Davis Advantage for Maternal-Child Nursing Care 3rd Edition
Scannell Ruggiero Test Bank
Chapter 1.Core Concepts of Maternal and Pediatric Healthcare
Across the Continuum
MULTIPLE CHOICE
A patient chooses to have the certified nurse midwife (CNM) provide
care during her pregnancy. What does the CNMs scope of practice
include?
•Practice independent from medical supervision
•Comprehensive prenatal care
•Attendance at all deliveries
•Cesarean sections
ANS:B
The CNM provides comprehensive prenatal and postnatal care, attends
uncomplicated deliveries, and ensures that a backup physician is available
in case of unforeseen problems.
REF: Page 6
Which medical pioneer discovered the relationship between the
incidence of puerperal fever and unwashed hands?
•Karl Cred
•Ignaz Semmelweis
•Louis Pasteur
•Joseph List
ANS: B
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and
transmitted by the unwashed hands of physicians and medical students.
REF: Page 2
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?
•Maternal mortality in the United States is extremely low.
•Anesthesia is available to relieve pain during labor and childbirth.
•Tell me why you are afraid of childbirth.
•Your condition will be monitored during labor and delivery.
ANS: C
Asking the patient about her concerns helps promote understanding and
individualizes patient care.
REF: Page 7-8
, : :
Psychological
•An urban area has been reported to have a high perinatal mortality
rate. What information does this provide?
•Maternal and infant deaths per 100,000 live births per year
•Deaths of fetuses weighing more than 500 g per 10,000 births per year
•Deaths of infants up to 1 year of age per 1000 live births per year
•Fetal and neonatal deaths per
1000 live births per year ANS: D
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births
per year.
: REF: Page 12,
Box 1-6 9 : The Present-Child Care
:
•What is the focus of current maternity practice?
•Hospital births for the majority of women
•The traditional family unit
•Separation of labor rooms from delivery rooms
•A quality family
experience for
each patient
ANS: D
Current maternity practice focuses on a high-quality family
experience for all families, traditional or otherwise.
: REF: Page 6 7
: The Present-Maternity Care
N/A : Health Promotion and Maintenance
•Who advocated the establishment of the Childrens Bureau?
•Lillian Wald
•Florence Nightingale
•Florence Kelly
•
C
,l
a
r
a
B
a
r
t
o
n
A
N
S
:
A
Lillian Wald is credited with suggesting the establishment of a federal
Childrens Bureau. REF: Page 4
1 | 2 : The Past
: Health Promotion and Maintenance: Growth and Development
•What was the result of research done in the 1930s by the Childrens Bureau?
•Children with heart problems are now cared for by pediatric cardiologists.
•The Child Abuse and Prevention Act was passed.
•Hot lunch programs were established in many schools.
•Childrens
asylums
were
founded.
ANS: C
School hot lunch programs were developed as a result of research by the Childrens
Bureau on the
effects of economic depression on
children. REF: Page 4
2 | 3 : The
Past N/A
: Health Promotion and Maintenance: Coordinated Care
•What government program was implemented to increase the
educational exposure of preschool children?
•WIC
, •Title XIX of Medicaid
•The Childrens Charter
•
H
e
a
d
S
t
a
r
t
A
N
S
:
D
Head Start programs were established to increase educational exposure of preschool
children. REF: Page 3 5
: Government Influences in Maternity and Pediatric Care N/A
: Health Promotion and Maintenance: Growth and Development
•What guidelines define multidisciplinary patient care in terms
of expected outcome and timeframe from different areas of care
provision?
•Clinical pathways
•Nursing outcome criteria
•Standards of care
•
Nurs
i ng
care
plan
ANS:
A
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.
REF: Page 12 14
: Health Care Delivery Systems
Scannell Ruggiero Test Bank
Chapter 1.Core Concepts of Maternal and Pediatric Healthcare
Across the Continuum
MULTIPLE CHOICE
A patient chooses to have the certified nurse midwife (CNM) provide
care during her pregnancy. What does the CNMs scope of practice
include?
•Practice independent from medical supervision
•Comprehensive prenatal care
•Attendance at all deliveries
•Cesarean sections
ANS:B
The CNM provides comprehensive prenatal and postnatal care, attends
uncomplicated deliveries, and ensures that a backup physician is available
in case of unforeseen problems.
REF: Page 6
Which medical pioneer discovered the relationship between the
incidence of puerperal fever and unwashed hands?
•Karl Cred
•Ignaz Semmelweis
•Louis Pasteur
•Joseph List
ANS: B
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and
transmitted by the unwashed hands of physicians and medical students.
REF: Page 2
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?
•Maternal mortality in the United States is extremely low.
•Anesthesia is available to relieve pain during labor and childbirth.
•Tell me why you are afraid of childbirth.
•Your condition will be monitored during labor and delivery.
ANS: C
Asking the patient about her concerns helps promote understanding and
individualizes patient care.
REF: Page 7-8
, : :
Psychological
•An urban area has been reported to have a high perinatal mortality
rate. What information does this provide?
•Maternal and infant deaths per 100,000 live births per year
•Deaths of fetuses weighing more than 500 g per 10,000 births per year
•Deaths of infants up to 1 year of age per 1000 live births per year
•Fetal and neonatal deaths per
1000 live births per year ANS: D
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births
per year.
: REF: Page 12,
Box 1-6 9 : The Present-Child Care
:
•What is the focus of current maternity practice?
•Hospital births for the majority of women
•The traditional family unit
•Separation of labor rooms from delivery rooms
•A quality family
experience for
each patient
ANS: D
Current maternity practice focuses on a high-quality family
experience for all families, traditional or otherwise.
: REF: Page 6 7
: The Present-Maternity Care
N/A : Health Promotion and Maintenance
•Who advocated the establishment of the Childrens Bureau?
•Lillian Wald
•Florence Nightingale
•Florence Kelly
•
C
,l
a
r
a
B
a
r
t
o
n
A
N
S
:
A
Lillian Wald is credited with suggesting the establishment of a federal
Childrens Bureau. REF: Page 4
1 | 2 : The Past
: Health Promotion and Maintenance: Growth and Development
•What was the result of research done in the 1930s by the Childrens Bureau?
•Children with heart problems are now cared for by pediatric cardiologists.
•The Child Abuse and Prevention Act was passed.
•Hot lunch programs were established in many schools.
•Childrens
asylums
were
founded.
ANS: C
School hot lunch programs were developed as a result of research by the Childrens
Bureau on the
effects of economic depression on
children. REF: Page 4
2 | 3 : The
Past N/A
: Health Promotion and Maintenance: Coordinated Care
•What government program was implemented to increase the
educational exposure of preschool children?
•WIC
, •Title XIX of Medicaid
•The Childrens Charter
•
H
e
a
d
S
t
a
r
t
A
N
S
:
D
Head Start programs were established to increase educational exposure of preschool
children. REF: Page 3 5
: Government Influences in Maternity and Pediatric Care N/A
: Health Promotion and Maintenance: Growth and Development
•What guidelines define multidisciplinary patient care in terms
of expected outcome and timeframe from different areas of care
provision?
•Clinical pathways
•Nursing outcome criteria
•Standards of care
•
Nurs
i ng
care
plan
ANS:
A
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.
REF: Page 12 14
: Health Care Delivery Systems
