Test Bank - Leifer’s Introduction to Maternity and Pediatric Nursing 10th Edition (Cooper, 2026)
TEST BANK
Leifer’s
Introduction to Maternity and Pediatric Nursing
Kim Cooper, Kelly Gosnell
10th Edition
, Test Bank - Leifer’s Introduction to Maternity and Pediatric Nursing 10th Edition (Cooper, 2026)
Table of Contents
UNIT I: AN OVERVIEW OF MATERNITY AND PEDIATRIC NURSING
1. The Past, Present, and Future
UNIT II: MATERNAL-NEWBORN NURSING AND WOMEN’S HEALTH
2. Human Reproductive Anatomy and Physiology
3. Fetal Development
4. Prenatal Care and Adaptations to Pregnancy
5. Nursing Care of Women With Complications During Pregnancy
6. Nursing Care of Mother and Infant During Labor and Birth
7. Nursing Management of Pain During Labor and Birth
8. Nursing Care of Women With Complications During Labor and Birth
9. The Family After Birth
10. Nursing Care of Women With Complications After Birth
11. The Nurse’s Role in Women’s Health Care
12. The Term Newborn
13. Preterm and Postterm Newborns
14. The Newborn With a Perinatal Injury or Congenital Malformation
UNIT III: THE GROWING CHILD AND FAMILY
15. An Overview of Growth, Development, and Nutrition
16. The Infant
17. The Toddler
18. The Preschool Child
19. The School-Age Child
20. The Adolescent
UNIT IV: ADAPTING CARE TO THE PEDIATRIC PATIENT
21. The Child’s Experience of Hospitalization
22. Health Care Adaptations for the Child and Family
UNIT V: The Child Needing Nursing Care
23. The Child With a Sensory or Neurological Condition
24. The Child With a Musculoskeletal Condition
25. The Child With a Respiratory Disorder
26. The Child With a Cardiovascular Disorder
27. The Child With a Condition of the Blood, Blood-Forming Organs, or Lymphatic System
28. The Child With a Gastrointestinal Condition
29. The Child With a Genitourinary Condition
30. The Child With a Skin Condition
31. The Child With a Metabolic Condition
32. Childhood Communicable Diseases, Bioterrorism, Natural Disasters, and the Maternal–Child Patient
33. The Child with an Emotional or Behavioral Condition
UNIT VI: The Changing Health Care Environment
34. Complementary and Alternative Therapies in Maternity and Pediatric Nursing
,Test Bank For Introduction to Maternity and Pediatric Nursing 10th Edi
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tion 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 [+
1. A patient chooses to have the certified nurse-
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midwife (CNM) provide care during herpregnancy. Wha
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t does the CNM‘s scope of practice include?
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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
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care, attends uncomplicated deliveries, and ensures that a
[+ [+ [+ [+ [+ [+ [+ [+
backup physician is available in case of unforeseen proble
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ms.
DIF: Cognitive Level: Comprehension [+ [+
REF: p. 6 [+ [+ [
OBJ: 5 + [+
TOP: Advance Practice Nursing Roles
[ + [+ [+ [+
KEY: Nursing Process Step: Implementation MS [+ [+ [+ [+ [+
C: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
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2. Which medical pioneer discovered the relationship between the incidence of puerperal feve
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
r and unwashed hands?
[+ [+ [+
a. Karl Credé [+
b. Ignaz Semmelweis [+
c. Louis Pasteur [+
d. Joseph Lister [+
ANS: B [ +
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [
+the unwashed hands of physicians and medical students.
[+ [+ [+ [+ [+ [+ [+
DIF: Cognitive Level: Knowledge REF: p. 2 [+ [+ [ + [+
OBJ: 1 TOP: The Past [+ [+ [ + [+
KEY: Nursing Process Step: N/A [+ [+ [+ [+
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 nurse
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, “I am afraid of childbirth. It is so dangerous. I am afraid I will die.” What is the best nursi
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ng response reflecting cultural sensitivity?
[+ [+ [+ [+
a. “Maternal mortality in the United States is extremely low.” [+ [+ [+ [+ [+ [+ [+ [+
b. “Anesthesia is available to relieve pain during labor and childbirth.” [+ [+ [+ [+ [+ [+ [+ [+ [+
c. “Tell me why you are afraid of childbirth.” [+ [+ [+ [+ [+ [+ [+
d. “Your condition will be monitored during labor and delivery.”
[+ [+ [+ [+ [+ [+ [+ [+
ANS: C [+
Asking the patient about her concerns helps promote understanding and individualizes patient c
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are.
DIF: Cognitive Level: Application [+ [+ REF: [+[+ pp. 6-8 [+ OBJ: 8 [+
TOP: Cross-Cultural Care [ + [+
KEY: Nursing Process Step: Implementation [+ [+ [+ [+
[+ MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
[+ [+ [+ [+ [+
,Test Bank For Introduction to Maternity and Pediatric Nursing
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ifer
4. An urban area has been reported to have a high perinatal mortality rate. What informatio
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n does this provide?
[+ [+ [+
a. Maternal and infant deaths per 100,000 live births per year [+ [+ [+ [+ [+ [+ [+ [+ [+
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 [+
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 1.6 OBJ: 9 TOP: The Present-
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Child Care [+
KEY: Nursing Process Step: Implementation
[+ [+ [+ [+
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
[+ [+ [+ [+ [+ [+ [+
5. What is the focus of current maternity practice?
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a. Hospital births for the majority of women [+ [+ [+ [+ [+ [+
b. The traditional family unit [+ [+ [+
c. Separation of labor rooms from delivery rooms [+ [+ [+ [+ [+ [+
d. A quality family experience for each patient
[+ [+ [+ [+ [+ [+
ANS: D [+
Current maternity practice focuses on a high-
[+ [+ [+ [+ [+ [+
quality family experience for all families, traditional or otherwise.
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DIF: Cognitive Level: Comprehension REF: p. 6 [+ [+ [ + [+
OBJ: 5 TOP: The Present-Maternity Care [+ [+ [ + [+ [+
KEY: Nursing Process Step: N/A MSC: NCLEX: Health Promotion a
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nd Maintenance
[+
6. Who advocated the establishment of the Children‘s Bureau?
[+ [+ [+ [+ [+ [+ [+
a. Lillian Wald [+
b. Florence Nightingale [+
c. Florence Kelly [+
d. Clara Barton [+
ANS: A [+
Lillian Wald is credited with suggesting the establishment of a federal Children‘s Bureau.
