TEST BANK
INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING
,Table Of Contents
Unit I: An Overview Of Maternity And Pediatric Nursing
1. The Past, Present, And Future
2. The Nurse’s Role In Women’s Health Care
Unit Ii: Maternal-Newborn Nursing And Women’s Health
3. Human Reproductive Anatomy And Physiology
4. Fetal Development
5. Prenatal Care And Adaptations To Pregnancy
6. Nursing Care Of Women With Complications During Pregnancy
7. Nursing Care Of Mother And Infant During Labor And Birth
8. Nursing Management Of Pain During Labor And Birth
9. Nursing Care Of Women With Complications During Labor And Birth
10. The Family After Birth
11. Nursing Care Of Women With Complications After Birth
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
23. Complementary And Alternative Therapies In Maternity And Pediatric
Nursing
24. The Child With A Sensory Or Neurological Condition
25. The Child With A Musculoskeletal Condition
26. The Child With A Respiratory Disorder
27. The Child With A Cardiovascular Disorder
28. The Child With A Condition Of The Blood, Blood-Forming Organs, Or
Lymphatic System
29. The Child With A Gastrointestinal Condition
30. The Child With A Genitourinary Condition
31. The Child With A Skin Condition
32. The Child With A Metabolic Condition
33. The Child With A Communicable Disease And Immune Response
34. The Child With An Emotional Or Behavioral Condition
,Chapter 01: The Past, Present, And Future
Multiple Choice
1. A Patient Chooses To Have The Certified Nurse Midwife (Cnm) Provide Care During Her Pregnancy. What
Does The Cnms Scope Of Practice Include?
a. Practice Independent From Medical Supervision
b. Comprehensive Prenatal Care
c. Attendance At All Deliveries
d. Cesarean Sections
Answer: B
The Cnm Provides Comprehensive Prenatal And Postnatal Care, Attends Uncomplicated Deliveries, And
Ensures That A Backup Physician Is Available In Case Of Unforeseen Problems.
Dif: Cognitive Level: Comprehension Ref: Page 6 Obj: 12
Top: Advance Practice Nursing Roles Key: Nursing Process Step: Implementation
Msc: Nclex: Health Promotion And Maintenance: Prevention And Early Detection Of Disease
2. Which Medical Pioneer Discovered The Relationship Between The Incidence Of Puerperal Fever And
Unwashed Hands?
a. Karl Cred
b. Ignaz Semmelweis
c. Louis Pasteur
d. Joseph Lister
Answer: B
Ignaz Semmelweis Deduced That Puerperal Fever Was Septic, Contagious, And Transmitted By The
Unwashedihands Of Physicians And Medical Students.
Dif: Cognitive Level: Knowledge Ref: Page 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 Nursing 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.
Answer: C
Asking The Patient About Her Concerns Helps Promote Understanding And Individualizes Patient Care.
Dif: Cognitive Level: Application Ref: Page 7-8 Obj: 8
Top: Cross-Cultural Care Key: Nursing Process Step:
Implementationm Sc: Nclex: Psychosocial Integrity: Psychological
Adaptation
4. An Urban Area Has Been Reported To Have A High Perinatal Mortality Rate. What Information 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
Answer: D
The Perinatal Mortality Rate Includes Fetal And Neonatal Deaths Per 1000 Live Births Per
Year. Dif: Cognitive Level: Comprehension Ref: Page 12, 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
Answer: D
Current Maternity Practice Focuses On A High-Quality Family Experience For All Families, Traditional Or
Otherwise.
Dif: Cognitive Level: Comprehension Ref: Page 6 Obj: 7
Top: The Present-Maternity Care Key: Nursing Process Step: N/A Msc:
Nclex: Health Promotion And Maintenance
6. Who Advocated The Establishment Of The Childrens Bureau?
a. Lillian Wald
b. Florence Nightingale
c. Florence Kelly
d. Clara Barton
Answer: A
Lillian Wald Is Credited With Suggesting The Establishment Of A Federal Childrens Bureau.
Dif: Cognitive Level: Knowledge Ref: Page 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 Childrens 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. Childrens Asylums Were Founded.
Answer: C
School Hot Lunch Programs Were Developed As A Result Of Research By The Childrens Bureau On The Effects
Of Economic Depression On Children.
Dif: Cognitive Level: Knowledge Ref: Page 4 Obj: 2 | 3
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 Of Preschool Children?
a. Wic
b. Title Xix Of Medicaid
c. The Childrens Charter
d. Head Start
Answer: D
Head Start Programs Were Established To Increase Educational Exposure Of Preschool Children.
