,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
1. A patient chooses to have the certified nurse-
midwife (CNM) provide care during her pregnancy. W
hat does the CNM‘s scope of practice include?
a. Practice independent from medical supervision
b. Comprehensive prenatal care
c. Attendance at all deliveries
d. Cesarean sections
ANSWER: B
The CNM provides comprehensive prenatal and postnat
al care, attends uncomplicated deliveries, and ensures t
hat a backup physician is available in case of unforese
en problems.
DIF: Cognitive Level: Comprehension
REFERENCE: p.
6 OBJECTIVE: 5
TOP: Advance Practice Nursing Roles
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of D
isease
2. Which medical pioneer discovered the relationship between the incidence of puerperal
fever and unwashed hands?
a. Karl Credé
b. Ignaz Semmelweis
c. Louis Pasteur
d. Joseph Lister
ANSWER: B
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitte
d by the unwashed hands of physicians and medical students.
DIF: Cognitive Level: Knowledge
REFERENCE: p. 2
OBJECTIVE: 1 TOP: The Past
KEY: Nursing Process Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
3. A pregnant woman who has recently immigrated to the United States comments to the
nurse, “I am afraid of childbirth. It is so dangerous. I am afraid I will die.” What is t
he best nursing response reflecting cultural sensitivity?
a. “Maternal mortality in the United States is extremely low.”
b. “Anesthesia is available to relieve pain during labor and childbirth.”
c. “Tell me why you are afraid of childbirth.”
d. “Your condition will be monitored during labor and delivery.”
ANSWER: C
Asking the patient about her concerns helps promote understanding and individualizes patie
nt care.
DIF: Cognitive Level: Application
REFERENCE: pp. 6-8
OBJECTIVE: 8 TOP: Cross-Cultural Care
KEY: Nursing Process Step: Implementati
on MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
, Test Bank For Introduction to Maternity and Pediatric Nursing 10th Editio 4
4. An urban area has been reported to have a high perinatal mortality rate. What infor
mation does this provide?
a. Maternal and infant deaths per 100,000 live births per year
b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
c. Deaths of infants up to 1 year of age per 1000 live births per year
d. Fetal and neonatal deaths per 1000 live births per year
ANSWER: D
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per yea
r.
DIF: Cognitive Level: Comprehension
REFERENCE: p. 13 | Box 1.6 OBJECTIVE: 9
TOP: The Present- Child
Care
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
5. What is the focus of current maternity practice?
a. Hospital births for the majority of women
b. The traditional family unit
c. Separation of labor rooms from delivery rooms
d. A quality family experience for each patient
ANSWER: D
Current maternity practice focuses on a high-
Quality family experience for all families, traditional or otherwise.
DIF: Cognitive Level: Comprehension
REFERENCE: p. 6
OBJECTIVE: 5 TOP: The
Present-Maternity Care
KEY: Nursing Process Step: N/A MSC: NCLEX: Health Promoti
on and Maintenance
6. Who advocated the establishment of the Children‘s Bureau?
a. Lillian Wald
b. Florence Nightingale
c. Florence Kelly
d. Clara Barton
ANSWER: A
Lillian Wald is credited with suggesting the establishment of a federal Children‘s Bureau.
DIF: Cognitive Level: Knowledge
REFERENCE: p. 4
OBJECTIVE: 1 | 2 TOP: The Past
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
7. What was the result of research done in the 1930s by the Children‘s Bureau?
a. Children with heart problems are now cared for by pediatric cardiologists.
b. The Child Abuse and Prevention Act was passed.
c. Hot lunch programs were established in many schools.
d. Children‘s asylums were founded.
ANSWER: C
School hot lunch programs were developed as a result of research by the Children‘s Burea
u on the effects of economic depression on children.
DIF: Cognitive Level: Knowledge REFERENCE: p. 4 OBJECTIVE: 2 | 3