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
DIF: Cognitive Level: Knowledge REF: p. 4 [+ [+ [ + [+
OBJ: 1 | 2 TOP: The Past [+ [+ [+ [+ [ + [+
KEY: Nursing Process Step: Implementation [+ [+ [+ [+
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.
[+ [+ [+ [+ [+ [+ [+
d. Children‘s asylums were founded. [+ [+ [+
ANS: C [+
School hot lunch programs were developed as a result of research by the Children‘s Bureau on
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
the effects of economic depression on children.
[+ [+ [+ [+ [+ [+
DIF: Cognitive Level: Knowledge [+ [+ REF: [+[+ p. 4 [+ OBJ: 2 | 3 [+ [+ [+
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ifer
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 o
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+
f preschool children?
[+ [+
a. WIC
b. Title XIX of Medicaid [+ [+ [+
c. The Children‘s Charter [+ [+
d. Head Start [+
ANS: D [+
Head Start programs were established to increase educational exposure of preschool children.
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
DIF: Cognitive Level: Knowledge REF: p. 3 OBJ: 3 [+ [+ [+[+ [+ [+
TOP: Government Influences in Maternity and Pediatric Care
[ + [+ [+ [+ [+ [+ [+
KEY: Nursing Process Step: 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 an
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
d timeframe from different areas of care provision?
[+ [+ [+ [+ [+ [+ [+
a. Clinical pathways [+
b. Nursing outcome criteria [+ [+
c. Standards of care [+ [+
d. Nursing care plan [+ [+
ANS: A [+
Clinical pathways, also known as critical pathways or care maps, are collaborative guidelines
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [
that define patient care across disciplines. Expected progress within a specified timeline is i
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dentified.
DIF: Cognitive Level: Knowledge REF: p. 13 [+ [+ [ + [+
OBJ: 10 TOP: Health Care Delivery Systems [+ [+ [ + [+ [+ [+
KEY: Nursing Process Step: N/A MSC: NCLEX: Safe, Effective Car
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e Environment: Coordinated Care
[+ [+ [+
10. A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her mother
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, and collected admission data. What is the next step the student will take to develop a nursi
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ng care plan for this child?
[+ [+ [+ [+ [+
a. Identify measurable outcomes with a timeline. [+ [+ [+ [+ [+
b. Choose specific nursing interventions for the child.
[+ [+ [+ [+ [+ [+
c. Determine appropriate nursing diagnoses. [+ [+ [+
d. State nursing actions related to the child‘s medical diagnosis.
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ANS: C [+
The nurse uses assessment data to select appropriate nursing diagnoses. Outcomes and intervent
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ions are then developed to address the relevant nursing diagnoses.
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DIF: Cognitive Level: Application [+ [+ REF: [+[+ p. 12 [+ OBJ: 7 [+
TOP: Nursing Process [ + [+
KEY: Nursing Process Step: Nursing Diagnosis [+ [+ [+ [+ [+
[+ MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
[+ [+ [+ [+ [+ [+ [+
11. A nursing student on an obstetric rotation questions the floor nurse about the definition of th
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
e LVN/LPN scope of practice. What resource can the nurse suggest to the student?
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
a. American Nurses Association [+ [+
,Test Bank For Introduction to Maternity and Pediatric Nursing
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fer
b. State‘s Board of Nursing [+ [+ [+
c. Joint Commission [+
d. Association of Women‘s Health, Obstetric and Neonatal Nurses [+ [+ [+ [+ [+ [+ [+
ANS: B [+
The scope of practice of the LVN/LPN is published by the state‘s board of nursing.
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
DIF: Cognitive Level: Comprehension [+ [+ REF: [+[+ p. 16 [+ OBJ: 2 [+
TOP: Critical Thinking
[ + [+
KEY: Nursing Process Step: Implementation [+ [+ [+ [+
[+ MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
[+ [+ [+ [+ [+ [+ [+
12. What was recommended by Karl Credé in 1884?
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a. All women should be delivered in a hospital setting.
[+ [+ [+ [+ [+ [+ [+ [+
b. Chemical means should be used to combat infection. [+ [+ [+ [+ [+ [+ [+
c. Podalic version should be done on all fetuses. [+ [+ [+ [+ [+ [+ [+
d. Silver nitrate should be placed in the eyes of newborns.
[+ [+ [+ [+ [+ [+ [+ [+ [+
ANS: D [+
In 1884 Karl Credé recommended the use of 2% silver nitrate in the eyes of newborns to re
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duce the incidence of blindness.
[+ [+ [+ [+
DIF: Cognitive Level: Knowledge REF: p. 2 [+ [+ [ + [+
OBJ: 1 TOP: Use of Silver Nitrate [+ [+ [ + [+ [+ [+
KEY: Nursing Process Step: N/A [+ [+ [+ [+
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
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13. What is the purpose of the White House Conference on Children and Youth?
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a. Set criteria for normal growth patterns.
[+ [+ [+ [+ [+
b. Examine the number of live births in minority populations. [+ [+ [+ [+ [+ [+ [+ +
[
c. Raise money to support well-child clinics in rural areas.
[+ [+ [+ [+ [+ [+ [+ [+
d. Promote comprehensive child welfare. [+ [+ [+
ANS: D [+
White House Conferences on Children and Youth are held every 10 years to promote comprehe
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nsive child welfare.[+ [+
DIF: Cognitive Level: Knowledge REF: p. 4 [+ [+ [ + [+
OBJ: 2 TOP: White House Conferences [+ [+ [ + [+ [+
KEY: Nursing Process Step: N/A [+ [+ [+ [+
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
14. How many hours of hospital stay does legislation currently allow for a postpartum patien
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t who has delivered vaginally without complications?
[+ [+ [+ [+ [+ [+
a. 24
b. 48
c. 36
d. 72
ANS: B [+
Postpartum patients who deliver vaginally stay in the hospital for an average of 48 hours;
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patients who have had a cesarean delivery usually stay 4 days.
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DIF: Cognitive Level: Knowledge REF: p. 6 [+ [+ [ + [+
OBJ: 5 TOP: Hospital Terms for Postpartum Patients [+ [+ [+ [+ [+ [+ [+
KEY: Nursing Process Step: Planning
[+ [+ [+ [+
,Test Bank For Introduction to Maternity and Pediatric Nursing
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ifer
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
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15. How does the clinical pathway or critical pathway improve quality of care?
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a. Lists diagnosis-specific implementations
[+ [+
b. Outlines expected progress with stated timelines [+ [+ [+ [+ [+
c. Prioritizes effective nursing diagnoses [+ [+ [+
d. Describes common complications [+ [+
ANS: B [+
Critical pathways outline expected progress with stated timelines. Any deviation from those tim
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elines is called a variance.