Dif: Cognitive Level: Knowledge Ref: Page 3 Obj: 5
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 And
Timeframe From Different Areas Of Care Provision?
,a. Clinical Pathways
b. Nursing Outcome Criteria
c. Standards Of Care
d. Nursing Care Plan
Answer: A
Clinical Pathways, Also Known As Critical Pathways Or Care Maps, Are Collaborative Guidelines That
Definepatient Care Across Disciplines. Expected Progress Within A Specified Timeline Is Identified.
Dif: Cognitive Level: Knowledge Ref: Page 12 Obj: 14
Top: Health Care Delivery Systems Key: Nursing Process Step: N/A
Msc: Nclex: Safe, Effective Care 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 Nursing 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 Childs Medical Diagnosis.
Answer: C
The Nurse Uses Assessment Data To Select Appropriate Nursing Diagnoses From The Nanda-I List. Outcomes And
Interventions Are Then Developed To Address The Relevant Nursing Diagnoses.
Dif: Cognitive Level: Application Ref: Page 11 Obj: 13
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 The
Lvn/Lpn Scope Of Practice. What Resource Can The Nurse Suggest To The Student?
a. American Nurses Association
b. States Board Of Nursing
c. Joint Commission
d. Association Of Womens Health, Obstetric And Neonatal Nurses
Answer: B
The Scope Of Practice Of The Lvn/Lpn Is Published By The States Board Of Nursing.
Dif: Cognitive Level: Comprehension Ref: Page 3, Legal And Ethical Considerations
Obj: 18 Top: Critical Thinking
Key: Nursing Process Step: Implementation
Msc: Nclex: Safe, Effective Care Environment: Coordinated Care
12. What Was Recommended By Karl Cred 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.
Answer: D
In 1884 Karl Cred Recommended The Use Of 2% Silver Nitrate In The Eyes Of Newborns To Reduce The Incidence
Of Blindness.
Dif: Cognitive Level: Knowledge Ref: Page 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.
Answer: D
White House Conferences On Children And Youth Are Held Every 10 Years To Promote Comprehensive
Childwelfare.
Dif: Cognitive Level: Knowledge Ref: Page 4 Obj: 3
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 Patient
Who Has Delivered Vaginally Without Complications?
a. 24
b. 48
c. 36
d. 72
Answer: B
Postpartum Patients Who Deliver Vaginally Stay In The Hospital For An Average Of 48 Hours; Patients Who
Havehad A Cesarean Delivery Usually Stay 4 Days.
Dif: Cognitive Level: Knowledge Ref: Page 6 Obj: 7 Top:
Hospital Terms For Postpartum Patients
Key: Nursing Process Step: Planning
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
Answer: B
Critical Pathways Outline Expected Progress With Stated Timelines. Any Deviation From Those Timelines Is
Calledia Variance.
Dif: Cognitive Level: Comprehension Ref: Page 12 Obj: 14
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 Nurses Best Response?
a. Gene Therapy Can Replace Missing Genes.
b. Gene Therapy Evaluates The Parents Genes.
c. Gene Therapy Can Change The Sex Of The Fetus.
d. Gene Therapy Supports The Regeneration Of Defective Genes.
Answer: A
Gene Therapy Can Replace Missing Or Defective Genes.
Dif: Cognitive Level: Knowledge Ref: Page 8 Obj: 7
Top: Gene Therapy Key: Nursing Process Step: Implementation
Msc: 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 Nurses Best Response When The Patient Asks How Drgs Reduce 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
Answer: A
Drgs Determine The Amount Of Payment And Length Of Hospital Stay Based On The Diagnosis.
Dif: Cognitive Level: Comprehension Ref: Page 8 Obj: 11
Top: Drgs Key: Nursing Process Step: Implementation
Msc: Nclex: Safe, Effective Care Environment: Coordinated Care
18. What Is The Best Example Of A Nursing Interventions Classification (Nic) Intervention?
a. Patient Will Ambulate In The Hall Independently For 10 Minutes Three Times A Day.
b. Nurse Will Report Temperature Elevations To The Charge Nurse.
c. Nurse Will Offer Extra Liquids At All Meals.
d. Patient Will Express Pain Relief After Massage.
Answer: C
Nic Is A Guide To Nursing Actions.
Dif: Cognitive Level: Comprehension Ref: Page 12 | Page 14
Obj: 15 Top: Nics Key: Nursing Process Step: N/A
Msc: Nclex: Safe, Effective Care Environment: Coordinated Care
19. How Does Electronic Charting Ensure Comprehensive Charting More Effectively Than 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
Answer: B
Comprehensive Electronic Documentation Is Ensured By Requiring Specific Input In Designated Categories
Beforethe User Can Progress Through The System.
