Test Bank for Introduction to Maternity and Pediatric Nursing 8th Edition Leifer | All Chapters | Complete Guide

INTRODUCTIONkTOkMATERNITYkANDkPEDIATRICkNURSINGk8THkEDITIONkLEIFERkTESTkBANK
TestkBankk-kIntroductionktokMaternitykandkPediatrickNursingk8ek(bykLeifer) 2



Chapter 01: The Past, Present, and Future
k k k k k k



MULTIPLEk CHOICE

1. Ak patientk choosesk tok havek thek certifiedk nursek midwifek (CNM)k providek carek duringk herk pregnancy.k Whatk doesk
thekCNMskscopekofkpracticekinclude?
a. Practicek independentk fromk medicalk supervision
b. Comprehensivek prenatalk care
c. Attendancek atk allk deliveries
d. Cesareank sections

ANS:kB
Thek CNMk providesk comprehensivek prenatalk andk postnatalk care,k attendsk uncomplicatedk deliveries,k andk ensureskt
hatkakbackupkphysiciankiskavailablekinkcasekofkunforeseenkproblems.

DIF:k Cognitivek Level:k Comprehensionk REF:k Pagek 6
TOP:k Advancek Practicek Nursingk Rolesk KEY:k Nursingk Processk Step:k Implementation
MSC:k NCLEX:k Healthk Promotionk andk Maintenance:k Preventionk andk Earlyk Detectionk ofk Disease

2. Whichk medicalk pioneerk discoveredk thek relationshipk betweenk thek incidencek ofk puerperalk feverk andk unwashedk
hands?
a. KarlkCred
b. Ignazk Semmelweis
c. Louisk Pasteur
d. Josephk Lister

ANS:kB
Ignazk Semmelweisk deducedk thatk puerperalk feverk wask septic,k contagious,k andk transmittedk byk thek unwashedkhand
skofkphysicianskandkmedicalkstudents.

DIF:kCognitivekLevel:kKnowledgekREF:kPagek2k
TOP:k Thek Pastk KEY:k Nursingk Processk Step:k N/A
MSC:k NCLEX:k Safe,k Effectivek Carek Environment:k Safetyk andk Infectionk Control

3. Ak pregnantk womank whok hask recentlyk immigratedk tok thek Unitedk Statesk commentsk tok thek nurse,k Ik amk afraidk ofk
childbirth.kItkisksokdangerous.kIkamkafraidkIkwillkdie.kWhatkiskthekbestknursingkresponsekreflectingkculturalksen
sitivity?
a. Maternalk mortalitykink thek Unitedk Statesk isk extremelyk low.
b. Anesthesiak isk availablek tok relievek paink duringk labork andk childbirth.
c. Tellkmekwhykyoukarekafraidkofkchildbirth.
d. Yourkconditionk willk bek monitoredk duringk labork andk delivery.

ANS:kC
Askingk thek patientk aboutk herk concernsk helpsk promotek understandingk andk individualizesk patientk care.

DIF:k Cognitivek Level:k Applicationk REF:k Pagek 7
TOP:k Cross-
Culturalk Carek KEY:k Nursingk Processk Step:k ImplementationkMSC:k NCLE
X:k Psychosocialk Integrity:k Psychologicalk Adaptation

4. Ank urbank areak hask beenk reportedk tok havek ak highk perinatalk mortalityk rate.k Whatk informationk doesk thisk provide?
a. Maternalk andkinfantk deathsk perk 100,000k livek birthsk perk year
b. Deathsk ofkfetusesk weighingk morek thank 500k gk perk 10,000k birthsk perk year
c. Deathskofkinfantskupktok1kyearkofkagekperk1000klivekbirthskperkyear
d. Fetalk andk neonatalk deathsk perk 1000k livek birthsk perkyear

ANS:kD
Thek perinatalk mortalityk ratek includesk fetalk andk neonatalk deathsk perk 1000k livek birthsk perk year.k

DIF:kCognitivekLevel:kComprehensionkREF:kPagek12

, INTRODUCTIONkTOkMATERNITYkANDkPEDIATRICkNURSINGk8THkEDITIONkLEIFERkTESTkBANK
TestkBankk-kIntroductionktokMaternitykandkPediatrickNursingk8ek(bykLeifer) 3


OBJ:k 9k TOP:k Thek Present-Childk Care
KEY:k Nursingk Processk Step:k Implementation
MSC:k NCLEX:k Safe,k Effectivek Carek Environment:k Coordinatedk Care

5. Whatk isk thek focuskofk currentk maternityk practice?
a. Hospitalk birthsk fork thek majorityk ofk women
b. Thektraditionalk familyk unit
c. Separationk ofk labork roomsk fromk deliveryk rooms
d. Akqualityk familyk experiencek fork eachk patient

ANS:kD
Currentk maternityk practicek focusesk onk ak high-qualityk familyk experiencek fork allk families,k traditionalk ork otherwise.

