1
,Test Bank For Introduction to Maternity and Pediatric Nursing 9th Edition Leifer
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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 X@
1. A patient chooses to have the certified nurse-
X@ X@ X@ X@ X@ X@ X@
midwife (CNM) provide care during herpregnancy. Wha
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t doesthe CNM‗s scope of practice include?
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a. Practice independent frommedicalsupervision X@ X@
b. Comprehensive prenatal care X@ X@
c. Attendance at all deliveries X@ X@ X
@
d. Cesareansections
ANS: X @ B
The CNM provides comprehensive prenataland postnatal c
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a re, attends uncomplicated deliveries, and ensures that
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a bac kup physician is available in case of unforeseen p
ri X@ X@ X@ X@ X@ X@ X@ X@ X@
roblems.
DIF:
Cognitive Level: Comprehensio X@ X@ REF: p. 6 X
@ X
@
n
OBJ: 5 X@ KEY: Nursing Process Step: Implementation MS
X@ X@ X@ X@ X@
TOP:
Advance Practice Nursing Role X@ X@ X@
s
C: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
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2. Which medical pioneer discovered the relationship between the incidence of puerperal fever
ri X
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X@ a nd unwashed hands?
X@ ri X@
a. Karl Credé ri
b. Ignaz Semmelweis X@
c. Louis Pasteur X@
d. JosephLister
ANS: X @ B
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by
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@ X@ X@ X@ X@ X@ X@ X@
th e unwashed hands of physicians and medical students.
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DIF: Cognitive Level: Knowledge REF: X@ X@
p. 2 OBJ: 1 TOP: The Past X@ X@ X@ X@ ri
KEY: Nursing Process Step: N/A X@ X@ X@ X@
MSC: NCLEX: Safe, Effective Care Environment: Safetyand Infection Control
X@ X@ X@ X@ ri X@ X@ X@
3. Apregnant woman who has recentlyimmigrated to the United States comments to the nurse,
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@―I am afraid of childbirth. It is so dangerous. I am afraid I will die.‖ What is the best nur
riX @ X@ X@ X@ X@ ri X@ X@ X@ ri ri X@ ri X@ X@ X@ X@ ri X@
sing respo nse reflecting cultural sensitivity?
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a. ―Maternalmortalityin the United States is extremelylow.‖ ri X@ ri X@ X@
b. ―Anesthesiaisavailabletorelievepainduringlaborand childbirth.‖ ri
c. ―Tellme whyyou areafraidofchildbirth.‖ ri X@
d. ―Your condition will be monitored duringlabor and delivery.‖
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ANS: C X@
Asking the patient about her concerns helps promote understanding and individualizes patient ca
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re.
DIF: Cognitive Level: Application ri X@ REF: pp. 6-8 X@
OBJ: 8 TOP: X@ X@ Cross-Cultural Care X@
KEY: Nursing Process Step: Implementatio
X
@ X
@ X@ X
@
, 1
n MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
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, 4. An urban area has been reported to have a high perinatal mortalityrate. What informatio
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n d oes 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 upto 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 X@
Theperinatal mortalityrate includes fetal and neonatal deaths per 1000 live births per year.
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DIF: Cognitive Level: Comprehension X@ X@
REF: p. 13 |Box 1.6 OBJ: 9 X@ X@ X@ X@ X@
TOP: The Present- X@ X@
Child Care
X@ X@
KEY: NursingProcess Step: Implementation
X@ X@ X@
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
X@ X@ X@ X@ X@ X@ ri
5. What is the focus of current maternitypractice?
ri X@ X@ X@ X@ X@
a. Hospital births for the majorityofwomen X@ X@ X@ X@
b. Thetraditional familyunit X@
c. Separation of labor rooms fromdeliveryrooms X@ X@ X@ X@
d. Aqualityfamilyexperience for eachpatient X @ X @
ANS: D X@
Current maternitypractice focuses on a high-
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qualityfamily experience for all families, traditional or otherwise.
X@ X@ X@ X@ X@ X@ X@
DIF: Cognitive Level: Comprehension REF: X@ X@
p. 6 OBJ: 5 TOP: X@ X@ X@ X@
The Present-Maternity Care X@ X@
KEY: Nursing Process Step: N/A MSC: NCLEX: Health Promotion
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@ X@ X@ X@ X@ X@ ri X@
an d Maintenance
X@ X@
6. Who advocatedthe establishment ofthe Children‗s Bureau?
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a. Lillian Wald X@
b. FlorenceNightingale
c. Florence Kelly X@
d. Clara Barton X@
ANS: A X@
Lillian Wald is credited withsuggestingthe establishment ofa federal Children‗s Bureau.