[+ [+ [+ [+
DIF: Cognitive Level: Comprehension [+ [+ REF: [+[+ p. 13 [+ OBJ: 10 [+
TOP: Critical Pathway[ + [+
KEY: Nursing Process Step: Implementation [+ [+ [+ [+
[+ MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
[+ [+ [+ [+ [+ [+ [+
16. A patient asks the nurse to explain what is meant by “gene therapy.” What is the nurse‘s bes
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t response?
[+
a. Gene therapy can replace missing genes. [+ [+ [+ [+ [+
b. Gene therapy evaluates the parent‘s genes.[+ [+ [+ [+ [+
c. Gene therapy can change the sex of the fetus.
[+ [+ [+ [+ [+ [+ [+ [+
d. Gene therapy supports the regeneration of defective genes.
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ANS: A [+
Gene therapy can replace missing or defective genes.
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DIF: Cognitive Level: Knowledge [+ [+ REF: [+[+ p. 8 [+ OBJ: 5 [+
TOP: Gene Therapy [ + [+
KEY: Nursing Process Step: Implementation M [ + [+ [+ [+ [+
SC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
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17. The nurse is clarifying information to a patient regarding diagnosis-
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related groups (DRGs). What is the nurse‘s best response when the patient asks how DRGs r
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educe medical care costs? [+ [+ [+
a. By determining payment based on diagnosis
[+ [+ [+ [+ [+
b. By requiring two medical opinions to confirm a diagnosis
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c. By organizing HMOs [+ [+
d. By defining a person who will require hospitalization
[+ [+ [+ [+ [+ [+ [+
ANS: A [+
DRGs determine the amount of payment and length of hospital stay based on the diagnosis.
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DIF: Cognitive Level: Comprehension REF: p. 8 [+ [+ [ + [+
OBJ: 3 TOP: DRGs [+ [+ [ +
KEY: Nursing Process Step: Implementation MSC: NCLEX: Sa
[+ [+ [+ [+ [ + [+ [+
fe, Effective Care Environment: Coordinated Care
[+ [+ [+ [+ [+
18. How does electronic charting ensure comprehensive charting more effectively tha
[+ [+ [+ [+ [+ [+ [+ [+ [+
n handwritten charting?
[+ [+
a. Provides a uniform style of chart. [+ [+ [+ [+ [+
b. Requires certain responses before allowing the user to progress.
[+ [+ [+ [+ [+ [+ [+ [+
c. All documentation is reflective of the nursing care plan.
[+ [+ [+ [+ [+ [+ [+ [+
d. Requires a daily audit by the charge nurse. [+ [+ [+ [+ [+ [+ [+
ANS: B [+
,Test Bank For Introduction to Maternity and Pediatric Nursing
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Comprehensive electronic documentation is ensured by requiring specific input in designated ca
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tegories before the user can progress through the system.
[+ [+ [+ [+ [+ [+ [+ [+
DIF: Cognitive Level: Comprehension [+ [+ REF: [+[+ pp. 16-17 [+ OBJ: 12 [+
TOP: Computer Charting [ + [+
KEY: Nursing Process Step: Implementation [+ [+ [+ [+
[+ MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
[+ [+ [+ [+ [+ [+ [+
19. The nurse reminds family members that the philosophy of family-
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centered care is to provide control to the family over health care decisions. What is the app
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ropriate term for this type of control?
[+ [+ [+ [+ [+ [+
a. Empowerment
b. Insight
c. Regulation
d. Organization
ANS: A [+
The term empowerment refers to the control a family has over its own health care decisions.
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
DIF: Cognitive Level: Knowledge [+ [+ REF: [+[+ p. 1 [+ OBJ: 13 [+
TOP: Empowerment [ +
KEY: Nursing Process Step: Implementation [+ [+ [+ [+
[+ MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
[+ [+ [+ [+ [+ [+ [+
20. A patient in the prenatal clinic is concerned about losing her job because of her pregnancy.
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [
The nurse instructs her that the Family Medical Leave Act (FMLA) allows an employee to b
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e absent from work without pay. How many weeks does the FMLA allow a woman to reco
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ver from childbirth or care for a sick family member without loss of benefits or pay status?
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
a. 4
b. 6
c. 10
d. 12
ANS: D [+
The FMLA allows for employees to leave work for up to 12 weeks to recover from childbirth
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or to care for an ill family member without losing benefits or pay status.
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DIF: Cognitive Level: Knowledge REF: p. 3 [+ [+ [ + [+
OBJ: 5 TOP: FMLA [+ [+ [ +
KEY: Nursing Process Step: Implementation MSC: NCLEX: Ps
[+ [+ [+ [+ [ + [+ [+
ychosocial Integrity: Coping and Adaptation [+ [+ [+ [+
21. What term appropriately describes the nurse who is able to adapt health care practices to mee
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
t the needs of various cultures?
[+ [+ [+ [+ [+
a. Culturally aware [+
b. Culturally sensitive [+
c. Culturally competent [+
d. Culturally adaptive [+
ANS: C [+
The nurse who is able to adapt health care to meet the needs of various cultures is said to be cul
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
turally competent. [+
DIF: Cognitive Level: Knowledge REF: [+ [+ [ + p. 6 [+
OBJ: 6 TOP: Cultural Competency
[+ [+ [ + [+
KEY: Nursing Process Step: N/A
[+ [+ [+ [+
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fer
MSC: NCLEX: N/A [+ [+
22. What is one major advantage to the application of critical thinking?
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+
a. Problem-free care [+
b. Limitation of approaches to care [+ [+ [+ [+
c. Decreased need for assessment [+ [+ [+
d. Problem prevention [+
ANS: D [+
Critical thinking results in problem prevention in designing nursing care.
[+ [+ [+ [+ [+ [+ [+ [+ [+
DIF: Cognitive Level: Comprehension REF: p. 15 [+ [+ [ + [+
OBJ: 11 TOP: Critical Thinking
[+ [+ [ + [+
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
[+ [+ [+ [+ [+ [+ [+
MULTIPLE RESPONSE [+
1. What services are birthing centers able to provide? (Select all that apply.)
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
a. Prenatal care [+
b. Labor and delivery services [+ [+ [+
c. Classes for new mothers [+ [+ [+
d. Adoption referrals [+
e. Family planning [+
ANS: A, B, C, E [+ [+ [+ [+
Birthing centers are capable of providing full-
[+ [+ [+ [+ [+ [+
service obstetric care, classes for new mothers, and family planning. Birthing centers do not
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
offer adoption services.
