, Davis Advantage for Maternal-Child Nursing Care 3rd Edition Scannell
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Ruggiero Test Bank ss ss
Chapter 1.Core Concepts of Maternal and Pediatric Healthcare Across the Continuum
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MULTIPLE CHOICE ss
A patient chooses to have the certified nurse midwife (CNM) provide care during
ss ss ss ss ss ss ss ss ss ss ss ss
ss her pregnancy. What does the CNMs scope of practice include?
ss ss ss ss ss ss ss ss ss
• Practice independent from medical supervision ss ss ss ss
• Comprehensive prenatal care ss ss
• Attendance at all deliveries ss ss ss
• Cesarean sections ss
ANS:B - The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated
ss ss ss ss ss ss ss ss ss ss ss
ss deliveries, and ensures that a backup physician is available in case of unforeseen
ss ss ss ss ss ss ss ss ss ss ss ss
problems.
REF: Page 6 ss ss
Which medical pioneer discovered the relationship between the incidence of
ss ss ss ss ss ss ss ss ss
ss puerperal fever and unwashed hands? ss ss ss ss
• Karl Cred ss
• Ignaz Semmelweis ss
• Louis Pasteur ss
• Joseph List ss
ANS: B - Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ss unwashed hands of physicians and medical students. ss ss ss ss ss ss
A pregnant woman who has recently immigrated to the United States comments to
ss ss ss ss ss ss ss ss ss ss ss ss
ss the nurse, I Am afraid of childbirth. It is so dangerous. I am afraid I will die. What is the
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
best nursing response reflecting cultural sensitivity?
ss ss ss ss ss ss
• Maternal mortality in the United States is extremely low. ss ss ss ss ss ss ss ss
• Anesthesia is available to relieve pain during labor and childbirth. ss ss ss ss ss ss ss ss ss
• Tell me why you are afraid of childbirth.
ss ss ss ss ss ss ss
• Your condition will be monitored during labor and delivery.
ss ss ss ss ss ss ss ss
, 2
ANS: C - Asking the patient about her concerns helps promote understanding and individualizes
ss ss ss ss ss ss ss ss ss ss ss ss ss
ss patient care. ss
• An urban area has been reported to have a high perinatal mortality rate. What
ss ss ss ss ss ss ss ss ss ss ss ss ss
ss information does this provide? ss ss ss
• Maternal and infant deaths per 100,000 live births per year ss ss ss ss ss ss ss ss ss
• Deaths of fetuses weighing more than 500 g per 10,000 births per year
ss ss ss ss ss ss ss ss ss ss ss ss
• Deaths of infants up to 1 year of age per 1000 live births per year
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
• Fetal and neonatal deaths per 1000 live births per year
ss ss ss ss ss ss ss ss ss
ANS: D - The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
• What is the focus of current maternity practice?
ss ss ss ss ss ss ss
• Hospital births for the majority of women ss ss ss ss ss ss
• The traditional family unit
ss ss ss
• Separation of labor rooms from delivery rooms ss ss ss ss ss ss
• A quality family experience for each patient
ss ss ss ss ss ss
ANS: D - Current maternity practice focuses on a high-quality family experience for all
ss ss ss ss ss ss ss ss ss ss ss ss ss
ss families, traditional or otherwise. ss ss ss
: REF: Page 6 7 : The Present-Maternity Care N/A : Health Promotion and Maintenance
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
• Who advocated the establishment of the Childrens Bureau?
ss ss ss ss ss ss ss
• Lillian Wald ss
• Florence Nightingale ss
• Florence Kelly ss
• Clara Barton ss
ANS:A - Lillian Wald is credited with suggesting the establishment of a federal Childrens Bureau.
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
• What was the result of research done in the 1930s by the Childrens Bureau?
ss ss ss ss ss ss ss ss ss ss ss ss ss
• Children with heart problems are now cared for by pediatric cardiologists.
ss ss ss ss ss ss ss ss ss ss
• The Child Abuse and Prevention Act was passed.
ss ss ss ss ss ss ss
• Hot lunch programs were established in many schools.
ss ss ss ss ss ss ss
• Childrens asylums were founded. ss ss ss
ANS: C - School hot lunch programs were developed as a result of research by the Childrens Bureau on
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
, 3
The effects of economic depression on children.
