Test Bank For Introduction to Maternity and Pediatric Nursing 9th Edition BY Gloria Leifer (), 9780323826808, Chapter 1-34 All Chapters with Answers and Rationals

TEST BANK ni




Test Bank for Introduction to Maternity and Pediatric Nursing
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ni 9th Edition by Gloria Leifer.
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Introduction to Maternity and Pediatric Nursing
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ni NINTHEDITION
Gloria Leifer
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,TEST BANK Introduction to Maternity and Pediatric Nursing 9/E Gloria Leifer
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Chapter 01: The Past, Present, and Future
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MULTIPLE CHOICE ni




1. A patient chooses to have the certified nurse-midwife (CNM) provide care during
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her pregnancy. What does the CNM‘s scope of practice include?
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a. Practice independent from medical supervision ni ni ni ni


b. Comprehensive prenatal care ni ni


c. Attendance at all deliveries ni ni ni


d. Cesarean sections ni




ANS: n i B
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 ni ni ni ni ni n i n i


TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of
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Disease
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2. Which medical pioneer discovered the relationship between the incidence of puerperal
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fever and unwashed hands?
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a. Karl Credé ni


b. Ignaz Semmelweis ni


c. Louis Pasteur ni


d. Joseph Lister ni




ANS: n i B
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: ni ni n i ni


n 1 TOP: The Past
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Step: N/A
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MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
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3. A pregnant woman who has recently immigrated to the United States comments to the
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nurse, ―I am afraid of childbirth. It is so dangerous. I am afraid I will die.‖ What is the
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best nursing response reflecting cultural sensitivity?
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a. ―Maternal mortality in the United States is extremely low.‖ ni ni ni ni ni ni ni ni


b. ―Anesthesia is available to relieve pain during labor and childbirth.‖ ni ni ni ni ni ni ni ni ni


c. ―Tell me why you are afraid of childbirth.‖ ni ni ni ni ni ni ni


d. ―Your condition will be monitored during labor and delivery.‖
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ANS: n i C
Asking the patient about her concerns helps promote understanding and individualizes
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patient care.
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DIF: Cognitive Level: Application REF: pp. 6-8 OBJ: 8 ni ni ni ni ni n i n i


TOP: Cross-Cultural Care KEY: Nursing Process Step:
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Implementation MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
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, 4. An urban area has been reported to have a high perinatal mortality rate. What
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ni information does this provide? ni ni ni


a. Maternal and infant deaths per 100,000 live births per year ni ni ni ni ni ni ni ni ni


b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
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c. Deaths of infants up to 1 year of age per 1000 live births per year
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d. Fetal and neonatal deaths per 1000 live births per year
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ANS: n i D
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
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DIF: Cognitive Level: Comprehension REF: p. 13 | Box ni ni n i ni ni ni


1.6 OBJ: 9
ni ni TOP: The Present-Child Care n i n i ni ni


KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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5. What is the focus of current maternity practice?
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a. Hospital births for the majority of women ni ni ni ni ni ni


b. The traditional family unit ni ni ni


c. Separation of labor rooms from delivery rooms ni ni ni ni ni ni


d. A quality family experience for each patient
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ANS: n i D
Current maternity practice focuses on a high-quality family experience for all families,
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traditional or otherwise.
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DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: 5 ni ni n i ni n i


TOP: The Present-Maternity Care
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N/A MSC: NCLEX: Health Promotion and Maintenance
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6. Who advocated the establishment of the Children‘s Bureau?
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a. Lillian Wald ni


b. Florence Nightingale ni


c. Florence Kelly ni


d. Clara Barton ni




ANS: n i A
Lillian Wald is credited with suggesting the establishment of a federal Children‘s Bureau.
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DIF: Cognitive Level: Knowledge REF: p. 4 OBJ: 1 | ni ni n i ni n i ni


2 TOP: The Past KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
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7. What was the result of research done in the 1930s by the Children‘s Bureau?
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a. Children with heart problems are now cared for by pediatric cardiologists.
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b. The Child Abuse and Prevention Act was passed.
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c. Hot lunch programs were established in many schools.
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d. Children‘s asylums were founded. ni ni ni




ANS: n i C
School hot lunch programs were developed as a result of research by the Children‘s Bureau
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on the effects of economic depression on children.
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DIF: Cognitive Level: Knowledge ni ni REF: ni ni p. 4 ni OBJ: n i n i 2|3 ni ni

, TOP: The Past KEY: Nursing Process Step: N/A
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MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care
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8. What government program was implemented to increase the educational exposure
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of preschool children?
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a. WIC
b. Title XIX of Medicaid ni ni ni


c. The Children‘s Charter ni ni


d. Head Start ni




ANS: n i D
Head Start programs were established to increase educational exposure of preschool children.
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DIF: Cognitive Level: Knowledge REF: p. 3 OBJ: 3 ni ni ni ni ni n i n i


TOP: Government Influences in Maternity and Pediatric Care KEY: Nursing Process Step:
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N/A MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
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9. What guidelines define multidisciplinary patient care in terms of expected outcome
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and timeframe from different areas of care provision?
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a. Clinical pathways ni


b. Nursing outcome criteria ni ni


c. Standards of care ni ni


d. Nursing care plan ni ni




ANS: n i A
Clinical pathways, also known as critical pathways or care maps, are collaborative
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guidelines that define patient care across disciplines. Expected progress within a specified
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timeline is identified.
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DIF: Cognitive Level: Knowledge REF: p. 13 OBJ: 10 ni ni n i ni n i


TOP: Health Care Delivery Systems KEY: Nursing Process Step:
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N/A MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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10. A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her
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mother, and collected admission data. What is the next step the student will take to
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develop a nursing care plan for this child?
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a. Identify measurable outcomes with a timeline. ni ni ni ni ni


b. Choose specific nursing interventions for the child. ni ni ni ni ni ni


c. Determine appropriate nursing diagnoses. ni ni ni


d. State nursing actions related to the child‘s medical diagnosis.
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ANS: n i C
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.
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DIF: Cognitive Level: Application REF: p. 12 OBJ: 7 ni ni ni ni ni n i n i


TOP: Nursing Process n i KEY: Nursing Process Step: Nursing ni n i ni ni ni


Diagnosis MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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11. A nursing student on an obstetric rotation questions the floor nurse about the definition of
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the LVN/LPN scope of practice. What resource can the nurse suggest to the student?
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a. American Nurses Association ni ni