Test Bank For Introduction to Maternity and Pediatric Nursing, 9th Edition, By Gloria Leifer, All Chapters 1-34

TEST BANK bv




Test Bank for Introduction to Maternity and Pediatric Nursing
bv bv bv bv bv bv bv bv




bv 9th Edition by Gloria Leifer.
bv bv bv bv




Introduction to Maternity and Pediatric Nursing NINTHEDITION
bv bv bv bv bv bv




Gloria Leifer
bv

,TEST BANK Introduction to Maternity and Pediatric Nursing 9/E Gloria Leifer
bv bv bv bv bv bv bv bv bv bv




Chapter 01: The Past, Present, and Future
bv bv bv bv bv bv




MULTIPLE CHOICE bv




1. A patient chooses to have the certified nurse-midwife (CNM) provide care during
bv bv bv bv bv bv bv bv bv bv bv



bv her pregnancy. What does the CNM’s scope of practice include?
bv bv bv bv bv bv bv bv bv



a. Practice independent from medical supervision bv bv bv bv



b. Comprehensive prenatal care bv bv



c. Attendance at all deliveries bv bv bv



d. Cesarean sections bv




ANS: b v B
The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated
bv bv bv bv bv bv bv bv bv



deliveries, and ensures that a backup physician is available in case of unforeseen problems.
bv bv bv bv bv bv bv bv bv bv bv bv bv bv




DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: 5 bv bv b v b v bv b v b v



TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: Implementation
b v bv bv bv b v bv bv bv



MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of
bv b v bv bv bv bv bv bv bv bv bv



Disease
bv




2. Which medical pioneer discovered the relationship between the incidence of puerperal
bv bv bv bv bv bv bv bv bv bv



fever and unwashed hands?
bv bv bv bv



a. Karl Credé bv



b. Ignaz Semmelweis bv



c. Louis Pasteur bv



d. Joseph Lister bv




ANS: b v B
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the
bv bv bv bv bv bv bv bv bv bv bv bv



unwashed hands of physicians and medical students.
bv bv bv bv bv bv bv




DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: bv bv b v bv



b 1 TOP: The Past
v bv KEY: Nursing Process b v bv b v bv



Step: N/A
bv bv



MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
b v bv bv bv bv bv bv bv bv




3. A pregnant woman who has recently immigrated to the United States comments to the
bv bv bv bv bv bv bv bv bv bv bv bv bv



nurse, “I am afraid of childbirth. It is so dangerous. I am afraid I will die.” What is the
bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv



best nursing response reflecting cultural sensitivity?
bv bv bv bv bv bv



a. “Maternal mortality in the United States is extremely low.” bv bv bv bv bv bv bv bv



b. “Anesthesia is available to relieve pain during labor and childbirth.” bv bv bv bv bv bv bv bv bv



c. “Tell me why you are afraid of childbirth.” bv bv bv bv bv bv bv



d. “Your condition will be monitored during labor and delivery.”
bv bv bv bv bv bv bv bv




ANS: b v C
Asking the patient about her concerns helps promote understanding and individualizes patient
bv bv bv bv bv bv bv bv bv bv bv



care.
bv




DIF: Cognitive Level: Application REF: pp. 6-8 OBJ: 8 bv bv b v b v bv b v b v



TOP: Cross-Cultural Care KEY: Nursing Process Step:
b v bv b v bv bv



Implementation MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
bv bv b v bv bv bv bv

,4. An urban area has been reported to have a high perinatal mortality rate. What
bv bv bv bv bv bv bv bv bv bv bv bv bv



bv information does this provide? bv bv bv



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



b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
bv bv bv bv bv bv bv bv bv bv bv bv



c. Deaths of infants up to 1 year of age per 1000 live births per year
bv bv bv bv bv bv bv bv bv bv bv bv bv bv



d. Fetal and neonatal deaths per 1000 live births per year
bv bv bv bv bv bv bv bv bv




ANS: b v D
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
bv bv bv bv bv bv bv bv bv bv bv bv bv bv




DIF: Cognitive Level: Comprehension REF: p. 13 | Box bv bv b v bv bv bv



1.6 OBJ: 9
bv bv TOP: The Present-Child Care b v b v bv bv



KEY: Nursing Process Step: Implementation
b v bv bv bv



MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
b v bv bv bv bv bv bv




5. What is the focus of current maternity practice?
bv bv bv bv bv bv bv



a. Hospital births for the majority of women bv bv bv bv bv bv



b. The traditional family unit bv bv bv



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



d. A quality family experience for each patient
bv bv bv bv bv bv




ANS: b v D
Current maternity practice focuses on a high-quality family experience for all families,
bv bv bv bv bv bv bv bv bv bv bv



traditional or otherwise.
bv bv bv




DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: 5 bv bv b v bv b v



TOP: The Present-Maternity Care
bv bKEY: Nursing Process Step:
v bv bv b v bv bv



N/A MSC: NCLEX: Health Promotion and Maintenance
bv bv b v bv bv bv bv




6. Who advocated the establishment of the Children’s Bureau?
bv bv bv bv bv bv bv



a. Lillian Wald bv



b. Florence Nightingale bv



c. Florence Kelly bv



d. Clara Barton bv




ANS: b v A
Lillian Wald is credited with suggesting the establishment of a federal Children’s Bureau.
bv bv bv bv bv bv bv bv bv bv bv bv




