Introduction to Maternity and Pediatric Nursing 9th Edition
Gloria Leifer Test Bank Chapters 1–34
UNIT I: OVERVIEW OF MATERNITY AND PEDIATRIC NURSING
Chapter 1: The Past, Present, and Future (Questions 1–10)
1. A patient chooses to have a 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
Answer: B
Rationale: The CNM provides comprehensive prenatal and postnatal care, attends
uncomplicated deliveries, and ensures a backup physician is available for
unforeseen problems. CNMs do not perform cesarean sections independently .
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
Answer: B
Rationale: Ignaz Semmelweis deduced that puerperal fever was septic,
contagious, and transmitted by the unwashed hands of physicians and medical
students .
3. A pregnant woman who recently immigrated to the United States tells 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."
C) "Tell me why you are afraid of childbirth."
D) "Your condition will be monitored during labor and delivery."
Answer: C
Rationale: Asking the patient about her concerns promotes understanding and
individualizes patient care. This response demonstrates cultural sensitivity and
therapeutic communication .
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
Answer: D
Rationale: The perinatal mortality rate includes fetal deaths (after 20 weeks or
>500 g) and neonatal deaths (first 28 days) per 1000 live births .
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
Answer: D
Rationale: Contemporary maternity care emphasizes family-centered care and a
quality experience for each patient, recognizing childbirth as a normal life event .
6. Who advocated the establishment of the Children's Bureau?
A) Lillian Wald
B) Florence Nightingale
,C) Florence Kelley
D) Clara Barton
Answer: A
Rationale: Lillian Wald advocated for the establishment of the Children's Bureau
in 1912 to address child welfare issues .
7. What government program was implemented to increase the educational
exposure of preschool children?
A) WIC
B) Title XIX of Medicaid
C) The Children's Charter
D) Head Start
Answer: D
Rationale: Head Start was established to provide educational, nutritional, and
health services to preschool children from low-income families .
8. What guidelines define multidisciplinary patient care in terms of expected
outcome and timeframe from different areas of care provision?
A) Clinical pathways
B) Nursing outcome criteria
C) Standards of care
D) Nursing care plan
Answer: A
Rationale: Clinical pathways (critical pathways) are multidisciplinary guidelines
that specify expected outcomes and timeframes for care delivery .
9. When developing programs to decrease maternal and infant mortality, which
factor would most likely need to be addressed as having the greatest impact?
A) Resolving all language and cultural differences
B) Assuring early and adequate prenatal care
, C) Providing more extensive women's shelters
D) Encouraging all women to eat a balanced diet
Answer: B
Rationale: Early and adequate prenatal care is the single most important factor in
reducing maternal and infant mortality rates .
10. Which medical pioneer recommended instilling silver nitrate into the eyes of
newborns to prevent blindness caused by gonorrhea?
A) Karl Credé
B) Ignaz Semmelweis
C) Louis Pasteur
D) Joseph Lister
Answer: A
Rationale: Karl Credé recommended instilling 2% silver nitrate into newborns'
eyes to prevent ophthalmia neonatorum from gonorrhea exposure .
UNIT II: MATERNAL-NEWBORN NURSING AND WOMEN'S HEALTH
Chapter 2: Human Reproductive Anatomy and Physiology (Questions 11–15)
11. At which stage in the monthly cycle does ovulation typically occur?
A) 7 days before the end of menstruation
B) 7 days after the last day of menstruation
C) 14 days after the last day of the menstrual cycle
D) 14 days before the onset of the next menstrual cycle
Answer: D
Rationale: Ovulation occurs approximately 14 days before the onset of the next
menstrual cycle, when a mature ovum is released from the ovarian follicle .
12. Which statement is true about the female reproductive cycle?
A) The follicular phase begins with ovulation
B) The luteal phase is variable in length
Gloria Leifer Test Bank Chapters 1–34
UNIT I: OVERVIEW OF MATERNITY AND PEDIATRIC NURSING
Chapter 1: The Past, Present, and Future (Questions 1–10)
1. A patient chooses to have a 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
Answer: B
Rationale: The CNM provides comprehensive prenatal and postnatal care, attends
uncomplicated deliveries, and ensures a backup physician is available for
unforeseen problems. CNMs do not perform cesarean sections independently .
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
Answer: B
Rationale: Ignaz Semmelweis deduced that puerperal fever was septic,
contagious, and transmitted by the unwashed hands of physicians and medical
students .
3. A pregnant woman who recently immigrated to the United States tells 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."
C) "Tell me why you are afraid of childbirth."
D) "Your condition will be monitored during labor and delivery."
Answer: C
Rationale: Asking the patient about her concerns promotes understanding and
individualizes patient care. This response demonstrates cultural sensitivity and
therapeutic communication .
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
Answer: D
Rationale: The perinatal mortality rate includes fetal deaths (after 20 weeks or
>500 g) and neonatal deaths (first 28 days) per 1000 live births .
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
Answer: D
Rationale: Contemporary maternity care emphasizes family-centered care and a
quality experience for each patient, recognizing childbirth as a normal life event .
6. Who advocated the establishment of the Children's Bureau?
A) Lillian Wald
B) Florence Nightingale
,C) Florence Kelley
D) Clara Barton
Answer: A
Rationale: Lillian Wald advocated for the establishment of the Children's Bureau
in 1912 to address child welfare issues .
7. What government program was implemented to increase the educational
exposure of preschool children?
A) WIC
B) Title XIX of Medicaid
C) The Children's Charter
D) Head Start
Answer: D
Rationale: Head Start was established to provide educational, nutritional, and
health services to preschool children from low-income families .
8. What guidelines define multidisciplinary patient care in terms of expected
outcome and timeframe from different areas of care provision?
A) Clinical pathways
B) Nursing outcome criteria
C) Standards of care
D) Nursing care plan
Answer: A
Rationale: Clinical pathways (critical pathways) are multidisciplinary guidelines
that specify expected outcomes and timeframes for care delivery .
9. When developing programs to decrease maternal and infant mortality, which
factor would most likely need to be addressed as having the greatest impact?
A) Resolving all language and cultural differences
B) Assuring early and adequate prenatal care
, C) Providing more extensive women's shelters
D) Encouraging all women to eat a balanced diet
Answer: B
Rationale: Early and adequate prenatal care is the single most important factor in
reducing maternal and infant mortality rates .
10. Which medical pioneer recommended instilling silver nitrate into the eyes of
newborns to prevent blindness caused by gonorrhea?
A) Karl Credé
B) Ignaz Semmelweis
C) Louis Pasteur
D) Joseph Lister
Answer: A
Rationale: Karl Credé recommended instilling 2% silver nitrate into newborns'
eyes to prevent ophthalmia neonatorum from gonorrhea exposure .
UNIT II: MATERNAL-NEWBORN NURSING AND WOMEN'S HEALTH
Chapter 2: Human Reproductive Anatomy and Physiology (Questions 11–15)
11. At which stage in the monthly cycle does ovulation typically occur?
A) 7 days before the end of menstruation
B) 7 days after the last day of menstruation
C) 14 days after the last day of the menstrual cycle
D) 14 days before the onset of the next menstrual cycle
Answer: D
Rationale: Ovulation occurs approximately 14 days before the onset of the next
menstrual cycle, when a mature ovum is released from the ovarian follicle .
12. Which statement is true about the female reproductive cycle?
A) The follicular phase begins with ovulation
B) The luteal phase is variable in length
