TEST BANK FOR
Introduction to Maternity and Pediatric Nursing,
8th Edition by Gloria Leifer
UNIT I: An Overview of Maternity and Pediatric Nursing
Chapter 1: The Past, Present, and Future
UNIT II: Maternal-Newborn Nursing and Women’s Health
Chapter 2: Human Reproductive Anatomy and Physiology
Chapter 3: Fetal Development
Chapter 4: Prenatal Care and Adaptations to Pregnancy
Chapter 5: Nursing Care of Women with Complications during Pregnancy
Chapter 6: Nursing Care of Mother and Infant during Labor and Birth
Chapter 7: Nursing Management of Pain during Labor and Birth
Chapter 8: Nursing Care of Women with Complications during Labor and
Birth
Chapter 9: The Family after Birth
Chapter 10: Nursing Care of Women with Complications Following Birth
Chapter 11: The Nurse’s Role in Women’s Health Care
Chapter 12: The Term Newborn
Chapter 13: Preterm and Post-Term Newborns
Chapter 14: The Newborn with a Perinatal Injury or Congenital
Malformation
UNIT III: The Growing Child and Family
Chapter 15: An Overview of Growth, Development, and Nutrition
Chapter 16: The Infant
Chapter 17: The Toddler
Chapter 18: The Preschool Child
Chapter 19: The School-Age Child
Chapter 20: The Adolescent
UNIT IV: Adapting Care to the Pediatric Patient
Chapter 21: The Child’s Experience of Hospitalization
Chapter 22: Health Care Adaptations for the Child and Family
UNIT V: The Child Needing Nursing Care
Chapter 23: The Child with a Sensory or Neurological Condition
Chapter 24: The Child with a Musculoskeletal Condition
Chapter 25: The Child with a Respiratory Disorder
Chapter 26: The Child with a Cardiovascular Disorder
Chapter 27: The Child with a Condition of the Blood, Blood-Forming Organs or Lymphatic System
Chapter 28: The Child with a Gastrointestinal Condition
Chapter 29: The Child with a Genitourinary Condition
Chapter 30: The Child with a Skin Condition
Chapter 31: The Child with a Metabolic Condition
Chapter 32: Childhood Communicable Diseases, Bioterrorism, Natural Disasters and the Maternal-Child
Patient
Chapter 33: The Child with an Emotional or Behavioral Condition
UNIT VI: The Changing Health Care Environment
Chapter 34: Complementary and Alternative Therapies in Maternity and Pediatric Nursing
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
2
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
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the CNMs scope of practice include?
T T T T T
a. Practice independent from medical supervision
T T T T
b. Comprehensive prenatal care T T
c. Attendance at all deliveries T T T
d. Cesarean sections T
ANS: B T
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.
T T T T T T T T T T
DIF: Cognitive Level: Comprehension REF: Page 6
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TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: Implementation
T T T T T T T T T
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?
a. Karl Cred T
b. Ignaz Semmelweis T
c. Louis Pasteur T
d. Joseph Lister T
ANS: B T
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the unwashed
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hands of physicians and medical students.
T T T T T
DIF: Cognitive Level: Knowledge REF: Page 2
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TOP: The Past KEY: Nursing Process Step: N/A
T T T T T T T
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
T T T T T T T T T
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
T T T T T T T T T T T T T T T T T T T
sensitivity?
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.
T T T T T T T T T
c. Tell me why you are afraid of childbirth.
T T T T T T T
d. Your condition will be monitored during labor and delivery.
T T T T T T T T
ANS: C T
Asking the patient about her concerns helps promote understanding and individualizes patient care.
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DIF: Cognitive Level: Application REF: Page 7
T T T T T T
TOP: Cross-Cultural Care KEY: Nursing Process Step: Implementation
T T T T T T T T
MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
T T T T T
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 T
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
T T T T T T T T T T T T T T T
DIF: Cognitive Level: Comprehension REF: Page 12
T T T T T T
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
3
OBJ: 9 TOP: The Present-Child Care
T T T T T
KEY: Nursing Process Step: Implementation
T T T T
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
T T T T T T T
5. What is the focus of current maternity practice?
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a. Hospital births for the majority of womenT T T T T T
b. The traditional family unit
T T T
c. Separation of labor rooms from delivery rooms T T T T T T
d. A quality family experience for each patient
T T T T T T
ANS: D T
Current maternity practice focuses on a high-quality family experience for all families, traditional or otherwise.
