TEST BANK FOR
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,IntroductiontoMaternityandPediatricNursing, 8th y7t6 y7t6 y7t6 y7t6 y7t6 y 7t6
Edition by Gloria Leifer
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UNIT I: AnOverview ofMaternity andPediatric Nursing
y7t6 y7t6 y7t6 y7t6 y7t6 y7 t6 y7t6 y7t6
Chapter 1:ThePast, Present, andFuture y 7 t6 y7t6 y7t6 y7t6 y7 t6 y7t6
UNITII:Maternal-NewbornNursing andWomen’s Health
y7t6 y7t6 y7t6 y7t6 y7t6 y 7 t6
Chapter 2: Human Reproductive Anatomy and Physiology
y7 t6 y7 t6 y7t6 y7t6 y7 t6 y 7 t6 y7 t6
Chapter 3: Fetal Development
y7 t6 y7 t6 y7t6 y7t6
Chapter 4:Prenatal Careand Adaptations toPregnancy y7t6 y7t6 y7t6 y7t6 y7t6 y7t6 y7t6
Chapter 5:NursingCareof Women withComplications duringPregnancy
y7t6 y7t6 y7t6 y7t6 y7t6 y7t6 y7t6 y 7t6 y7t6
Chapter 6: Nursing Care of Mother and Infant during Labor and Birth Chapter
y7 t6 y7 t6 y7t6 y7t6 y7 t6 y7t6 y7t6 y7t6 y 7 t6 y 7t6 y7 t6 y 7t6 y 7t6
7: Nursing Management of Pain during Labor and Birth
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Chapter 8:NursingCareof Women withComplications duringLabor and Birth
y7 t6 y7t6 y7t6 y7t6 y7t6 y7t6 y7t6 y 7t6 y7t6 y7 t6 y 7 t6
Chapter 9:TheFamilyafter Birth y7 t6 y7t6 y7t6 y7t6 y 7 t6
Chapter 10:NursingCareof Women withComplications FollowingBirth
y7t6 y7t6 y7t6 y7t6 y7t6 y7t6 y7t6 y7 t6 y7t6
Chapter 11: The Nurse’s Role in Women’s Health Care
y7 t6 y7 t6 y7 t6 y7t6 y7 t6 y7 t6 y7t6 y 7t6 y 7t6
Chapter 12: TheTermNewborn y 7 t6 y7t6 y7t6 y7t6
Chapter 13:PretermandPost-TermNewborns y 7 t6 yt67 y7t6 y7t6 y7t6
Chapter 14:TheNewbornwitha PerinatalInjury or Congenital y7 t6 y7t6 y7t6 y7t6 y7t6 y7t6 y7t6 y7t6 y 7 t6
Malformation
y7 t6
UNIT III:TheGrowing Child andFamily y7t6 y7t6 y7t6 y7t6 y7t6 yt67
Chapter 15:AnOverviewofGrowth, Development, andNutrition y7t6 y7t6 y7t6 y7t6 y7t6 y7t6 y7t6 y7t6
Chapter 16: The Infant
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Chapter 17: The Toddler Chapter y7 t6 y7 t6 y7t6 y7t6
18:ThePreschoolChild
y7t6 y7t6 y7t6 y7t6
Chapter19:TheSchool-AgeChild Chapter yt67 y7t6 y7t6 y7t6 y7t6
20: The Adolescent
y7 t6 y7t6 y7 t6
UNIT IV:Adapting Caretothe Pediatric Patient
y7t6 y7t6 y7t6 y7t6 y7t6 y7t6 y7t6
Chapter 21: The Child’s Experience of Hospitalization Chapter
y7 t6 y7 t6 y7t6 y7 t6 y7t6 y7t6 y 7t6
22:HealthCareAdaptations for theChildandFamily UNIT V:
y7 t6 y7t6 y7t6 y7t6 y7t6 y7 t6 y7t6 y7t6 y7t6 y 7t6 y 7t6