[+ [+
DIF: Cognitive Level: Comprehension [+ [+ REF: [+[+ p. 6 [+ OBJ: 5 [+
TOP: Birthing Centers[ + [+
KEY: Nursing Process Step: Implementation [+ [+ [+ [+
[+ MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care
[+ [+ [+ [+ [+ [+ [+
2. What developments in the early 20th century encouraged women to seek hospitalization fo
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
r childbirth? (Select all that apply.)
[+ [+ [+ [+ [+
a. Use of specialized obstetric instruments
[+ [+ [+ [+
b. Use of anesthesia [+ [+
c. Physicians‘ closer relationships with hospitals [+ [+ [+ [+
d. Focus on family-centered care [+ [+ [+
e. Insurance coverage [+
ANS: A, B, C [+ [+ [+
In the early 1900s, the development of specialized obstetric instruments, better modes of anest
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
hesia, and the physician‘s reliance on hospital services were instrumental in encouraging wome
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
n to seek hospitalization for childbirth.
[+ [+ [+ [+ [+
DIF: Cognitive Level: Comprehension [+ [+ REF: [+[+ pp. 2-3 [+ OBJ: 5 [+
TOP: Hospitalization for Childbirth
[ + [+ [+
KEY: Nursing Process Step: Implementation [+ [+ [+ [+
[+ MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
[+ [+ [+ [+ [+ [+ [+ [+ [+
3. What non–family-centered policies were prevalent in the 1960s? (Select all that apply.)
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
a. Waiting room for fathers [+ [+ [+
b. Sedation of mother during labor [+ [+ [+ [+
, Test Bank For Introduction to Maternity and Pediatric Nursing
[+ [+ [+ [+ [+ [+ [+ [+ [+ 10th Edition Lei [+ [+ 8
fer
c. Delay of reunion of mother and infant [+ [+ [+ [+ [+ [+
d. Lenient visiting hours [+ [+
e. Restrictions of visitations by minor children [+ [+ [+ [+ [+
ANS: A, B, C, E [+ [+ [+ [+
Hospital policies in the 1960s provided a separate waiting room for fathers while the mother
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [
went through labor in a sedated state. The reunion of mother and infant was delayed for se
+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
veral hours because of the sedation. Visiting hours were rigid and disallowed the visitation of
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
minor children.
[+ [+
DIF: Cognitive Level: Comprehension [+ [+ REF: [+[+ p. 3 [+ OBJ: 5 [+
TOP: Non–Family-Centered Practices
[ + [+
KEY: Nursing Process Step: Implementation [+ [+ [+ [+
[+ MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
[+ [+ [+ [+ [+ [+ [+ [+ [+
4. The nurse is aware that there is a legal responsibility to report certain diseases and condition
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
s to county or state health authorities. Which would be included? (Select all that apply.)
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
a. Tuberculosis
b. Child abuse [+
c. Industrial accidents [+
d. Sexually transmitted diseases [+ [+
e. Foodborne infections [+
ANS: A, B, D, E [+ [+ [+ [+
The nurse has a legal responsibility to report communicable diseases (such as tuberculosis and s
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
exually transmitted diseases), foodborne infections, child abuse, and threats of suicide.
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+
DIF: Cognitive Level: Comprehension [+ [+
REF: p. 4 | Legal and Ethical Considerations Box OBJ: 4
[+ [+ [+ [+ [+ [+ [+ [+ [+ [ +
TOP: Reportable Diseases [+ [+
KEY: Nursing Process Step: Planning
[+ [+ [+ [+
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
[+ [+ [+ [+ [+ [+ [+ [+ [+
5. Practical nursing students are using critical thinking skills to study for an upcoming test. Wha
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
t will these students include when studying? (Select all that apply.)
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+
a. Memorization of facts first [+ [+ [+
b. Prioritizing information [+
c. Relating facts to other facts [+ [+ [+ [+
d. Making assumptions [+
e. Reviewing before the test [+ [+ [+
ANS: B, C, E [+ [+ [+
Using critical thinking when studying involves understanding facts before memorizing, prioriti
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+
zing information to be memorized, relating facts to other facts, using all five senses, reviewing
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [
before tests, and reading critically. Critical thinking does not involve assumption as does gener
+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
al thinking.
[+
DIF: Cognitive Level: Comprehension [+ [+ REF: [+[+ p. 16 [+ OBJ: 8 [+
TOP: Critical Thinking
[ + [+
KEY: Nursing Process Step: Evaluation [+ [+ [+ [+
[+ MSC: NCLEX: Safe, Effective Care Environment
[+ [+ [+ [+ [+
6. What factors have played a role in meeting the goals of Healthy People 2030 as it relates t
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
he goals for outcomes of pregnancy? (Select all that apply.)
[+ [+ [+ [+ [+ [+ [+ [+ [+
a. Early prenatal care [+ [+
TEST BANK
Leifer’s
Introduction to Maternity and Pediatric Nursing
Kim Cooper, Kelly Gosnell
10th Edition
, Test Bank - Leifer’s Introduction to Maternity and Pediatric Nursing 10th Edition (Cooper, 2026)
Table of Contents
UNIT I: AN OVERVIEW OF MATERNITY AND PEDIATRIC NURSING
1. The Past, Present, and Future
UNIT II: MATERNAL-NEWBORN NURSING AND WOMEN’S HEALTH
2. Human Reproductive Anatomy and Physiology
3. Fetal Development
4. Prenatal Care and Adaptations to Pregnancy
5. Nursing Care of Women With Complications During Pregnancy
6. Nursing Care of Mother and Infant During Labor and Birth
7. Nursing Management of Pain During Labor and Birth
8. Nursing Care of Women With Complications During Labor and Birth
9. The Family After Birth
10. Nursing Care of Women With Complications After Birth
11. The Nurse’s Role in Women’s Health Care
12. The Term Newborn
13. Preterm and Postterm Newborns
14. The Newborn With a Perinatal Injury or Congenital Malformation
UNIT III: THE GROWING CHILD AND FAMILY
15. An Overview of Growth, Development, and Nutrition
16. The Infant
17. The Toddler
18. The Preschool Child
19. The School-Age Child
20. The Adolescent
UNIT IV: ADAPTING CARE TO THE PEDIATRIC PATIENT
21. The Child’s Experience of Hospitalization
22. Health Care Adaptations for the Child and Family
UNIT V: The Child Needing Nursing Care
23. The Child With a Sensory or Neurological Condition
24. The Child With a Musculoskeletal Condition
25. The Child With a Respiratory Disorder
26. The Child With a Cardiovascular Disorder
27. The Child With a Condition of the Blood, Blood-Forming Organs, or Lymphatic System
28. The Child With a Gastrointestinal Condition
29. The Child With a Genitourinary Condition
30. The Child With a Skin Condition
31. The Child With a Metabolic Condition
32. Childhood Communicable Diseases, Bioterrorism, Natural Disasters, and the Maternal–Child Patient
33. The Child with an Emotional or Behavioral Condition
UNIT VI: The Changing Health Care Environment
34. Complementary and Alternative Therapies in Maternity and Pediatric Nursing
,Test Bank For Introduction to Maternity and Pediatric Nursing 10th Edi
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ 1
tion Chapter 01: The Past, Present, and Future
[+ [+ [+ [+ [+ [+
Leifer: Introduction to Maternity and Pediatric Nursing, 10th Edition
[+ [+ [+ [+ [+ [+ [+ [+
MULTIPLE CHOICE [+
1. A patient chooses to have the certified nurse-
[+ [+ [+ [+ [+ [+ [+
midwife (CNM) provide care during herpregnancy. Wha
[+ [+ [+ [+ [+ [+
t does the CNM‘s 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 uncomplicated deliveries, and ensures that a
[+ [+ [+ [+ [+ [+ [+ [+
backup physician is available in case of unforeseen proble
[+ [+ [+ [+ [+ [+ [+ [+
ms.
