v v v v v v v v v v
,TESTvBANKvFORvLEIFER’SvINTRODUCTIONvTOvMATERNITYvANDvPEDIATRICvNURSINGvINv
CANADAv1STvEDITIONvBYvLEIFER
Chapterv01:vOverviewvofvPerinatalvandvPediatricvNursingvinvCanada
MULTIPLEvCHOICE
1.vAvpatientvchoosesvtovhavevthevcertifiedvnursevmidwifev(CNM)vprovidevcarevduringvhervpregnancy.vWhatvdoesvt
hevCNMsvscopevofvpracticevinclude?
a. Practicevindependentv fromv medicalv supervision
b. Comprehensivevprenatalvcare
c. Attendancevatvallvdeliveries
d. Cesareanvsections
ANS:vB
ThevCNMvprovidesvcomprehensivevprenatalvandvpostnatalvcare,vattendsvuncomplicatedvdeliveries,vandvensuresvth
atvavbackupvphysicianvisvavailablevinvcasevofvunforeseenvproblems.
DIF:vCognitivevLevel:vComprehensionvREF:v Pagev6
TOP:vAdvancev PracticevNursingv RolesvKEY:vNursingv ProcessvStep:v Implementation
MSC:vNCLEX:vHealthvPromotionvandvMaintenance:vPreventionvandvEarlyvDetectionvofvDisease
2. Whichvmedicalvpioneervdiscoveredvthevrelationshipvbetweenvthevincidencevofvpuerperalvfevervandvunwashedvh
ands?
a. KarlvCred
b. Ignazv Semmelweis
c. Louisv Pasteur
d. Josephv Lister
ANS:vB
IgnazvSemmelweisvdeducedvthatvpuerperalvfevervwasvseptic,vcontagious,vandvtransmittedvbyvthevunwashedvhan
dsvofvphysiciansvandvmedicalvstudents.
DIF:vCognitivevLevel:vKnowledgevREF:vPagev2vTO
P:vThevPastvKEY:vNursingv ProcessvStep:vN/A
MSC:vNCLEX:vSafe,vEffectivevCarevEnvironment:vSafetyvandvInfectionvControl
3. AvpregnantvwomanvwhovhasvrecentlyvimmigratedvtovthevUnitedvStatesvcommentsvtovthevnurse,vIvamvafraidvofvc
hildbirth.v Itvisvsov dangerous.vIvamvafraidvIvwillvdie.v Whatvisvthevbestvnursingv responsevreflectingv culturalvsensiti
vity?
a. MaternalvmortalityvinvthevUnitedvStatesvisvextremelyvlow.
b. Anesthesiavisvavailablevtovrelievevpainvduringvlaborvandvchildbirth.
c. Tellvmevwhyvyouvarevafraidvofvchildbirth.
d. Yourvconditionvwillvbev monitoredvduringvlaborvandvdelivery.
ANS:vC
Askingvthevpatientvaboutvhervconcernsvhelpsvpromotevunderstandingvandvindividualizesv patientvcare.
DIF:vCognitivevLevel:vApplicationvREF:vPagev7
TOP:vCross-
CulturalvCarevKEY:vNursingvProcessvStep:vImplementationvMSC:vNCLE
X:vPsychosocialvIntegrity:vPsychologicalvAdaptation
4. Anvurbanvareavhasvbeenvreportedvtovhavevavhighv perinatalvmortalityvrate.v Whatvinformationvdoesvthisvprovide?
a. Maternalvandvinfantvdeathsvperv100,000vlivevbirthsvpervyear
b. Deathsvofvfetusesvweighingvmorevthanv500vgvperv10,000vbirthsv perv year
c. Deathsvofvinfantsvupvtov1vyearvofvagevperv1000vlivevbirthsv pervyear
d. Fetalvandvneonatalvdeathsvperv1000vlivevbirthsvpervyear
ANS:vD
,Thevperinatalvmortalityvratevincludesvfetalvandvneonatalvdeathsvperv1000vlivevbirthsvpervyear.vD
IF:vCognitivevLevel:vComprehensionvREF:vPagev12
OBJ:v9vTOP:vThevPresent-ChildvCare
KEY:vNursingvProcessv Step:vImplementation
MSC:vNCLEX:vSafe,vEffectivev CarevEnvironment:vCoordinatedv Care
5. Whatvisvthevfocusvofvcurrentvmaternityvpractice?
a. Hospitalvbirthsvforvthevmajorityvofvwomen
b. Thevtraditionalvfamilyvunit
c. Separationvofvlaborvroomsvfromvdeliveryv rooms
d. Avqualityvfamilyvexperiencevforveachvpatient
ANS:vD
Currentvmaternityvpracticevfocusesvonvavhigh-qualityvfamilyvexperiencevforvallvfamilies,vtraditionalvorvotherwise.
DIF:vCognitivevLevel:vComprehensionvREF:vPagev6
TOP:vThevPresent-
MaternityvCarevKEY:vNursingvProcessvStep:vN/AvMSC:vNCLEX:vHealthv
PromotionvandvMaintenance
6. WhovadvocatedvthevestablishmentvofvthevChildrensvBureau?
a. LillianvWald
b. FlorencevNightingale
c. FlorencevKelly
d. ClaravBarton
ANS:vA
LillianvWaldvisvcreditedvwithvsuggestingvthevestablishmentvofvavfederalvChildrensvBureau.