The Child Needing Nursing Care
y7 t6 y7t6 y7 t6 y7t6 y7t6
Chapter 23:TheChild witha Sensoryor Neurological Condition
y7t6 y7t6 y7t6 y7t6 y7t6 y7t6 y7t6 y7t6 y7t6
Chapter 24: The Child with a Musculoskeletal Condition Chapter
y7 t6 y7 t6 y7 t6 y7t6 y7 t6 y7 t6 y7t6 y 7t6 y7 t6
25: The Child with a Respiratory Disorder
y7 t6 y7t6 y7 t6 y7t6 y7t6 y7 t6 y7t6
Chapter 26:TheChild witha Cardiovascular Disorder y7 t6 y7t6 y7t6 y7t6 y7t6 y7t6 y 7 t6
Chapter 27:TheChild witha Condition oftheBlood, Blood-FormingOrgans or Lymphatic System Chapter 28:
y7 t6 y7t6 y7t6 y7t6 y7t6 y7 t6 y7t6 y7t6 y7t6 y7 t6 y7t6 y7 t6 y 7 t6 y7t6 y 7 t6 y 7t6
The Child with a Gastrointestinal Condition
y7 t6 y7 t6 y7t6 y7 t6 y7 t6 y7 t6
Chapter 29:TheChild witha GenitourinaryCondition Chapter y7t6 y7t6 y7t6 y7t6 y7t6 y7 t6 y7t6 y 7t6
30: The Child with a Skin Condition
y7 t6 y7t6 y7 t6 y7t6 y7t6 y7 t6 y7t6
Chapter 31:TheChild witha Metabolic Condition y7t6 yt67 y7t6 y7t6 y7t6 y7t6 y7t6
Chapter 32: Childhood Communicable Diseases, Bioterrorism, Natural Disasters and the Maternal-Child
y7 t6 y7t6 y7t6 y7t6 y7 t6 y 7t6 y7t6 y7t6 y7t6 y7t6
Patient
y7 t6
Chapter 33:TheChild withanEmotional or Behavioral Condition
y7 t6 y7t6 y7t6 y7t6 y7t6 y7t6 y7t6 y 7 t6 y7t6
UNIT VI:The Changing HealthCare Environmenty7t6 y7t6 y7t6 y7t6 y7t6 y7t6
Chapter 34:Complementaryand AlternativeTherapies inMaternityandPediatric Nursing
y7 t6 y7t6 y7t6 y7t6 y7t6 y 7 t6 y7t6 y7t6 y7t6 y7t6
, INTRODUCTION TO MATERNITY ANDPEDIATRICNURSING 8THEDITIONLEIFERTEST BANK y7t6 y7t6 y7t6 y7t6 y7t6 y7t6 y7t6 y7t6 y7t6 yt67
2
Chapter 01: The Past, Present, and Future y 7 t 6 y7 t6 y 7 t 6 y 7 t 6 y 7 t 6 y 7 t 6
MULTIPLE CHOICE y 7 t6
1. A patient chooses to have the certified nurse midwife (CNM) provide care during her pregnancy. What does the
y7 t6 y7t6 y7 t6 y7t6 y7 t6 y7t6 y7 t6 y7t6 y 7 t6 y7 t6 y 7 t6 y7 t6 y7 t6 y 7t6 y 7t6 y 7t6 y7 t6
CNMs scope of practice include?
y 7t6 y7t6 y7 t6 y7t6 y7 t6
a. Practice independent from medical supervision y 7 t6 y 7 t6 y 7 t6 y 7 t 6
b. Comprehensive prenatal care y 7 t 6 y 7 t 6
c. Attendance at all deliveries y7 t 6 y 7 t6 y7 t6
d. Cesarean sections y 7 t6
ANS: B y 7 t 6
The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated deliveries, and ensures that
y7 t6 y7 t6 y7t6 y7t6 y7t6 y 7t6 y 7t6 y7 t6 y7 t6 y7 t6 y 7t6 y7 t6 y 7 t6
a backup physician is available in case of unforeseen problems.
