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Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer)
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Test Bank: Introduction to Maternity and Pediatric Nursing, 8th Edition
by Leifer | Newly Updated
NursePrepHub
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK x x x x x x x x x x
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer)
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Chapter 01: The Past, Present, and Future x x x x x x
MULTIPLE CHOICE x
1. A patient chooses to have the certified nurse midwife (CNM) provide care during her pregnancy. What does
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the CNMs scope of practice include?
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a. Practice independent from medical supervision
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b. Comprehensive prenatal care x x
c. Attendance at all deliveries x x x
d. Cesarean sections x
ANS: B x
The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated deliveries, and ensures
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that a backup physician is available in case of unforeseen problems.
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DIF: Cognitive Level: Comprehension REF: Page 6
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TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
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2. Which medical pioneer discovered the relationship between the incidence of puerperal fever and unwashed
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hands?
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a. Karl Cred x
b. Ignaz Semmelweis x
c. Louis Pasteur x
d. Joseph Lister x
ANS: B x
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the unwashed
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xhands of physicians and medical students.
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DIF: Cognitive Level: Knowledge REF: Page 2
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TOP: The Past KEY: Nursing Process Step: N/A
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MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
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3. A pregnant woman who has recently immigrated to the United States comments to the nurse, I am afraid of
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childbirth. It is so dangerous. I am afraid I will die. What is the best nursing response reflecting cultural
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sensitivity?
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a. Maternal mortality in the United States is extremely low.
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b. Anesthesia is available to relieve pain during labor and childbirth.
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c. Tell me why you are afraid of childbirth.
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d. Your condition will be monitored during labor and delivery.
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ANS: C x
Asking the patient about her concerns helps promote understanding and individualizes patient care.
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DIF: Cognitive Level: Application REF: Page 7
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TOP: Cross-Cultural Care KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
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4. An urban area has been reported to have a high perinatal mortality rate. What information does this provide?
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a. Maternal and infant deaths per 100,000 live births per year
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b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
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c. Deaths of infants up to 1 year of age per 1000 live births per year
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d. Fetal and neonatal deaths per 1000 live births per year
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ANS: D x
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per
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x year. DIF: Cognitive Level: Comprehension REF: Page 12
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, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK x x x x x x x x x x
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer)
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OBJ: 9 TOP: The Present-Child Care
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KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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5. What is the focus of current maternity practice?
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a. Hospital births for the majority of women x x x x x x
b. The traditional family unit
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c. Separation of labor rooms from delivery rooms x x x x x x
d. A quality family experience for each patient
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ANS: D x
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: Page 6
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TOP: The Present-Maternity Care KEY: Nursing Process Step: N/A
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MSC: NCLEX: Health Promotion and Maintenance
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6. Who advocated the establishment of the Childrens Bureau?
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a. Lillian Wald x
b. Florence Nightingale x
c. Florence Kelly x
d. Clara Barton x
ANS: A x
Lillian Wald is credited with suggesting the establishment of a federal Childrens Bureau.
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DIF: Cognitive Level: Knowledge REF: Page 4
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TOP: The Past KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
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7. What was the result of research done in the 1930s by the Childrens Bureau?
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a. Children with heart problems are now cared for by pediatric cardiologists.
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b. The Child Abuse and Prevention Act was passed.
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c. Hot lunch programs were established in many schools.
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d. Childrens asylums were founded. x x x
ANS: C x
School hot lunch programs were developed as a result of research by the Childrens Bureau on the effects of
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economic depression on children.
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DIF: Cognitive Level: Knowledge REF: Page 4
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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 of preschool children?
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a. WIC
b. Title XIX of Medicaid x x x
c. The Childrens Charter
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d. Head Start x
ANS: D x
Head Start programs were established to increase educational exposure of preschool children.
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DIF: Cognitive Level: Knowledge REF: Page 3
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TOP: Government Influences in Maternity and Pediatric Care KEY: Nursing Process Step:
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N/A MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
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9. What guidelines define multidisciplinary patient care in terms of expected outcome and timeframe from
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different areas of care provision?
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, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK x x x x x x x x x x
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer)
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a. Clinical pathways x
b. Nursing outcome criteria x x
c. Standards of care x x
d. Nursing care plan x x
ANS: A x
Clinical pathways, also known as critical pathways or care maps, are collaborative guidelines that define
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patient care across disciplines. Expected progress within a specified timeline is identified.
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DIF: Cognitive Level: Knowledge REF: Page 12
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TOP: Health Care Delivery Systems KEY: Nursing Process Step: N/A
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MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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10. A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her mother, and collected
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admission data. What is the next step the student will take to develop a nursing care plan for this child?
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a. Identify measurable outcomes with a timeline.
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b. Choose specific nursing interventions for the child.
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c. Determine appropriate nursing diagnoses. x x x
d. State nursing actions related to the childs medical diagnosis.
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ANS: C x
The nurse uses assessment data to select appropriate nursing diagnoses from the NANDA-I list. Outcomes
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and interventions are then developed to address the relevant nursing diagnoses.
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DIF: Cognitive Level: Application REF: Page 11
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TOP: Nursing Process KEY: Nursing Process Step: Nursing Diagnosis
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MSC: NCLEX: Safe, Effective Care Environment: Coordinated
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Care
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11. A nursing student on an obstetric rotation questions the floor nurse about the definition of the LVN/LPN
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scope of practice. What resource can the n urseNsUuRggS IeNstGtoT Bth. Ce OstM
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a. American Nurses Association x x
b. States board of nursing x x x
c. Joint Commission x
d. Association of Womens Health, Obstetric and Neonatal Nurses x x x x x x x
ANS: B x
The scope of practice of the LVN/LPN is published by the states board of nursing.
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DIF: Cognitive Level: Comprehension REF: Page 3
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OBJ: 18 TOP: Critical Thinking
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KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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12. What was recommended by Karl Cred in 1884?
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a. All women should be delivered in a hospital setting.
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b. Chemical means should be used to combat infection. x x x x x x x
c. Podalic version should be done on all fetuses.
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d. Silver nitrate should be placed in the eyes of newborns.
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ANS: D x
In 1884 Karl Cred recommended the use of 2% silver nitrate in the eyes of newborns to reduce the incidence of
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xblindness.
DIF: Cognitive Level: Knowledge REF: Page 2
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TOP: Use of Silver Nitrate KEY: Nursing Process Step: N/A
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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.
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