Dif: Cognitive Level: Comprehension Ref: Page 15-16 Obj: 22 Top:
Computer Charting Key: Nursing Process Step:
Implementationmsc: Nclex: Safe, Effective Care Environment:
Coordinated Care
20. 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 Appropriate Term For This Type Of
Control?
a. Empowerment
b. Insight
c. Regulation
d. Organization
Answer: A
The Term Empowerment Refers To The Control A Family Has Over Its Own Health Care Decisions.
Dif: Cognitive Level: Knowledge Ref: Page 2 Obj: 7
Top: Empowerment Key: Nursing Process Step: Implementation
Msc: Nclex: Physiological Integrity: Basic Care And Comfort
21. A Patient In The Prenatal Clinic Is Concerned About Losing Her Job Because Of Her Pregnancy. The
Nurse Instructs Herthat The Family Medical Leave Act (Fmla) Allows An Employee To Be Absent From
Work Without Pay. How Many Weeks Does The Fmla Allow A Woman To Recover From Childbirth Or
Care For A Sick Family Member Without Loss Of Benefits Or Pay Status?
a. 4
b. 6
c. 10
d. 12
,Answer: D
The Fmla Allows For Employees To Leave Work For Up To 12 Weeks To Recover From Childbirth Or To Care For
Anill Family Member Without Losing Benefits Or Pay Status.
Dif: Cognitive Level: Knowledge Ref: Page 3 Obj: 5 Top:
Fmla Key: Nursing Process Step: Implementation Msc: Nclex:
Psychosocial Integrity: Coping And Adaptation
22. What Term Appropriately Describes The Nurse Who Is Able To Adapt Health Care Practices To Meet
The Needs Of Various Cultures?
a. Culturally Aware
b. Culturally Sensitive
c. Culturally Competent
d. Culturally Adaptive
Answer: C
The Nurse Who Is Able To Adapt Health Care To Meet The Needs Of Various Cultures Is Said To Be
Culturallycompetent.
Dif: Cognitive Level: Knowledge Ref: Page 7 Obj: 8
Top: Cultural Competency Key: Nursing Process Step: N/A
Msc: Nclex: N/A
23. 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
Answer: D
Critical Thinking Results In Problem Prevention In Designing Nursing Care.
Dif: Cognitive Level: Comprehension Ref: Page 14 Obj: 19
Top: Critical Thinking Key: Nursing Process Step: N/A Msc:
Nclex: N/A
24. Student Practical Nurses Are Discussing The North American Nursing Diagnosis Association
International (Nanda-I) Taxonomy In Post Conference On The Acute Care Clinical Setting. The Students Are
Aware That The Roleof The Lpn With Nursing Diagnosis Formulation Is What?
a. To Initiate And Identify Nursing Diagnosis Specific To Patient
b. To Update Changes In Nursing Diagnosis As Needed
c. To Have An Understanding Of Nursing Diagnosis Terminology
d. To Accurately Document Nursing Diagnosis On Patient Plan Of Care
Answer: C
The Registered Nurse Is Responsible To Initiate, Identify, Update, And Document Nursing Diagnoses. The Licensed
Practical Nurse Is Responsible To Have An Understanding Of Nursing Diagnosis Terminology.
Dif: Cognitive Level: Comprehension Ref: Page 14 Obj: 17
Top: Nanda-I Taxonomy Key: Nursing Process Step: Nursing Diagnosis
Msc: Nclex: Health Promotion And Maintenance: Data Collection Techniques
Multiple Response
25. 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
Answer: A, B, C, E
Birthing Centers Are Capable Of Providing Full-Service Obstetric Care, Classes For New Mothers, And
Familyplanning. Birthing Centers Do Not Offer Adoption Services.
Dif: Cognitive Level: Comprehension Ref: Page 6 Obj: 7
Top: Birthing Centers Key: Nursing Process Step: Implementation
Msc: Nclex: Health Promotion And Maintenance: Coordinated Care
26. What Developments In The Early 20th Century Encouraged Women To Seek Hospitalization For
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
Answer: A, B, C
In The Early 1900s, The Development Of Specialized Obstetric Instruments, Better Modes Of Anesthesia, And
The Physicians Reliance On Hospital Services Were Instrumental In Encouraging Women To Seek
Hospitalization For Childbirth.
