TestBankfor Introduction to MaternityandPediatric
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k
ky Nursing 9th Edition BY Gloria Leifer Chapter 1-34 Newest
ky ky ky ky ky k y ky ky ky
Version 2024 ky ky
,Chapter01:The Past, Present,andFuture
ky ky ky ky ky ky
Leifer:IntroductiontoMaternity andPediatricNursing,9thEdition
ky ky ky ky ky ky ky ky
MULTIPLE CHOICE ky
1. A patient chooses to have the certified nurse-midwife (CNM) provide care duringher
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pregnancy. What does the CNM‘s scope of practice include?
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a. Practice independent from medical supervision ky ky ky ky
b. Comprehensive prenatal care ky ky
c. Attendance at all deliveries ky ky ky
d. Cesareansections ky
ANS: B k y
The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated
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deliveries, and ensures that a backup physician is available in case of unforeseen problems.
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DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: 5 ky ky k y k y ky k y
TOP: Advance Practice Nursing Roles kKEY: Nursing Process Step: Implementation MSC:
y ky ky ky ky ky ky ky ky
NCLEX: Health Promotion and Maintenance: Prevention and EarlyDetection ofDisease
ky ky ky ky ky ky ky ky ky ky ky
2. Which medical pioneer discovered the relationship between the incidence of puerperal fever and
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ky unwashed hands? ky
a. Karl Credé ky
b. Ignaz Semmelweis ky
c. Louis Pasteur ky
d. Joseph Lister ky
ANS: B k y
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the
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unwashed hands of physicians and medical students.
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DIF: Cognitive Level: Knowledge REF: p. 2 OBJ:1 ky ky k y ky ky
TOP: The Past
ky KEY: Nursing Process Step: N/A
k y ky ky ky ky ky
MSC:NCLEX: Safe, Effective Care Environment: Safety and Infection Control
ky ky ky ky ky ky ky ky ky
3. A pregnant woman who has recentlyimmigrated to the United States comments to thenurse, “Iam
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afraid of childbirth. It is so dangerous. Iam afraid Iwill die.” What is the best nursing response
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reflecting cultural sensitivity?
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a. “Maternal mortalityin the United States is extremelylow.” ky ky ky ky ky ky ky ky
b. “Anesthesiaisavailabletorelievepainduringlaborandchildbirth.” ky ky ky ky ky ky ky ky ky
c. “Tellmewhyyouareafraidofchildbirth.” ky ky ky ky ky ky ky
d. “Yourconditionwillbemonitoredduringlaboranddelivery.” ky ky ky ky ky ky ky ky
ANS: C ky
Asking the patient about her concerns helps promote understandingand individualizes patient care.
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DIF: CognitiveLevel: Application REF: pp. 6-8 OBJ: 8 ky ky k y k y ky k y
TOP: Cross-Cultural Care kKEY:NursingProcess Step: Implementation
y ky ky ky ky ky
MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
ky ky ky ky ky ky
,4. An urban area has been reported to have a high perinatal mortalityrate. What information does
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this provide?
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a. Maternal and infant deaths per 100,000 live births per year ky ky ky ky ky ky ky ky ky
b. Deaths of fetuses weighing more than 500 g per 10,000 births per year ky ky ky ky ky ky ky ky ky ky ky ky
c. Deaths of infants up to 1 year of age per 1000 live births per year ky ky ky ky ky ky ky ky ky ky ky ky ky ky
d. Fetal and neonatal deaths per 1000 live births per year ky ky ky ky ky ky ky ky ky
ANS: D ky
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
ky ky ky ky ky ky ky ky ky ky ky ky ky ky
DIF: Cognitive Level: Comprehension REF:p.13|Box1.6 ky ky ky ky ky ky ky
OBJ: 9
ky TOP: The Present-Child Care
k y ky ky ky
KEY: Nursing Process Step: Implementation
ky ky ky ky
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
ky ky ky ky ky ky ky
5. What is the focus of current maternitypractice?
ky ky ky ky ky ky ky
a. Hospital births for the majority ofwomen ky ky ky ky ky ky
b. The traditional familyunit ky ky ky
c. Separation of labor rooms from deliveryrooms ky ky ky ky ky ky
d. A quality family experience for eachpatient
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ANS: D ky
Current maternitypractice focuses on a high-qualityfamilyexperience for all families,
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traditional or otherwise.
ky ky ky
DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: 5 ky ky k y ky ky
TOP: The Present-Maternity Care
ky k KEY:NursingProcess Step: N/A
y ky ky ky ky ky ky
MSC: NCLEX: Health Promotion and Maintenance
ky ky ky ky ky ky
6. Who advocated the establishment of the Children‘sBureau?
ky ky ky ky ky ky ky
a. LillianWald ky
b. FlorenceNightingale ky
c. Florence Kelly ky
d. ClaraBarton ky
ANS: A ky
Lillian Wald is credited with suggesting the establishment of a federal Children‘s Bureau.
