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h Edition
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,Test Bank For Introduction to Maternity and Pediatric Nursing
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on Leifer
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,Test Bank For Introduction to Maternity and Pediatric Nursing 10t
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h Edition
MK Chapter 01: The Past, Present, and Future
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Leifer: Introduction to Maternity and Pediatric Nursing, 10th Edition
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MULTIPLE CHOICE MK
1. A patient chooses to have the certified nurse-
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midwife (CNM) provide care during herpregnancy.
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What does the CNM‘s scope of practice include?
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a. Practice independent from medical supervision
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b. Comprehensive prenatal care MK MK
c. Attendance at all deliveries MK MK MK
d. Cesarean sections MK
ANS: B M K
The CNM provides comprehensive prenatal and postna
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tal care, attends uncomplicated deliveries, and ensures
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Kthat a backup physician is available in case of unfor
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eseen problems. MK
DIF: Cognitive Level: Comprehension
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REF: p. MK MK
6 OBJ: 5 MK MK
TOP: Advance Practice Nursing Roles
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KEY: Nursing Process Step: Implementation MK MK MK MK MK
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of
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Disease
2. Which medical pioneer discovered the relationship between the incidence of puerpera
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l fever and unwashed hands?
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a. Karl Credé MK
b. Ignaz Semmelweis MK
c. Louis Pasteur MK
d. Joseph Lister MK
ANS: B M K
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmit
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ted by the unwashed hands of physicians and medical students.
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DIF: Cognitive Level: Knowledge REF: p. 2 MK MK M K MK
OBJ: 1 TOP: The Past MK MK M K MK
KEY: Nursing Process Step: N/A MK MK MK MK
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 t
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he nurse, “I am afraid of childbirth. It is so dangerous. I am afraid I will die.” Wh
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at is the best nursing response reflecting cultural sensitivity?
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a. “Maternal mortality in the United States is extremely low.”
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b. “Anesthesia is available to relieve pain during labor and childbirth.”
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c. “Tell me why you are afraid of childbirth.”
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d. “Your condition will be monitored during labor and delivery.”
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ANS: C MK
Asking the patient about her concerns helps promote understanding and individualizes pa
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tient care. MK
DIF: Cognitive Level: Application MK MK REF: MKMK pp. 6-8 MK OBJ: 8 MK
TOP: Cross-Cultural Care
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KEY: Nursing Process Step: Implementati MK MK MK MK
on MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
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, Test Bank For Introduction to Maternity and Pediatric Nursing
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on Leifer MK
4. An urban area has been reported to have a high perinatal mortality rate. What inf
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ormation does this provide?
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a. Maternal and infant deaths per 100,000 live births per year
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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: D MK
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per y
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ear.
DIF: Cognitive Level: Comprehension MK MK
REF: p. 13 | Box 1.6 OBJ: 9
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TOP: The Present-Child Care
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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
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b. The traditional family unit
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c. Separation of labor rooms from delivery rooms
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d. A quality family experience for each patient
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ANS: D MK
Current maternity practice focuses on a high-
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quality family experience for all families, traditional or otherwise.
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DIF: Cognitive Level: Comprehension REF: p. 6
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OBJ: 5 TOP: The Present-Maternity Care
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KEY: Nursing Process Step: N/A MSC: NCLEX: Health Promot
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ion and Maintenance
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6. Who advocated the establishment of the Children‘s Bureau?
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a. Lillian Wald MK
b. Florence Nightingale MK
c. Florence Kelly MK
d. Clara Barton MK
ANS: A MK
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
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OBJ: 1 | 2 TOP: The PastMK MK MK MK M K MK
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. MK MK MK
ANS: C MK
School hot lunch programs were developed as a result of research by the Children‘s Bu
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reau on the effects of economic depression on children.
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DIF: Cognitive Level: Knowledge MK MK REF: MKMK p. 4 MK OBJ: 2 | 3 MK MK MK