Test Bank for Introduction to Maternity and Pediatric
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h1 Nursing 9th Edition by Gloria Leifer.
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Introduction to Maternity and Pediatric Nursing
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h1 NINTHEDITION
Gloria Leifer
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,TEST BANK Introduction to Maternity and Pediatric Nursing 9/E Gloria Leifer
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Chapter 01: The Past, Present, and Future
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MULTIPLE CHOICE h1
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 h1 h1 h1 h1
b. Comprehensive prenatal care h1 h1
c. Attendance at all deliveries h1 h1 h1
d. Cesarean sections h1
ANS: h 1 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 h1 h1 h1 h1 h1 h 1 h 1
TOP: Advance Practice Nursing Roles KEY:
h 1 Nursing Process Step: Implementation
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MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of
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Disease
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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 h1
b. Ignaz Semmelweis h1
c. Louis Pasteur h1
d. Joseph Lister h1
ANS: h 1 B
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the
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unwashed hands of physicians and medical students.
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DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: h1 h1 h 1 h1
h 11 TOP: The Past
h1 KEY: Nursing Process
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Step: N/A
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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
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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.‖ h1 h1 h1 h1 h1 h1 h1 h1
b. ―Anesthesia is available to relieve pain during labor and childbirth.‖h1 h1 h1 h1 h1 h1 h1 h1 h1
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: h 1 C
Asking the patient about her concerns helps promote understanding and individualizes
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patient care.
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DIF: Cognitive Level: Application h1 h1 REF: h1 h1 pp. 6-8 h1 OBJ: h 1 h 1 8
,TOP: Cross-Cultural Care
h 1 h1 KEY: Nursing Process Step:
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Implementation 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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h1 information does this provide? h1 h1 h1
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: h 1 D
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 h1 h1 h 1 h1 h1 h1
1.6 OBJ:
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h1 TOP: The Present-Child Care
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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 h1 h1 h1 h1 h1 h1
b. The traditional family unit h1 h1 h1
c. Separation of labor rooms from delivery rooms h1 h1 h1 h1 h1 h1
d. A quality family experience for each patient
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ANS: h 1 D
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 h1 h1 h 1 h1 h 1
TOP:
h1 The Present-Maternity Care
h 1 KEY: Nursing Process Step:
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N/A 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 h1
b. Florence Nightingale h1
c. Florence Kelly h1
d. Clara Barton h1
ANS: h 1 A
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 h1 h1 h 1 h1 h 1
| 2 TOP:
h1 h1 h1The Past KEY: Nursing Process Step:
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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. h1 h1 h1
ANS: h 1 C
School hot lunch programs were developed as a result of research by the Children‘s
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Bureau on the effects of economic depression on children.
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DIF: Cognitive Level: Knowledge h1 h1 REF: h1 h1 p. 4 h1 OBJ: h 1 h 1 2 | 3
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