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INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK

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INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK

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Introduction To Maternity And Pediatric Nur
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Introduction To Maternity And Pediatric Nur











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Introduction To Maternity And Pediatric Nur
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2




NURSINGTB.COM

,INTRODUCTION TO MATERNITY AND PEDIA Xt Xt Xt Xt 3


TRICChapter
NURSING
Xt 8TH EDITION LEIFER
01: The Past, Present, and Future Xt Xt Xt
Xt


Xt
Xt


Xt Xt
Xt




MULTIPLE CHOICE Xt




1. A patient chooses to have the certified nurse midwife (CNM) provide care during her pregnancy. What d
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt


oes the CNMs scope of practice include?
Xt Xt Xt Xt Xt Xt


a. Practice independent from medical supervision
Xt Xt Xt Xt


b. Comprehensive prenatal care Xt Xt


c. Attendance at all deliveries Xt Xt Xt


d. Cesarean sections Xt




ANS: B Xt


The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated deliveries, and ensu
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt


res that a backup physician is available in case of unforeseen problems.
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt




DIF: Cognitive Level: Comprehension REF: Page 6
Xt Xt Xt Xt Xt Xt


TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: Implementation
Xt Xt Xt Xt Xt Xt Xt Xt Xt


MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt




2. Which medical pioneer discovered the relationship between the incidence of puerperal fever and unwash
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt


ed hands?
Xt


a. Karl Cred Xt


b. Ignaz Semmelweis Xt


c. Louis Pasteur Xt


d. Joseph Lister Xt




ANS: B Xt


Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the unwashed
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt


hands of physicians and medical students.
Xt Xt Xt Xt Xt

NURSINGTB.COM
DIF: Cognitive Level: Knowledge REF: Page 2
Xt Xt Xt Xt Xt Xt Xt


TOP: The Past KEY: Nursing Process Step: N/A
Xt Xt Xt Xt Xt Xt Xt


MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
Xt Xt Xt Xt Xt Xt Xt Xt Xt




3. A pregnant woman who has recently immigrated to the United States comments to the nurse, I am afrai
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt


d of childbirth. It is so dangerous. I am afraid I will die. What is the best nursing response reflecting
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt


cultural sensitivity? Xt


a. Maternal mortality in the United States is extremely low.
Xt Xt Xt Xt Xt Xt Xt Xt


b. Anesthesia is available to relieve pain during labor and childbirth.
Xt Xt Xt Xt Xt Xt Xt Xt Xt


c. Tell me why you are afraid of childbirth.
Xt Xt Xt Xt Xt Xt Xt


d. Your condition will be monitored during labor and delivery.
Xt Xt Xt Xt Xt Xt Xt Xt




ANS: C Xt


Asking the patient about her concerns helps promote understanding and individualizes patient care.
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt




DIF: Cognitive Level: Application REF: Page 7
Xt Xt Xt Xt Xt Xt


TOP: Cross- Xt


Cultural Care KEY: Nursing Process Step: Implementation MSC: NC
Xt Xt Xt Xt Xt Xt Xt Xt


LEX: Psychosocial Integrity: Psychological Adaptation
X t Xt X t Xt




4. An urban area has been reported to have a high perinatal mortality rate. What information does this provide?
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt


a. Maternal and infant deaths per 100,000 live births per year
Xt Xt Xt Xt Xt Xt Xt Xt Xt


b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt


c. Deaths of infants up to 1 year of age per 1000 live births per year
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt


d. Fetal and neonatal deaths per 1000 live births per year
Xt Xt Xt Xt Xt Xt Xt Xt Xt




ANS: D Xt


The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt




year. DIF: Cognitive Level: Comprehension REF: Page 12
Xt Xt Xt Xt Xt Xt Xt




NURSINGTB.COM

, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BAN Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt

K
4
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer)

OBJ: 9 TOP: The Present-Child Care
Xt Xt Xt Xt Xt


KEY: Nursing Process Step: Implementation
Xt Xt Xt Xt


MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
Xt Xt Xt Xt Xt Xt Xt




5. What is the focus of current maternity practice?
Xt Xt Xt Xt Xt Xt Xt


a. Hospital births for the majority of women
Xt Xt Xt Xt Xt Xt


b. The traditional family unit
Xt Xt Xt


c. Separation of labor rooms from delivery rooms
Xt Xt Xt Xt Xt Xt


d. A quality family experience for each patient
Xt Xt Xt Xt Xt Xt




ANS: D Xt


Current maternity practice focuses on a high-quality family experience for all families, traditional or otherwise.
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt




DIF: Cognitive Level: Comprehension REF: Page 6
Xt Xt Xt Xt Xt Xt


TOP: The Present-
Xt Xt


Maternity Care KEY: Nursing Process Step: N/A MSC: NCLEX: H
Xt Xt Xt Xt Xt Xt Xt Xt Xt


ealth Promotion and Maintenance
Xt Xt Xt




6. Who advocated the establishment of the Childrens Bureau?
Xt Xt Xt Xt Xt Xt Xt


a. Lillian Wald Xt


b. Florence Nightingale Xt


c. Florence Kelly Xt


d. Clara Barton Xt




ANS: A Xt


Lillian Wald is credited with suggesting the establishment of a federal Childrens Bureau.
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt




