2
NURSINGTB.COM
,INTRODUCTION TO MATERNITY AND 3
PEDIATRIC NURSING 8TH EDITION LEIFER
Chapter 01: The Past, Present, and Future
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.
NURSINGTB.COM
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
NURSINGTB.COM
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 4
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 government program was implemented to increase the educational exposure of preschool children?
a. WIC
b. Title XIX of Medicaid
c. The Childrens Charter
d. Head Start
ANS: D
Head Start programs were established to increase educational exposure of preschool children.
DIF: Cognitive Level: Knowledge REF: Page 3
TOP: Government Influences in Maternity and Pediatric Care KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
9. What guidelines define multidisciplinary patient care in terms of expected outcome and timeframe from
different areas of care provision?
NURSINGTB.COM
, INTRODUCTIONa4TOa4MATERNITYa4ANDa4PEDIATRICa4NURSINGa48THa4EDITIONa4LEIFERa4TE
STa4BANK
5
Testa4Banka4-a4Introductiona4toa4Maternitya4anda4Pediatrica4Nursinga48ea4(bya4Leifer)
a. Clinicala4 pathways
b. Nursinga4 outcomea 4 criteria
c. Standardsa4 ofa4 care
d. Nursinga4 carea4 plan
ANS:a4 A
Clinicala4pathways,a4alsoa4knowna4asa4criticala4pathwaysa4ora4carea4maps,a4area4collaborativea4guidelinesa4th
ata4definea4patienta4carea4acrossa4disciplines.a4Expecteda4progressa4withina4aa4specifieda4timelinea4isa4id
entified.
DIF:a4 Cognitivea4 Level:a4 Knowledgea4 REF:a4 Pagea4 12
TOP:a4Healtha4Carea4Deliverya4Systemsa4KEY:a4Nursinga4Processa4St
ep:a4N/Aa4MSC:a4NCLEX:a4Safe,a4Effectivea4Carea4Environment:a4C
oordinateda4Care
10. Aa4nursinga4studenta4hasa4revieweda4aa4hospitalizeda4pediatrica4patienta4chart,a4intervieweda4hera4mother,a4
anda4collecteda4admissiona4data.a4Whata4isa4thea4nexta4stepa4thea4studenta4willa4takea4toa4developa4aa4nursi
nga4carea4plana4fora4thisa4child?
a. Identifya4 measurablea4 outcomesa4 witha4 aa4 timeline.
b. Choosea4 specifica4 nursinga4 interventionsa4 fora4 thea4 child.
c. Determinea4 appropriatea4 nursinga4 diagnoses.
d. Statea4nursinga4actionsa4 relateda4 toa4 thea4childsa4 medicala4 diagnosis.
ANS:a4 C
Thea4nursea4usesa4assessmenta4dataa4toa4selecta4appropriatea4nursinga4diagnosesa4froma4thea4NANDA-
Ia4list.a4Outcomesa4anda4interventionsa4area4thena4developeda4toa4addressa4thea4relevanta4nursinga4diagn
oses.
DIF:a4 Cognitivea4 Level:a4 Applicationa4 REF:a4 Pagea4 11
TOP:a4Nursinga4Processa4KEY:a4Nursinga4Processa4Step:a4Nursinga4Di
agnosisa4MSC:a4NCLEX:a4Safe,a4Effectivea4Carea4Environment:a4C
oordinateda4Care
11. Aa4nursinga4studenta4ona4ana4obstetrica4rotationa4questionsa4thea4floora4nursea4abouta4thea4definitiona4ofa
4thea4LVN/LPNa4scopea 4 ofa4 practice.a 4 Whata4 resourcea 4 cana4 thea 4 n urseNsUuR
ggSIeNstGtoT Bth. Ce OstM
ude nt?
a. Americana4 Nursesa4 Association
b. Statesa4 boarda4ofa4 nursing
c. Jointa4Commission
d. Associationa4 ofa4 Womensa4 Health,a4 Obstetrica4 anda4Neonatala4 Nurses
ANS:a4 B
Thea4 scopea4 ofa4practicea4 ofa4thea4 LVN/LPNa4 isa4publisheda4 bya4 thea4statesa4 boarda4 ofa4 nursing.