y 7t6 y 7 t 6 y 7 t 6 y 7 t 6 y 7 t 6 y7 t6 y 7 t 6 y 7 t 6 y 7 t 6 y 7 t 6
DIF: Cognitive Level: Comprehension REF: Page 6y 7 t6 y 7 t 6 y 7 t 6 y 7 t6 y 7 t 6 y 7 t 6
TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: Implementation
y 7 t6 y 7 t 6 y 7 t6 y 7 t6 y7 t6 y7 t6 y 7 t6 y 7 t 6 y7 t6
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
y 7 t6 y 7 t6 y 7 t6 y7 t6 y 7 t6 y 7 t 6 y 7 t6 y 7 t6 y 7 t6 y 7 t 6 y 7 t6
2. Which medical pioneer discovered the relationship between the incidence of puerperal fever and unwashed
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hands?
y 7t6
a. Karl Cred y 7 t6
b. Ignaz Semmelweis y 7 t6
c. Louis Pasteur y 7 t 6
d. Joseph Lister y 7 t 6
ANS: B y 7 t 6
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the unwashed hands
y7 t6 y7t6 y7t6 y7t6 y7t6 y7 t6 y 7t6 y 7t6 y7 t6 y7 t6 y 7t6 y7 t6 y 7t6 y 7t6
of physicians and medical students.
y 7t6 y7t6 y7 t6 y7t6 y7 t6
DIF: Cognitive Level: Knowledge REF: Page 2 y7 t6 y7 t6 y7t6 y7t6 y7t6 y7t6
TOP: The Past KEY: Nursing Process Step: N/A
y 7t6 y7 t6 y 7 t6 y 7 t6 y 7 t6 y 7 t6 y 7 t6 y 7 t6
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
y 7 t6 y 7 t 6 y 7 t 6 y 7 t6 y 7 t6 y 7 t 6 y 7 t6 y 7 t6 y 7 t6
3. A pregnant woman who has recently immigrated to the United States comments to the nurse, I am afraid of
y7 t6 y7 t6 y7t6 y7t6 y7t6 y7t6 y 7t6 y7 t6 y7 t6 y7 t6 y 7t6 y 7t6 y 7t6 y7 t6 y7 t6 y 7t6 y7t6 y7t6
childbirth. It is so dangerous. I am afraid I will die. What is the best nursing response
y 7t6 y 7 t 6 y 7 t 6 y 7 t 6 y 7 t 6 y 7 t 6 y 7 t 6 y 7 t 6 y 7 t 6 y 7 t 6 y 7 t 6 y 7 t 6 y 7 t 6 y 7 t 6 y 7 t 6 y 7 t 6 y 7 t6
y reflecting cultural sensitivity?
7 t 6 y 7 t 6 y7t6
a. Maternal mortality in the United States is extremely low. y 7 t 6 y 7 t6 y7t6 y 7 t 6 y 7 t6 y 7 t6 y 7 t6 y 7 t6
b. Anesthesia is available to relieve pain during labor and childbirth. y 7 t6 y7 t6 y 7 t6 y7t6 y 7 t 6 y 7 t6 y 7 t6 y 7 t6 y 7 t6
c. Tell me why you are afraid of childbirth. y 7 t 6 y7 t 6 y7 t6 y7 t6 y7t6 y7 t6 y 7 t6
d. Your condition will be monitored during labor and delivery. y 7 t6 y 7 t6 y 7 t6 y 7 t6 y 7 t6 y7 t6 y 7 t6 y 7 t6
ANS: C y 7 t 6
Asking the patient about her concerns helps promote understanding and individualizes patient care.