DIF:vCognitivevLevel:vKnowledgevREF:vPagev4
TOP:vThevPastvKEY:vNursingv Processv Step:v Implementation
MSC:vNCLEX:vHealthv Promotionv andvMaintenance:vGrowthv andvDevelopment
NURSINGTB.COM
7. Whatvwasvthevresultvofvresearchv donevinvthev1930svbyvthevChildrensvBureau?
a. Childrenvwithvheartvproblemsvarevnowv caredvforvbyvpediatricvcardiologists.
b. ThevChildvAbusevandvPreventionvActvwasvpassed.
c. Hotvlunchvprogramsvwerevestablishedvinv manyvschools.
d. Childrensvasylumsvwerev founded.
ANS:vC
SchoolvhotvlunchvprogramsvwerevdevelopedvasvavresultvofvresearchvbyvthevChildrensvBureauvonvtheveffectsvofveco
nomicvdepressionvonvchildren.
DIF:vCognitivevLevel:vKnowledgevREF:vPagev4vTO
P:vThevPastvKEY:vNursingv ProcessvStep:vN/A
MSC:vNCLEX:vHealthvPromotionv andvMaintenance:vCoordinatedvCare
8. Whatvgovernmentvprogramvwasvimplementedvtovincreasevtheveducationalvexposurev ofvpreschoolvchildren?
a. WIC
b. Titlev XIXv ofvMedicaid
c. Thev Childrensv Charter
d. HeadvStart
ANS:vD
HeadvStartvprogramsvwerevestablishedv tovincreaseveducationalvexposurevofvpreschoolvchildren.
DIF:vCognitivevLevel:vKnowledgevREF:vPagev3
TOP:vGovernmentvInfluencesv invMaternityv andvPediatricv CarevKEY:vNursingvProcessvStep:vN/A
, MSC:vNCLEX:vHealthvPromotionvandvMaintenance:vGrowthvandvDevelopment
9. Whatvguidelinesvdefinevmultidisciplinaryvpatientvcarevinvtermsvofvexpectedvoutcomevandvtimeframevfromvd
ifferentvareasvofvcarevprovision?
a. Clinicalvpathways
b. Nursingvoutcomevcriteria
c. Standardsvofvcare
d. Nursingvcarevplan
ANS:vA
Clinicalvpathways,valsovknownvasvcriticalvpathwaysvorvcarevmaps,varevcollaborativevguidelinesvthatvdefinevpatie
ntvcarevacrossvdisciplines.vExpectedvprogressvwithinvavspecifiedvtimelinevisvidentified.
DIF:vCognitivevLevel:vKnowledgevREF:v Pagev12
TOP:vHealthvCarevDeliveryvSystemsvKEY:vNursingvProcessvStep:vN/AvM
SC:vNCLEX:vSafe,vEffectivevCarevEnvironment:vCoordinatedvCare
10. Avnursingvstudentvhasvreviewedvavhospitalizedvpediatricvpatientvchart,vinterviewedvhervmother,vandvcollectedva
dmissionvdata.vWhatvisvthevnextvstepvthevstudentvwillvtakevtovdevelopvavnursingvcarevplanvforvthisvchild?
a. Identifyvmeasurablevoutcomesvwithvavtimeline.
b. Choosevspecificvnursingv interventionsvforvthevchild.
c. Determinev appropriatevnursingv diagnoses.
d. Statevnursingvactionsvrelatedvtovthevchildsv medicalvdiagnosis.
ANS:vC
ThevnursevusesvassessmentvdatavtovselectvappropriatevnursingvdiagnosesvfromvthevNANDA-
Ivlist.vOutcomesvandvinterventionsvarevthenvdevelopedvtovaddressvthevrelevantvnursingvdiagnoses.
DIF:vCognitivevLevel:vApplicationvREF:vPagev11
TOP:vNursingvProcessvKEY:vNursingvProcessvStep:vNursingvDiagnosisvM
SC:vNCLEX:vSafe,vEffectivevCarevEnvironment:vCoordinatedvCare
11. AvnursingvstudentvonvanvobstetricvrotationvquestionsvthevfloorvnursevaboutvthevdefinitionvofvthevLVN/LPNvs
copevofvpractice.vWhatvresourcevcanvthevn u rs eNsUuRg Sg IeNs tGtoT Bth. Ce vOstM
udent?
a. AmericanvNursesvAssociation
b. Statesvboardvofvnursing
c. JointvCommission
d. AssociationvofvWomensvHealth,vObstetricvandvNeonatalv Nurses
ANS:vB
ThevscopevofvpracticevofvthevLVN/LPNvisvpublishedvbyvthevstatesvboardvofvnursing.
DIF:vCognitivevLevel:vComprehensionvREF:vPagev3v
OBJ:v18vTOP:vCriticalvThinking
KEY:vNursingvProcessv Step:vImplementation
MSC:vNCLEX:vSafe,vEffectivev CarevEnvironment:vCoordinatedv Care
12. Whatvwasvrecommendedv byvKarlvCredvinv1884?
a. Allvwomenvshouldvbevdeliveredvinvavhospitalvsetting.
b. Chemicalvmeansvshouldvbevusedv tovcombatvinfection.
c. Podalicvversionvshouldvbevdonevonvallvfetuses.
d. Silvervnitratevshouldvbevplacedvinvtheveyesvofvnewborns.
ANS:vD
Inv1884vKarlvCredvrecommendedvthevusevofv2%vsilvervnitratevinvtheveyesvofvnewbornsvtovreducevthevincidencevofv
blindness.
DIF:vCognitivevLevel:vKnowledgevREF:vPagev2
TOP:vUsevofvSilvervNitratev KEY:vNursingvProcessvStep:vN/A
MSC:vNCLEX:vHealthv Promotionv andv Maintenance:v Preventionv andvEarlyvDetectionv ofvDisease