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Introduction to Maternity and Pediatric Nursing,
8th Edition by Gloria Leifer
UNI I: An Overview of Maternity and Pediatric Nursing
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Chapter 1: The Past, Present, and Future
UNI II: Maternal-Newborn Nursing and Women’s Health
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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 Infan during Labor and Birth
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Chapter 7: Nursing Managemen of Pain during Labor and Birth
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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
UNI III: The Growing Child and Family
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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
UNI IV: Adapting Care to the Pediatric Patient
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Chapter 21: The Child’s Experience of Hospitalization
Chapter 22: Health Care Adaptations for the Child and Family
UNI V: The Child Needing Nursing Care
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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
UNI VI: The Changing Health Care Environment
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Chapter 34: Complementary and Alternative Therapies in Maternity and Pediatric Nursing
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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 the
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CNMs scope of practice include?
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a. Practice independent from medical supervision J J J J
b. Comprehensive prenatal care J J
c. Attendance at all deliveries J J J
d. Cesarean sections J
ANS: B J
The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated deliveries, and ensures that
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a backup physician is available in case of unforeseen problems.
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DIF: Cognitive Level: Comprehension REF: Page 6
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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 unwashed
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hands?
a. Karl Cred J
b. Ignaz Semmelweis J
c. Louis Pasteur J
d. Joseph Lister J
ANS: B J
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted bythe unwashed hands
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of physicians and medical students.
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DIF: Cognitive Level: Knowledge REF: Page 2
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TOP: The Past KEY: Nursing Process Step: N/A
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MSC: NCLEX: Safe, Effective Care Environment: Safetyand Infection Control
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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
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sensitivity?
a. Maternal mortalityin the United States is extremely low. J J J J J J J J
b. Anesthesia is available to relieve pain during labor and childbirth. J J J J J J J J J
c. Tell me why you are afraid of childbirth.
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d. Your condition will be monitored during labor and delivery.
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Asking the patient about her concerns helps promote understanding and individualizes patient care.
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DIF: Cognitive Level: Application REF: Page 7
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TOP: Cross-Cultural Care KEY:Nursing Process Step: Implementation
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MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
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4. An urban area has been reported to have a high perinatal mortalityrate. 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 J
The perinatal mortalityrate includes fetal and neonatal deaths per 1000 live births per year.
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DIF: Cognitive Level: Comprehension REF: Page 12
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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 majorityof women J J J J J J
b. The traditional family unit
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c. Separation of labor rooms from deliveryrooms J J J J J J
d. A qualityfamily experience for each patient
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ANS: D J
Current maternity practice focuses on a high-qualityfamily experience for all families, traditional or otherwise.
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DIF: Cognitive Level: Comprehension REF: Page 6
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TOP: The Present-MaternityCare KEY: NursingProcess Step: N/A MSC:
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NCLEX: Health Promotion and Maintenance J J J J
6. Who advocated the establishment of the Childrens Bureau?
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a. Lillian Wald J
b. Florence Nightingale J
c. Florence Kelly J
d. Clara Barton J
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Lillian Wald is credited with suggesting the establishment of a federal Childrens Bureau.
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DIF: Cognitive Level: Knowledge REF: Page 4
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TOP: The 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 bythe Childrens Bureau?
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a. Children with heart problems are nowcared 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 manyschools.
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d. Childrens asylums were founded. J J J
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School hot lunch programs were developed as a result of research bythe Childrens Bureau on the effects of
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economic depression on children. J J J
DIF: Cognitive Level: Knowledge REF: Page 4
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TOP: 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 preschool children?
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a. WIC
b. Title XIX of Medicaid J J J
c. The Childrens Charter
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d. Head Start J
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Head Start programs were established to increase educational exposure of preschool children.
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DIF: Cognitive Level: Knowledge REF: Page 3
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TOP: Government Influences in Maternityand Pediatric Care KEY: Nursing Process Step: N/A
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MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
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9. What guidelines define multidisciplinary patient care in terms of expected outcome and timeframe from
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different areas of care provision? J J J J
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a. Clinical pathways J
b. Nursing outcome criteria J J
c. Standards of care J J
d. Nursing care plan J J
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Clinical pathways, also known as critical pathways or care maps, are collaborative guidelines that define patient
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care across disciplines. Expected progress within a specified timeline is identified.
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DIF: Cognitive Level: Knowledge REF: Page 12
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TOP: Health Care Delivery Systems KEY: NursingProcess Step: N/A
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MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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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. J J J J J
b. Choose specific nursing interventions for the child. J J J J J J
c. Determine appropriate nursing diagnoses. J J J
d. State nursing actions related to the childs medical diagnosis.
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The nurse uses assessment data to select appropriate nursing diagnoses from the NANDA-I list. Outcomes and
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interventions are then developed to address the relevant nursing diagnoses. J J J J J J J J J
DIF: Cognitive Level: Application REF: Page 11
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TOP: NursingProcess KEY: Nursing Process Step: Nursing Diagnosis
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MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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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.WhatresourcecanthenurseNsUuRgSgIe Ns tGtoTBth.CeOstMu dent?
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a. American Nurses Association J J
b. States board of nursing J J J
c. Joint Commission J
d. Association of Womens Health, Obstetric and Neonatal Nurses J J J J J J J
ANS: B J
The scope of practice of the LVN/LPN is published by the states board of nursing.
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DIF: Cognitive Level: Comprehension REF: Page 3
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OBJ: 18 TOP: Critical Thinking
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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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12. What was recommended by Karl Cred in 1884? J J J J J J J
a. All women should be delivered in a hospital setting.
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b. Chemical means should be used to combat infection. J J J J J J J
c. Podalic version should be done on all fetuses. J J J J J J J
d. Silver nitrate should be placed in the eyes of newborns.
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ANS: D J
In 1884 Karl Cred recommended the use of 2% silver nitrate in the eyes of newborns to reduce the incidence of
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blindness.
DIF: Cognitive Level: Knowledge REF: Page 2
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TOP: Use of Silver Nitrate KEY: Nursing Process Step: N/A
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MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
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13. What is the purpose of the White House Conference on Children and Youth?
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a. Set criteria for normal growth patterns.
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