DIF:a4Cognitivea4Level:a4Comprehensiona4REF:a4P
agea43a4OBJ:a418a4TOP:a4Criticala4Thinking
KEY:a4Nursinga4 Processa4 Step:a4 Implementation
MSC:a4 NCLEX:a4 Safe,a4 Effectivea4 Carea4 Environment:a4 Coordinateda 4 Care
12. Whata4 wasa4 recommendeda4 bya4 Karla4Creda4 ina4 1884?
a. Alla4womena4 shoulda4 bea4delivereda4 ina4 aa4 hospitala4 setting.
b. Chemicala4meansa4shoulda4 bea4 useda4 toa4 combata4 infection.
c. Podalica4versiona4 shoulda4 bea4 donea4 ona4 alla4 fetuses.
d. Silvera4 nitratea4shoulda4bea4placeda4ina4 thea4 eyesa4ofa4 newborns.
ANS:a4 D
Ina41884a4Karla4Creda4recommendeda4thea4usea4ofa42%a4silvera4nitratea4ina4thea4eyesa4ofa4newbornsa4toa4redu
cea4thea4incidencea4ofa4blindness.
DIF:a4 Cognitivea4 Level:a4 Knowledgea4 REF:a4 Pagea4 2
TOP:a4 Usea4 ofa4 Silvera4 Nitratea4 KEY:a4Nursinga4 Processa4 Step:a4 N/A
MSC:a4 NCLEX:a4 Healtha4 Promotiona4 anda4 Maintenance:a4 Preventiona4 anda4 Earlya4 Detectiona4 ofa4 Disease
NURSINGTB.COM
NURSINGTB.COM
,INTRODUCTION TO MATERNITY AND 3
PEDIATRIC NURSING 8TH EDITION LEIFER
Chapter 01: The Past, Present, and Future
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.
NURSINGTB.COM
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
NURSINGTB.COM
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 4
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 government program was implemented to increase the educational exposure of preschool children?
a. WIC
b. Title XIX of Medicaid
c. The Childrens Charter
d. Head Start
ANS: D
Head Start programs were established to increase educational exposure of preschool children.
DIF: Cognitive Level: Knowledge REF: Page 3
TOP: Government Influences in Maternity and Pediatric Care KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
9. What guidelines define multidisciplinary patient care in terms of expected outcome and timeframe from
different areas of care provision?
NURSINGTB.COM
, INTRODUCTIONa4TOa4MATERNITYa4ANDa4PEDIATRICa4NURSINGa48THa4EDITIONa4LEIFERa4TE
STa4BANK
5
Testa4Banka4-a4Introductiona4toa4Maternitya4anda4Pediatrica4Nursinga48ea4(bya4Leifer)
a. Clinicala4 pathways
b. Nursinga4 outcomea 4 criteria
c. Standardsa4 ofa4 care
d. Nursinga4 carea4 plan
ANS:a4 A
Clinicala4pathways,a4alsoa4knowna4asa4criticala4pathwaysa4ora4carea4maps,a4area4collaborativea4guidelinesa4th
ata4definea4patienta4carea4acrossa4disciplines.a4Expecteda4progressa4withina4aa4specifieda4timelinea4isa4id
entified.