ky ky ky ky ky ky ky ky ky ky ky ky
DIF: Cognitive Level: Knowledge REF: p. 4 OBJ:1|2 ky ky k y ky ky ky ky
TOP: The Past
ky KEY: Nursing Process Step: Implementation
k y ky ky ky ky ky
MSC:NCLEX: Health Promotion andMaintenance: Growth and Development
ky ky ky ky ky ky ky ky
7. What was the result of research done in the 1930s by the Children‘sBureau?
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a. Children with heart problems are now cared for by pediatric cardiologists. ky ky ky ky ky ky ky ky ky ky
b. The Child Abuse and Prevention Act was passed. ky ky ky ky ky ky ky
c. Hot lunch programs were established in manyschools.ky ky ky ky ky ky ky
d. Children‘s asylums were founded. ky ky ky
ANS: C ky
School hot lunch programs were developed as a result of research by the Children‘s Bureau on the
ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky
effects of economic depression on children.
ky ky ky ky ky ky
DIF: Cognitive Level:Knowledge ky ky REF: p. 4 k y k y ky OBJ: 2 | 3 ky ky k y
, TOP: The Past KEY: Nursing Process Step: N/A
k y ky ky ky ky ky
MSC: NCLEX: Health Promotion andMaintenance: Coordinated Care
ky ky ky ky ky ky ky
8. What government program was implemented to increase the educational exposure of
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ky preschool children? ky
a. WIC
b. Title XIX ofMedicaid ky ky ky
c. The Children‘sCharter ky ky
d. Head Start ky
ANS: D ky
Head Start programs were established to increase educational exposure of preschool children.
ky ky ky ky ky ky ky ky ky ky ky
DIF: Cognitive Level:Knowledge REF: p. 3 OBJ: 3 ky ky k y k y ky k y
TOP: Government Influences in Maternity andPediatric Care
k y KEY:NursingProcessStep: N/A ky ky ky ky ky ky ky ky ky ky
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
ky ky ky ky ky ky ky ky ky
9. What guidelines define multidisciplinarypatient care in terms of expected outcome and
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timeframe from different areas of care provision?
ky ky ky ky ky ky ky
a. Clinical pathways ky
b. Nursing outcome criteria ky ky
c. Standards ofcare ky ky
d. Nursing careplan ky ky
ANS: A ky
Clinical pathways, also known as critical pathways or care maps, are collaborative guidelines that
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define patient care across disciplines. Expected progress within a specified timeline is identified.
ky ky ky ky ky ky ky ky ky ky ky ky ky
DIF: Cognitive Level: Knowledge REF: p. 13 OBJ: 10 ky ky k y ky ky
TOP: Health Care Delivery Systems
ky KEY:NursingProcess Step: N/A
k y ky ky ky ky ky ky ky
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
ky ky ky ky ky ky ky ky
10. A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her mother, and
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collected admission data. What is the next step the student will take to develop a nursing care plan
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for this child?
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a. Identifymeasurable outcomes with atimeline. ky ky ky ky ky
b. Choose specific nursing interventions for the child. ky ky ky ky ky ky
c. Determine appropriate nursingdiagnoses. ky ky ky
d. State nursing actions related to the child‘s medical diagnosis. ky ky ky ky ky ky ky ky
ANS: C ky
The nurse uses assessment data to select appropriate nursing diagnoses. Outcomes and
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interventions are then developed to address the relevant nursing diagnoses.
ky ky ky ky ky ky ky ky ky ky
DIF: CognitiveLevel: Application REF: p. 12 OBJ: 7 ky ky k y k y ky k y
TOP: Nursing Process k KEY: Nursing Process Step: Nursing Diagnosis
y ky ky ky ky ky ky
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
ky ky ky ky ky ky ky ky
11. A nursing student on an obstetric rotation questions the floor nurse about the definition of the
ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky
ky LVN/LPN scope of practice. What resource can the nurse suggest to the student? ky ky ky ky ky ky ky ky ky ky ky ky
a. American Nurses Association ky ky
ky ky ky ky ky ky y
k
ky Nursing 9th Edition BY Gloria Leifer Chapter 1-34 Newest
ky ky ky ky ky k y ky ky ky
Version 2024 ky ky
,Chapter01:The Past, Present,andFuture
ky ky ky ky ky ky
Leifer:IntroductiontoMaternity andPediatricNursing,9thEdition
ky ky ky ky ky ky ky ky
MULTIPLE CHOICE ky
1. A patient chooses to have the certified nurse-midwife (CNM) provide care duringher
ky ky ky ky ky ky ky ky ky ky ky ky
pregnancy. What does the CNM‘s scope of practice include?