DIF: Cognitive Level: Comprehension [+ [+
REF: p. 6 [+ [+ [
OBJ: 5 + [+
TOP: Advance Practice Nursing Roles
[ + [+ [+ [+
KEY: Nursing Process Step: Implementation MS [+ [+ [+ [+ [+
C: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
2. Which medical pioneer discovered the relationship between the incidence of puerperal feve
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
r and unwashed hands?
[+ [+ [+
a. Karl Credé [+
b. Ignaz Semmelweis [+
c. Louis Pasteur [+
d. Joseph Lister [+
ANS: B [ +
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [
+the unwashed hands of physicians and medical students.
[+ [+ [+ [+ [+ [+ [+
DIF: Cognitive Level: Knowledge REF: p. 2 [+ [+ [ + [+
OBJ: 1 TOP: The Past [+ [+ [ + [+
KEY: Nursing Process Step: N/A [+ [+ [+ [+
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
[+ [+ [+ [+ [+ [+ [+ [+ [+
3. A pregnant woman who has recently immigrated to the United States comments to the nurse
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
, “I am afraid of childbirth. It is so dangerous. I am afraid I will die.” What is the best nursi
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
ng response reflecting cultural sensitivity?
[+ [+ [+ [+
a. “Maternal mortality in the United States is extremely low.” [+ [+ [+ [+ [+ [+ [+ [+
b. “Anesthesia is available to relieve pain during labor and childbirth.” [+ [+ [+ [+ [+ [+ [+ [+ [+
c. “Tell me why you are afraid of childbirth.” [+ [+ [+ [+ [+ [+ [+
d. “Your condition will be monitored during labor and delivery.”
[+ [+ [+ [+ [+ [+ [+ [+
ANS: C [+
Asking the patient about her concerns helps promote understanding and individualizes patient c
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
are.
DIF: Cognitive Level: Application [+ [+ REF: [+[+ pp. 6-8 [+ OBJ: 8 [+
TOP: Cross-Cultural Care [ + [+
KEY: Nursing Process Step: Implementation [+ [+ [+ [+
[+ MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
[+ [+ [+ [+ [+
,Test Bank For Introduction to Maternity and Pediatric Nursing
[+ [+ [+ [+ [+ [+ [+ [+ [+ 10th Edition Le [+ [+ 4
ifer
4. An urban area has been reported to have a high perinatal mortality rate. What informatio
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
n does this provide?
[+ [+ [+
a. Maternal and infant deaths per 100,000 live births per year [+ [+ [+ [+ [+ [+ [+ [+ [+
b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
c. Deaths of infants up to 1 year of age per 1000 live births per year
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
d. Fetal and neonatal deaths per 1000 live births per year
[+ [+ [+ [+ [+ [+ [+ [+ [+
ANS: D [+
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
DIF: Cognitive Level: Comprehension [+ [+
REF: p. 13 | Box 1.6 OBJ: 9 TOP: The Present-
[+ [+ [+ [+ [+ [+ [ + [+ [+
Child Care [+
KEY: Nursing Process Step: Implementation
[+ [+ [+ [+
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
[+ [+ [+ [+ [+ [+ [+
5. What is the focus of current maternity practice?
[+ [+ [+ [+ [+ [+ [+
a. Hospital births for the majority of women [+ [+ [+ [+ [+ [+
b. The traditional family unit [+ [+ [+
c. Separation of labor rooms from delivery rooms [+ [+ [+ [+ [+ [+
d. A quality family experience for each patient
[+ [+ [+ [+ [+ [+
ANS: D [+
Current maternity practice focuses on a high-
[+ [+ [+ [+ [+ [+
quality family experience for all families, traditional or otherwise.
[+ [+ [+ [+ [+ [+ [+ [+
DIF: Cognitive Level: Comprehension REF: p. 6 [+ [+ [ + [+
OBJ: 5 TOP: The Present-Maternity Care [+ [+ [ + [+ [+
KEY: Nursing Process Step: N/A MSC: NCLEX: Health Promotion a
[+ [+ [+ [+ [+ [+ [+ [+ [+
nd Maintenance
[+
6. Who advocated the establishment of the Children‘s Bureau?
[+ [+ [+ [+ [+ [+ [+
a. Lillian Wald [+
b. Florence Nightingale [+
c. Florence Kelly [+
d. Clara Barton [+
ANS: A [+
Lillian Wald is credited with suggesting the establishment of a federal Children‘s Bureau.
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
DIF: Cognitive Level: Knowledge REF: p. 4 [+ [+ [ + [+
OBJ: 1 | 2 TOP: The Past [+ [+ [+ [+ [ + [+
KEY: Nursing Process Step: Implementation [+ [+ [+ [+
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
[+ [+ [+ [+ [+ [+ [+ [+
7. What was the result of research done in the 1930s by the Children‘s Bureau?
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
a. Children with heart problems are now cared for by pediatric cardiologists.
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+
b. The Child Abuse and Prevention Act was passed.