Dif: Cognitive Level: Comprehension Ref: Page 3 Obj: 7
Top: Hospitalization For Childbirth Key: Nursing Process Step: Implementation
Msc: Nclex: Safe, Effective Care Environment: Safety And Infection Control
27. What Nonfamily-Centered Policies Were Prevalent In The 1960s? (Select All That Apply.)
a. Waiting Room For Fathers
b. Sedation Of Mother During Labor
c. Delay Of Reunion Of Mother And Infant
d. Lenient Visiting Hours
e. Restrictions Of Visitations By Minor Children
Answer: A, B, C, E
Hospital Policies In The 1960s Provided A Separate Waiting Room For Fathers While The Mother Went
Throughlabor In A Sedated State. The Reunion Of Mother And Infant Was Delayed For Several Hours
Because Of The Sedation. Visiting Hours Were Rigid And Disallowed The Visitation Of Minor Children.
Dif: Cognitive Level: Comprehension Ref: Page 3 Obj: 7
Top: Nonfamily-Centered Practices Key: Nursing Process Step: Implementation
Msc: Nclex: Safe, Effective Care Environment: Safety And Infection Control
28. The Nurse Is Aware That There Is A Legal Responsibility To Report Certain Diseases And Conditions 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. Food-Borne Infections
Answer: A, B, D, E
The Nurse Has A Legal Responsibility To Report Communicable Diseases (Such As Tuberculosis And
Sexuallytransmitted Diseases), Food-Borne Infections, Child Abuse, And Threats Of Suicide.
Dif: Cognitive Level: Comprehension Ref: Page 6, Legal And Ethical Considerations Box
Obj: 6 Top: Reportable Diseases
Key: Nursing Process Step: Planning
, Msc: Nclex: Safe, Effective Care Environment: Safety And Infection Control
29. An Inservice Program At A Long-Term Care Facility Is Reviewing The Nursing Outcomes Classification
(Noc) With Nursing Staff. After The Presentation The Nurses Review Resident Care Plans. Which Of The
Following Are Found To Be Appropriately Written Outcomes? (Select All That Apply.)
a. Suction Patient Orally Every 4 Hours And As Needed.
b. Auscultate Lung Sounds Every 2 Hours.
c. Provide Tylenol As Ordered By Health Care Provider.
d. Patient States Pain Has Decreased After Medication Administration.
e. Patient Blood Pressure Recorded As 120/72 After Dressing Change.
Answer: D, E
Noc Was Developed To Identify Outcomes Of Nursing Care That Are Directly Influenced By Nursing
Actions.Outcomes Are Defined As The Behaviors And Feelings Of The Patient In Response To The Nursing Care
Given. Suctioning Patient, Auscultating Lung Sounds, And Providing Tylenol Are Nursing Actions.
Dif: Cognitive Level: Application Ref: Page 12-14 Obj: 16
Top: Nursing Outcomes Classification (Noc)
Key: Nursing Process Step: Evaluation
Msc: Nclex: Physiological Integrity: Basic Care And Comfort
30. Practical Nursing Students Are Using Critical Thinking Skills To Study For An Upcoming Test. What
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
Answer: B, C, E
Using Critical Thinking When Studying Involves Understanding Facts Before Memorizing, Prioritizing
Information To Be Memorized, Relating Facts To Other Facts, Using All Five Senses, Reviewing Before Tests,
Andreading Critically. Critical Thinking Does Not Involve Assumption As Does General Thinking.
Dif: Cognitive Level: Comprehension Ref: Page 15 Obj: 20 Top:
Critical Thinking Key: Nursing Process Step: Evaluation Msc:
Nclex: Safe, Effective Care Environment
31. What Factors Have Played A Role In Meeting The Goals Of Healthy People 2020 As It Relates The
Goals For Outcomes Of Pregnancy? (Select All That Apply.)
a. Early Prenatal Care
b. Increased Number Of Surgical Births
c. Nicu Care
d. Use Of Prenatal Glucocorticoids
e. Fetal Surgery
Answer: A, C, D, E
Early Prenatal Care, Fetal Surgery, Use Of Prenatal Glucocorticoids, Technology, And Nicu Care Have Played
A Role In Increasing The Positive Outcome Of Pregnancy, And The Goals Of Healthy People 2020 May Well
Be Met. Increase In Surgical Births And Multiple Gestations Do Not Work Toward Meeting The Goals Of
Healthy People 2020.
