TEST BANK f
Test Bank for Introduction to Maternity and Pediatric Nursing 9th
f f f f f f f f f
f Edition by Gloria Leifer.
f f f
IntroductiontoMaternityandPediatricNursing NINTHEDITION
f f f f f f
Gloria Leifer
f
,TESTBANKIntroductiontoMaternityandPediatricNursing9/EGloriaLeifer
f f f f f f f f f f
Chapter 01: The Past, Present, and Future
f f f f f f
MULTIPLE CHOICE f
1. Apatient chooses to have the certified nurse-midwife (CNM) provide care during her
f f f f f f f f f f f f
pregnancy. What does the CNM’s scope of practice include?
f f f f f f f f f
a. Practice independent from medical supervision f f f f
b. Comprehensive prenatal care f f
c. Attendance at all deliveries f f f
d. Cesarean sections f
ANS: B f
The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated
f f f f f f f f f
deliveries, and ensures that a backup physician is available in case of unforeseen problems.
f f f f f f f f f f f f f f
DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: 5 f f f f f f f
TOP: Advance Practice Nursing Roles
f KEY: Nursing Process Step: Implementation f f f f f f f
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
f f f f f f f f f f f f
2. Which medical pioneer discovered the relationship between the incidence of puerperal fever
f f f f f f f f f f f
fand unwashed hands? f f
a. Karl Credé f
b. Ignaz Semmelweis f
c. Louis Pasteur f
d. Joseph Lister f
ANS: B f
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the unwashed
f f f f f f f f f f f f f
hands of physicians and medical students.
f f f f f f
DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: f f f f
f1 TOP: The Past KEY: Nursing Process Step: N/A
f f f f f f f
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
f f f f f f f f f
3. A pregnant woman who has recently immigrated to the United States comments to the nurse, “I
f f f f f f f f f f f f f f f
fam afraid of childbirth. It is so dangerous. I am afraid I will die.” What is the best nursing
f f f f f f f f f f f f f f f f f f
fresponse reflecting cultural sensitivity? f f f
a. “Maternal mortality in the United States is extremely low.” f f f f f f f f
b. “Anesthesia is available to relieve pain during labor and childbirth.” f f f f f f f f f
c. “Tell me why you are afraid of childbirth.” f f f f f f f
d. “Your condition will be monitored during labor and delivery.”
f f f f f f f f
ANS: C f
Asking the patient about her concerns helps promote understanding and individualizes patient
f f f f f f f f f f f
care.
f
DIF: Cognitive Level: Application REF: pp. 6-8 OBJ: 8 f f f f f f f
TOP: Cross-Cultural Care f KEY: Nursing Process Step: Implementation f f f f f
MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
f f f f f f
,4. An urban area has been reported to have a high perinatal mortality rate. What information
f f f f f f f f f f f f f f
does this provide?
f f f
a. Maternal and infant deaths per 100,000 live births per year f f f f f f f f f
b. Deaths of fetuses weighing more than 500 g per 10,000 births per year f f f f f f f f f f f f
c. Deaths of infants up to 1 year of age per 1000 live births per year f f f f f f f f f f f f f f
d. Fetal and neonatal deaths per 1000 live births per year
f f f f f f f f f
ANS: D f
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
f f f f f f f f f f f f f f
DIF: Cognitive Level: Comprehension REF: p. 13 | Box 1.6 f f f f f f f
OBJ:
f f 9 TOP: The Present-Child Care f f f
KEY: f Nursing Process Step: Implementation f f f
MSC: f NCLEX: Safe, Effective Care Environment: Coordinated Care f f f f f f
5. What is the focus of current maternity practice?
f f f f f f f
a. Hospital births for the majority of women f f f f f f
b. The traditional family unit f f f
c. Separation of labor rooms from delivery rooms f f f f f f
d. Aquality family experience for each patient
f f f f f f
ANS: D f
Current maternity practice focuses on a high-quality family experience for all families, traditional
f f f f f f f f f f f f
or otherwise.
