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