X@ X@ ri X@ X@ X@ X@ X@ ri
DIF: Cognitive Level: Knowledge REF: X@ X@
p. 4 OBJ: 1 |2 TOP: X@ X@ X@ X@ X@
The Past X@
KEY: Nursing Process Step: Implementation X@ X@ X@ X@
MSC: NCLEX: Health Promotion and Maintenance: Growthand Development
X@ X@ X@ X@ ri X@ X@
7. What was the result of research done in the 1930s bythe Children‗s Bureau?
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a. Children with heart problems are now cared for bypediatric cardiologists.
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b. The Child Abuse and Prevention Act was passed.
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@ X@ X@ X@ X@ X@ X@
c. Hot lunch programs were established in manyschools.
ri X@ X@ X@ X@ X@
d. Children‗s asylums were founded. X@ X@ X@
ANS: C X@
Schoolhot lunch programs were developed as a result of research bythe Children‗s Bureau on the
X@ X@ X@ X@ X@ X@ ri ri X
@ X@ X@ X@ X@ X@ X
effects of economic depression on children.
@ X@ X@ X@ X@ X@
DIF: Cognitive Level: Knowledge X@ X@ REF: p. 4 X@ OBJ: 2 | 3 X@ X@ X@
,Test Bank For Introduction to Maternity and Pediatric Nursing 9th Edition Leifer
X@ X@ X@ X@ X@ ri X@ X@ X@ X@ X@ 2
Chapter 01: The Past, Present, and Future
ri ri ri ri ri ri
Leifer: Introduction to Maternity and Pediatric Nursing, 9th Edition
ri ri ri ri ri ri ri ri
MULTIPLE CHOICE X@
1. A patient chooses to have the certified nurse-
X@ X@ X@ X@ X@ X@ X@
midwife (CNM) provide care during herpregnancy. Wha
X@ X
@ X@ X@ X@ X@
t doesthe CNM‗s scope of practice include?
riX @ X@ X@ X@ X@ X@
a. Practice independent frommedicalsupervision X@ X@
b. Comprehensive prenatal care X@ X@
c. Attendance at all deliveries X@ X@ X
@
d. Cesareansections
ANS: X @ B
The CNM provides comprehensive prenataland postnatal c
X@ X@ X@ X@ X@ X@
a re, attends uncomplicated deliveries, and ensures that
X@ X@ X@ X@ X@ X@ X@ X@
a bac kup physician is available in case of unforeseen p
ri X@ X@ X@ X@ X@ X@ X@ X@ X@
roblems.
DIF:
Cognitive Level: Comprehensio X@ X@ REF: p. 6 X
@ X
@
n
OBJ: 5 X@ KEY: Nursing Process Step: Implementation MS
X@ X@ X@ X@ X@
TOP:
Advance Practice Nursing Role X@ X@ X@
s
C: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
X@ X@ X@ X@ ri X@ X@ ri X@ X@ ri
2. Which medical pioneer discovered the relationship between the incidence of puerperal fever
ri X
@ X@ X@ X@ X@ X@ X@ X@ X@ X@
X@ a nd unwashed hands?
X@ ri X@
a. Karl Credé ri
b. Ignaz Semmelweis X@
c. Louis Pasteur X@
d. JosephLister
ANS: X @ B
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by
X@ X@ X@ X@ X
@ X@ X@ X@ X@ X@ X@ X@
th e unwashed hands of physicians and medical students.
X@ X@ X@ X@ X@ X@ X@ X@
DIF: Cognitive Level: Knowledge REF: X@ X@
p. 2 OBJ: 1 TOP: The Past X@ X@ X@ X@ ri
KEY: Nursing Process Step: N/A X@ X@ X@ X@
MSC: NCLEX: Safe, Effective Care Environment: Safetyand Infection Control
X@ X@ X@ X@ ri X@ X@ X@
3. Apregnant woman who has recentlyimmigrated to the United States comments to the nurse,
X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X
@―I am afraid of childbirth. It is so dangerous. I am afraid I will die.‖ What is the best nur
riX @ X@ X@ X@ X@ ri X@ X@ X@ ri ri X@ ri X@ X@ X@ X@ ri X@
sing respo nse reflecting cultural sensitivity?