f f
DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: 5 f f f f f
TOP: The Present-Maternity Care
f f KEY: Nursing Process Step: N/A f f f f f f
MSC: NCLEX: Health Promotion and Maintenance
f f f f f f
6. Who advocated the establishment of the Children’s Bureau?
f f f f f f f
a. Lillian Wald f
b. Florence Nightingale f
c. Florence Kelly f
d. Clara Barton f
ANS: A f
Lillian Wald is credited with suggesting the establishment of a federal Children’s Bureau.
f f f f f f f f f f f f
DIF: Cognitive Level: Knowledge REF: p. 4 OBJ: 1 | 2 f f f f f f f
TOP: The Past
f KEY: Nursing Process Step: Implementation
f f f f f f
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
f f f f f f f f
7. What was the result of research done in the 1930s by the Children’s Bureau?
f f f f f f f f f f f f f
a. Children with heart problems are now cared for by pediatric cardiologists. f f f f f f f f f f
b. The ChildAbuse and PreventionAct was passed.
f f f f f f f
c. Hot lunch programs were established in many schools.
f f f f f f f
d. Children’s asylums were founded. f f f
ANS: C f
School hot lunch programs were developed as a result of research by the Children’s Bureau on the
f f f f f f f f f f f f f f f f
effects of economic depression on children.
f f f f f f
DIF: Cognitive Level: Knowledge f f REF: p. 4 f f f OBJ: 2 | 3 f f f f
, TOP: The Past KEY: Nursing Process Step: N/A
f f f f f f
MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care
f f f f f f f
8. What government program was implemented to increase the educational exposure of
f f f f f f f f f f
fpreschool children? f
a. WIC
b. Title XIX of Medicaid f f f
c. The Children’s Charter f f
d. Head Start f
ANS: D f
Head Start programs were established to increase educational exposure of preschool children.
f f f f f f f f f f f
DIF: Cognitive Level: Knowledge REF: p. 3 OBJ: 3 f f f f f f f
TOP: Government Influences in Maternity and Pediatric Care
f KEY: Nursing Process Step: N/A f f f f f f f f f f
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
f f f f f f f f f
9. What guidelines define multidisciplinary patient care in terms of expected outcome and
f f f f f f f f f f f
ftimeframe from different areas of care provision? f f f f f f
a. Clinical pathways f
b. Nursing outcome criteria f f
c. Standards of care f f
d. Nursing care plan f f
ANS: A f
Clinical pathways, also known as critical pathways or care maps, are collaborative guidelines that
f f f f f f f f f f f f f
define patient care across disciplines. Expected progress within a specified timeline is identified.
f f f f f f f f f f f f f
DIF: Cognitive Level: Knowledge REF: p. 13 OBJ: 10 f f f f f
TOP: Health Care Delivery Systems
f f KEY: Nursing Process Step: N/A f f f f f f f
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
f f f f f f f f
10. A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her mother, and
f f f f f f f f f f f f f
fcollected admission data. What is the next step the student will take to develop a nursing care
f f f f f f f f f f f f f f f f
fplan for this child?
f f f
a. Identify measurable outcomes with a timeline. f f f f f
b. Choose specific nursing interventions for the child. f f f f f f
c. Determine appropriate nursing diagnoses. f f f
d. State nursing actions related to the child’s medical diagnosis.
f f f f f f f f
ANS: C f
The nurse uses assessment data to select appropriate nursing diagnoses. Outcomes and
f f f f f f f f f f f
interventions are then developed to address the relevant nursing diagnoses.
f f f f f f f f f f
DIF: Cognitive Level: Application REF: p. 12 OBJ: 7 f f f f f f f
TOP: Nursing Process f KEY: Nursing Process Step: Nursing Diagnosis f f f f f f
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
f f f f f f f f
11. A nursing student on an obstetric rotation questions the floor nurse about the definition of the
f f f f f f f f f f f f f f f
fLVN/LPN scope of practice. What resource can the nurse suggest to the student?