ss ss ss ss ss ss
• What government program was implemented to increase the educational
ss ss ss ss ss ss ss ss
ss exposure of preschool children? ss ss ss
• WIC
• Title XIX of Medicaid ss ss ss
• The Childrens Charterss ss
• Head Start ss
ANS:D - Head Start programs were established to increase educational exposure of preschool children.
ss ss ss ss ss ss ss ss ss ss ss ss ss
• What guidelines define multidisciplinary patient care in terms of expected
ss ss ss ss ss ss ss ss ss
ss outcome and timeframe from different areas of care provision?
ss ss ss ss ss ss ss ss
• Clinical pathways ss
• Nursing outcome criteria ss ss
• Standards of care ss ss
• Nursing care plan ss ss
ANS:A - Clinical pathways, also known as critical pathways or care maps, are collaborative
ss ss ss ss ss ss ss ss ss ss ss ss ss
ss guidelines that define patient care across disciplines. Expected progress within a
ss ss ss ss ss ss ss ss ss ss
ss specified timeline is identified. ss ss ss
• A nursing student has reviewed a hospitalized pediatric patient chart,
ss ss ss ss ss ss ss ss ss
ss interviewed her mother, and collected admission data. What is the next step thess ss ss ss ss ss ss ss ss ss ss ss
student will take to develop a nursing care plan for this child?
ss ss ss ss ss ss ss ss ss ss ss ss
• Identify measurable outcomes with a timeline. ss ss ss ss ss
• Choose specific nursing interventions for the child.
ss ss ss ss ss ss
• Determine appropriate nursing diagnoses. ss ss ss
• State nursing actions related to the childs medical diagnosis.
ss ss ss ss ss ss ss ss
ANS: C - The nurse uses assessment data to select appropriate nursing diagnoses from the NANDA-I
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ss list. Outcomes and interventions are then developed to address the relevant nursing diagnoses.
ss ss ss ss ss ss ss ss ss ss ss ss
• A nursing student on an obstetric rotation questions the floor nurse about
ss ss ss ss ss ss ss ss ss ss ss
ss the definition of the LVN/LPN scope of practice. What resource can the nurse
ss ss ss ss ss ss ss ss ss ss ss ss
suggest to the student?
ss ss ss ss
ss ss ss ss ss ss ss ss
Ruggiero Test Bank ss ss
Chapter 1.Core Concepts of Maternal and Pediatric Healthcare Across the Continuum
ss ss ss ss ss ss ss ss ss ss
MULTIPLE CHOICE ss
A patient chooses to have the certified nurse midwife (CNM) provide care during
ss ss ss ss ss ss ss ss ss ss ss ss
ss her pregnancy. What does the CNMs scope of practice include?
ss ss ss ss ss ss ss ss ss
• Practice independent from medical supervision ss ss ss ss
• Comprehensive prenatal care ss ss
• Attendance at all deliveries ss ss ss
• Cesarean sections ss
ANS:B - The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated
ss ss ss ss ss ss ss ss ss ss ss
ss deliveries, and ensures that a backup physician is available in case of unforeseen
ss ss ss ss ss ss ss ss ss ss ss ss
problems.
REF: Page 6 ss ss
Which medical pioneer discovered the relationship between the incidence of
ss ss ss ss ss ss ss ss ss
ss puerperal fever and unwashed hands? ss ss ss ss
• Karl Cred ss
• Ignaz Semmelweis ss
• Louis Pasteur ss
• Joseph List ss
ANS: B - Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ss unwashed hands of physicians and medical students. ss ss ss ss ss ss
A pregnant woman who has recently immigrated to the United States comments to
ss ss ss ss ss ss ss ss ss ss ss ss
ss the nurse, I Am afraid of childbirth. It is so dangerous. I am afraid I will die. What is the
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
best nursing response reflecting cultural sensitivity?
ss ss ss ss ss ss
• Maternal mortality in the United States is extremely low. ss ss ss ss ss ss ss ss
• Anesthesia is available to relieve pain during labor and childbirth. ss ss ss ss ss ss ss ss ss
• Tell me why you are afraid of childbirth.
ss ss ss ss ss ss ss
• Your condition will be monitored during labor and delivery.