ky ky ky ky ky ky ky ky ky
a. Practice independent from medical supervision ky ky ky ky
b. Comprehensive prenatal care ky ky
c. Attendance at all deliveries ky ky ky
d. Cesareansections ky
ANS: B k y
The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated
ky ky ky ky ky ky ky ky ky
deliveries, and ensures that a backup physician is available in case of unforeseen problems.
ky ky ky ky ky ky ky ky ky ky ky ky ky ky
DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: 5 ky ky k y k y ky k y
TOP: Advance Practice Nursing Roles kKEY: Nursing Process Step: Implementation MSC:
y ky ky ky ky ky ky ky ky
NCLEX: Health Promotion and Maintenance: Prevention and EarlyDetection ofDisease
ky ky ky ky ky ky ky ky ky ky ky
2. Which medical pioneer discovered the relationship between the incidence of puerperal fever and
ky ky ky ky ky ky ky ky ky ky ky ky
ky unwashed hands? ky
a. Karl Credé ky
b. Ignaz Semmelweis ky
c. Louis Pasteur ky
d. Joseph Lister ky
ANS: B k y
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the
ky ky ky ky ky ky ky ky ky ky ky ky
unwashed hands of physicians and medical students.
ky ky ky ky ky ky ky
DIF: Cognitive Level: Knowledge REF: p. 2 OBJ:1 ky ky k y ky ky
TOP: The Past
ky KEY: Nursing Process Step: N/A
k y ky ky ky ky ky
MSC:NCLEX: Safe, Effective Care Environment: Safety and Infection Control
ky ky ky ky ky ky ky ky ky
3. A pregnant woman who has recentlyimmigrated to the United States comments to thenurse, “Iam
ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky
afraid of childbirth. It is so dangerous. Iam afraid Iwill die.” What is the best nursing response
ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky
reflecting cultural sensitivity?
ky ky ky
a. “Maternal mortalityin the United States is extremelylow.” ky ky ky ky ky ky ky ky
b. “Anesthesiaisavailabletorelievepainduringlaborandchildbirth.” ky ky ky ky ky ky ky ky ky
c. “Tellmewhyyouareafraidofchildbirth.” ky ky ky ky ky ky ky
d. “Yourconditionwillbemonitoredduringlaboranddelivery.” ky ky ky ky ky ky ky ky
ANS: C ky
Asking the patient about her concerns helps promote understandingand individualizes patient care.
ky ky ky ky ky ky ky ky ky ky ky ky
DIF: CognitiveLevel: Application REF: pp. 6-8 OBJ: 8 ky ky k y k y ky k y
TOP: Cross-Cultural Care kKEY:NursingProcess Step: Implementation
y ky ky ky ky ky
MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
ky ky ky ky ky ky
,4. An urban area has been reported to have a high perinatal mortalityrate. What information does
ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky
this provide?
ky ky
a. Maternal and infant deaths per 100,000 live births per year ky ky ky ky ky ky ky ky ky
b. Deaths of fetuses weighing more than 500 g per 10,000 births per year ky ky ky ky ky ky ky ky ky ky ky ky
c. Deaths of infants up to 1 year of age per 1000 live births per year ky ky ky ky ky ky ky ky ky ky ky ky ky ky
d. Fetal and neonatal deaths per 1000 live births per year ky ky ky ky ky ky ky ky ky
ANS: D ky
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
ky ky ky ky ky ky ky ky ky ky ky ky ky ky
DIF: Cognitive Level: Comprehension REF:p.13|Box1.6 ky ky ky ky ky ky ky
OBJ: 9
ky TOP: The Present-Child Care
k y ky ky ky
KEY: Nursing Process Step: Implementation
ky ky ky ky
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
ky ky ky ky ky ky ky
5. What is the focus of current maternitypractice?
ky ky ky ky ky ky ky
a. Hospital births for the majority ofwomen ky ky ky ky ky ky
b. The traditional familyunit ky ky ky
c. Separation of labor rooms from deliveryrooms ky ky ky ky ky ky
d. A quality family experience for eachpatient
ky ky ky ky ky ky
ANS: D ky
Current maternitypractice focuses on a high-qualityfamilyexperience for all families,
ky ky ky ky ky ky ky ky ky ky ky
traditional or otherwise.