f f f f f f f f f f f f
a. American NursesAssociation f f
Test Bank for Introduction to Maternity and Pediatric Nursing 9th
f f f f f f f f f
f Edition by Gloria Leifer.
f f f
IntroductiontoMaternityandPediatricNursing NINTHEDITION
f f f f f f
Gloria Leifer
f
,TESTBANKIntroductiontoMaternityandPediatricNursing9/EGloriaLeifer
f f f f f f f f f f
Chapter 01: The Past, Present, and Future
f f f f f f
MULTIPLE CHOICE f
1. Apatient chooses to have the certified nurse-midwife (CNM) provide care during her
f f f f f f f f f f f f
pregnancy. What does the CNM’s scope of practice include?
f f f f f f f f f
a. Practice independent from medical supervision f f f f
b. Comprehensive prenatal care f f
c. Attendance at all deliveries f f f
d. Cesarean sections f
ANS: B f
The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated
f f f f f f f f f
deliveries, and ensures that a backup physician is available in case of unforeseen problems.
f f f f f f f f f f f f f f
DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: 5 f f f f f f f
TOP: Advance Practice Nursing Roles
f KEY: Nursing Process Step: Implementation f f f f f f f
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
f f f f f f f f f f f f
2. Which medical pioneer discovered the relationship between the incidence of puerperal fever
f f f f f f f f f f f
fand unwashed hands? f f
a. Karl Credé f
b. Ignaz Semmelweis f
c. Louis Pasteur f
d. Joseph Lister f
ANS: B f
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the unwashed
f f f f f f f f f f f f f
hands of physicians and medical students.
f f f f f f
DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: f f f f
f1 TOP: The Past KEY: Nursing Process Step: N/A
f f f f f f f
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
f f f f f f f f f
3. A pregnant woman who has recently immigrated to the United States comments to the nurse, “I
f f f f f f f f f f f f f f f
fam afraid of childbirth. It is so dangerous. I am afraid I will die.” What is the best nursing
f f f f f f f f f f f f f f f f f f
fresponse reflecting cultural sensitivity? f f f
a. “Maternal mortality in the United States is extremely low.” f f f f f f f f
b. “Anesthesia is available to relieve pain during labor and childbirth.” f f f f f f f f f
c. “Tell me why you are afraid of childbirth.” f f f f f f f
d. “Your condition will be monitored during labor and delivery.”
f f f f f f f f
ANS: C f
Asking the patient about her concerns helps promote understanding and individualizes patient
f f f f f f f f f f f
care.
f
DIF: Cognitive Level: Application REF: pp. 6-8 OBJ: 8 f f f f f f f
TOP: Cross-Cultural Care f KEY: Nursing Process Step: Implementation f f f f f
MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
f f f f f f
,4. An urban area has been reported to have a high perinatal mortality rate. What information
f f f f f f f f f f f f f f
does this provide?
f f f
a. Maternal and infant deaths per 100,000 live births per year f f f f f f f f f
b. Deaths of fetuses weighing more than 500 g per 10,000 births per year f f f f f f f f f f f f
c. Deaths of infants up to 1 year of age per 1000 live births per year f f f f f f f f f f f f f f
d. Fetal and neonatal deaths per 1000 live births per year
f f f f f f f f f
ANS: D f
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
f f f f f f f f f f f f f f
DIF: Cognitive Level: Comprehension REF: p. 13 | Box 1.6 f f f f f f f
OBJ:
f f 9 TOP: The Present-Child Care f f f
KEY: f Nursing Process Step: Implementation f f f
MSC: f NCLEX: Safe, Effective Care Environment: Coordinated Care f f f f f f
5. What is the focus of current maternity practice?
f f f f f f f
a. Hospital births for the majority of women f f f f f f
b. The traditional family unit f f f
c. Separation of labor rooms from delivery rooms f f f f f f
d. Aquality family experience for each patient
f f f f f f
ANS: D f
Current maternity practice focuses on a high-quality family experience for all families, traditional
f f f f f f f f f f f f
or otherwise.
