2
@
, 3
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 do
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @
es 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 ensur
@ @ @ @ @ @ @ @ @ @ @ @
es 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 unwashe
@ @ @ @ @ @ @ @ @ @ @ @ @
d 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 h
@ @ @ @ @ @ @ @ @ @ @ @ @ @
ands 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 cult
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @
ural 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: NC
@ @ @ @ @ @ @ @
LEX: 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 y
@ @ @ @ @ @ @ @ @ @ @ @ @ @
ear. DIF: Cognitive Level: Comprehension REF: Page 12
@ @ @ @ @ @ @
, 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: He
@ @ @ @ @ @ @ @ @
alth 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 fro
@ @ @ @ @ @ @ @ @ @ @ @ @
m different areas of care provision?
@ @ @ @ @
, 5
a. Clinical pathways @
b. Nursing outcome criteria
@ @
c. Standards of care @ @
d. Nursing care plan @ @
ANS: A @
Clinical pathways, also known as critical pathways or care maps, are collaborative guidelines that define p
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @
atient care across disciplines. Expected progress within a specified timeline is identified.
@ @ @ @ @ @ @ @ @ @ @
DIF: Cognitive Level: Knowledge REF: Page 12
@ @ @ @ @ @
TOP: Health Care Delivery Systems KEY: Nursing Process Step: N/
@ @ @ @ @ @ @ @ @
A MSC: NCLEX: Safe, Effective Care Environment: Coordinated
@ @ @ @ @ @ @ @
Care
10. A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her mother, and collecte
@ @ @ @ @ @ @ @ @ @ @ @ @ @
d admission data. What is the next step the student will take to develop a nursing care plan for this child
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @
?
a. Identify measurable outcomes with a timeline.
@ @ @ @ @
b. Choose specific nursing interventions for the child.
@ @ @ @ @ @
c. Determine appropriate nursing diagnoses.
@ @ @
d. State nursing actions related to the childs medical diagnosis.
@ @ @ @ @ @ @ @
ANS: C @
The nurse uses assessment data to select appropriate nursing diagnoses from the NANDA-
@ @ @ @ @ @ @ @ @ @ @ @
I list. Outcomes and interventions are then developed to address the relevant nursing diagnoses.
@ @ @ @ @ @ @ @ @ @ @ @ @
DIF: Cognitive Level: Application REF: Page 11
@ @ @ @ @ @
TOP: Nursing Process KEY: Nursing Process Step: Nursing Diagnosi
@ @ @ @ @ @ @ @
s MSC: NCLEX: Safe, Effective Care Environment: Coordinated C
@ @ @ @ @ @ @ @
are
11. A nursing student on an obstetric rotation questions the floor nurse about the definition of the LVN/LP
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @
N scope of practice. What resource can the n urseNsUuRggSIeNstGtoT Bth. Ce OstM
@ @ @ @ @ ude nt? @ @ @
a. American Nurses Association @ @
b. States board of nursing
@ @ @
c. Joint Commission
@
d. Association of Womens Health, Obstetric and Neonatal Nurses
@ @ @ @ @ @ @
ANS: B @
The scope of practice of the LVN/LPN is published by the states board of nursing.
@ @ @ @ @ @ @ @ @ @ @ @ @ @
DIF: Cognitive Level: Comprehension REF: Page
@ @ @ @ @ @
3 OBJ: 18 TOP: Critical Thinking
@ @ @ @ @
KEY: Nursing Process Step: Implementation
@ @ @ @
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
@ @ @ @ @ @ @
12. What was recommended by Karl Cred in 1884?
@ @ @ @ @ @ @
a. All women should be delivered in a hospital setting.
@ @ @ @ @ @ @ @
b. Chemical means should be used to combat infection.
@ @ @ @ @ @ @
c. Podalic version should be done on all fetuses.
@ @ @ @ @ @ @
d. Silver nitrate should be placed in the eyes of newborns.
@ @ @ @ @ @ @ @ @
ANS: D @
In 1884 Karl Cred recommended the use of 2% silver nitrate in the eyes of newborns to reduce the incidenc
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @
e of blindness.
@ @
DIF: Cognitive Level: Knowledge REF: Page 2
@ @ @ @ @ @
TOP: Use of Silver Nitrate KEY: Nursing Process Step: N/A
@ @ @ @ @ @ @ @ @
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
@ @ @ @ @ @ @ @ @ @ @
13. What is the purpose of the White House Conference on Children and Youth?
@ @ @ @ @ @ @ @ @ @ @ @
a. Set criteria for normal growth patterns.