[+ [+ [+ [+ [+ [+ [+
c. Hot lunch programs were established in many schools.
[+ [+ [+ [+ [+ [+ [+
d. Children‘s asylums were founded. [+ [+ [+
ANS: C [+
School hot lunch programs were developed as a result of research by the Children‘s Bureau on
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
the effects of economic depression on children.
[+ [+ [+ [+ [+ [+
DIF: Cognitive Level: Knowledge [+ [+ REF: [+[+ p. 4 [+ OBJ: 2 | 3 [+ [+ [+
,Test Bank For Introduction to Maternity and Pediatric Nursing
[+ [+ [+ [+ [+ [+ [+ [+ 10th Edition Le
[+ [+ [+ 3
ifer
TOP: The Past KEY: Nursing Process Step: N/A
[ + [+ [+ [+ [+ [+
MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care
[+ [+ [+ [+ [+ [+ [+
8. What government program was implemented to increase the educational exposure o
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+
f preschool children?
[+ [+
a. WIC
b. Title XIX of Medicaid [+ [+ [+
c. The Children‘s Charter [+ [+
d. Head Start [+
ANS: D [+
Head Start programs were established to increase educational exposure of preschool children.
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
DIF: Cognitive Level: Knowledge REF: p. 3 OBJ: 3 [+ [+ [+[+ [+ [+
TOP: Government Influences in Maternity and Pediatric Care
[ + [+ [+ [+ [+ [+ [+
KEY: Nursing Process Step: N/A [+ [+ [+ [+
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
[+ [+ [+ [+ [+ [+ [+ [+ [+
9. What guidelines define multidisciplinary patient care in terms of expected outcome an
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
d timeframe from different areas of care provision?
[+ [+ [+ [+ [+ [+ [+
a. Clinical pathways [+
b. Nursing outcome criteria [+ [+
c. Standards of care [+ [+
d. Nursing care plan [+ [+
ANS: A [+
Clinical pathways, also known as critical pathways or care maps, are collaborative guidelines
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [
that define patient care across disciplines. Expected progress within a specified timeline is i
+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
dentified.
DIF: Cognitive Level: Knowledge REF: p. 13 [+ [+ [ + [+
OBJ: 10 TOP: Health Care Delivery Systems [+ [+ [ + [+ [+ [+
KEY: Nursing Process Step: N/A MSC: NCLEX: Safe, Effective Car
[+ [+ [+ [+ [+ [+ [+ [+ [+
e Environment: Coordinated Care
[+ [+ [+
10. A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her mother
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
, and collected admission data. What is the next step the student will take to develop a nursi
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
ng care plan for this child?
[+ [+ [+ [+ [+
a. Identify measurable outcomes with a timeline. [+ [+ [+ [+ [+
b. Choose specific nursing interventions for the child.
[+ [+ [+ [+ [+ [+
c. Determine appropriate nursing diagnoses. [+ [+ [+
d. State nursing actions related to the child‘s medical diagnosis.
[+ [+ [+ [+ [+ [+ [+ [+
ANS: C [+
The nurse uses assessment data to select appropriate nursing diagnoses. Outcomes and intervent
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
ions are then developed to address the relevant nursing diagnoses.
[+ [+ [+ [+ [+ [+ [+ [+ [+
DIF: Cognitive Level: Application [+ [+ REF: [+[+ p. 12 [+ OBJ: 7 [+
TOP: Nursing Process [ + [+
KEY: Nursing Process Step: Nursing Diagnosis [+ [+ [+ [+ [+
[+ MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
[+ [+ [+ [+ [+ [+ [+
11. A nursing student on an obstetric rotation questions the floor nurse about the definition of th
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
e LVN/LPN scope of practice. What resource can the nurse suggest to the student?
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
a. American Nurses Association [+ [+
,Test Bank For Introduction to Maternity and Pediatric Nursing
[+ [+ [+ [+ [+ [+ [+ [+ [+ 10th Edition Lei [+ [+ 4
fer
b. State‘s Board of Nursing [+ [+ [+
c. Joint Commission [+
d. Association of Women‘s Health, Obstetric and Neonatal Nurses [+ [+ [+ [+ [+ [+ [+
ANS: B [+
The scope of practice of the LVN/LPN is published by the state‘s board of nursing.
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
DIF: Cognitive Level: Comprehension [+ [+ REF: [+[+ p. 16 [+ OBJ: 2 [+
TOP: Critical Thinking
[ + [+
KEY: Nursing Process Step: Implementation [+ [+ [+ [+
[+ MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
[+ [+ [+ [+ [+ [+ [+
12. What was recommended by Karl Credé in 1884?
[+ [+ [+ [+ [+ [+ [+
a. All women should be delivered in a hospital setting.
[+ [+ [+ [+ [+ [+ [+ [+
b. Chemical means should be used to combat infection. [+ [+ [+ [+ [+ [+ [+
c. Podalic version should be done on all fetuses. [+ [+ [+ [+ [+ [+ [+
d. Silver nitrate should be placed in the eyes of newborns.
[+ [+ [+ [+ [+ [+ [+ [+ [+
ANS: D [+
In 1884 Karl Credé recommended the use of 2% silver nitrate in the eyes of newborns to re
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
duce the incidence of blindness.
[+ [+ [+ [+
DIF: Cognitive Level: Knowledge REF: p. 2 [+ [+ [ + [+
OBJ: 1 TOP: Use of Silver Nitrate [+ [+ [ + [+ [+ [+
KEY: Nursing Process Step: N/A [+ [+ [+ [+
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
13. What is the purpose of the White House Conference on Children and Youth?
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
a. Set criteria for normal growth patterns.
[+ [+ [+ [+ [+
b. Examine the number of live births in minority populations. [+ [+ [+ [+ [+ [+ [+ +
[
c. Raise money to support well-child clinics in rural areas.
[+ [+ [+ [+ [+ [+ [+ [+
d. Promote comprehensive child welfare. [+ [+ [+
ANS: D [+
White House Conferences on Children and Youth are held every 10 years to promote comprehe
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
nsive child welfare.[+ [+
DIF: Cognitive Level: Knowledge REF: p. 4 [+ [+ [ + [+
OBJ: 2 TOP: White House Conferences [+ [+ [ + [+ [+
KEY: Nursing Process Step: N/A [+ [+ [+ [+
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
14. How many hours of hospital stay does legislation currently allow for a postpartum patien
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
t who has delivered vaginally without complications?