Dif: Cognitive Level: Comprehension Ref: Page 16-17 Obj: 21
Top: Healthy People 2020 Key: Nursing Process Step: Implementation
Msc: Nclex: Health Promotion And Maintenance: Prevention And Early Detection
32. A Community Health Nurse Is Providing Specialized Care To Patients In The Home Setting. What
Kind Of Specialized Care May This Nurse Be Providing? (Select All That Apply.)
a. Glucose Monitoring
INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING
,Table Of Contents
Unit I: An Overview Of Maternity And Pediatric Nursing
1. The Past, Present, And Future
2. The Nurse’s Role In Women’s Health Care
Unit Ii: Maternal-Newborn Nursing And Women’s Health
3. Human Reproductive Anatomy And Physiology
4. Fetal Development
5. Prenatal Care And Adaptations To Pregnancy
6. Nursing Care Of Women With Complications During Pregnancy
7. Nursing Care Of Mother And Infant During Labor And Birth
8. Nursing Management Of Pain During Labor And Birth
9. Nursing Care Of Women With Complications During Labor And Birth
10. The Family After Birth
11. Nursing Care Of Women With Complications After Birth
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
23. Complementary And Alternative Therapies In Maternity And Pediatric
Nursing
24. The Child With A Sensory Or Neurological Condition
25. The Child With A Musculoskeletal Condition
26. The Child With A Respiratory Disorder
27. The Child With A Cardiovascular Disorder
28. The Child With A Condition Of The Blood, Blood-Forming Organs, Or
Lymphatic System
29. The Child With A Gastrointestinal Condition
30. The Child With A Genitourinary Condition
31. The Child With A Skin Condition
32. The Child With A Metabolic Condition
33. The Child With A Communicable Disease And Immune Response
34. The Child With An Emotional Or Behavioral Condition
,Chapter 01: The Past, Present, And Future
Multiple Choice
1. A Patient Chooses To Have The Certified Nurse Midwife (Cnm) Provide Care During Her Pregnancy. What
Does The Cnms Scope Of Practice Include?
a. Practice Independent From Medical Supervision
b. Comprehensive Prenatal Care
c. Attendance At All Deliveries
d. Cesarean Sections
Answer: B
The Cnm Provides Comprehensive Prenatal And Postnatal Care, Attends Uncomplicated Deliveries, And
Ensures That A Backup Physician Is Available In Case Of Unforeseen Problems.
Dif: Cognitive Level: Comprehension Ref: Page 6 Obj: 12
Top: Advance Practice Nursing Roles Key: Nursing Process Step: Implementation
Msc: Nclex: Health Promotion And Maintenance: Prevention And Early Detection Of Disease
2. Which Medical Pioneer Discovered The Relationship Between The Incidence Of Puerperal Fever And
Unwashed Hands?
a. Karl Cred
b. Ignaz Semmelweis
c. Louis Pasteur
d. Joseph Lister
Answer: B
Ignaz Semmelweis Deduced That Puerperal Fever Was Septic, Contagious, And Transmitted By The
Unwashedihands Of Physicians And Medical Students.
Dif: Cognitive Level: Knowledge Ref: Page 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 Nursing 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.
Answer: C
Asking The Patient About Her Concerns Helps Promote Understanding And Individualizes Patient Care.
Dif: Cognitive Level: Application Ref: Page 7-8 Obj: 8
Top: Cross-Cultural Care Key: Nursing Process Step:
Implementationm Sc: Nclex: Psychosocial Integrity: Psychological
Adaptation
4. An Urban Area Has Been Reported To Have A High Perinatal Mortality Rate. What Information 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
Answer: D
The Perinatal Mortality Rate Includes Fetal And Neonatal Deaths Per 1000 Live Births Per
Year. Dif: Cognitive Level: Comprehension Ref: Page 12, 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
Answer: D
Current Maternity Practice Focuses On A High-Quality Family Experience For All Families, Traditional Or
Otherwise.
Dif: Cognitive Level: Comprehension Ref: Page 6 Obj: 7
Top: The Present-Maternity Care Key: Nursing Process Step: N/A Msc:
Nclex: Health Promotion And Maintenance
6. Who Advocated The Establishment Of The Childrens Bureau?
a. Lillian Wald
b. Florence Nightingale
c. Florence Kelly
d. Clara Barton
Answer: A
Lillian Wald Is Credited With Suggesting The Establishment Of A Federal Childrens Bureau.
Dif: Cognitive Level: Knowledge Ref: Page 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 Childrens 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. Childrens Asylums Were Founded.
Answer: C
School Hot Lunch Programs Were Developed As A Result Of Research By The Childrens Bureau On The Effects
Of Economic Depression On Children.
Dif: Cognitive Level: Knowledge Ref: Page 4 Obj: 2 | 3
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 Of Preschool Children?
a. Wic
b. Title Xix Of Medicaid
c. The Childrens Charter
d. Head Start
Answer: D
Head Start Programs Were Established To Increase Educational Exposure Of Preschool Children.
