Nursing Care 2nd Edition
by Luanne Linnard-Palmer
,Safe Maternity and Pediatric Nursing Care 2nd Edition
Linnard-Palmer TestBank
Chapter 1. Introduction to Maternity and Pediatric Nursing M
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ULTIPLE CHOICE sz
1. A patient chooses to have the certified nurse midwife (CNM) provide care during her preg
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nancy. What does the CNMs scope of practice include?
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a. Practice independent from medical supervision sz sz sz sz
b. Comprehensive prenatal care sz sz
c. Attendance at all deliveries sz sz sz
d. Cesarean sections sz sz
ANS: B sz
The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated deliveries, an
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d ensures that a backup physician is available in case of unforeseen problems.
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DIF: Cognitive Level: Comprehension REF: Page 6 OBJ: 12
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TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: Implementation
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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
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unwashed hands? sz
a. Karl Cred sz
b. Ignaz Semmelweis sz
c. Louis Pasteur sz
d. JosephLister zs sz
ANS: B sz
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the unwa
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shed hands of physicians and medical students.
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DIF: Cognitive Level: Knowledge REF: Page 2 OBJ: 1 TOP:
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The Past KEY: Nursing Process Step: N/A
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MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
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3. A pregnant woman who has recently immigrated to the United States comments to the nurse, I
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,am afraid of childbirth. It is so dangerous. I am afraid I will die. What is the best nursing response ref
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lecting cultural sensitivity? sz sz
a. Maternal mortality in the United States is extremely low. sz sz sz sz sz sz sz sz
b. Anesthesia is available to relieve pain during labor and childbirth. sz sz sz sz sz sz sz sz sz
c. Tell me why you are afraid of childbirth.
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d. Your condition will be monitored during labor and delivery. A
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NS: C sz
Asking the patient about her concerns helps promote understanding and individualizes patient care.
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DIF: Cognitive Level: Application REF: Page 7-8 OBJ: 8
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TOP: Cross- sz
Cultural Care KEY: Nursing Process Step: Implementation MSC: NCLEX
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: Psychosocial Integrity: Psychological Adaptation
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4. An urban area has been reported to have a high perinatal mortality rate. What information does this p
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rovide?
a. Maternal and infant deaths per 100,000 live births per year sz sz sz sz sz sz sz sz sz
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 A
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NS: D sz
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
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DIF: Cognitive Level: Comprehension REF: Page 12, Box 1-
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6 OBJ: 9 TOP: The Present-Child Care
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KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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5. What is the focus of current maternity practice?
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a. Hospital births for the majority of women sz sz sz sz sz sz
b. The traditional family unit sz sz sz
c. Separation of labor rooms from delivery rooms sz sz sz sz sz sz
d. A quality family experience for each patient A
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NS: D sz
Current maternity practice focuses on a high- sz sz sz sz sz sz
quality family experience for all families, traditional or otherwise.
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, DIF: Cognitive Level: Comprehension REF: Page 6 OBJ: 7
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TOP: The Present- sz sz
Maternity Care KEY: Nursing Process Step: N/A MSC: NCLEX: Health P
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romotion and Maintenance sz sz
6. Who advocated the establishment of the Childrens Bureau?
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a. Lillian Wald sz
b. Florence Nightingale sz
c. Florence Kelly sz
d. ClaraBarton zs sz
ANS: A sz
Lillian Wald is credited with suggesting the establishment of a federal Childrens Bureau.
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DIF: Cognitive Level: Knowledge REF: Page 4 OBJ: 1 | 2 TOP: T
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he Past KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
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7. What was the result of research done in the 1930s by the Childrens Bureau?
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a. Children with heart problems are now cared for by pediatric cardiologists.
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b. The Child Abuse and Prevention Act was passed.
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c. Hot lunch programs were established in many schools.
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d. Childrens asylums were founded. sz sz sz sz
ANS: C sz
School hot lunch programs were developed as a result of research by the Childrens Bureau on the effe
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cts of economic depression on children.
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DIF: Cognitive Level: Knowledge REF: Page 4 OBJ: 2 | 3 TO
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P: The Past KEY: Nursing Process Step: N/A
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MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care
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8. What government program was implemented to increase the educational exposure of pre
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school children? sz
a. WIC
b. Title XIX of Medicaid sz sz sz
c. The Childrens Charter sz s z
d. HeadStart zs sz
ANS: D sz
Head Start programs were established to increase educational exposure of preschool children.
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