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3rd Edition.
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FULL TEST BANK!!!
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Chapterj1.CorejConceptsjofjMaternaljandjPediatricjHealthcarejAcrossjthejContinuum
MULTIPLEjCHOICE
Ajpatientjchoosesjtojhavejthejcertifiedjnursejmidwifej(CNM)jprovidejcarejdurin
gjherjpregnancy.jWhatjdoesjthejCNMsjscopejofjpracticejinclude?
• Practicejindependentjfromjmedicaljsupervision
• Comprehensivejprenataljcare
• Attendancejatjalljdeliveries
• Cesareanjsections
ANS:Bj-
jThejCNMjprovidesjcomprehensivejprenataljandjpostnataljcare,jattendsjuncomplicatedjdeliveries
,jandjensuresjthatjajbackupjphysicianjisjavailablejinjcasejofjunforeseen
problems.
REF:jPagej6
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raljfeverjandjunwashedjhands?
• KarljCred
• IgnazjSemmelweis
• LouisjPasteur
• JosephjList
ANS:jBj-
jIgnazjSemmelweisjdeducedjthatjpuerperaljfeverjwasjseptic,jcontagious,jandjtransmittedjbyjthejunwashed
jhandsjofjphysiciansjandjmedicaljstudents.
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urse,jIjAmjafraidjofjchildbirth.jItjisjsojdangerous.jIjamjafraidjIjwilljdie.jWhatjisjthejbestjnur
singjresponsejreflectingjculturaljsensitivity?
• MaternaljmortalityjinjthejUnitedjStatesjisjextremelyjlow.
• Anesthesiajisjavailablejtojrelievejpainjduringjlaborjandjchildbirth.
• Telljmejwhyjyoujarejafraidjofjchildbirth.
• Yourjconditionjwilljbejmonitoredjduringjlaborjandjdelivery.
, 2
ANS:jCj-
jAskingjthejpatientjaboutjherjconcernsjhelpsjpromotejunderstandingjandjindividualizesjpatientjca
re.
• Anjurbanjareajhasjbeenjreportedjtojhavejajhighjperinataljmortalityjrate.jWhatjin
formationjdoesjthisjprovide?
• Maternaljandjinfantjdeathsjperj100,000jlivejbirthsjperjyear
• Deathsjofjfetusesjweighingjmorejthanj500jgjperj10,000jbirthsjperjyear
• Deathsjofjinfantsjupjtoj1jyearjofjagejperj1000jlivejbirthsjperjyear
• Fetaljandjneonataljdeathsjperj1000jlivejbirthsjperjyear
ANS:jDj-jThejperinataljmortalityjratejincludesjfetaljandjneonataljdeathsjperj1000jlivejbirthsjperjyear.
• Whatjisjthejfocusjofjcurrentjmaternityjpractice?
• Hospitaljbirthsjforjthejmajorityjofjwomen
• Thejtraditionaljfamilyjunit
• Separationjofjlaborjroomsjfromjdeliveryjrooms
• Ajqualityjfamilyjexperiencejforjeachjpatient
ANS:jDj-jCurrentjmaternityjpracticejfocusesjonjajhigh-
qualityjfamilyjexperiencejforjalljfamilies,jtraditionaljorjotherwise.
:jREF:jPagej6j7j:jThejPresent-MaternityjCarejN/Aj:jHealthjPromotionjandjMaintenance
• WhojadvocatedjthejestablishmentjofjthejChildrensjBureau?
• LillianjWald
• FlorencejNightingale
• FlorencejKelly
• ClarajBarton
ANS:Aj-jLillianjWaldjisjcreditedjwithjsuggestingjthejestablishmentjofjajfederaljChildrensjBureau.
• Whatjwasjthejresultjofjresearchjdonejinjthej1930sjbyjthejChildrensjBureau?
• Childrenjwithjheartjproblemsjarejnowjcaredjforjbyjpediatricjcardiologists.
• ThejChildjAbusejandjPreventionjActjwasjpassed.
• Hotjlunchjprogramsjwerejestablishedjinjmanyjschools.
• Childrensjasylumsjwerejfounded.
ANS:jCj-jSchooljhotjlunchjprogramsjwerejdevelopedjasjajresultjofjresearchjbyjthejChildrensjBureaujon
, 3
Thejeffectsjofjeconomicjdepressionjonjchildren.
• Whatjgovernmentjprogramjwasjimplementedjtojincreasejthejeducationalje
xposurejofjpreschooljchildren?
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• ThejChildrensjCharter
• HeadjStart
ANS:Dj-jHeadjStartjprogramsjwerejestablishedjtojincreasejeducationaljexposurejofjpreschooljchildren.
• Whatjguidelinesjdefinejmultidisciplinaryjpatientjcarejinjtermsjofjexpectedjo
utcomejandjtimeframejfromjdifferentjareasjofjcarejprovision?
• Clinicaljpathways
• Nursingjoutcomejcriteria
• Standardsjofjcare
• Nursingjcarejplan
ANS:Aj-
jClinicaljpathways,jalsojknownjasjcriticaljpathwaysjorjcarejmaps,jarejcollaborativejguideline
sjthatjdefinejpatientjcarejacrossjdisciplines.jExpectedjprogressjwithinjajspecifiedjtimelineji
sjidentified.
• Ajnursingjstudentjhasjreviewedjajhospitalizedjpediatricjpatientjchart,jinterviewedjh
erjmother,jandjcollectedjadmissionjdata.jWhatjisjthejnextjstepjthejstudentjwilljtakejtoj
developjajnursingjcarejplanjforjthisjchild?
• Identifyjmeasurablejoutcomesjwithjajtimeline.
• Choosejspecificjnursingjinterventionsjforjthejchild.
• Determinejappropriatejnursingjdiagnoses.
• Statejnursingjactionsjrelatedjtojthejchildsjmedicaljdiagnosis.
ANS:jCj-jThejnursejusesjassessmentjdatajtojselectjappropriatejnursingjdiagnosesjfromjthejNANDA-
Ijlist.jOutcomesjandjinterventionsjarejthenjdevelopedjtojaddressjthejrelevantjnursingjdiagnoses.
• Ajnursingjstudentjonjanjobstetricjrotationjquestionsjthejfloorjnursejaboutjthejd
efinitionjofjthejLVN/LPNjscopejofjpractice.jWhatjresourcejcanjthejnursejsuggestjtoj
thejstudent?