Test Bank for Introduction to Maternity and Pediatric Nursing
9th Edition by Gloria Leifer.
Introduction to Maternity and
Pediatric Nursing NINTH EDITION
Gloria Leifer
,TEST BANK Introduction to Maternity and Pediatric Nursing 9/E Gloria Leifer
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 CNM’s scope of
practice include?
a. Practice independent from medical
supervision
b. Comprehensive prenatal care
c. Attendance at all deliveries
d. Cesarean sections
ANS: B
The CNM provides comprehensive prenatal and postnatal care, attends
uncomplicated deliveries, and ensures that a backup physician is
available in case of unforeseen problems.
DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: 5
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 Credé
b. Ignaz
Semmelweis
c. Louis Pasteur
d. Joseph Lister
ANS: B
Ignaz Semmelweis deduced that puerperal fever was septic, contagious,
and transmitted by the unwashed hands of physicians and medical
students.
DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: 1
TOP: The Past KEY: Nursing Process Step:
N/A Environment: Safety and Infection Control
MSC: NCLEX: Safe, Effective Care
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.” “Tell me why you are afraid of
childbirth.”c.
d. “Your condition will be monitored during labor and delivery.”
ANS: C
Asking the patient about her concerns helps promote understanding and
individualizes patient care.
DIF: Cognitive Level: Application REF: pp. 6-8 OBJ: 8
TOP: Cross-Cultural Care KEY: Nursing Process Step:
Implementation MSC: NCLEX: Psychosocial Integrity: Psychological
Adaptation
, 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
ANS: D
The perinatal mortality rate includes fetal and neonatal deaths per 1000
live births per year.
DIF: Cognitive Level: Comprehension REF: p. 13 | Box 1.6
OBJ: 9 TOP: The Present-Child Care
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
5. What is the focus of current maternity practice?
a. Hospital births for the majority of women
b. The traditional family unit
c. Separation of labor rooms from delivery rooms
d. A quality family experience for each patient
ANS: D
Current maternity practice focuses on a high-quality family experience for all
families,
traditional or otherwise.
DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: 5
TOP: The Present-Maternity Care KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance
6. Who advocated the establishment of the Children’s Bureau?
a. Lillian Wald
b. Florence Nightingale
c. Florence Kelly
d. Clara Barton
ANS: A
Lillian Wald is credited with suggesting the establishment of a federal
Children’s Bureau.
DIF: Cognitive Level: Knowledge REF: p. 4 OBJ: 1 | 2
TOP: The Past KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
7. What was the result of research done in the 1930s by the Children’s
Bureau?
a. Children with heart problems are now cared for by pediatric
cardiologists.
b. The Child Abuse and Prevention Act was passed.
c. Hot lunch programs were established in many schools.
d. Children’s asylums were founded.
ANS: C