T T T T T T T T T T T T T T
DIF: Cognitive Level: Comprehension REF: Page 6
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TOP: The Present-Maternity Care KEY: Nursing Process Step: N/A
T T T T T T T T T
MSC: NCLEX: Health Promotion and Maintenance
T T T T T
6. Who advocated the establishment of the Childrens Bureau?
T T T T T T T
a. Lillian Wald T
b. Florence Nightingale T
c. Florence Kelly T
d. Clara Barton T
ANS: A T
Lillian Wald is credited with suggesting the establishment of a federal Childrens Bureau.
T T T T T T T T T T T T
DIF: Cognitive Level: Knowledge REF: Page 4
T T T T T T
TOP: The Past KEY: Nursing Process Step: Implementation
T T T T T T T
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
T T T T T T T T
7. What was the result of research done in the 1930s bythe Childrens Bureau?
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a. Children with heart problems are now cared for by pediatric cardiologists.
T T T T T T T T T T
b. The Child Abuse and Prevention Act was passed.
T T T T T T T
c. Hot lunch programs were established in many schools.
T T T T T T T
d. Childrens asylums were founded. T T T
ANS: C T
School hot lunch programs were developed as a result of research by the Childrens Bureau on the effects of
T T T T T T T T T T T T T T T T T T T
economic depression on children. T T T
DIF: Cognitive Level: Knowledge REF: Page 4
T T T T T T T
TOP: The Past KEY: Nursing Process Step: N/A
T T T T T T T
MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care
T T T T T T T
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
T T T
c. The Childrens Charter
T T
d. Head Start T
ANS: D T
Head Start programs were established to increase educational exposure of preschool children.
T T T T T T T T T T T
DIF: Cognitive Level: Knowledge REF: Page 3
T T T T T T
TOP: Government Influences in Maternity and Pediatric Care KEY: Nursing Process Step: N/A
T T T T T T T T T T T T T
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
T T T T T T T T
9. What guidelines define multidisciplinary patient care in terms of expected outcome and timeframe from
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different areas of care provision?
T T T T
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
4
a. Clinical pathways T
b. Nursing outcome criteria T T
c. Standards of care T T
d. Nursing care plan T T
ANS: A T
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.
T T T T T T T T T T T
DIF: Cognitive Level: Knowledge REF: Page 12
T T T T T T
TOP: Health Care Delivery Systems KEY: Nursing Process Step: N/A
T T T T T T T T T T
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
T T T T T T T
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
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child?
a. Identify measurable outcomes with a timeline.
T T T T T
b. Choose specific nursing interventions for the child.
T T T T T T
c. Determine appropriate nursing diagnoses. T T T
d. State nursing actions related to the childs medical diagnosis.
T T T T T T T T
ANS: C T
The nurse uses assessment data to select appropriate nursing diagnoses from the NANDA-I list. Outcomes and
T T T T T T T T T T T T T T T T
interventions are then developed to address the relevant nursing diagnoses.
T T T T T T T T T
DIF: Cognitive Level: Application REF: Page 11
T T T T T T
TOP: Nursing Process KEY: Nursing Process Step: Nursing Diagnosis
T T T T T T T T T
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
T T T T T T T
11. A nursing student on an obstetric rotation questions the floor nurse about the definition of the LVN/LPN
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scopeof practice.WhatresourcecanthenurseNsUu Rg SgIe Ns tGtoTBth.CeOstMu dent?
T T T T T T T T T T T T T T T T
a. American Nurses Association T T
b. States board of nursing T T T
c. Joint Commission T
d. Association of Womens Health, Obstetric and Neonatal Nurses T T T T T T T
ANS: B T
The scope of practice of the LVN/LPN is published by the states board of nursing.