@ @ @ @ @
@
, 3
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 do
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @
es 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 ensur
@ @ @ @ @ @ @ @ @ @ @ @
es 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 unwashe
@ @ @ @ @ @ @ @ @ @ @ @ @
d 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 h
@ @ @ @ @ @ @ @ @ @ @ @ @ @
ands 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 cult
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @
ural 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: NC
@ @ @ @ @ @ @ @
LEX: 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 y
@ @ @ @ @ @ @ @ @ @ @ @ @ @
ear. DIF: Cognitive Level: Comprehension REF: Page 12
@ @ @ @ @ @ @
, 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: He
@ @ @ @ @ @ @ @ @
alth 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 fro
@ @ @ @ @ @ @ @ @ @ @ @ @
m different areas of care provision?
@ @ @ @ @
, 5
a. Clinical pathways @
b. Nursing outcome criteria
@ @
c. Standards of care @ @
d. Nursing care plan @ @
ANS: A @
Clinical pathways, also known as critical pathways or care maps, are collaborative guidelines that define p
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @
atient care across disciplines. Expected progress within a specified timeline is identified.
@ @ @ @ @ @ @ @ @ @ @
DIF: Cognitive Level: Knowledge REF: Page 12
@ @ @ @ @ @
TOP: Health Care Delivery Systems KEY: Nursing Process Step: N/
@ @ @ @ @ @ @ @ @
A MSC: NCLEX: Safe, Effective Care Environment: Coordinated
@ @ @ @ @ @ @ @
Care
10. A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her mother, and collecte
@ @ @ @ @ @ @ @ @ @ @ @ @ @
d admission data. What is the next step the student will take to develop a nursing care plan for this child
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @
?
a. Identify measurable outcomes with a timeline.
@ @ @ @ @
b. Choose specific nursing interventions for the child.
@ @ @ @ @ @
c. Determine appropriate nursing diagnoses.
@ @ @
d. State nursing actions related to the childs medical diagnosis.
@ @ @ @ @ @ @ @
ANS: C @
The nurse uses assessment data to select appropriate nursing diagnoses from the NANDA-
@ @ @ @ @ @ @ @ @ @ @ @
I list. Outcomes and interventions are then developed to address the relevant nursing diagnoses.
@ @ @ @ @ @ @ @ @ @ @ @ @
DIF: Cognitive Level: Application REF: Page 11
@ @ @ @ @ @
TOP: Nursing Process KEY: Nursing Process Step: Nursing Diagnosi
@ @ @ @ @ @ @ @
s MSC: NCLEX: Safe, Effective Care Environment: Coordinated C
@ @ @ @ @ @ @ @
are
11. A nursing student on an obstetric rotation questions the floor nurse about the definition of the LVN/LP
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @
N scope of practice. What resource can the n urseNsUuRggSIeNstGtoT Bth. Ce OstM
@ @ @ @ @ ude nt? @ @ @
a. American Nurses Association @ @
b. States board of nursing
@ @ @
c. Joint Commission
@
d. Association of Womens Health, Obstetric and Neonatal Nurses
@ @ @ @ @ @ @
ANS: B @
The scope of practice of the LVN/LPN is published by the states board of nursing.
@ @ @ @ @ @ @ @ @ @ @ @ @ @
DIF: Cognitive Level: Comprehension REF: Page
@ @ @ @ @ @
3 OBJ: 18 TOP: Critical Thinking
@ @ @ @ @
KEY: Nursing Process Step: Implementation
@ @ @ @
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
@ @ @ @ @ @ @
12. What was recommended by Karl Cred in 1884?
@ @ @ @ @ @ @
a. All women should be delivered in a hospital setting.
@ @ @ @ @ @ @ @
b. Chemical means should be used to combat infection.
@ @ @ @ @ @ @
c. Podalic version should be done on all fetuses.
@ @ @ @ @ @ @
d. Silver nitrate should be placed in the eyes of newborns.
@ @ @ @ @ @ @ @ @
ANS: D @
In 1884 Karl Cred recommended the use of 2% silver nitrate in the eyes of newborns to reduce the incidenc
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @
e of blindness.
@ @
DIF: Cognitive Level: Knowledge REF: Page 2
@ @ @ @ @ @
TOP: Use of Silver Nitrate KEY: Nursing Process Step: N/A
@ @ @ @ @ @ @ @ @
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
@ @ @ @ @ @ @ @ @ @ @
13. What is the purpose of the White House Conference on Children and Youth?
@ @ @ @ @ @ @ @ @ @ @ @
a. Set criteria for normal growth patterns.
@ @ @ @ @