DIF:a4 Cognitivea4 Level:a4 Knowledgea4 REF:a4 Pagea4 12
TOP:a4Healtha4Carea4Deliverya4Systemsa4KEY:a4Nursinga4Processa4St
ep:a4N/Aa4MSC:a4NCLEX:a4Safe,a4Effectivea4Carea4Environment:a4C
oordinateda4Care
10. Aa4nursinga4studenta4hasa4revieweda4aa4hospitalizeda4pediatrica4patienta4chart,a4intervieweda4hera4mother,a4
anda4collecteda4admissiona4data.a4Whata4isa4thea4nexta4stepa4thea4studenta4willa4takea4toa4developa4aa4nursi
nga4carea4plana4fora4thisa4child?
a. Identifya4 measurablea4 outcomesa4 witha4 aa4 timeline.
b. Choosea4 specifica4 nursinga4 interventionsa4 fora4 thea4 child.
c. Determinea4 appropriatea4 nursinga4 diagnoses.
d. Statea4nursinga4actionsa4 relateda4 toa4 thea4childsa4 medicala4 diagnosis.
ANS:a4 C
Thea4nursea4usesa4assessmenta4dataa4toa4selecta4appropriatea4nursinga4diagnosesa4froma4thea4NANDA-
Ia4list.a4Outcomesa4anda4interventionsa4area4thena4developeda4toa4addressa4thea4relevanta4nursinga4diagn
oses.
DIF:a4 Cognitivea4 Level:a4 Applicationa4 REF:a4 Pagea4 11
TOP:a4Nursinga4Processa4KEY:a4Nursinga4Processa4Step:a4Nursinga4Di
agnosisa4MSC:a4NCLEX:a4Safe,a4Effectivea4Carea4Environment:a4C
oordinateda4Care
11. Aa4nursinga4studenta4ona4ana4obstetrica4rotationa4questionsa4thea4floora4nursea4abouta4thea4definitiona4ofa
4thea4LVN/LPNa4scopea 4 ofa4 practice.a 4 Whata4 resourcea 4 cana4 thea 4 n urseNsUuR
ggSIeNstGtoT Bth. Ce OstM
ude nt?
a. Americana4 Nursesa4 Association
b. Statesa4 boarda4ofa4 nursing
c. Jointa4Commission
d. Associationa4 ofa4 Womensa4 Health,a4 Obstetrica4 anda4Neonatala4 Nurses
ANS:a4 B
Thea4 scopea4 ofa4practicea4 ofa4thea4 LVN/LPNa4 isa4publisheda4 bya4 thea4statesa4 boarda4 ofa4 nursing.
DIF:a4Cognitivea4Level:a4Comprehensiona4REF:a4P
agea43a4OBJ:a418a4TOP:a4Criticala4Thinking
KEY:a4Nursinga4 Processa4 Step:a4 Implementation
MSC:a4 NCLEX:a4 Safe,a4 Effectivea4 Carea4 Environment:a4 Coordinateda 4 Care
12. Whata4 wasa4 recommendeda4 bya4 Karla4Creda4 ina4 1884?
a. Alla4womena4 shoulda4 bea4delivereda4 ina4 aa4 hospitala4 setting.
b. Chemicala4meansa4shoulda4 bea4 useda4 toa4 combata4 infection.
c. Podalica4versiona4 shoulda4 bea4 donea4 ona4 alla4 fetuses.
d. Silvera4 nitratea4shoulda4bea4placeda4ina4 thea4 eyesa4ofa4 newborns.
ANS:a4 D
Ina41884a4Karla4Creda4recommendeda4thea4usea4ofa42%a4silvera4nitratea4ina4thea4eyesa4ofa4newbornsa4toa4redu
cea4thea4incidencea4ofa4blindness.
DIF:a4 Cognitivea4 Level:a4 Knowledgea4 REF:a4 Pagea4 2
TOP:a4 Usea4 ofa4 Silvera4 Nitratea4 KEY:a4Nursinga4 Processa4 Step:a4 N/A
MSC:a4 NCLEX:a4 Healtha4 Promotiona4 anda4 Maintenance:a4 Preventiona4 anda4 Earlya4 Detectiona4 ofa4 Disease
NURSINGTB.COM