T T T T T T T T T T T T T T
DIF: Cognitive Level: Comprehension REF: Page 3
T T T T T T T
OBJ: 18 TOP: Critical Thinking
T T T T
KEY: Nursing Process Step: Implementation
T T T T
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
T T T T T T T
12. What was recommended by Karl Cred in 1884?
T T T T T T T
a. All women should be delivered in a hospital setting.
T T T T T T T T
b. Chemical means should be used to combat infection. T T T T T T T
c. Podalic version should be done on all fetuses.
T T T T T T T
d. Silver nitrate should be placed in the eyes of newborns.
T T T T T T T T T
ANS: D T
In 1884 Karl Cred recommended the use of 2% silver nitrate in the eyes of newborns to reduce the incidence of
T T T T T T T T T T T T T T T T T T T T T
blindness.
DIF: Cognitive Level: Knowledge REF: Page 2
T T T T T T
TOP: Use of Silver Nitrate KEY: Nursing Process Step: N/A
T T T T T T T T T
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
T T T T T T T T T T T
13. What is the purpose of the White House Conference on Children and Youth?
T T T T T T T T T T T T
a. Set criteria for normal growth patterns.
T T T T T
Introduction to Maternity and Pediatric Nursing,
8th Edition by Gloria Leifer
UNIT I: An Overview of Maternity and Pediatric Nursing
Chapter 1: The Past, Present, and Future
UNIT II: Maternal-Newborn Nursing and Women’s Health
Chapter 2: Human Reproductive Anatomy and Physiology
Chapter 3: Fetal Development
Chapter 4: Prenatal Care and Adaptations to Pregnancy
Chapter 5: Nursing Care of Women with Complications during Pregnancy
Chapter 6: Nursing Care of Mother and Infant during Labor and Birth
Chapter 7: Nursing Management of Pain during Labor and Birth
Chapter 8: Nursing Care of Women with Complications during Labor and
Birth
Chapter 9: The Family after Birth
Chapter 10: Nursing Care of Women with Complications Following Birth
Chapter 11: The Nurse’s Role in Women’s Health Care
Chapter 12: The Term Newborn
Chapter 13: Preterm and Post-Term Newborns
Chapter 14: The Newborn with a Perinatal Injury or Congenital
Malformation
UNIT III: The Growing Child and Family
Chapter 15: An Overview of Growth, Development, and Nutrition
Chapter 16: The Infant
Chapter 17: The Toddler
Chapter 18: The Preschool Child
Chapter 19: The School-Age Child
Chapter 20: The Adolescent
UNIT IV: Adapting Care to the Pediatric Patient
Chapter 21: The Child’s Experience of Hospitalization
Chapter 22: Health Care Adaptations for the Child and Family
UNIT V: The Child Needing Nursing Care
Chapter 23: The Child with a Sensory or Neurological Condition
Chapter 24: The Child with a Musculoskeletal Condition
Chapter 25: The Child with a Respiratory Disorder
Chapter 26: The Child with a Cardiovascular Disorder
Chapter 27: The Child with a Condition of the Blood, Blood-Forming Organs or Lymphatic System
Chapter 28: The Child with a Gastrointestinal Condition
Chapter 29: The Child with a Genitourinary Condition
Chapter 30: The Child with a Skin Condition
Chapter 31: The Child with a Metabolic Condition
Chapter 32: Childhood Communicable Diseases, Bioterrorism, Natural Disasters and the Maternal-Child
Patient
Chapter 33: The Child with an Emotional or Behavioral Condition
UNIT VI: The Changing Health Care Environment
Chapter 34: Complementary and Alternative Therapies in Maternity and Pediatric Nursing
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
2
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
T T T T T T T T T T T T T T T T
the CNMs scope of practice include?
T T T T T
a. Practice independent from medical supervision
T T T T
b. Comprehensive prenatal care T T
c. Attendance at all deliveries T T T
d. Cesarean sections T
ANS: B T
The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated deliveries, and ensures
T T T T T T T T T T T T T
that a backup physician is available in case of unforeseen problems.