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DIF: Cognitive Level: Application REF: Page 7 y 7 t6 y 7 t 6 y 7 t 6 y 7 t6 y 7 t6 y 7 t6
TOP: Cross-Cultural Care KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
y 7t6 y7 t6 y7t6 y7 t6 y 7 t 6 y7 t6
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 y7 t6 y7 t 6 y 7 t6 y 7 t 6 y 7 t6 y 7 t6 y 7 t6 y 7 t6 y 7 t6
b. Deaths of fetuses weighing more than 500 g per 10,000 births per year y 7 t6 y7t6 y 7 t 6 y 7 t6 y7 t6 y7t6 y 7 t6 y7 t6 y 7 t 6 y 7 t6 y 7 t6 y7 t6
c. Deaths of infants up to 1 year of age per 1000 live births per year y7 t6 y 7 t6 y 7 t6 y7t6 y7 t6 y7 t6 y 7 t6 y 7 t6 y 7 t6 y 7 t6 y 7t6 y 7 t6 y 7 t6 y 7 t6
d. Fetal and neonatal deaths per 1000 live births per year y7t6 y7 t6 y7 t6 y 7 t 6 y 7 t6 y7 t6 y7 t6 y 7 t 6 y7 t6
ANS: D y 7 t 6
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
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y 7t6 DIF: Cognitive Level: Comprehension REF: Page 12
y7t6 y7 t6 y7t6 y7t6 y7t6 y 7t6
, INTRODUCTION TO MATERNITY ANDPEDIATRICNURSING 8THEDITIONLEIFERTEST BANK y7t6 y7t6 y7t6 y7t6 y7t6 y7t6 y7t6 y7t6 y7t6 yt67
3
OBJ: 9 TOP: The Present-Child Care
y 7 t6 y 7 t6 y 7 t6 y7 t6 y 7 t 6
KEY: Nursing Process Step: Implementation
y 7 t6 y7 t6 y 7 t6 y7 t6
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
y 7 t 6 y 7 t 6 y 7 t 6 y 7 t6 y 7 t6 y 7 t 6 y 7 t6
5. What is the focus of current maternity practice? y 7 t6 y7 t6 y 7 t6 y 7 t6 y7t6 y 7 t 6 y 7 t6
a. Hospital births for the majority of women y7 t6 y 7 t6 y 7 t6 y 7 t 6 y 7 t6 y 7 t6
b. The traditional family unit y 7 t6 y 7 t6 y 7 t 6
c. Separation of labor rooms from delivery rooms y 7 t 6 y 7 t6 y7 t6 y 7 t6 y 7 t6 y 7 t6
d. A quality family experience for each patient
y7 t6 y7 t6 y 7 t6 y 7 t6 y 7 t6 y 7 t6
ANS: D y 7 t 6
Current maternity practice focuses on a high-quality family experience for all families, traditional or otherwise.
y 7 t 6 y7 t 6 y7 t6 y 7 t6 y7 t 6 y7 t 6 y 7 t6 y7 t6 y7 t6 y 7 t6 y 7 t6 y 7 t 6 y 7 t6 y 7 t 6
DIF: Cognitive Level: Comprehension REF: Page 6
y 7 t6 y 7 t 6 y 7 t6 y7 t6 y 7 t6 y7 t6
TOP: The Present-Maternity Care KEY: Nursing Process Step: N/A
y7t6 y7 t6 y7t6 y7t6 y7 t6 y7t6 y 7t6 y 7 t6
MSC: NCLEX: Health Promotion and Maintenance
y 7t6 y7 t6 y7t6 y7t6 y7t6 y7 t6
6. Who advocated the establishment of the Childrens Bureau?
y7 t 6 y 7 t6 y7 t6 y 7 t6 y 7 t6 y 7 t6 y 7 t 6
a. Lillian Wald y7 t6
b. Florence Nightingale y7 t6
c. Florence Kelly y7 t6
d. Clara Barton y 7 t6
ANS: A y 7 t 6
Lillian Wald is credited with suggesting the establishment of a federal Childrens Bureau.
