing Process Step: N/A ss ss ss ss s ss s s ss s ss ss



MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
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9. What guidelines define multidisciplinarypatient care in terms of expected outcome
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ss and timeframe from different areas of care provision?
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a. Clinical pathways ss



b. Nursing outcome criteria ss ss



c. Standards of care ss ss



d. Nursing care plan ss ss




ANS: A ss



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



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



b. Choose specific nursing interventions for the child. ss ss ss ss ss ss



c. Determine appropriate nursing diagnoses. ss ss ss



d. State nursing actions related to the child‗s medical diagnosis.
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ANS: C ss



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: 7 ss ss ss s s



TOP: Nursing Process KEY: Nursing Process Step: Nursing Diagnosis ss ss ss ss ss ss



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 of
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s s the LVN/LPN scope of practice. What resource can the nurse suggest to the student?
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a. American Nurses Association ss ss