TEST BANK FOR LEIFER’S INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING IN
CANADA 1ST EDITION BY LEIFER
, St
TEST BANK FOR LEIFER’S INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING IN
CANADA 1ST EDITION BY LEIFER
Chapter 01: Overview of Perinatal and Pediatric Nursing in Canada
MULTIPLE CHOICE
1. A patient chooses to have the certified nurse midwife (CNM) provide care during her pregnancy. What does
the CNMs scope of practice include?
a. Practice independent from medical supervision
b. Comprehensive prenatal care
c. Attendance at all deliveries
d. Cesarean sections
ANS: B
The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated deliveries, and ensures
that a backup physician is available in case of unforeseen problems.
DIF: Cognitive Level: Comprehension REF: Page 6
TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
2. Which medical pioneer discovered the relationship between the incidence of puerperal fever and unwashed
hands?
a. Karl Cred
b. Ignaz Semmelweis
c. Louis Pasteur
d. Joseph Lister
ANS: B
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the unwashed
hands of physicians and medical students.
DIF: Cognitive Level: Knowledge REF: Page 2
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 the 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.
ANS: C
Asking the patient about her concerns helps promote understanding and individualizes patient care.
DIF: Cognitive Level: Application REF: Page 7
TOP: Cross-Cultural Care KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
4. An urban area has been reported to have a high perinatal mortality rate. What information 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
ANS: D
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
DIF: Cognitive Level: Comprehension REF: Page 12
,OBJ: 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
ANS: D
Current maternity practice focuses on a high-quality family experience for all families, traditional or otherwise.
DIF: Cognitive Level: Comprehension REF: Page 6
TOP: The Present-Maternity Care KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance
6. Who advocated the establishment of the Childrens Bureau?
a. Lillian Wald
b. Florence Nightingale
c. Florence Kelly
d. Clara Barton
ANS: A
Lillian Wald is credited with suggesting the establishment of a federal Childrens Bureau.
DIF: Cognitive Level: Knowledge REF: Page 4
TOP: The Past KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
NURSINGTB.COM
7. What was the result of research done in the 1930s by the Childrens 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. Childrens asylums were founded.
ANS: C
School hot lunch programs were developed as a result of research by the Childrens Bureau on the effects of
economic depression on children.
DIF: Cognitive Level: Knowledge REF: Page 4
TOP: The Past KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care
8. What sgovernment s program swas simplemented sto s increase s the s educational sexposure s of spreschool s children?
a. WIC
b. Title s XIX s of s Medicaid
c. The s Childrens s Charter
d. Head sStart
ANS: sD
Head sStart sprograms swere s established s to s increase seducational s exposure s of s preschool s children.
DIF: sCognitive s Level: sKnowledge s REF: sPage s3
TOP: sGovernment sInfluences sin sMaternity sand sPediatric sCare sKEY: sNursing sProcess
sStep: sN/A sMSC: sNCLEX: sHealth sPromotion sand sMaintenance: sGrowth sand
sDevelopment
9. What sguidelines sdefine smultidisciplinary spatient scare sin sterms sof sexpected soutcome sand
stimeframe sfrom sdifferent sareas sof scare sprovision?
, a. linical spathways
b. Nursing soutcome scriteria
c. Standards sof scare
d. Nursing scare splan
ANS: sA
Clinical spathways, salso sknown sas scritical spathways sor scare smaps, sare scollaborative sguidelines sthat
sdefine spatient scare sacross sdisciplines. sExpected sprogress swithin sa sspecified stimeline sis sidentified.
DIF: sCognitive sLevel: sKnowledge s REF: s Page s 12
TOP: sHealth sCare sDelivery sSystems sKEY: sNursing sProcess sStep:
sN/A sMSC: sNCLEX: sSafe, sEffective sCare sEnvironment: sCoordinated
sCare
10. A snursing sstudent shas sreviewed sa shospitalized spediatric spatient schart, sinterviewed sher smother, sand
scollected sadmission sdata. sWhat sis sthe snext sstep sthe sstudent swill stake sto sdevelop sa snursing scare splan
sfor sthis schild?
a. Identify s measurable soutcomes swith s a stimeline.
b. Choose sspecific snursing s interventions sfor sthe schild.
c. Determine s appropriate s nursing s diagnoses.
d. State snursing sactions srelated sto sthe schilds s medical sdiagnosis.
