MATERNITY 101

Test Bank Maternity &Pediatric Nursing 8e (by Leifer) Nursing Care of Women with Complications During Pregnancy MULTIPLE CHOICE 1. A pregnant patient tells the nurse that she has been nauseated and vomiting. How will the nurse explain that hyperemesis gravidarum is distinguished from morning sickness? a. Hyperemesis gravidarum usually lasts for the duration of the pregnancy. b. Hyperemesis gravidarum causes dehydration and electrolyte imbalances. c. Sensitivity to smells is usual...

Test Bank Introduction to Maternity and Pediatric Nursing 8e (by Leifer) Human Reproductive Anatomy and Physiology MULTIPLE CHOICE 1. A 14-year-old boy is at the pediatric clinic for a checkup. What physical changes of puberty will the nurse indicate are related to the production of testosterone? a. Stimulation of production of white cells and platelets b. Promotion of growth of small bones c. Increase in muscle mass and strength d. Decrease in production of sebaceous gland secretions ...

Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) Nursing Management of Pain During Labor and Birth MULTIPLE CHOICE 1. A nurse is teaching a childbirth preparation class. The group is discussing individual expression of labor pain. What statement is accurate about a patients expression of pain? a. It reduces the patients perception of pain. b. It is intensified by the vertex position of the fetus. c. It is influenced by culture. d. It can be completely controlled...

Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) Nursing Care of Mother and Infant During Labor and Birth MULTIPLE CHOICE 1. What does the nurse note when measuring the frequency of a laboring womans contractions? a. How long the patient states the contractions last b. The time between the end of one contraction and the beginning of the next c. The time between the beginning and the end of one contraction d. The time between the beginning of one contraction and ...

Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) Prenatal Care and Adaptations to Pregnancy Chapter 04: Prenatal Care and Adaptations to Pregnancy MULTIPLE CHOICE 1. A woman who is 7 weeks pregnant tells the nurse that this is not her first pregnancy. She has a 2-year-old son and had one previous spontaneous abortion. How would the nurse document the patients obstetric history using the TPALM system? a. Gravida 2, para 20120 b. Gravida 3, para 10011 c. Gravida...

Test Bank - Introduction to Maternity and Pediatric Nursing Fetal Development 8e (by Leifer) Fetal Development MULTIPLE CHOICE 1. What is the total number of chromosomes contained in a mature sperm or ovum? a. 22 b. 23 c. 44 d. 46 ANS: B Gametes (sex chromosomes) contain 23 chromosomes. DIF: Cognitive Level: Knowledge REF: Page 33 TOP: Gametogenesis KEY: Nursing Process Step: N/A MSC: NCLEX: Health Promotion and Maintenance: Growth and Development 2. A pregnant woman state...

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

Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer)The Adolescent MULTIPLE CHOICE 1. The nurse is assessing a 13-year-old boy. With what do physical changes in the pubertal male begin? a. Development of axillary and facial hair b. Enlargement of penis c. Enlargement of testicles d. Pigmentation of the scrotum ANS: C In boys, pubertal changes begin with enlargement of the testicles and internal structures. DIF: Cognitive Level: Knowledge REF: Page 462 OBJ: 4 ...

Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) The Infant MULTIPLE CHOICE 1. A mother calls the pediatricians office because her infant is colicky. What is the most helpful measure the nurse can suggest to the mother? a. Sing songs to the infant in a soft voice. b. Place the infant in a well-lit room. c. Walk around and massage the infants back. d. Rock the fussy infant slowly and gently. ANS: D One technique the nurse can offer parents of a fussy infant i...

Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) The Newborn with a Perinatal Injury or Congenital Malformation MULTIPLE CHOICE 1. What occurrence results from obstruction within the ventricles of the brain or inadequate reabsorption of cerebrospinal fluid? a. Meningitis b. Meningocele c. Spina bifida occulta d. Hydrocephalus ANS: D Hydrocephalus is characterized by an increase in cerebrospinal fluid in the ventricles of the brain. DIF: Cognitive Level: K...

Test Bank - Maternity and Pediatric Nursing 8e (by Leifer) Preterm and Postterm Newborns MULTIPLE CHOICE 1. The nurse is assessing a preterm infant. To what does the infants level of maturation refer? a. Actual time the fetus remained in the uterus b. Age on the Dubowitz scoring system c. Infants weight as compared to the gestational age d. Ability of the organs to function outside of the uterus ANS: D Level of maturation refers to how well developed the infant is at birth and the ab...

