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Test Bank For Introduction to Maternity and Pediatric Nursing
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,Test Bank For Introduction to Maternity and Pediatric Nursing
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,Test Bank For Introduction to Maternity and Pediatric Nursing 10th
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H Chapter 01: The Past, Present, and Future
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Leifer: Introduction to Maternity and Pediatric Nursing, 10th Edition
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MULTIPLE CHOICE GH




1. A patient chooses to have the certified nurse-
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midwife (CNM) provide care during herpregnancy. W
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hat does the CNM‘s scope of practice include?
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a. Practice independent from medical supervision
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b. Comprehensive prenatal care GH GH


c. Attendance at all deliveries GH GH GH


d. Cesarean sections GH




ANS: B G H


The CNM provides comprehensive prenatal and postnat
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al care, attends uncomplicated deliveries, and ensures t
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hat a backup physician is available in case of unfores
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een problems.
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DIF: Cognitive Level: Comprehension GH GH


REF: p. GH GH


6 OBJ: 5 GH GH


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


MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of D
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isease

2. Which medical pioneer discovered the relationship between the incidence of puerperal
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Hfever and unwashed hands?
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a. Karl Credé GH


b. Ignaz Semmelweis GH


c. Louis Pasteur GH


d. Joseph Lister GH




ANS: B G H


Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitte
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d by the unwashed hands of physicians and medical students.
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DIF: Cognitive Level: Knowledge REF: p. 2 GH GH G H GH


OBJ: 1 TOP: The Past GH GH G H GH


KEY: Nursing Process Step: N/A GH GH GH GH


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
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the best nursing response reflecting cultural sensitivity?
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a. “Maternal mortality in the United States is extremely low.”
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b. “Anesthesia is available to relieve pain during labor and childbirth.”
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c. “Tell me why you are afraid of childbirth.”
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d. “Your condition will be monitored during labor and delivery.”
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ANS: C GH


Asking the patient about her concerns helps promote understanding and individualizes pati
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ent care. GH




DIF: Cognitive Level: Application GH GH REF: GHGH pp. 6-8 GH OBJ: 8 GH


TOP: Cross-Cultural Care
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KEY: Nursing Process Step: Implementati GH GH GH GH


on MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
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, Test Bank For Introduction to Maternity and Pediatric Nursing
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on Leifer GH




4. An urban area has been reported to have a high perinatal mortality rate. What infor
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mation does this provide?
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a. Maternal and infant deaths per 100,000 live births per year
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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 GH


The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per ye
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ar.

DIF: Cognitive Level: Comprehension GH GH


REF: p. 13 | Box 1.6 OBJ: 9
GH TOP: The Present-
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Child Care GH


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 maternity practice?
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a. Hospital births for the majority of women
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b. The traditional family unit
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c. Separation of labor rooms from delivery rooms
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d. A quality family experience for each patient
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ANS: D GH


Current maternity practice focuses on a high-
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quality family experience for all families, traditional or otherwise.
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DIF: Cognitive Level: Comprehension REF: p. 6 GH GH G H GH


OBJ: 5 TOP: The Present-Maternity Care
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KEY: Nursing Process Step: N/A MSC: NCLEX: Health Promoti
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on and Maintenance
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6. Who advocated the establishment of the Children‘s Bureau?
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a. Lillian Wald GH


b. Florence Nightingale GH


c. Florence Kelly GH


d. Clara Barton GH




ANS: A GH


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 GH GH G H GH


OBJ: 1 | 2 TOP: The Past GH GH GH GH G H GH


KEY: Nursing Process Step: Implementation
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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 many schools.
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d. Children‘s asylums were founded. GH GH GH




ANS: C GH


School hot lunch programs were developed as a result of research by the Children‘s Bure
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au on the effects of economic depression on children.
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DIF: Cognitive Level: Knowledge GH GH REF: GHGH p. 4
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