Nursing Care 2nd Edition
by Luanne Linnard-Palmer
, Safe Maternity and Pediatric Nursing Care 2nd Edition
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Linnard-Palmer TestBank WQ
Chapter 1. Introduction to Maternity and Pediatric Nursi
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ng MULTIPLE CHOICE
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1. A patient chooses to have the certified nurse midwife (CNM) provide care durin
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g her pregnancy. What does the CNMs scope of practice include?
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a. Practice independent from medical supervision
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b. Comprehensive prenatal care WQ WQ
c. Attendance at all deliveries WQ WQ WQ
d. Cesarean section WQ
s ANS: B
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The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated delive
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ries, and ensures that a backup physician is available in case of unforeseen problems.
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DIF: Cognitive Level: Comprehension REF: Page 6 OBJ: 12
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TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: Implementation
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MSC: 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 f
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ever and unwashed hands?
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a. Karl Cred WQ
b. Ignaz Semmelweis WQ
c. Louis Pasteur WQ
d. Joseph Liste WQ
r ANS: B
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Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by t
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he unwashed hands of physicians and medical students.
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DIF: Cognitive Level: Knowledge REF: Page 2 OBJ: 1
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TOP: The Past KEY: Nursing Process Step: N/A
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MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
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3. A pregnant woman who has recently immigrated to the United States comments to the nurse, I
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,am afraid of childbirth. It is so dangerous. I am afraid I will die. What is the best nursin
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g response reflecting cultural sensitivity?
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a. Maternal mortality in the United States is extremely low.
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b. Anesthesia is available to relieve pain during labor and childbirth.
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c. Tell me why you are afraid of childbirth.
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d. Your condition will be monitored during labor and delive
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ry. ANS: C
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Asking the patient about her concerns helps promote understanding and individualizes patie
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nt care.
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DIF: Cognitive Level: Application REF: Page 7-8 OBJ: 8
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TOP: Cross- WQ
Cultural Care KEY: Nursing Process Step: Implementation MSC: N
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CLEX: Psychosocial Integrity: Psychological Adaptation
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4. An urban area has been reported to have a high perinatal mortality rate. What information
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does 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 up to 1 year of age per 1000 live births per year
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d. Fetal and neonatal deaths per 1000 live births per y
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ear ANS: DWQ WQ
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
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DIF: Cognitive Level: Comprehension REF: Page 12, Box
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1-6 OBJ: 9 TOP: The Present-Child Care
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KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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5. What is the focus of current maternity practice?
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a. Hospital births for the majority of women
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b. The traditional family unit
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c. Separation of labor rooms from delivery rooms WQ WQ WQ WQ WQ WQ
d. A quality family experience for each pati
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ent ANS: DWQ WQ
Current maternity practice focuses on a high-
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quality family experience for all families, traditional or otherwise.
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, DIF: Cognitive Level: Comprehension REF: Page 6 OBJ: 7
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TOP: The Present- WQ WQ
Maternity Care KEY: Nursing Process Step: N/A MSC: NCLEX: H
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ealth Promotion and Maintenance
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6. Who advocated the establishment of the Childrens Bureau?
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a. Lillian Wald WQ
b. Florence Nightingale WQ
c. Florence Kelly WQ
d. Clara Barto WQ
n ANS: A
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Lillian Wald is credited with suggesting the establishment of a federal Childrens Bureau.
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DIF: Cognitive Level: Knowledge REF: Page 4 OBJ: 1 | 2
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WQ TOP: The Past KEY: Nursing Process Step: Implementatio
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n
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
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7. What was the result of research done in the 1930s by the Childrens Bureau?
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a. Children with heart problems are now cared for by pediatric cardiologists.
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b. The Child Abuse and Prevention Act was passed.
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c. Hot lunch programs were established in many schools.
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d. Childrens asylums were founde WQ WQ WQ
d. ANS: CWQ WQ
School hot lunch programs were developed as a result of research by the Childrens Bureau
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on the effects of economic depression on children.
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DIF: Cognitive Level: Knowledge REF: Page 4 OBJ: 2
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| 3 TOP: The Past KEY: Nursing Process Step: N/A
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MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care
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8. What government program was implemented to increase the educational exposure
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WQ of preschool children?
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a. WIC
b. Title XIX of Medicaid WQ WQ WQ
c. The Childrens CharterWQ WQ
d. Head Star WQ
t ANS: D
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Head Start programs were established to increase educational exposure of preschool children.
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