f f
DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: 5 f f f f f
TOP: The Present-Maternity Care
f f KEY: Nursing Process Step: N/A f f f f f f
MSC: NCLEX: Health Promotion and Maintenance
f f f f f f
6. Who advocated the establishment of the Children’s Bureau?
f f f f f f f
a. Lillian Wald f
b. Florence Nightingale f
c. Florence Kelly f
d. Clara Barton f
ANS: A f
Lillian Wald is credited with suggesting the establishment of a federal Children’s Bureau.
f f f f f f f f f f f f
DIF: Cognitive Level: Knowledge REF: p. 4 OBJ: 1 | 2 f f f f f f f
TOP: The Past
f KEY: Nursing Process Step: Implementation
f f f f f f
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
f f f f f f f f
7. What was the result of research done in the 1930s by the Children’s Bureau?
f f f f f f f f f f f f f
a. Children with heart problems are now cared for by pediatric cardiologists. f f f f f f f f f f
b. The ChildAbuse and PreventionAct was passed.
f f f f f f f
c. Hot lunch programs were established in many schools.
f f f f f f f
d. Children’s asylums were founded. f f f
ANS: C f
School hot lunch programs were developed as a result of research by the Children’s Bureau on the
f f f f f f f f f f f f f f f f
effects of economic depression on children.
f f f f f f
DIF: Cognitive Level: Knowledge f f REF: p. 4 f f f OBJ: 2 | 3 f f f f
, TOP: The Past KEY: Nursing Process Step: N/A
f f f f f f
MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care
f f f f f f f
8. What government program was implemented to increase the educational exposure of
f f f f f f f f f f
fpreschool children? f
a. WIC
b. Title XIX of Medicaid f f f
c. The Children’s Charter f f
d. Head Start f
ANS: D f
Head Start programs were established to increase educational exposure of preschool children.
f f f f f f f f f f f
DIF: Cognitive Level: Knowledge REF: p. 3 OBJ: 3 f f f f f f f
TOP: Government Influences in Maternity and Pediatric Care
f KEY: Nursing Process Step: N/A f f f f f f f f f f
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
f f f f f f f f f
9. What guidelines define multidisciplinary patient care in terms of expected outcome and
f f f f f f f f f f f
ftimeframe from different areas of care provision? f f f f f f
a. Clinical pathways f
b. Nursing outcome criteria f f
c. Standards of care f f
d. Nursing care plan f f
ANS: A f
Clinical pathways, also known as critical pathways or care maps, are collaborative guidelines that
f f f f f f f f f f f f f
define patient care across disciplines. Expected progress within a specified timeline is identified.
f f f f f f f f f f f f f
DIF: Cognitive Level: Knowledge REF: p. 13 OBJ: 10 f f f f f
TOP: Health Care Delivery Systems
f f KEY: Nursing Process Step: N/A f f f f f f f
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
f f f f f f f f
10. A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her mother, and
f f f f f f f f f f f f f
fcollected admission data. What is the next step the student will take to develop a nursing care
f f f f f f f f f f f f f f f f
fplan for this child?
f f f
a. Identify measurable outcomes with a timeline. f f f f f
b. Choose specific nursing interventions for the child. f f f f f f
c. Determine appropriate nursing diagnoses. f f f
d. State nursing actions related to the child’s medical diagnosis.
f f f f f f f f
ANS: C f
The nurse uses assessment data to select appropriate nursing diagnoses. Outcomes and
f f f f f f f f f f f
interventions are then developed to address the relevant nursing diagnoses.
f f f f f f f f f f
DIF: Cognitive Level: Application REF: p. 12 OBJ: 7 f f f f f f f
TOP: Nursing Process f KEY: Nursing Process Step: Nursing Diagnosis f f f f f f
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
f f f f f f f f
11. A nursing student on an obstetric rotation questions the floor nurse about the definition of the
f f f f f f f f f f f f f f f
fLVN/LPN scope of practice. What resource can the nurse suggest to the student?
f f f f f f f f f f f f
a. American NursesAssociation f f