y7 t 6 y7 t 6 y7 t6 y 7 t6 y 7 t6 y 7 t6 y 7 t6 y 7 t6 y 7 t6 y 7 t 6 y7 t6 y 7 t6
DIF: Cognitive Level: Knowledge REF: Page 4
y 7 t6 y 7 t 6 y 7 t6 y 7 t6 y 7 t6 y 7 t6
TOP: The Past KEY: Nursing Process Step: Implementation
y7 t 6 y 7 t6 y 7 t6 y 7 t6 y7 t6 y 7 t6 y 7 t6
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
y 7 t6 y 7 t6 y 7 t6 y 7 t6 y 7 t 6 y 7 t 6 y 7 t6 y7 t6
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. y 7 t6 y7t6 y 7 t6 y 7 t6 y 7 t6 y7 t6 y7 t6 y 7 t6 y 7 t6 y 7 t6
b. The Child Abuse and Prevention Act was passed.
y7 t6 y 7 t6 y7 t 6 y 7 t6 y 7 t6 y 7 t 6 y 7 t6
c. Hot lunch programs were established in many schools.
y 7 t6 y 7 t6 y 7 t 6 y7 t 6 y 7 t6 y 7 t 6 y 7t6
d. Childrens asylums were founded. y 7 t6 y 7 t6 y7 t6
ANS: C y 7 t 6
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.
y 7t6 y7t6 y7t6 y7t6
DIF: Cognitive Level: Knowledge REF: Page 4
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TOP: The Past KEY: Nursing Process Step: N/A
y 7t6 y7 t6 y 7 t6 y 7 t6 y 7 t6 y7 t6 y 7 t6 y 7 t6
MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care
y 7 t 6 y 7 t 6 y 7 t6 y 7 t6 y 7 t6 y 7 t 6 y 7 t 6
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 y 7 t6 y 7 t6 y 7 t 6
c. The Childrens Charter y 7 t 6 y 7 t 6
d. Head Start y7 t6
ANS: D y 7 t 6
Head Start programs were established to increase educational exposure of preschool children.
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DIF: Cognitive Level: Knowledge REF: Page 3
y 7 t6 y 7 t 6 y 7 t6 y 7 t6 y 7 t6 y 7 t6
TOP: Government Influences in Maternity and Pediatric Care KEY: Nursing Process Step: N/A
y7t6 y7 t6 y7t6 y7t6 y7t6 y7t6 y 7t6 y 7t6 y 7t6 y 7t6 y7 t6 y7 t6
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
y 7t6 y 7 t 6 y 7 t 6 y 7 t 6 y 7 t 6 y 7 t 6 y 7 t 6 y7 t6 y 7 t 6
9. What guidelines define multidisciplinary patient care in terms of expected outcome and timeframe from
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different areas of care provision?