T T T T T T T T T T
DIF: Cognitive Level: Comprehension REF: Page 6
T T T T T T
TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: Implementation
T T T T T T T T T
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
T T T T T T T T T T T
2. Which medical pioneer discovered the relationship between the incidence of puerperal fever and unwashed
T T T T T T T T T T T T T T
hands?
a. Karl Cred T
b. Ignaz Semmelweis T
c. Louis Pasteur T
d. Joseph Lister T
ANS: B T
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the unwashed
T T T T T T T T T T T T T T
hands of physicians and medical students.
T T T T T
DIF: Cognitive Level: Knowledge REF: Page 2
T T T T T T T
TOP: The Past KEY: Nursing Process Step: N/A
T T T T T T T
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
T T T T T T T T T
3. A pregnant woman who has recently immigrated to the United States comments to the nurse, I am afraid of
T T T T T T T T T T T T T T T T T T T
childbirth. It is so dangerous. I am afraid I will die. What is the best nursing response reflecting cultural
T T T T T T T T T T T T T T T T T T T
sensitivity?
a. Maternal mortality in the United States is extremely low.
T T T T T T T T
b. Anesthesia is available to relieve pain during labor and childbirth.
T T T T T T T T T
c. Tell me why you are afraid of childbirth.
T T T T T T T
d. Your condition will be monitored during labor and delivery.
T T T T T T T T
ANS: C T
Asking the patient about her concerns helps promote understanding and individualizes patient care.
T T T T T T T T T T T T
DIF: Cognitive Level: Application REF: Page 7
T T T T T T
TOP: Cross-Cultural Care KEY: Nursing Process Step: Implementation
T T T T T T T T
MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
T T T T T
4. An urban area has been reported to have a high perinatal mortality rate. What information does this provide?
T T T T T T T T T T T T T T T T T
a. Maternal and infant deaths per 100,000 live births per year
T T T T T T T T T
b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
T T T T T T T T T T T T
c. Deaths of infants up to 1 year of age per 1000 live births per year
T T T T T T T T T T T T T T
d. Fetal and neonatal deaths per 1000 live births per year
T T T T T T T T T
ANS: D T
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
T T T T T T T T T T T T T T T
DIF: Cognitive Level: Comprehension REF: Page 12
T T T T T T
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
3
OBJ: 9 TOP: The Present-Child Care
T T T T T
KEY: Nursing Process Step: Implementation
T T T T
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
T T T T T T T
5. What is the focus of current maternity practice?
T T T T T T T
a. Hospital births for the majority of womenT T T T T T
b. The traditional family unit
T T T
c. Separation of labor rooms from delivery rooms T T T T T T
d. A quality family experience for each patient
T T T T T T
ANS: D T
Current maternity practice focuses on a high-quality family experience for all families, traditional or otherwise.
T T T T T T T T T T T T T T
DIF: Cognitive Level: Comprehension REF: Page 6
T T T T T T
TOP: The Present-Maternity Care KEY: Nursing Process Step: N/A
T T T T T T T T T
MSC: NCLEX: Health Promotion and Maintenance
T T T T T
6. Who advocated the establishment of the Childrens Bureau?
T T T T T T T
a. Lillian Wald T
b. Florence Nightingale T
c. Florence Kelly T
d. Clara Barton T
ANS: A T
Lillian Wald is credited with suggesting the establishment of a federal Childrens Bureau.
T T T T T T T T T T T T
DIF: Cognitive Level: Knowledge REF: Page 4
T T T T T T
TOP: The Past KEY: Nursing Process Step: Implementation
T T T T T T T
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
T T T T T T T T
7. What was the result of research done in the 1930s bythe Childrens Bureau?
T T T T T T T T T T T T
a. Children with heart problems are now cared for by pediatric cardiologists.
T T T T T T T T T T
b. The Child Abuse and Prevention Act was passed.
T T T T T T T
c. Hot lunch programs were established in many schools.