DIF: Cognitive Level: Knowledge REF: p. 4 OBJ: 1 | bv bv b v bv b v bv



2 TOP: The Past KEY: Nursing Process Step: Implementation
bv bv b v bv b v bv bv bv



MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
b v bv bv bv bv bv bv bv




7. What was the result of research done in the 1930s by the Children’s Bureau?
bv bv bv bv bv bv bv bv bv bv bv bv bv



a. Children with heart problems are now cared for by pediatric cardiologists.bv bv bv bv bv bv bv bv bv bv



b. The Child Abuse and Prevention Act was passed.
bv bv bv bv bv bv bv



c. Hot lunch programs were established in many schools.
bv bv bv bv bv bv bv



d. Children’s asylums were founded. bv bv bv




ANS: b v C
School hot lunch programs were developed as a result of research by the Children’s Bureau
bv bv bv bv bv bv bv bv bv bv bv bv bv bv



on the effects of economic depression on children.
bv bv bv bv bv bv bv bv




DIF: Cognitive Level: Knowledge bv bv REF: b v b v p. 4 bv OBJ: b v b v 2|3 bv bv

, TOP: The Past KEY: Nursing Process Step: N/A
b v bv b v bv bv bv



MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care
b v bv bv bv bv bv bv




8. What government program was implemented to increase the educational exposure
bv bv bv bv bv bv bv bv bv



of preschool children?
bv bv bv



a. WIC
b. Title XIX of Medicaid bv bv bv



c. The Children’s Charter bv bv



d. Head Start bv




ANS: b v D
Head Start programs were established to increase educational exposure of preschool children.
bv bv bv bv bv bv bv bv bv bv bv




DIF: Cognitive Level: Knowledge REF: p. 3 OBJ: 3 bv bv b v b v bv b v b v



TOP: Government Influences in Maternity and Pediatric Care KEY: Nursing Process Step:
b v bv bv bv bv bv bv b v bv bv



N/A MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
bv bv b v bv bv bv bv bv bv bv




9. What guidelines define multidisciplinary patient care in terms of expected outcome
bv bv bv bv bv bv bv bv bv bv



and timeframe from different areas of care provision?
bv bv bv bv bv bv bv bv



a. Clinical pathways bv



b. Nursing outcome criteria bv bv



c. Standards of care bv bv



d. Nursing care plan bv bv




ANS: b v A
Clinical pathways, also known as critical pathways or care maps, are collaborative guidelines
bv bv bv bv bv bv bv bv bv bv bv bv



that define patient care across disciplines. Expected progress within a specified timeline is
bv bv bv bv bv bv bv bv bv bv bv bv bv



identified.
bv




DIF: Cognitive Level: Knowledge REF: p. 13 OBJ: 10 bv bv b v bv b v



TOP: Health Care Delivery Systems
bv bKEY: Nursing Process Step:
v bv bv bv b v bv bv



N/A MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
bv bv b v bv bv bv bv bv bv




10. A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her mother,
bv bv bv bv bv bv bv bv bv bv bv bv



and collected admission data. What is the next step the student will take to develop a
bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv



nursing care plan for this child?
bv bv bv bv bv bv



a. Identify measurable outcomes with a timeline. bv bv bv bv bv



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



c. Determine appropriate nursing diagnoses. bv bv bv



d. State nursing actions related to the child’s medical diagnosis.
bv bv bv bv bv bv bv bv




ANS: b v C
The nurse uses assessment data to select appropriate nursing diagnoses. Outcomes and
bv bv bv bv bv bv bv bv bv bv bv



interventions are then developed to address the relevant nursing diagnoses.
bv bv bv bv bv bv bv bv bv bv




DIF: Cognitive Level: Application REF: p. 12 OBJ: 7 bv bv b v b v bv b v b v



TOP: Nursing Process b KEY: Nursing Process Step: Nursing
v bv b v bv bv bv



Diagnosis MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
bv bv b v bv bv bv bv bv bv




11. A nursing student on an obstetric rotation questions the floor nurse about the definition of
bv bv bv bv bv bv bv bv bv bv bv bv bv bv



the LVN/LPN scope of practice. What resource can the nurse suggest to the student?
bv bv bv bv bv bv bv bv bv bv bv bv bv bv



a. American Nurses Association bv bv