ky ky ky
DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: 5 ky ky k y ky ky
TOP: The Present-Maternity Care
ky k KEY:NursingProcess Step: N/A
y ky ky ky ky ky ky
MSC: NCLEX: Health Promotion and Maintenance
ky ky ky ky ky ky
6. Who advocated the establishment of the Children‘sBureau?
ky ky ky ky ky ky ky
a. LillianWald ky
b. FlorenceNightingale ky
c. Florence Kelly ky
d. ClaraBarton ky
ANS: A ky
Lillian Wald is credited with suggesting the establishment of a federal Children‘s Bureau.
ky ky ky ky ky ky ky ky ky ky ky ky
DIF: Cognitive Level: Knowledge REF: p. 4 OBJ:1|2 ky ky k y ky ky ky ky
TOP: The Past
ky KEY: Nursing Process Step: Implementation
k y ky ky ky ky ky
MSC:NCLEX: Health Promotion andMaintenance: Growth and Development
ky ky ky ky ky ky ky ky
7. What was the result of research done in the 1930s by the Children‘sBureau?
ky ky ky ky ky ky ky ky ky ky ky ky ky
a. Children with heart problems are now cared for by pediatric cardiologists. ky ky ky ky ky ky ky ky ky ky
b. The Child Abuse and Prevention Act was passed. ky ky ky ky ky ky ky
c. Hot lunch programs were established in manyschools.ky ky ky ky ky ky ky
d. Children‘s asylums were founded. ky ky ky
ANS: C ky
School hot lunch programs were developed as a result of research by the Children‘s Bureau on the
ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky
effects of economic depression on children.
ky ky ky ky ky ky
DIF: Cognitive Level:Knowledge ky ky REF: p. 4 k y k y ky OBJ: 2 | 3 ky ky k y
, TOP: The Past KEY: Nursing Process Step: N/A
k y ky ky ky ky ky
MSC: NCLEX: Health Promotion andMaintenance: Coordinated Care
ky ky ky ky ky ky ky
8. What government program was implemented to increase the educational exposure of
ky ky ky ky ky ky ky ky ky ky
ky preschool children? ky
a. WIC
b. Title XIX ofMedicaid ky ky ky
c. The Children‘sCharter ky ky
d. Head Start ky
ANS: D ky
Head Start programs were established to increase educational exposure of preschool children.
ky ky ky ky ky ky ky ky ky ky ky
DIF: Cognitive Level:Knowledge REF: p. 3 OBJ: 3 ky ky k y k y ky k y
TOP: Government Influences in Maternity andPediatric Care
k y KEY:NursingProcessStep: N/A ky ky ky ky ky ky ky ky ky ky
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
ky ky ky ky ky ky ky ky ky
9. What guidelines define multidisciplinarypatient care in terms of expected outcome and
ky ky ky ky ky ky ky ky ky ky ky
timeframe from different areas of care provision?
ky ky ky ky ky ky ky
a. Clinical pathways ky
b. Nursing outcome criteria ky ky
c. Standards ofcare ky ky
d. Nursing careplan ky ky
ANS: A ky
Clinical pathways, also known as critical pathways or care maps, are collaborative guidelines that
ky ky ky ky ky ky ky ky ky ky ky ky ky
define patient care across disciplines. Expected progress within a specified timeline is identified.
ky ky ky ky ky ky ky ky ky ky ky ky ky
DIF: Cognitive Level: Knowledge REF: p. 13 OBJ: 10 ky ky k y ky ky
TOP: Health Care Delivery Systems
ky KEY:NursingProcess Step: N/A
k y ky ky ky ky ky ky ky
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
ky ky ky ky ky ky ky ky
10. A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her mother, and
ky ky ky ky ky ky ky ky ky ky ky ky ky
collected admission data. What is the next step the student will take to develop a nursing care plan
ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky
for this child?
ky ky ky
a. Identifymeasurable outcomes with atimeline. ky ky ky ky ky
b. Choose specific nursing interventions for the child. ky ky ky ky ky ky
c. Determine appropriate nursingdiagnoses. ky ky ky
d. State nursing actions related to the child‘s medical diagnosis. ky ky ky ky ky ky ky ky
ANS: C ky
The nurse uses assessment data to select appropriate nursing diagnoses. Outcomes and
ky ky ky ky ky ky ky ky ky ky ky
interventions are then developed to address the relevant nursing diagnoses.
ky ky ky ky ky ky ky ky ky ky
DIF: CognitiveLevel: Application REF: p. 12 OBJ: 7 ky ky k y k y ky k y
TOP: Nursing Process k KEY: Nursing Process Step: Nursing Diagnosis
y ky ky ky ky ky ky
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
ky ky ky ky ky ky ky ky
11. A nursing student on an obstetric rotation questions the floor nurse about the definition of the
ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky
ky LVN/LPN scope of practice. What resource can the nurse suggest to the student? ky ky ky ky ky ky ky ky ky ky ky ky
a. American Nurses Association ky ky
