Introduction to Maternity and Pediatric Nursing 9th Edition
Gloria Leifer Test Bank Chapters 1–34
Exam
UNIT I: AN OVERVIEW OF MATERNITY AND PEDIATRIC NURSING
Chapter 1: The Past, Present, and Future
Question 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
Correct Answer: B
Rationale: The CNM provides comprehensive prenatal and postnatal care, attends
uncomplicated deliveries, and ensures that a backup physician is available in case
of unforeseen problems. CNMs do not perform cesarean sections independently .
Question 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
Correct Answer: B
,Rationale: Ignaz Semmelweis deduced that puerperal fever was septic,
contagious, and transmitted by the unwashed hands of physicians and medical
students. His work in the 1840s led to handwashing protocols .
Question 3: 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
Correct Answer: D
Rationale: The perinatal mortality rate includes fetal and neonatal deaths per
1000 live births per year. It is a key indicator of the quality of obstetric and
newborn care .
Question 4: 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
Correct Answer: D
Rationale: Head Start programs were established to increase educational
exposure of preschool children from low-income families. WIC provides nutrition
support, and Medicaid provides health insurance .
Question 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
Correct Answer: D
Rationale: Current maternity practice focuses on a high-quality family experience
for all families, traditional or otherwise. Family-centered care emphasizes
partnership between healthcare providers and families .
Question 6: Which nursing action is the priority when a patient arrives at the
clinic?
• A) Prepare a plan of care
• B) Select the appropriate nursing diagnoses
• C) Administer medications as ordered
• D) Determine and document history and vital signs
Correct Answer: D
Rationale: Assessment is the first step of the nursing process and includes the
collection of subjective and objective patient data. Diagnosis is the second step,
planning is the fourth step, and implementation is the fifth step .
Question 7: Which of the following organizations sets standards of practice for
nursing?
• A) American Medical Association (AMA)
• B) American Nurses Association (ANA)
• C) Utilization review committee
• D) American Academy of Pediatrics (AAP)
, Correct Answer: B
Rationale: The ANA develops standards of practice for nursing. The AMA is for
physicians, the AAP is for pediatricians, and utilization review committees review
appropriateness of healthcare services .
Question 8: The nurse is providing evidence-based care when he or she:
• A) Adheres to hospital procedure book guidelines
• B) Carries out protocols learned in nursing school
• C) Carries out the practice requested by the charge nurse or health care
provider
• D) Knows that the practice has been published in a professional journal or
text
Correct Answer: D
Rationale: Evidence-based practice starts when the nurse uses the best evidence
obtained from current, valid, published research. When combined with critical
thinking, experiences, and patient needs, safe, effective nursing care can be
planned .
Question 9: A nursing student on an obstetric rotation questions the floor nurse
about the definition of the LVN/LPN scope of practice. What resource can the
nurse suggest to the student?
• A) American Nurses Association
• B) State's Board of Nursing
• C) Joint Commission
• D) Association of Women's Health, Obstetric and Neonatal Nurses
Correct Answer: B
Gloria Leifer Test Bank Chapters 1–34
Exam
UNIT I: AN OVERVIEW OF MATERNITY AND PEDIATRIC NURSING
Chapter 1: The Past, Present, and Future
Question 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
Correct Answer: B
Rationale: The CNM provides comprehensive prenatal and postnatal care, attends
uncomplicated deliveries, and ensures that a backup physician is available in case
of unforeseen problems. CNMs do not perform cesarean sections independently .
Question 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
Correct Answer: B
,Rationale: Ignaz Semmelweis deduced that puerperal fever was septic,
contagious, and transmitted by the unwashed hands of physicians and medical
students. His work in the 1840s led to handwashing protocols .
Question 3: 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
Correct Answer: D
Rationale: The perinatal mortality rate includes fetal and neonatal deaths per
1000 live births per year. It is a key indicator of the quality of obstetric and
newborn care .
Question 4: 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
Correct Answer: D
Rationale: Head Start programs were established to increase educational
exposure of preschool children from low-income families. WIC provides nutrition
support, and Medicaid provides health insurance .
Question 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
Correct Answer: D
Rationale: Current maternity practice focuses on a high-quality family experience
for all families, traditional or otherwise. Family-centered care emphasizes
partnership between healthcare providers and families .
Question 6: Which nursing action is the priority when a patient arrives at the
clinic?
• A) Prepare a plan of care
• B) Select the appropriate nursing diagnoses
• C) Administer medications as ordered
• D) Determine and document history and vital signs
Correct Answer: D
Rationale: Assessment is the first step of the nursing process and includes the
collection of subjective and objective patient data. Diagnosis is the second step,
planning is the fourth step, and implementation is the fifth step .
Question 7: Which of the following organizations sets standards of practice for
nursing?
• A) American Medical Association (AMA)
• B) American Nurses Association (ANA)
• C) Utilization review committee
• D) American Academy of Pediatrics (AAP)
, Correct Answer: B
Rationale: The ANA develops standards of practice for nursing. The AMA is for
physicians, the AAP is for pediatricians, and utilization review committees review
appropriateness of healthcare services .
Question 8: The nurse is providing evidence-based care when he or she:
• A) Adheres to hospital procedure book guidelines
• B) Carries out protocols learned in nursing school
• C) Carries out the practice requested by the charge nurse or health care
provider
• D) Knows that the practice has been published in a professional journal or
text
Correct Answer: D
Rationale: Evidence-based practice starts when the nurse uses the best evidence
obtained from current, valid, published research. When combined with critical
thinking, experiences, and patient needs, safe, effective nursing care can be
planned .
Question 9: A nursing student on an obstetric rotation questions the floor nurse
about the definition of the LVN/LPN scope of practice. What resource can the
nurse suggest to the student?
• A) American Nurses Association
• B) State's Board of Nursing
• C) Joint Commission
• D) Association of Women's Health, Obstetric and Neonatal Nurses
Correct Answer: B