ANS: sC
The snurse suses sassessment sdata sto sselect sappropriate snursing sdiagnoses sfrom sthe sNANDA-I slist.
sOutcomes sand sinterventions sare sthen sdeveloped sto saddress sthe srelevant snursing sdiagnoses.
DIF: sCognitive sLevel: sApplication s REF: s Page s11
TOP: sNursing sProcess sKEY: sNursing sProcess sStep: sNursing
sDiagnosis sMSC: sNCLEX: sSafe, sEffective sCare sEnvironment:
sCoordinated sCare
11. A snursing sstudent son san sobstetric srotation squestions sthe sfloor snurse sabout sthe sdefinition sof sthe
sLVN/LPN sscope sof spractice. sWhat sresource scan sthe sn u r s eNsUuR
g Sg IeNs tGtoT Bth. Ce sOstM
udent?
a. American sNurses sAssociation
b. States s board sof snursing
c. Joint sCommission
d. Association sof sWomens sHealth, s Obstetric sand sNeonatal s Nurses
ANS: sB
The sscope sof spractice sof sthe sLVN/LPN s is spublished s by sthe sstates s board sof snursing.
DIF: sCognitive sLevel: sComprehension sREF:
sPage s3 sOBJ: s18 sTOP: sCritical sThinking
KEY: sNursing sProcess s Step: sImplementation
MSC: sNCLEX: sSafe, sEffective s Care sEnvironment: s Coordinated s Care
12. What swas s recommended s by sKarl sCred sin s 1884?
a. All swomen sshould sbe sdelivered s in s a shospital s setting.
b. Chemical smeans sshould s be s used s to scombat sinfection.
c. Podalic sversion s should sbe s done son sall sfetuses.
d. Silver snitrate sshould sbe splaced sin s the seyes sof snewborns.
ANS: sD
In s1884 sKarl sCred srecommended sthe suse sof s2% ssilver snitrate sin sthe seyes sof snewborns sto sreduce sthe
sincidence sof sblindness.
DIF: sCognitive s Level: sKnowledge s REF: sPage s2
TOP: sUse sof sSilver sNitrate s KEY: sNursing sProcess sStep: sN/A
MSC: sNCLEX: sHealth s Promotion s and s Maintenance: s Prevention s and sEarly sDetection s of s Disease
13. What sis s the s purpose s of sthe s White s House sConference s on sChildren s and sYouth?
CANADA 1ST EDITION BY LEIFER
, St
TEST BANK FOR LEIFER’S INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING IN
CANADA 1ST EDITION BY LEIFER
Chapter 01: Overview of Perinatal and Pediatric Nursing in Canada
MULTIPLE CHOICE
1. A patient chooses to have the certified nurse midwife (CNM) provide care during her pregnancy. What does
the CNMs scope of practice include?
a. Practice independent from medical supervision
b. Comprehensive prenatal care
c. Attendance at all deliveries
d. Cesarean sections
ANS: B
The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated deliveries, and ensures
that a backup physician is available in case of unforeseen problems.
DIF: Cognitive Level: Comprehension REF: Page 6
TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
2. Which medical pioneer discovered the relationship between the incidence of puerperal fever and unwashed
hands?
a. Karl Cred
b. Ignaz Semmelweis
c. Louis Pasteur
d. Joseph Lister
ANS: B
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the unwashed
hands of physicians and medical students.
DIF: Cognitive Level: Knowledge REF: Page 2
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 the 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.
ANS: C
Asking the patient about her concerns helps promote understanding and individualizes patient care.
DIF: Cognitive Level: Application REF: Page 7
TOP: Cross-Cultural Care KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
4. An urban area has been reported to have a high perinatal mortality rate. What information 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
ANS: D
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
DIF: Cognitive Level: Comprehension REF: Page 12
,OBJ: 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
ANS: D
Current maternity practice focuses on a high-quality family experience for all families, traditional or otherwise.
DIF: Cognitive Level: Comprehension REF: Page 6
TOP: The Present-Maternity Care KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance
6. Who advocated the establishment of the Childrens Bureau?
a. Lillian Wald
b. Florence Nightingale
c. Florence Kelly
d. Clara Barton
ANS: A
Lillian Wald is credited with suggesting the establishment of a federal Childrens Bureau.
DIF: Cognitive Level: Knowledge REF: Page 4
TOP: The Past KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
NURSINGTB.COM
7. What was the result of research done in the 1930s by the Childrens 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. Childrens asylums were founded.
ANS: C
School hot lunch programs were developed as a result of research by the Childrens Bureau on the effects of
economic depression on children.