Dif: Cognitive Level: Knowledge Ref: Page 3 Obj: 5
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 And
Timeframe From Different Areas Of Care Provision?
,a. Clinical Pathways
b. Nursing Outcome Criteria
c. Standards Of Care
d. Nursing Care Plan
Answer: A
Clinical Pathways, Also Known As Critical Pathways Or Care Maps, Are Collaborative Guidelines That
Definepatient Care Across Disciplines. Expected Progress Within A Specified Timeline Is Identified.
Dif: Cognitive Level: Knowledge Ref: Page 12 Obj: 14
Top: Health Care Delivery Systems Key: Nursing Process Step: N/A
Msc: Nclex: Safe, Effective Care 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 Nursing 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 Childs Medical Diagnosis.
Answer: C
The Nurse Uses Assessment Data To Select Appropriate Nursing Diagnoses From The Nanda-I List. Outcomes And
Interventions Are Then Developed To Address The Relevant Nursing Diagnoses.
Dif: Cognitive Level: Application Ref: Page 11 Obj: 13
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 The
Lvn/Lpn Scope Of Practice. What Resource Can The Nurse Suggest To The Student?
a. American Nurses Association
b. States Board Of Nursing
c. Joint Commission
d. Association Of Womens Health, Obstetric And Neonatal Nurses
Answer: B
The Scope Of Practice Of The Lvn/Lpn Is Published By The States Board Of Nursing.
Dif: Cognitive Level: Comprehension Ref: Page 3, Legal And Ethical Considerations
Obj: 18 Top: Critical Thinking
Key: Nursing Process Step: Implementation
Msc: Nclex: Safe, Effective Care Environment: Coordinated Care
12. What Was Recommended By Karl Cred 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.
Answer: D
In 1884 Karl Cred Recommended The Use Of 2% Silver Nitrate In The Eyes Of Newborns To Reduce The Incidence
Of Blindness.
Dif: Cognitive Level: Knowledge Ref: Page 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.
Answer: D
White House Conferences On Children And Youth Are Held Every 10 Years To Promote Comprehensive
Childwelfare.
Dif: Cognitive Level: Knowledge Ref: Page 4 Obj: 3
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 Patient
Who Has Delivered Vaginally Without Complications?
a. 24
b. 48
c. 36
d. 72
Answer: B
Postpartum Patients Who Deliver Vaginally Stay In The Hospital For An Average Of 48 Hours; Patients Who
Havehad A Cesarean Delivery Usually Stay 4 Days.
Dif: Cognitive Level: Knowledge Ref: Page 6 Obj: 7 Top:
Hospital Terms For Postpartum Patients
Key: Nursing Process Step: Planning
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
Answer: B
Critical Pathways Outline Expected Progress With Stated Timelines. Any Deviation From Those Timelines Is
Calledia Variance.
Dif: Cognitive Level: Comprehension Ref: Page 12 Obj: 14
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 Nurses Best Response?
a. Gene Therapy Can Replace Missing Genes.
b. Gene Therapy Evaluates The Parents Genes.
c. Gene Therapy Can Change The Sex Of The Fetus.
d. Gene Therapy Supports The Regeneration Of Defective Genes.
Answer: A
Gene Therapy Can Replace Missing Or Defective Genes.
Dif: Cognitive Level: Knowledge Ref: Page 8 Obj: 7
Top: Gene Therapy Key: Nursing Process Step: Implementation
Msc: 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 Nurses Best Response When The Patient Asks How Drgs Reduce 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
Answer: A
Drgs Determine The Amount Of Payment And Length Of Hospital Stay Based On The Diagnosis.
Dif: Cognitive Level: Comprehension Ref: Page 8 Obj: 11
Top: Drgs Key: Nursing Process Step: Implementation
Msc: Nclex: Safe, Effective Care Environment: Coordinated Care
18. What Is The Best Example Of A Nursing Interventions Classification (Nic) Intervention?
a. Patient Will Ambulate In The Hall Independently For 10 Minutes Three Times A Day.
b. Nurse Will Report Temperature Elevations To The Charge Nurse.
c. Nurse Will Offer Extra Liquids At All Meals.
d. Patient Will Express Pain Relief After Massage.
Answer: C
Nic Is A Guide To Nursing Actions.
Dif: Cognitive Level: Comprehension Ref: Page 12 | Page 14
Obj: 15 Top: Nics Key: Nursing Process Step: N/A
Msc: Nclex: Safe, Effective Care Environment: Coordinated Care
19. How Does Electronic Charting Ensure Comprehensive Charting More Effectively Than 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
Answer: B
Comprehensive Electronic Documentation Is Ensured By Requiring Specific Input In Designated Categories
Beforethe User Can Progress Through The System.