X@ X@ X@ X@ X@
a. ―Maternalmortalityin the United States is extremelylow.‖ ri X@ ri X@ X@
b. ―Anesthesiaisavailabletorelievepainduringlaborand childbirth.‖ ri
c. ―Tellme whyyou areafraidofchildbirth.‖ ri X@
d. ―Your condition will be monitored duringlabor and delivery.‖
X@ X@ X@ X@ X@ X@ X@
ANS: C X@
Asking the patient about her concerns helps promote understanding and individualizes patient ca
X@ ri X@ X@ X@ X@ X@ X@ X@ X@ X@ X@
re.
DIF: Cognitive Level: Application ri X@ REF: pp. 6-8 X@
OBJ: 8 TOP: X@ X@ Cross-Cultural Care X@
KEY: Nursing Process Step: Implementatio
X
@ X
@ X@ X
@
, 1
n MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
X@ X@ X@ X@ X@ X@
, 4. An urban area has been reported to have a high perinatal mortalityrate. What informatio
X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@
n d oes this provide?
X@ X@ X@ X@
a. Maternal and infant deaths per 100,000 live births per year
X
@ X@ X@ X@ X@ X@ X@ X@ X@
b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
X@ X@ X@ X@ X@ ri X@ X@ X@ X@ X@ X@
c. Deaths of infants upto 1 year of age per 1000 live births per year
X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@
d. Fetal and neonatal deaths per 1000 live births per year
X@ X@ X@ X@ X@ X@ X@ X@ X@
ANS: D X@
Theperinatal mortalityrate includes fetal and neonatal deaths per 1000 live births per year.
X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@
DIF: Cognitive Level: Comprehension X@ X@
REF: p. 13 |Box 1.6 OBJ: 9 X@ X@ X@ X@ X@
TOP: The Present- X@ X@
Child Care
X@ X@
KEY: NursingProcess Step: Implementation
X@ X@ X@
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
X@ X@ X@ X@ X@ X@ ri
5. What is the focus of current maternitypractice?
ri X@ X@ X@ X@ X@
a. Hospital births for the majorityofwomen X@ X@ X@ X@
b. Thetraditional familyunit X@
c. Separation of labor rooms fromdeliveryrooms X@ X@ X@ X@
d. Aqualityfamilyexperience for eachpatient X @ X @
ANS: D X@
Current maternitypractice focuses on a high-
X@ X@ X@ X@ X@
qualityfamily experience for all families, traditional or otherwise.
X@ X@ X@ X@ X@ X@ X@
DIF: Cognitive Level: Comprehension REF: X@ X@
p. 6 OBJ: 5 TOP: X@ X@ X@ X@
The Present-Maternity Care X@ X@
KEY: Nursing Process Step: N/A MSC: NCLEX: Health Promotion
X@ X
@ X@ X@ X@ X@ X@ ri X@
an d Maintenance
X@ X@
6. Who advocatedthe establishment ofthe Children‗s Bureau?
X@ X@ X@ X@ X@
a. Lillian Wald X@
b. FlorenceNightingale
c. Florence Kelly X@
d. Clara Barton X@
ANS: A X@
Lillian Wald is credited withsuggestingthe establishment ofa federal Children‗s Bureau.
X@ X@ ri X@ X@ X@ X@ X@ ri
DIF: Cognitive Level: Knowledge REF: X@ X@
p. 4 OBJ: 1 |2 TOP: X@ X@ X@ X@ X@
The Past X@
KEY: Nursing Process Step: Implementation X@ X@ X@ X@
MSC: NCLEX: Health Promotion and Maintenance: Growthand Development
X@ X@ X@ X@ ri X@ X@
7. What was the result of research done in the 1930s bythe Children‗s Bureau?
ri X@ X@ X@ X@ X@ X@ ri X@ X@ X@ X@
a. Children with heart problems are now cared for bypediatric cardiologists.
ri X@ X@ X@ X@ X@ X@ X@ X@
b. The Child Abuse and Prevention Act was passed.
X
@ X@ X@ X@ X@ X@ X@
c. Hot lunch programs were established in manyschools.
ri X@ X@ X@ X@ X@
d. Children‗s asylums were founded. X@ X@ X@
ANS: C X@
Schoolhot lunch programs were developed as a result of research bythe Children‗s Bureau on the
X@ X@ X@ X@ X@ X@ ri ri X
@ X@ X@ X@ X@ X@ X
effects of economic depression on children.
@ X@ X@ X@ X@ X@
DIF: Cognitive Level: Knowledge X@ X@ REF: p. 4 X@ OBJ: 2 | 3 X@ X@ X@