[+ [+ [+ [+ [+ [+
a. 24
b. 48
c. 36
d. 72
ANS: B [+
Postpartum patients who deliver vaginally stay in the hospital for an average of 48 hours;
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
patients who have had a cesarean delivery usually stay 4 days.
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+
DIF: Cognitive Level: Knowledge REF: p. 6 [+ [+ [ + [+
OBJ: 5 TOP: Hospital Terms for Postpartum Patients [+ [+ [+ [+ [+ [+ [+
KEY: Nursing Process Step: Planning
[+ [+ [+ [+
,Test Bank For Introduction to Maternity and Pediatric Nursing
[+ [+ [+ [+ [+ [+ [+ [+ [+ 10th Edition Le [+ [+ 5
ifer
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
15. How does the clinical pathway or critical pathway improve quality of care?
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
a. Lists diagnosis-specific implementations
[+ [+
b. Outlines expected progress with stated timelines [+ [+ [+ [+ [+
c. Prioritizes effective nursing diagnoses [+ [+ [+
d. Describes common complications [+ [+
ANS: B [+
Critical pathways outline expected progress with stated timelines. Any deviation from those tim
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
elines is called a variance.
[+ [+ [+ [+
DIF: Cognitive Level: Comprehension [+ [+ REF: [+[+ p. 13 [+ OBJ: 10 [+
TOP: Critical Pathway[ + [+
KEY: Nursing Process Step: Implementation [+ [+ [+ [+
[+ MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
[+ [+ [+ [+ [+ [+ [+
16. A patient asks the nurse to explain what is meant by “gene therapy.” What is the nurse‘s bes
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
t response?
[+
a. Gene therapy can replace missing genes. [+ [+ [+ [+ [+
b. Gene therapy evaluates the parent‘s genes.[+ [+ [+ [+ [+
c. Gene therapy can change the sex of the fetus.
[+ [+ [+ [+ [+ [+ [+ [+
d. Gene therapy supports the regeneration of defective genes.
[+ [+ [+ [+ [+ [+ [+
ANS: A [+
Gene therapy can replace missing or defective genes.
[+ [+ [+ [+ [+ [+ [+
DIF: Cognitive Level: Knowledge [+ [+ REF: [+[+ p. 8 [+ OBJ: 5 [+
TOP: Gene Therapy [ + [+
KEY: Nursing Process Step: Implementation M [ + [+ [+ [+ [+
SC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
17. The nurse is clarifying information to a patient regarding diagnosis-
[+ [+ [+ [+ [+ [+ [+ [+ [+
related groups (DRGs). What is the nurse‘s best response when the patient asks how DRGs r
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
educe medical care costs? [+ [+ [+
a. By determining payment based on diagnosis
[+ [+ [+ [+ [+
b. By requiring two medical opinions to confirm a diagnosis
[+ [+ [+ [+ [+ [+ [+ [+
c. By organizing HMOs [+ [+
d. By defining a person who will require hospitalization
[+ [+ [+ [+ [+ [+ [+
ANS: A [+
DRGs determine the amount of payment and length of hospital stay based on the diagnosis.
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
DIF: Cognitive Level: Comprehension REF: p. 8 [+ [+ [ + [+
OBJ: 3 TOP: DRGs [+ [+ [ +
KEY: Nursing Process Step: Implementation MSC: NCLEX: Sa
[+ [+ [+ [+ [ + [+ [+
fe, Effective Care Environment: Coordinated Care
[+ [+ [+ [+ [+
18. How does electronic charting ensure comprehensive charting more effectively tha
[+ [+ [+ [+ [+ [+ [+ [+ [+
n handwritten charting?
[+ [+
a. Provides a uniform style of chart. [+ [+ [+ [+ [+
b. Requires certain responses before allowing the user to progress.
[+ [+ [+ [+ [+ [+ [+ [+
c. All documentation is reflective of the nursing care plan.
[+ [+ [+ [+ [+ [+ [+ [+
d. Requires a daily audit by the charge nurse. [+ [+ [+ [+ [+ [+ [+
ANS: B [+
,Test Bank For Introduction to Maternity and Pediatric Nursing
[+ [+ [+ [+ [+ [+ [+ [+ 10th Edition Lei
[+ [+ [+ 6
fer
Comprehensive electronic documentation is ensured by requiring specific input in designated ca
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
tegories before the user can progress through the system.
[+ [+ [+ [+ [+ [+ [+ [+
DIF: Cognitive Level: Comprehension [+ [+ REF: [+[+ pp. 16-17 [+ OBJ: 12 [+
TOP: Computer Charting [ + [+
KEY: Nursing Process Step: Implementation [+ [+ [+ [+
[+ MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
[+ [+ [+ [+ [+ [+ [+
19. The nurse reminds family members that the philosophy of family-
[+ [+ [+ [+ [+ [+ [+ [+ [+
centered care is to provide control to the family over health care decisions. What is the app
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
ropriate term for this type of control?
[+ [+ [+ [+ [+ [+
a. Empowerment
b. Insight
c. Regulation
d. Organization
ANS: A [+
The term empowerment refers to the control a family has over its own health care decisions.
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
DIF: Cognitive Level: Knowledge [+ [+ REF: [+[+ p. 1 [+ OBJ: 13 [+
TOP: Empowerment [ +
KEY: Nursing Process Step: Implementation [+ [+ [+ [+
[+ MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
[+ [+ [+ [+ [+ [+ [+
20. A patient in the prenatal clinic is concerned about losing her job because of her pregnancy.
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [
The nurse instructs her that the Family Medical Leave Act (FMLA) allows an employee to b
+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
e absent from work without pay. How many weeks does the FMLA allow a woman to reco
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
ver from childbirth or care for a sick family member without loss of benefits or pay status?
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
a. 4
b. 6
c. 10
d. 12
ANS: D [+
The FMLA allows for employees to leave work for up to 12 weeks to recover from childbirth
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
or to care for an ill family member without losing benefits or pay status.
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
DIF: Cognitive Level: Knowledge REF: p. 3 [+ [+ [ + [+
OBJ: 5 TOP: FMLA [+ [+ [ +
KEY: Nursing Process Step: Implementation MSC: NCLEX: Ps
[+ [+ [+ [+ [ + [+ [+
ychosocial Integrity: Coping and Adaptation [+ [+ [+ [+
21. What term appropriately describes the nurse who is able to adapt health care practices to mee
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
t the needs of various cultures?
