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 in the 1840s. His work led to handwashing protocols .
Question 3: A pregnant woman who has recently immigrated to the United States
comments to 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."
Correct Answer: C
Rationale: Asking the patient about her concerns helps promote understanding
and individualizes patient care. This response demonstrates cultural sensitivity
and opens communication .
Question 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
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 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: Who advocated the establishment of the Children's Bureau?
• A) Lillian Wald
• B) Florence Nightingale
• C) Florence Kelly
• D) Clara Barton
Correct Answer: A
Rationale: Lillian Wald is credited with suggesting the establishment of a federal
Children's Bureau in 1912. The Children's Bureau focused on child welfare and
reducing infant mortality .
Question 7: What was the result of research done in the 1930s by the Children's
Bureau?
• A) Children with heart problems are now cared for by pediatric cardiologists
• B) The Child Abuse and Prevention Act was passed
• C) Hot lunch programs were established in many schools
• D) Children's asylums were founded
, Correct Answer: C
Rationale: School hot lunch programs were developed as a result of research by
the Children's Bureau on the effects of economic depression on children .
Question 8: 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 9: 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
Correct Answer: A
Rationale: Clinical pathways, also known as critical pathways or care maps, are
collaborative guidelines that define patient care across disciplines. Expected
progress within a specified timeline is identified .
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 in the 1840s. His work led to handwashing protocols .
Question 3: A pregnant woman who has recently immigrated to the United States
comments to 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."
Correct Answer: C
Rationale: Asking the patient about her concerns helps promote understanding
and individualizes patient care. This response demonstrates cultural sensitivity
and opens communication .
Question 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
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 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: Who advocated the establishment of the Children's Bureau?
• A) Lillian Wald
• B) Florence Nightingale
• C) Florence Kelly
• D) Clara Barton
Correct Answer: A
Rationale: Lillian Wald is credited with suggesting the establishment of a federal
Children's Bureau in 1912. The Children's Bureau focused on child welfare and
reducing infant mortality .
Question 7: What was the result of research done in the 1930s by the Children's
Bureau?
• A) Children with heart problems are now cared for by pediatric cardiologists
• B) The Child Abuse and Prevention Act was passed
• C) Hot lunch programs were established in many schools
• D) Children's asylums were founded
, Correct Answer: C
Rationale: School hot lunch programs were developed as a result of research by
the Children's Bureau on the effects of economic depression on children .
Question 8: 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 9: 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
Correct Answer: A
Rationale: Clinical pathways, also known as critical pathways or care maps, are
collaborative guidelines that define patient care across disciplines. Expected
progress within a specified timeline is identified .