y 7t6 y7 t6 y7t6 y7 t6 y7t6
y7t6 y7t6
,IntroductiontoMaternityandPediatricNursing, 8th y7t6 y7t6 y7t6 y7t6 y7t6 y 7t6
Edition by Gloria Leifer
y7 t6 y7 t6 y7t6 y7t6
UNIT I: AnOverview ofMaternity andPediatric Nursing
y7t6 y7t6 y7t6 y7t6 y7t6 y7 t6 y7t6 y7t6
Chapter 1:ThePast, Present, andFuture y 7 t6 y7t6 y7t6 y7t6 y7 t6 y7t6
UNITII:Maternal-NewbornNursing andWomen’s Health
y7t6 y7t6 y7t6 y7t6 y7t6 y 7 t6
Chapter 2: Human Reproductive Anatomy and Physiology
y7 t6 y7 t6 y7t6 y7t6 y7 t6 y 7 t6 y7 t6
Chapter 3: Fetal Development
y7 t6 y7 t6 y7t6 y7t6
Chapter 4:Prenatal Careand Adaptations toPregnancy y7t6 y7t6 y7t6 y7t6 y7t6 y7t6 y7t6
Chapter 5:NursingCareof Women withComplications duringPregnancy
y7t6 y7t6 y7t6 y7t6 y7t6 y7t6 y7t6 y 7t6 y7t6
Chapter 6: Nursing Care of Mother and Infant during Labor and Birth Chapter
y7 t6 y7 t6 y7t6 y7t6 y7 t6 y7t6 y7t6 y7t6 y 7 t6 y 7t6 y7 t6 y 7t6 y 7t6
7: Nursing Management of Pain during Labor and Birth
y7 t6 y7 t6 y7t6 y7 t6 y7t6 y7t6 y7t6 y 7t6 y 7t6
Chapter 8:NursingCareof Women withComplications duringLabor and Birth
y7 t6 y7t6 y7t6 y7t6 y7t6 y7t6 y7t6 y 7t6 y7t6 y7 t6 y 7 t6
Chapter 9:TheFamilyafter Birth y7 t6 y7t6 y7t6 y7t6 y 7 t6
Chapter 10:NursingCareof Women withComplications FollowingBirth
y7t6 y7t6 y7t6 y7t6 y7t6 y7t6 y7t6 y7 t6 y7t6
Chapter 11: The Nurse’s Role in Women’s Health Care
y7 t6 y7 t6 y7 t6 y7t6 y7 t6 y7 t6 y7t6 y 7t6 y 7t6
Chapter 12: TheTermNewborn y 7 t6 y7t6 y7t6 y7t6
Chapter 13:PretermandPost-TermNewborns y 7 t6 yt67 y7t6 y7t6 y7t6
Chapter 14:TheNewbornwitha PerinatalInjury or Congenital y7 t6 y7t6 y7t6 y7t6 y7t6 y7t6 y7t6 y7t6 y 7 t6
Malformation
y7 t6
UNIT III:TheGrowing Child andFamily y7t6 y7t6 y7t6 y7t6 y7t6 yt67
Chapter 15:AnOverviewofGrowth, Development, andNutrition y7t6 y7t6 y7t6 y7t6 y7t6 y7t6 y7t6 y7t6
Chapter 16: The Infant
y7 t6 y7 t6 y7 t6 y7t6
Chapter 17: The Toddler Chapter y7 t6 y7 t6 y7t6 y7t6
18:ThePreschoolChild
y7t6 y7t6 y7t6 y7t6
Chapter19:TheSchool-AgeChild Chapter yt67 y7t6 y7t6 y7t6 y7t6
20: The Adolescent
y7 t6 y7t6 y7 t6
UNIT IV:Adapting Caretothe Pediatric Patient
y7t6 y7t6 y7t6 y7t6 y7t6 y7t6 y7t6
Chapter 21: The Child’s Experience of Hospitalization Chapter
y7 t6 y7 t6 y7t6 y7 t6 y7t6 y7t6 y 7t6
22:HealthCareAdaptations for theChildandFamily UNIT V:
y7 t6 y7t6 y7t6 y7t6 y7t6 y7 t6 y7t6 y7t6 y7t6 y 7t6 y 7t6
The Child Needing Nursing Care
y7 t6 y7t6 y7 t6 y7t6 y7t6
Chapter 23:TheChild witha Sensoryor Neurological Condition
y7t6 y7t6 y7t6 y7t6 y7t6 y7t6 y7t6 y7t6 y7t6
Chapter 24: The Child with a Musculoskeletal Condition Chapter
y7 t6 y7 t6 y7 t6 y7t6 y7 t6 y7 t6 y7t6 y 7t6 y7 t6