[+ [+ [+ [+ [+
a. Culturally aware [+
b. Culturally sensitive [+
c. Culturally competent [+
d. Culturally adaptive [+
ANS: C [+
The nurse who is able to adapt health care to meet the needs of various cultures is said to be cul
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
turally competent. [+
DIF: Cognitive Level: Knowledge REF: [+ [+ [ + p. 6 [+
OBJ: 6 TOP: Cultural Competency
[+ [+ [ + [+
KEY: Nursing Process Step: N/A
[+ [+ [+ [+
,Test Bank For Introduction to Maternity and Pediatric Nursing
[+ [+ [+ [+ [+ [+ [+ [+ [+ 10th Edition Lei [+ [+ 7
fer
MSC: NCLEX: N/A [+ [+
22. What is one major advantage to the application of critical thinking?
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+
a. Problem-free care [+
b. Limitation of approaches to care [+ [+ [+ [+
c. Decreased need for assessment [+ [+ [+
d. Problem prevention [+
ANS: D [+
Critical thinking results in problem prevention in designing nursing care.
[+ [+ [+ [+ [+ [+ [+ [+ [+
DIF: Cognitive Level: Comprehension REF: p. 15 [+ [+ [ + [+
OBJ: 11 TOP: Critical Thinking
[+ [+ [ + [+
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
[+ [+ [+ [+ [+ [+ [+
MULTIPLE RESPONSE [+
1. What services are birthing centers able to provide? (Select all that apply.)
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
a. Prenatal care [+
b. Labor and delivery services [+ [+ [+
c. Classes for new mothers [+ [+ [+
d. Adoption referrals [+
e. Family planning [+
ANS: A, B, C, E [+ [+ [+ [+
Birthing centers are capable of providing full-
[+ [+ [+ [+ [+ [+
service obstetric care, classes for new mothers, and family planning. Birthing centers do not
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
offer adoption services.
[+ [+
DIF: Cognitive Level: Comprehension [+ [+ REF: [+[+ p. 6 [+ OBJ: 5 [+
TOP: Birthing Centers[ + [+
KEY: Nursing Process Step: Implementation [+ [+ [+ [+
[+ MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care
[+ [+ [+ [+ [+ [+ [+
2. What developments in the early 20th century encouraged women to seek hospitalization fo
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
r childbirth? (Select all that apply.)
[+ [+ [+ [+ [+
a. Use of specialized obstetric instruments
[+ [+ [+ [+
b. Use of anesthesia [+ [+
c. Physicians‘ closer relationships with hospitals [+ [+ [+ [+
d. Focus on family-centered care [+ [+ [+
e. Insurance coverage [+
ANS: A, B, C [+ [+ [+
In the early 1900s, the development of specialized obstetric instruments, better modes of anest
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
hesia, and the physician‘s reliance on hospital services were instrumental in encouraging wome
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
n to seek hospitalization for childbirth.
[+ [+ [+ [+ [+
DIF: Cognitive Level: Comprehension [+ [+ REF: [+[+ pp. 2-3 [+ OBJ: 5 [+
TOP: Hospitalization for Childbirth
[ + [+ [+
KEY: Nursing Process Step: Implementation [+ [+ [+ [+
[+ MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
[+ [+ [+ [+ [+ [+ [+ [+ [+
3. What non–family-centered policies were prevalent in the 1960s? (Select all that apply.)
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
a. Waiting room for fathers [+ [+ [+
b. Sedation of mother during labor [+ [+ [+ [+
, Test Bank For Introduction to Maternity and Pediatric Nursing
[+ [+ [+ [+ [+ [+ [+ [+ [+ 10th Edition Lei [+ [+ 8
fer
c. Delay of reunion of mother and infant [+ [+ [+ [+ [+ [+
d. Lenient visiting hours [+ [+
e. Restrictions of visitations by minor children [+ [+ [+ [+ [+
ANS: A, B, C, E [+ [+ [+ [+
Hospital policies in the 1960s provided a separate waiting room for fathers while the mother
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [
went through labor in a sedated state. The reunion of mother and infant was delayed for se
+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
veral hours because of the sedation. Visiting hours were rigid and disallowed the visitation of
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
minor children.
[+ [+
DIF: Cognitive Level: Comprehension [+ [+ REF: [+[+ p. 3 [+ OBJ: 5 [+
TOP: Non–Family-Centered Practices
[ + [+
KEY: Nursing Process Step: Implementation [+ [+ [+ [+
[+ MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
[+ [+ [+ [+ [+ [+ [+ [+ [+
4. The nurse is aware that there is a legal responsibility to report certain diseases and condition
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
s to county or state health authorities. Which would be included? (Select all that apply.)
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
a. Tuberculosis
b. Child abuse [+
c. Industrial accidents [+
d. Sexually transmitted diseases [+ [+
e. Foodborne infections [+
ANS: A, B, D, E [+ [+ [+ [+
The nurse has a legal responsibility to report communicable diseases (such as tuberculosis and s
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
exually transmitted diseases), foodborne infections, child abuse, and threats of suicide.
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+
DIF: Cognitive Level: Comprehension [+ [+
REF: p. 4 | Legal and Ethical Considerations Box OBJ: 4
[+ [+ [+ [+ [+ [+ [+ [+ [+ [ +
TOP: Reportable Diseases [+ [+
KEY: Nursing Process Step: Planning
[+ [+ [+ [+
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
[+ [+ [+ [+ [+ [+ [+ [+ [+
5. Practical nursing students are using critical thinking skills to study for an upcoming test. Wha
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
t will these students include when studying? (Select all that apply.)
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+
a. Memorization of facts first [+ [+ [+
b. Prioritizing information [+
c. Relating facts to other facts [+ [+ [+ [+
d. Making assumptions [+
e. Reviewing before the test [+ [+ [+
ANS: B, C, E [+ [+ [+
Using critical thinking when studying involves understanding facts before memorizing, prioriti
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+
zing information to be memorized, relating facts to other facts, using all five senses, reviewing
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [
before tests, and reading critically. Critical thinking does not involve assumption as does gener
+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
al thinking.
[+
DIF: Cognitive Level: Comprehension [+ [+ REF: [+[+ p. 16 [+ OBJ: 8 [+
TOP: Critical Thinking
[ + [+
KEY: Nursing Process Step: Evaluation [+ [+ [+ [+
[+ MSC: NCLEX: Safe, Effective Care Environment
[+ [+ [+ [+ [+
6. What factors have played a role in meeting the goals of Healthy People 2030 as it relates t
[+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+ [+
he goals for outcomes of pregnancy? (Select all that apply.)
[+ [+ [+ [+ [+ [+ [+ [+ [+
a. Early prenatal care [+ [+