T T T T T T T
d. Childrens asylums were founded. T T T
ANS: C T
School hot lunch programs were developed as a result of research by the Childrens Bureau on the effects of
T T T T T T T T T T T T T T T T T T T
economic depression on children. T T T
DIF: Cognitive Level: Knowledge REF: Page 4
T T T T T T T
TOP: The Past KEY: Nursing Process Step: N/A
T T T T T T T
MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care
T T T T T T T
8. What government program was implemented to increase the educational exposure of preschool children?
T T T T T T T T T T T T
a. WIC
b. Title XIX of Medicaid
T T T
c. The Childrens Charter
T T
d. Head Start T
ANS: D T
Head Start programs were established to increase educational exposure of preschool children.
T T T T T T T T T T T
DIF: Cognitive Level: Knowledge REF: Page 3
T T T T T T
TOP: Government Influences in Maternity and Pediatric Care KEY: Nursing Process Step: N/A
T T T T T T T T T T T T T
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
T T T T T T T T
9. What guidelines define multidisciplinary patient care in terms of expected outcome and timeframe from
T T T T T T T T T T T T T T
different areas of care provision?
T T T T
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
4
a. Clinical pathways T
b. Nursing outcome criteria T T
c. Standards of care T T
d. Nursing care plan T T
ANS: A T
Clinical pathways, also known as critical pathways or care maps, are collaborative guidelines that define
T T T T T T T T T T T T T T T
patient care across disciplines. Expected progress within a specified timeline is identified.
T T T T T T T T T T T
DIF: Cognitive Level: Knowledge REF: Page 12
T T T T T T
TOP: Health Care Delivery Systems KEY: Nursing Process Step: N/A
T T T T T T T T T T
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
T T T T T T T
10. A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her mother, and collected
T T T T T T T T T T T T T T T
admission data. What is the next step the student will take to develop a nursing care plan for this
T T T T T T T T T T T T T T T T T T T
child?
a. Identify measurable outcomes with a timeline.
T T T T T
b. Choose specific nursing interventions for the child.
T T T T T T
c. Determine appropriate nursing diagnoses. T T T
d. State nursing actions related to the childs medical diagnosis.
T T T T T T T T
ANS: C T
The nurse uses assessment data to select appropriate nursing diagnoses from the NANDA-I list. Outcomes and
T T T T T T T T T T T T T T T T
interventions are then developed to address the relevant nursing diagnoses.
T T T T T T T T T
DIF: Cognitive Level: Application REF: Page 11
T T T T T T
TOP: Nursing Process KEY: Nursing Process Step: Nursing Diagnosis
T T T T T T T T T
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
T T T T T T T
11. A nursing student on an obstetric rotation questions the floor nurse about the definition of the LVN/LPN
T T T T T T T T T T T T T T T T T
scopeof practice.WhatresourcecanthenurseNsUu Rg SgIe Ns tGtoTBth.CeOstMu dent?
T T T T T T T T T T T T T T T T
a. American Nurses Association T T
b. States board of nursing T T T
c. Joint Commission T
d. Association of Womens Health, Obstetric and Neonatal Nurses T T T T T T T
ANS: B T
The scope of practice of the LVN/LPN is published by the states board of nursing.
T T T T T T T T T T T T T T
DIF: Cognitive Level: Comprehension REF: Page 3
T T T T T T T
OBJ: 18 TOP: Critical Thinking
T T T T
KEY: Nursing Process Step: Implementation
T T T T
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
T T T T T T T
12. What was recommended by Karl Cred in 1884?
T T T T T T T
a. All women should be delivered in a hospital setting.
T T T T T T T T
b. Chemical means should be used to combat infection. T T T T T T T
c. Podalic version should be done on all fetuses.
T T T T T T T
d. Silver nitrate should be placed in the eyes of newborns.
T T T T T T T T T
ANS: D T
In 1884 Karl Cred recommended the use of 2% silver nitrate in the eyes of newborns to reduce the incidence of
T T T T T T T T T T T T T T T T T T T T T
blindness.
DIF: Cognitive Level: Knowledge REF: Page 2
T T T T T T
TOP: Use of Silver Nitrate KEY: Nursing Process Step: N/A
T T T T T T T T T
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
T T T T T T T T T T T
13. What is the purpose of the White House Conference on Children and Youth?
T T T T T T T T T T T T
a. Set criteria for normal growth patterns.
T T T T T