25: The Child with a Respiratory Disorder
y7 t6 y7t6 y7 t6 y7t6 y7t6 y7 t6 y7t6
Chapter 26:TheChild witha Cardiovascular Disorder y7 t6 y7t6 y7t6 y7t6 y7t6 y7t6 y 7 t6
Chapter 27:TheChild witha Condition oftheBlood, Blood-FormingOrgans or Lymphatic System Chapter 28:
y7 t6 y7t6 y7t6 y7t6 y7t6 y7 t6 y7t6 y7t6 y7t6 y7 t6 y7t6 y7 t6 y 7 t6 y7t6 y 7 t6 y 7t6
The Child with a Gastrointestinal Condition
y7 t6 y7 t6 y7t6 y7 t6 y7 t6 y7 t6
Chapter 29:TheChild witha GenitourinaryCondition Chapter y7t6 y7t6 y7t6 y7t6 y7t6 y7 t6 y7t6 y 7t6
30: The Child with a Skin Condition
y7 t6 y7t6 y7 t6 y7t6 y7t6 y7 t6 y7t6
Chapter 31:TheChild witha Metabolic Condition y7t6 yt67 y7t6 y7t6 y7t6 y7t6 y7t6
Chapter 32: Childhood Communicable Diseases, Bioterrorism, Natural Disasters and the Maternal-Child
y7 t6 y7t6 y7t6 y7t6 y7 t6 y 7t6 y7t6 y7t6 y7t6 y7t6
Patient
y7 t6
Chapter 33:TheChild withanEmotional or Behavioral Condition
y7 t6 y7t6 y7t6 y7t6 y7t6 y7t6 y7t6 y 7 t6 y7t6
UNIT VI:The Changing HealthCare Environmenty7t6 y7t6 y7t6 y7t6 y7t6 y7t6
Chapter 34:Complementaryand AlternativeTherapies inMaternityandPediatric Nursing
y7 t6 y7t6 y7t6 y7t6 y7t6 y 7 t6 y7t6 y7t6 y7t6 y7t6
, INTRODUCTION TO MATERNITY ANDPEDIATRICNURSING 8THEDITIONLEIFERTEST BANK y7t6 y7t6 y7t6 y7t6 y7t6 y7t6 y7t6 y7t6 y7t6 yt67
2
Chapter 01: The Past, Present, and Future y 7 t 6 y7 t6 y 7 t 6 y 7 t 6 y 7 t 6 y 7 t 6
MULTIPLE CHOICE y 7 t6
1. A patient chooses to have the certified nurse midwife (CNM) provide care during her pregnancy. What does the
y7 t6 y7t6 y7 t6 y7t6 y7 t6 y7t6 y7 t6 y7t6 y 7 t6 y7 t6 y 7 t6 y7 t6 y7 t6 y 7t6 y 7t6 y 7t6 y7 t6
CNMs scope of practice include?
y 7t6 y7t6 y7 t6 y7t6 y7 t6
a. Practice independent from medical supervision y 7 t6 y 7 t6 y 7 t6 y 7 t 6
b. Comprehensive prenatal care y 7 t 6 y 7 t 6
c. Attendance at all deliveries y7 t 6 y 7 t6 y7 t6
d. Cesarean sections y 7 t6
ANS: B y 7 t 6
The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated deliveries, and ensures that
y7 t6 y7 t6 y7t6 y7t6 y7t6 y 7t6 y 7t6 y7 t6 y7 t6 y7 t6 y 7t6 y7 t6 y 7 t6
a backup physician is available in case of unforeseen problems.
y 7t6 y 7 t 6 y 7 t 6 y 7 t 6 y 7 t 6 y7 t6 y 7 t 6 y 7 t 6 y 7 t 6 y 7 t 6
DIF: Cognitive Level: Comprehension REF: Page 6y 7 t6 y 7 t 6 y 7 t 6 y 7 t6 y 7 t 6 y 7 t 6
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 y 7 t6
b. Ignaz Semmelweis y 7 t6
c. Louis Pasteur y 7 t 6
d. Joseph Lister y 7 t 6
ANS: B y 7 t 6
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the unwashed hands
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of physicians and medical students.