Dif: Cognitive Level: Comprehension Ref: Page 15-16 Obj: 22 Top:
Computer Charting Key: Nursing Process Step:
Implementationmsc: Nclex: Safe, Effective Care Environment:
Coordinated Care
20. 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 Appropriate Term For This Type Of
Control?
a. Empowerment
b. Insight
c. Regulation
d. Organization
Answer: A
The Term Empowerment Refers To The Control A Family Has Over Its Own Health Care Decisions.
Dif: Cognitive Level: Knowledge Ref: Page 2 Obj: 7
Top: Empowerment Key: Nursing Process Step: Implementation
Msc: Nclex: Physiological Integrity: Basic Care And Comfort
21. A Patient In The Prenatal Clinic Is Concerned About Losing Her Job Because Of Her Pregnancy. The
Nurse Instructs Herthat The Family Medical Leave Act (Fmla) Allows An Employee To Be Absent From
Work Without Pay. How Many Weeks Does The Fmla Allow A Woman To Recover From Childbirth Or
Care For A Sick Family Member Without Loss Of Benefits Or Pay Status?
a. 4
b. 6
c. 10
d. 12
,Answer: D
The Fmla Allows For Employees To Leave Work For Up To 12 Weeks To Recover From Childbirth Or To Care For
Anill Family Member Without Losing Benefits Or Pay Status.
Dif: Cognitive Level: Knowledge Ref: Page 3 Obj: 5 Top:
Fmla Key: Nursing Process Step: Implementation Msc: Nclex:
Psychosocial Integrity: Coping And Adaptation
22. What Term Appropriately Describes The Nurse Who Is Able To Adapt Health Care Practices To Meet
The Needs Of Various Cultures?
a. Culturally Aware
b. Culturally Sensitive
c. Culturally Competent
d. Culturally Adaptive
Answer: C
The Nurse Who Is Able To Adapt Health Care To Meet The Needs Of Various Cultures Is Said To Be
Culturallycompetent.
Dif: Cognitive Level: Knowledge Ref: Page 7 Obj: 8
Top: Cultural Competency Key: Nursing Process Step: N/A
Msc: Nclex: N/A
23. 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
Answer: D
Critical Thinking Results In Problem Prevention In Designing Nursing Care.
Dif: Cognitive Level: Comprehension Ref: Page 14 Obj: 19
Top: Critical Thinking Key: Nursing Process Step: N/A Msc:
Nclex: N/A
24. Student Practical Nurses Are Discussing The North American Nursing Diagnosis Association
International (Nanda-I) Taxonomy In Post Conference On The Acute Care Clinical Setting. The Students Are
Aware That The Roleof The Lpn With Nursing Diagnosis Formulation Is What?
a. To Initiate And Identify Nursing Diagnosis Specific To Patient
b. To Update Changes In Nursing Diagnosis As Needed
c. To Have An Understanding Of Nursing Diagnosis Terminology
d. To Accurately Document Nursing Diagnosis On Patient Plan Of Care
Answer: C
The Registered Nurse Is Responsible To Initiate, Identify, Update, And Document Nursing Diagnoses. The Licensed
Practical Nurse Is Responsible To Have An Understanding Of Nursing Diagnosis Terminology.
Dif: Cognitive Level: Comprehension Ref: Page 14 Obj: 17
Top: Nanda-I Taxonomy Key: Nursing Process Step: Nursing Diagnosis
Msc: Nclex: Health Promotion And Maintenance: Data Collection Techniques
Multiple Response
25. 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
Answer: A, B, C, E
Birthing Centers Are Capable Of Providing Full-Service Obstetric Care, Classes For New Mothers, And
Familyplanning. Birthing Centers Do Not Offer Adoption Services.
Dif: Cognitive Level: Comprehension Ref: Page 6 Obj: 7
Top: Birthing Centers Key: Nursing Process Step: Implementation
Msc: Nclex: Health Promotion And Maintenance: Coordinated Care
26. What Developments In The Early 20th Century Encouraged Women To Seek Hospitalization For
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
Answer: A, B, C
In The Early 1900s, The Development Of Specialized Obstetric Instruments, Better Modes Of Anesthesia, And
The Physicians Reliance On Hospital Services Were Instrumental In Encouraging Women To Seek
Hospitalization For Childbirth.