Test Bank Introduction to Maternity and Pediatric Nursing 8e (by Leifer)The Term Newborn MULTIPLE CHOICE 1. While inspecting a newborns head, the nurse identifies a swelling of the scalp that does not cross the suture line. How would the nurse refer to this finding when documenting? a. Molding b. Caput succedaneum c. Cephalohematoma d. Enlarged fontanelle ANS: C A cephalohematoma is caused by a collection of blood beneath the periosteum of the cranial bone. It does not cross the sutu...

Test Bank - Maternity and Pediatric Nursing 8e (by Leifer) The Nurses Role in Womens Health Care MULTIPLE CHOICE 1. The nurse is preparing a community education program on preventive health care for women. What common screening test will the nurse plan on explaining to the women attending the program? a. Breast examination by a health professional b. Breast self-examination c. Breast biopsy d. Mammography ANS: D Mammography is a screening test used to detect breast cancer. DIF: Co...

Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) The Family After Birth MULTIPLE CHOICE 1. The nurse is assessing a newborn. What sign of hypoglycemia does the nurse record? a. Increased nasal mucus b. Increased temperature c. Active muscle movements d. High-pitched cry ANS: D There are many signs of hypoglycemia in the newborn. One is a high-pitched cry. DIF: Cognitive Level: Comprehension REF: Page 228 TOP: Signs of Hypoglycemia KEY: Nursing Process St...

TB Maternity and Pediatric Nursing 8e (by Leifer)Nursing Care of Women with Complications After Birth MULTIPLE CHOICE 1. What is the first sign of hypovolemic shock from postpartum hemorrhage? a. Cold, clammy skin b. Tachycardia c. Hypotension d. Decreased urinary output ANS: B Tachycardia is usually the first sign of inadequate blood volume. DIF: Cognitive Level: Knowledge REF: Page 248 OBJ: 2 TOP: Hypovolemic Shock KEY: Nursing Process Step: Data Collection MSC: NCLEX: Physiol...

Test Bank Introduction to Maternity &Pediatric Nursing 8e (by Leifer)Nursing Care of Women with Complications During Labor &Birth MULTIPLE CHOICE 1. What nursing assessment should be reported immediately after an amniotomy? a. Fetal heart rate is regular at 154 beats/min. b. Amniotic fluid is clear with flecks of vernix. c. Amniotic fluid is watery and pale green. d. Maternal temperature is 37.8 C. ANS: C Amniotic fluid should be clear. Green fluid indicates the fetus has passed mec...

Test Bank Maternity &Pediatric Nursing 8e (by Leifer) Nursing Care of Women with Complications During Pregnancy MULTIPLE CHOICE 1. A pregnant patient tells the nurse that she has been nauseated and vomiting. How will the nurse explain that hyperemesis gravidarum is distinguished from morning sickness? a. Hyperemesis gravidarum usually lasts for the duration of the pregnancy. b. Hyperemesis gravidarum causes dehydration and electrolyte imbalances. c. Sensitivity to smells is usual...

Test Bank Maternity and Pediatric Nursing 8e (by Leifer) Human Reproductive Anatomy and Physiology MULTIPLE CHOICE 1. A 14-year-old boy is at the pediatric clinic for a checkup. What physical changes of puberty will the nurse indicate are related to the production of testosterone? a. Stimulation of production of white cells and platelets b. Promotion of growth of small bones c. Increase in muscle mass and strength d. Decrease in production of sebaceous gland secretions ANS: C Testost...

Test Bank Maternity and Pediatric Nursing 8e (by Leifer) Nursing Management of Pain During Labor and Birth MULTIPLE CHOICE 1. A nurse is teaching a childbirth preparation class. The group is discussing individual expression of labor pain. What statement is accurate about a patients expression of pain? a. It reduces the patients perception of pain. b. It is intensified by the vertex position of the fetus. c. It is influenced by culture. d. It can be completely controlled by nonpharmacolog...

Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) Nursing Care of Mother and Infant During Labor and Birth MULTIPLE CHOICE 1. What does the nurse note when measuring the frequency of a laboring womans contractions? a. How long the patient states the contractions last b. The time between the end of one contraction and the beginning of the next c. The time between the beginning and the end of one contraction d. The time between the beginning of one contraction and ...