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DIF: Cognitive Level: Knowledge REF: Page 2 y7 t6 y7 t6 y7t6 y7t6 y7t6 y7t6
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
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y reflecting cultural sensitivity?
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a. Maternal mortality in the United States is extremely low. y 7 t 6 y 7 t6 y7t6 y 7 t 6 y 7 t6 y 7 t6 y 7 t6 y 7 t6
b. Anesthesia is available to relieve pain during labor and childbirth. y 7 t6 y7 t6 y 7 t6 y7t6 y 7 t 6 y 7 t6 y 7 t6 y 7 t6 y 7 t6
c. Tell me why you are afraid of childbirth. y 7 t 6 y7 t 6 y7 t6 y7 t6 y7t6 y7 t6 y 7 t6
d. Your condition will be monitored during labor and delivery. y 7 t6 y 7 t6 y 7 t6 y 7 t6 y 7 t6 y7 t6 y 7 t6 y 7 t6
ANS: C y 7 t 6
Asking the patient about her concerns helps promote understanding and individualizes patient care.
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DIF: Cognitive Level: Application REF: Page 7 y 7 t6 y 7 t 6 y 7 t 6 y 7 t6 y 7 t6 y 7 t6
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 y7 t6 y7 t 6 y 7 t6 y 7 t 6 y 7 t6 y 7 t6 y 7 t6 y 7 t6 y 7 t6
b. Deaths of fetuses weighing more than 500 g per 10,000 births per year y 7 t6 y7t6 y 7 t 6 y 7 t6 y7 t6 y7t6 y 7 t6 y7 t6 y 7 t 6 y 7 t6 y 7 t6 y7 t6
c. Deaths of infants up to 1 year of age per 1000 live births per year y7 t6 y 7 t6 y 7 t6 y7t6 y7 t6 y7 t6 y 7 t6 y 7 t6 y 7 t6 y 7 t6 y 7t6 y 7 t6 y 7 t6 y 7 t6
d. Fetal and neonatal deaths per 1000 live births per year y7t6 y7 t6 y7 t6 y 7 t 6 y 7 t6 y7 t6 y7 t6 y 7 t 6 y7 t6
ANS: D y 7 t 6
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
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y 7t6 DIF: Cognitive Level: Comprehension REF: Page 12
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, INTRODUCTION TO MATERNITY ANDPEDIATRICNURSING 8THEDITIONLEIFERTEST BANK y7t6 y7t6 y7t6 y7t6 y7t6 y7t6 y7t6 y7t6 y7t6 yt67
3
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? y 7 t6 y7 t6 y 7 t6 y 7 t6 y7t6 y 7 t 6 y 7 t6
a. Hospital births for the majority of women y7 t6 y 7 t6 y 7 t6 y 7 t 6 y 7 t6 y 7 t6
b. The traditional family unit y 7 t6 y 7 t6 y 7 t 6
c. Separation of labor rooms from delivery rooms y 7 t 6 y 7 t6 y7 t6 y 7 t6 y 7 t6 y 7 t6
d. A quality family experience for each patient
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ANS: D y 7 t 6
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 y7 t6
b. Florence Nightingale y7 t6
c. Florence Kelly y7 t6
d. Clara Barton y 7 t6
ANS: A y 7 t 6
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. y 7 t6 y7t6 y 7 t6 y 7 t6 y 7 t6 y7 t6 y7 t6 y 7 t6 y 7 t6 y 7 t6
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. y 7 t6 y 7 t6 y7 t6
ANS: C y 7 t 6
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 y 7 t6 y 7 t6 y 7 t 6
c. The Childrens Charter y 7 t 6 y 7 t 6
d. Head Start y7 t6
ANS: D y 7 t 6
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: N/A
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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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