DIF:k Cognitivek Level:k Comprehensionk REF:k Pagek 6
TOP:k Thek Present-
Maternityk Carek KEY:k Nursingk Processk Step:k N/AkMSC:kNCLEX:kHealthk
PromotionkandkMaintenance

6. Whok advocatedk thek establishmentk ofk thek Childrensk Bureau?
a. LilliankWald
b. Florencek Nightingale
c. Florencek Kelly
d. Clarak Barton

ANS:kA
Lilliank Waldk isk creditedk withk suggestingk thek establishmentk ofk ak federalk Childrensk Bureau.

DIF:k Cognitivek Level:k Knowledgek REF:k Pagek 4
TOP:k Thek Pastk KEY:k Nursingk Processk Step:k Implementation
MSC:k NCLEX:k Healthk Promotionk andk Maintenance:k Growthk andk Development
NURSINGTB.COM
7. Whatk wask thek resultk ofk researchk donek ink thek 1930sk byk thek Childrensk Bureau?
a. Childrenk withk heartk problemsk arek nowk caredk fork byk pediatrick cardiologists.
b. ThekChildk Abusek andk Preventionk Actk wask passed.
c. Hotk lunchk programsk werek establishedk ink manyk schools.
d. Childrensk asylumsk werek founded.

ANS:kC
Schoolk hotk lunchk programsk werek developedk ask ak resultk ofk researchk byk thek Childrensk Bureauk onk thek effectsk ofkec
onomickdepressionkonkchildren.

DIF:kCognitivekLevel:kKnowledgekREF:kPagek4k
TOP:k Thek Pastk KEY:k Nursingk Processk Step:k N/A
MSC:k NCLEX:k Healthk Promotionk andk Maintenance:k Coordinatedk Care

8. Whatk governmentk programk wask implementedk tok increasek thek educationalk exposurek ofk preschoolk children?
a. WIC
b. Titlek XIXk ofk Medicaid
c. Thek Childrensk Charter
d. HeadkStart

ANS:kD
Headk Startk programsk werek establishedk tok increasek educationalk exposurek ofk preschoolk children.

DIF:k Cognitivek Level:k Knowledgek REF:k Pagek 3
TOP:k Governmentk Influencesk ink Maternityk andk Pediatrick Carek KEY:k Nursingk Processk Step:k N/Ak
MSC:kNCLEX:kHealthkPromotionkandkMaintenance:kGrowthkandkDevelopment

9. Whatk guidelinesk definek multidisciplinaryk patientk carek ink termsk ofk expectedk outcomek andk timeframek fromk
differentkareaskofkcarekprovision?

, INTRODUCTIONkTOkMATERNITYkANDkPEDIATRICkNURSINGk8THkEDITIONkLEIFERkTESTkBANK
TestkBankk-kIntroductionktokMaternitykandkPediatrickNursingk8ek(bykLeifer) 4


a. Clinicalk pathways
b. Nursingk outcomek criteria
c. Standardsk ofk care
d. Nursingk carek plan

ANS:kA
Clinicalk pathways,k alsok knownk ask criticalk pathwaysk ork carek maps,k arek collaborativek guidelinesk thatk definekpatien
tkcarekacrosskdisciplines.kExpectedkprogresskwithinkakspecifiedktimelinekiskidentified.

DIF:k Cognitivek Level:k Knowledgek REF:k Pagek 12
TOP:k Healthk Carek Deliveryk Systemsk KEY:k Nursingk Processk Step:k N/AkM
SC:k NCLEX:k Safe,k Effectivek Carek Environment:k Coordinatedk Care

10. Ak nursingk studentk hask reviewedk ak hospitalizedk pediatrick patientk chart,k interviewedk herk mother,k andk collectedk
admissionkdata.kWhatkisktheknextkstepkthekstudentkwillktakektokdevelopkaknursingkcarekplankforkthiskchild?
a. Identifyk measurablek outcomesk withk ak timeline.
b. Choosek specifick nursingk interventionsk fork thek child.
c. Determinek appropriatek nursingk diagnoses.
d. Statek nursingk actionsk relatedk tok thek childsk medicalk diagnosis.

ANS:kC
Thek nursek useskassessmentk datak tok selectk appropriatek nursingk diagnosesk fromk thek NANDA-
Ik list.k Outcomesk andkinterventionskarekthenkdevelopedktokaddresskthekrelevantknursingkdiagnoses.

DIF:k Cognitivek Level:k Applicationk REF:k Pagek 11
TOP:k Nursingk Processk KEY:k Nursingk Processk Step:k Nursingk DiagnosiskM
SC:k NCLEX:k Safe,k Effectivek Carek Environment:k Coordinatedk Care

11. Ak nursingk studentk onk ank obstetrick rotationk questionsk thek floork nursek aboutk thekdefinitionk ofk thek LVN/LPNk
scopekofkpractice.kWhatkresourcekcanktheknurseNsUuR ggSeI N
stGtoTBth.C
eOstM
udent?
a. Americank Nursesk Association
b. Statesk boardkofk nursing
c. Jointk Commission
d. Associationk ofk Womensk Health,k Obstetrick andk Neonatalk Nurses

ANS:kB
Thek scopek ofk practicek ofkthek LVN/LPNk isk publishedk byk thekstatesk boardk ofk nursing.