ss ss ss ss ss ss ss ss
, 2
ANS: C - Asking the patient about her concerns helps promote understanding and individualizes
ss ss ss ss ss ss ss ss ss ss ss ss ss
ss patient care. ss
• An urban area has been reported to have a high perinatal mortality rate. What
ss ss ss ss ss ss ss ss ss ss ss ss ss
ss information does this provide? ss ss ss
• Maternal and infant deaths per 100,000 live births per year ss ss ss ss ss ss ss ss ss
• Deaths of fetuses weighing more than 500 g per 10,000 births per year
ss ss ss ss ss ss ss ss ss ss ss ss
• Deaths of infants up to 1 year of age per 1000 live births per year
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
• Fetal and neonatal deaths per 1000 live births per year
ss ss ss ss ss ss ss ss ss
ANS: D - The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
• What is the focus of current maternity practice?
ss ss ss ss ss ss ss
• Hospital births for the majority of women ss ss ss ss ss ss
• The traditional family unit
ss ss ss
• Separation of labor rooms from delivery rooms ss ss ss ss ss ss
• A quality family experience for each patient
ss ss ss ss ss ss
ANS: D - Current maternity practice focuses on a high-quality family experience for all
ss ss ss ss ss ss ss ss ss ss ss ss ss
ss families, traditional or otherwise. ss ss ss
: REF: Page 6 7 : The Present-Maternity Care N/A : Health Promotion and Maintenance
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
• Who advocated the establishment of the Childrens Bureau?
ss ss ss ss ss ss ss
• Lillian Wald ss
• Florence Nightingale ss
• Florence Kelly ss
• Clara Barton ss
ANS:A - Lillian Wald is credited with suggesting the establishment of a federal Childrens Bureau.
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
• What was the result of research done in the 1930s by the Childrens Bureau?
ss ss ss ss ss ss ss ss ss ss ss ss ss
• Children with heart problems are now cared for by pediatric cardiologists.
ss ss ss ss ss ss ss ss ss ss
• The Child Abuse and Prevention Act was passed.
ss ss ss ss ss ss ss
• Hot lunch programs were established in many schools.
ss ss ss ss ss ss ss
• Childrens asylums were founded. ss ss ss
ANS: C - School hot lunch programs were developed as a result of research by the Childrens Bureau on
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
, 3
The effects of economic depression on children.
ss ss ss ss ss ss
• What government program was implemented to increase the educational
ss ss ss ss ss ss ss ss
ss exposure of preschool children? ss ss ss
• WIC
• Title XIX of Medicaid ss ss ss
• The Childrens Charterss ss
• Head Start ss
ANS:D - Head Start programs were established to increase educational exposure of preschool children.
ss ss ss ss ss ss ss ss ss ss ss ss ss
• What guidelines define multidisciplinary patient care in terms of expected
ss ss ss ss ss ss ss ss ss
ss outcome and timeframe from different areas of care provision?
ss ss ss ss ss ss ss ss
• Clinical pathways ss
• Nursing outcome criteria ss ss
• Standards of care ss ss
• Nursing care plan ss ss
ANS:A - Clinical pathways, also known as critical pathways or care maps, are collaborative
ss ss ss ss ss ss ss ss ss ss ss ss ss
ss guidelines that define patient care across disciplines. Expected progress within a
ss ss ss ss ss ss ss ss ss ss
ss specified timeline is identified. ss ss ss
• A nursing student has reviewed a hospitalized pediatric patient chart,
ss ss ss ss ss ss ss ss ss
ss interviewed her mother, and collected admission data. What is the next step thess ss ss ss ss ss ss ss ss ss ss ss
student will take to develop a nursing care plan for this child?
ss ss ss ss ss ss ss ss ss ss ss ss
• Identify measurable outcomes with a timeline. ss ss ss ss ss
• Choose specific nursing interventions for the child.
ss ss ss ss ss ss
• Determine appropriate nursing diagnoses. ss ss ss
• State nursing actions related to the childs medical diagnosis.
ss ss ss ss ss ss ss ss
ANS: C - The nurse uses assessment data to select appropriate nursing diagnoses from the NANDA-I
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ss list. Outcomes and interventions are then developed to address the relevant nursing diagnoses.
ss ss ss ss ss ss ss ss ss ss ss ss
• A nursing student on an obstetric rotation questions the floor nurse about
ss ss ss ss ss ss ss ss ss ss ss
ss the definition of the LVN/LPN scope of practice. What resource can the nurse
ss ss ss ss ss ss ss ss ss ss ss ss
suggest to the student?
ss ss ss ss