Dif: Cognitive Level: Comprehension Ref: Page 3 Obj: 7
Top: Hospitalization For Childbirth Key: Nursing Process Step: Implementation
Msc: Nclex: Safe, Effective Care Environment: Safety And Infection Control
27. What Nonfamily-Centered Policies Were Prevalent In The 1960s? (Select All That Apply.)
a. Waiting Room For Fathers
b. Sedation Of Mother During Labor
c. Delay Of Reunion Of Mother And Infant
d. Lenient Visiting Hours
e. Restrictions Of Visitations By Minor Children
Answer: A, B, C, E
Hospital Policies In The 1960s Provided A Separate Waiting Room For Fathers While The Mother Went
Throughlabor In A Sedated State. The Reunion Of Mother And Infant Was Delayed For Several Hours
Because Of The Sedation. Visiting Hours Were Rigid And Disallowed The Visitation Of Minor Children.
Dif: Cognitive Level: Comprehension Ref: Page 3 Obj: 7
Top: Nonfamily-Centered Practices Key: Nursing Process Step: Implementation
Msc: Nclex: Safe, Effective Care Environment: Safety And Infection Control
28. The Nurse Is Aware That There Is A Legal Responsibility To Report Certain Diseases And Conditions 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. Food-Borne Infections
Answer: A, B, D, E
The Nurse Has A Legal Responsibility To Report Communicable Diseases (Such As Tuberculosis And
Sexuallytransmitted Diseases), Food-Borne Infections, Child Abuse, And Threats Of Suicide.
Dif: Cognitive Level: Comprehension Ref: Page 6, Legal And Ethical Considerations Box
Obj: 6 Top: Reportable Diseases
Key: Nursing Process Step: Planning
, Msc: Nclex: Safe, Effective Care Environment: Safety And Infection Control
29. An Inservice Program At A Long-Term Care Facility Is Reviewing The Nursing Outcomes Classification
(Noc) With Nursing Staff. After The Presentation The Nurses Review Resident Care Plans. Which Of The
Following Are Found To Be Appropriately Written Outcomes? (Select All That Apply.)
a. Suction Patient Orally Every 4 Hours And As Needed.
b. Auscultate Lung Sounds Every 2 Hours.
c. Provide Tylenol As Ordered By Health Care Provider.
d. Patient States Pain Has Decreased After Medication Administration.
e. Patient Blood Pressure Recorded As 120/72 After Dressing Change.
Answer: D, E
Noc Was Developed To Identify Outcomes Of Nursing Care That Are Directly Influenced By Nursing
Actions.Outcomes Are Defined As The Behaviors And Feelings Of The Patient In Response To The Nursing Care
Given. Suctioning Patient, Auscultating Lung Sounds, And Providing Tylenol Are Nursing Actions.
Dif: Cognitive Level: Application Ref: Page 12-14 Obj: 16
Top: Nursing Outcomes Classification (Noc)
Key: Nursing Process Step: Evaluation
Msc: Nclex: Physiological Integrity: Basic Care And Comfort
30. Practical Nursing Students Are Using Critical Thinking Skills To Study For An Upcoming Test. What
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
Answer: B, C, E
Using Critical Thinking When Studying Involves Understanding Facts Before Memorizing, Prioritizing
Information To Be Memorized, Relating Facts To Other Facts, Using All Five Senses, Reviewing Before Tests,
Andreading Critically. Critical Thinking Does Not Involve Assumption As Does General Thinking.
Dif: Cognitive Level: Comprehension Ref: Page 15 Obj: 20 Top:
Critical Thinking Key: Nursing Process Step: Evaluation Msc:
Nclex: Safe, Effective Care Environment
31. What Factors Have Played A Role In Meeting The Goals Of Healthy People 2020 As It Relates The
Goals For Outcomes Of Pregnancy? (Select All That Apply.)
a. Early Prenatal Care
b. Increased Number Of Surgical Births
c. Nicu Care
d. Use Of Prenatal Glucocorticoids
e. Fetal Surgery
Answer: A, C, D, E
Early Prenatal Care, Fetal Surgery, Use Of Prenatal Glucocorticoids, Technology, And Nicu Care Have Played
A Role In Increasing The Positive Outcome Of Pregnancy, And The Goals Of Healthy People 2020 May Well
Be Met. Increase In Surgical Births And Multiple Gestations Do Not Work Toward Meeting The Goals Of
Healthy People 2020.
Dif: Cognitive Level: Comprehension Ref: Page 16-17 Obj: 21
Top: Healthy People 2020 Key: Nursing Process Step: Implementation
Msc: Nclex: Health Promotion And Maintenance: Prevention And Early Detection
32. A Community Health Nurse Is Providing Specialized Care To Patients In The Home Setting. What
Kind Of Specialized Care May This Nurse Be Providing? (Select All That Apply.)
a. Glucose Monitoring