DIF:kCognitivekLevel:kComprehensionkREF:kPagek3kOB
J:k18kTOP:kCriticalkThinking
KEY:k Nursingk Processk Step:k Implementation
MSC:k NCLEX:k Safe,k Effectivek Carek Environment:k Coordinatedk Care

12. Whatk wask recommendedk byk Karlk Credk ink 1884?
a. Allk womenk shouldk bek deliveredk ink ak hospitalk setting.
b. Chemicalk meansk shouldk bek usedk tok combatk infection.
c. Podalick versionk shouldk bek donek onk allk fetuses.
d. Silverk nitratek shouldkbek placedk ink thek eyesk ofk newborns.

ANS:kD
Ink1884k Karlk Credk recommendedk thek usek ofk 2%k silverk nitratek ink thekeyesk ofk newbornsk tok reducek thek incidencek ofkbli
ndness.

DIF:k Cognitivek Level:k Knowledgek REF:k Pagek 2
TOP:k Usek ofk Silverk Nitratek KEY:k Nursingk Processk Step:k N/A
MSC:k NCLEX:k Healthk Promotionk andk Maintenance:k Preventionk andk Earlyk Detectionk ofk Disease

13. Whatk isk thek purposek ofk thek Whitek Housek Conferencek onk Childrenk andk Youth?
a. Setkcriteriak fork normalk growthk patterns.

, INTRODUCTIONkTOkMATERNITYkANDkPEDIATRICkNURSINGk8THkEDITIONkLEIFERkTESTkBANK
TestkBankk-kIntroductionktokMaternitykandkPediatrickNursingk8ek(bykLeifer) 5


b. Examinekthek numberk ofk livek birthsk ink minorityk populations.
c. Raisek moneyk tok supportk well-childk clinicsk ink ruralk areas.
d. Promotek comprehensivek childk welfare.

ANS:k D
Whitek Housek Conferencesk onk Childrenk andkYouthk arek heldk everyk 10k yearsk tok promotek comprehensivek childkwelfar
e.

DIF:k Cognitivek Level:k Knowledgek REF:k Pagek 4
TOP:k Whitek Housek Conferencesk KEY:k Nursingk Processk Step:k N/A
MSC:k NCLEX:k Healthk Promotionk andk Maintenance:k Preventionk andk Earlyk Detectionk ofk Disease

14. Howk manyk hoursk ofk hospitalk stayk doesk legislationk currentlyk allowk fork ak postpartumk patientk whok hask
deliveredkvaginallykwithoutkcomplications?
a. 24
b. 48
c. 36
d. 72

ANS:kB
Postpartumk patientsk whok deliverk vaginallyk stayk ink thek hospitalk fork ank averagek ofk 48k hours;k patientsk whok havekha
dkakcesareankdeliverykusuallykstayk4kdays.

DIF:k Cognitivek Level:k Knowledgek REF:k Pagek 6kT
OP:kHospitalkTermskforkPostpartumkPatientskK
EY:kNursingkProcesskStep:kPlanning
MSC:k NCLEX:k Healthk Promotionk andk Maintenance:k Preventionk andk Earlyk Detectionk ofk Disease

15. Howk doeskthek clinicalk pathwayk ork criticalk pathwayk improvek qualityk ofk care?
a. Listsk diagnosis-specifick implementations
b. Outlinesk expectedk progressk withk statedk timelines
c. Prioritizesk effectivek nursingk diagnoses
d. Describesk commonk complications

ANS:kB
Criticalk pathwaysk outlinek expectedk progressk withk statedk timelines.k Anyk deviationk fromk thosek timelinesk isk calledk
akvariance.

DIF:k Cognitivek Level:k Comprehensionk REF:k Pagek 12
TOP:k Criticalk Pathwayk KEY:k Nursingk Processk Step:k ImplementationkMS
C:k NCLEX:k Safe,k Effectivek Carek Environment:k Coordinatedk Care

16. Ak patientk askskthek nursek tok explaink whatk isk meantk byk genektherapy.k Whatk isk thek nursesk bestk response?
a. Genek therapyk cank replacek missingk genes.
b. Genek therapyk evaluatesk thek parentsk genes.
c. Genektherapykcankchangektheksexkofkthekfetus.
d. Genek therapyk supportsk thek regenerationk ofk defectivek genes.

ANS:kA
Genek therapyk cank replacek missingk ork defectivek genes.

DIF:k Cognitivek Level:k Knowledgek REF:k Pagek 8
TOP:k Genek Therapyk KEY:k Nursingk Processk Step:k Implementation
MSC:k NCLEX:k Healthk Promotionk andk Maintenance:k Preventionk andk Earlyk Detectionk ofk Disease

17. Thek nursek isk clarifyingk informationk tok ak patientk regardingk diagnosis-
relatedk groupsk (DRGs).k Whatk isk theknurseskbestkresponsekwhenkthekpatientkaskskhowkDRGskreducekmedical
kcarekcosts?

a. Byk determiningk paymentk basedk onk diagnosis
b. Byk requiringk twok medicalk opinionsk tok confirmk ak diagnosis