DIF: Cognitive Level: Knowledge REF: Page 4
TOP: The Past KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care
8. What sgovernment s program swas simplemented sto s increase s the s educational sexposure s of spreschool s children?
a. WIC
b. Title s XIX s of s Medicaid
c. The s Childrens s Charter
d. Head sStart
ANS: sD
Head sStart sprograms swere s established s to s increase seducational s exposure s of s preschool s children.
DIF: sCognitive s Level: sKnowledge s REF: sPage s3
TOP: sGovernment sInfluences sin sMaternity sand sPediatric sCare sKEY: sNursing sProcess
sStep: sN/A sMSC: sNCLEX: sHealth sPromotion sand sMaintenance: sGrowth sand
sDevelopment
9. What sguidelines sdefine smultidisciplinary spatient scare sin sterms sof sexpected soutcome sand
stimeframe sfrom sdifferent sareas sof scare sprovision?
, a. linical spathways
b. Nursing soutcome scriteria
c. Standards sof scare
d. Nursing scare splan
ANS: sA
Clinical spathways, salso sknown sas scritical spathways sor scare smaps, sare scollaborative sguidelines sthat
sdefine spatient scare sacross sdisciplines. sExpected sprogress swithin sa sspecified stimeline sis sidentified.
DIF: sCognitive sLevel: sKnowledge s REF: s Page s 12
TOP: sHealth sCare sDelivery sSystems sKEY: sNursing sProcess sStep:
sN/A sMSC: sNCLEX: sSafe, sEffective sCare sEnvironment: sCoordinated
sCare
10. A snursing sstudent shas sreviewed sa shospitalized spediatric spatient schart, sinterviewed sher smother, sand
scollected sadmission sdata. sWhat sis sthe snext sstep sthe sstudent swill stake sto sdevelop sa snursing scare splan
sfor sthis schild?
a. Identify s measurable soutcomes swith s a stimeline.
b. Choose sspecific snursing s interventions sfor sthe schild.
c. Determine s appropriate s nursing s diagnoses.
d. State snursing sactions srelated sto sthe schilds s medical sdiagnosis.
ANS: sC
The snurse suses sassessment sdata sto sselect sappropriate snursing sdiagnoses sfrom sthe sNANDA-I slist.
sOutcomes sand sinterventions sare sthen sdeveloped sto saddress sthe srelevant snursing sdiagnoses.
DIF: sCognitive sLevel: sApplication s REF: s Page s11
TOP: sNursing sProcess sKEY: sNursing sProcess sStep: sNursing
sDiagnosis sMSC: sNCLEX: sSafe, sEffective sCare sEnvironment:
sCoordinated sCare
11. A snursing sstudent son san sobstetric srotation squestions sthe sfloor snurse sabout sthe sdefinition sof sthe
sLVN/LPN sscope sof spractice. sWhat sresource scan sthe sn u r s eNsUuR
g Sg IeNs tGtoT Bth. Ce sOstM
udent?
a. American sNurses sAssociation
b. States s board sof snursing
c. Joint sCommission
d. Association sof sWomens sHealth, s Obstetric sand sNeonatal s Nurses
ANS: sB
The sscope sof spractice sof sthe sLVN/LPN s is spublished s by sthe sstates s board sof snursing.
DIF: sCognitive sLevel: sComprehension sREF:
sPage s3 sOBJ: s18 sTOP: sCritical sThinking
KEY: sNursing sProcess s Step: sImplementation
MSC: sNCLEX: sSafe, sEffective s Care sEnvironment: s Coordinated s Care
12. What swas s recommended s by sKarl sCred sin s 1884?
a. All swomen sshould sbe sdelivered s in s a shospital s setting.
b. Chemical smeans sshould s be s used s to scombat sinfection.
c. Podalic sversion s should sbe s done son sall sfetuses.
d. Silver snitrate sshould sbe splaced sin s the seyes sof snewborns.
ANS: sD
In s1884 sKarl sCred srecommended sthe suse sof s2% ssilver snitrate sin sthe seyes sof snewborns sto sreduce sthe
sincidence sof sblindness.
DIF: sCognitive s Level: sKnowledge s REF: sPage s2
TOP: sUse sof sSilver sNitrate s KEY: sNursing sProcess sStep: sN/A
MSC: sNCLEX: sHealth s Promotion s and s Maintenance: s Prevention s and sEarly sDetection s of s Disease
13. What sis s the s purpose s of sthe s White s House sConference s on sChildren s and sYouth?