DIF: Cognitive Level: Knowledge REF: Page 4
Xt Xt Xt Xt Xt Xt


TOP: The Past KEY: Nursing Process Step: Implementation
Xt Xt Xt Xt Xt Xt Xt


MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
Xt Xt Xt Xt Xt Xt Xt Xt


NURSINGTB.COM
7. What was the result of research done in the 1930s by the Childrens Bureau?
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt


a. Children with heart problems are now cared for by pediatric cardiologists.
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt


b. The Child Abuse and Prevention Act was passed.
Xt Xt Xt Xt Xt Xt Xt


c. Hot lunch programs were established in many schools.
Xt Xt Xt Xt Xt Xt Xt


d. Childrens asylums were founded. Xt Xt Xt




ANS: C Xt


School hot lunch programs were developed as a result of research by the Childrens Bureau on the effects
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt X


of economic depression on children.
t Xt Xt Xt Xt




DIF: Cognitive Level: Knowledge REF: Page 4
Xt Xt Xt Xt Xt Xt Xt


TOP: The Past KEY: Nursing Process Step: N/A
Xt Xt Xt Xt Xt Xt Xt


MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care
Xt Xt Xt Xt Xt Xt Xt




8. What government program was implemented to increase the educational exposure of preschool children?
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt


a. WIC
b. Title XIX of Medicaid
Xt Xt Xt


c. The Childrens Charter
Xt Xt


d. Head Start Xt




ANS: D Xt


Head Start programs were established to increase educational exposure of preschool children.
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt




DIF: Cognitive Level: Knowledge REF: Page 3
Xt Xt Xt Xt Xt Xt


TOP: Government Influences in Maternity and Pediatric Care KEY: Nursing Process Step:
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt


N/A MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
Xt Xt Xt Xt Xt Xt Xt Xt Xt




9. What guidelines define multidisciplinary patient care in terms of expected outcome and timeframe fro
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt


m different areas of care provision?
Xt Xt Xt Xt Xt




NURSINGTB.COM

, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BAN Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt

K
5
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer)

a. Clinical pathways Xt


b. Nursing outcome criteria Xt Xt


c. Standards of care Xt Xt


d. Nursing care plan Xt Xt




ANS: A Xt


Clinical pathways, also known as critical pathways or care maps, are collaborative guidelines that define
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt


patient care across disciplines. Expected progress within a specified timeline is identified.
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt




DIF: Cognitive Level: Knowledge REF: Page 12
Xt Xt Xt Xt Xt Xt


TOP: Health Care Delivery Systems KEY: Nursing Process Step: N/
Xt Xt Xt Xt Xt Xt Xt Xt Xt


A MSC: NCLEX: Safe, Effective Care Environment: Coordinated C
Xt Xt Xt Xt Xt Xt Xt Xt


are

10. A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her mother, and collect
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt


ed admission data. What is the next step the student will take to develop a nursing care plan for this ch
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt


ild?
a. Identify measurable outcomes with a timeline.
Xt Xt Xt Xt Xt


b. Choose specific nursing interventions for the child.
Xt Xt Xt Xt Xt Xt


c. Determine appropriate nursing diagnoses. Xt Xt Xt


d. State nursing actions related to the childs medical diagnosis.
Xt Xt Xt Xt Xt Xt Xt Xt




ANS: C Xt


The nurse uses assessment data to select appropriate nursing diagnoses from the NANDA-
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt


I list. Outcomes and interventions are then developed to address the relevant nursing diagnoses.
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt




DIF: Cognitive Level: Application REF: Page 11
Xt Xt Xt Xt Xt Xt


TOP: Nursing Process KEY: Nursing Process Step: Nursing Diagnosi
Xt Xt Xt Xt Xt Xt Xt Xt


s MSC: NCLEX: Safe, Effective Care Environment: Coordinated
Xt Xt Xt Xt Xt Xt Xt Xt


Care

11. A nursing student on an obstetric rotation questions the floor nurse about the definition of the LVN/L
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt


PN scope of practice. What resource can the n urseNsUuRggSIeNstGtoT Bth. Ce OstM
Xt Xt Xt ude nt?
Xt Xt Xt Xt Xt


a. American Nurses Association Xt Xt

b. States board of nursing Xt Xt Xt


c. Joint Commission Xt


d. Association of Womens Health, Obstetric and Neonatal Nurses
Xt Xt Xt Xt Xt Xt Xt




ANS: B Xt


The scope of practice of the LVN/LPN is published by the states board of nursing.
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt




DIF: Cognitive Level: Comprehension REF: Page
Xt Xt Xt Xt Xt X


3 OBJ: 18 TOP: Critical Thinking
t Xt Xt Xt Xt Xt


KEY: Nursing Process Step: Implementation
Xt Xt Xt Xt


MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
Xt Xt Xt Xt Xt Xt Xt




12. What was recommended by Karl Cred in 1884?
Xt Xt Xt Xt Xt Xt Xt


a. All women should be delivered in a hospital setting.
Xt Xt Xt Xt Xt Xt Xt Xt


b. Chemical means should be used to combat infection.
Xt Xt Xt Xt Xt Xt Xt


c. Podalic version should be done on all fetuses.
Xt Xt Xt Xt Xt Xt Xt


d. Silver nitrate should be placed in the eyes of newborns.
Xt Xt Xt Xt Xt Xt Xt Xt Xt




ANS: D Xt


In 1884 Karl Cred recommended the use of 2% silver nitrate in the eyes of newborns to reduce the inciden
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt


ce of blindness.
Xt Xt




DIF: Cognitive Level: Knowledge REF: Page 2
Xt Xt Xt Xt Xt Xt


TOP: Use of Silver Nitrate KEY: Nursing Process Step: N/A
Xt Xt Xt Xt Xt Xt Xt Xt Xt


MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt




13. What is the purpose of the White House Conference on Children and Youth?
Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt Xt


a. Set criteria for normal growth patterns.
Xt Xt Xt Xt Xt





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