TEST BANK FOR INTRODUCTION TO MATERNITY AND
PEDIATRIC NURSING, 9TH EDITION BY GLORIA LEIFER.
UNIT I: An Overview of Maternity and Pediatric Nursing
Chapter 1: The Past, Present, and Future
UNIT II: Maternal-Newborn Nursing and Women’s
HealthChapter 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
PregnancyChapter 6: Nursing Care of Mother and Infant during Labor
and Birth Chapter 7: Nursing Management of Pain during Labor and
Birth
Chapter 8: Nursing Care of Women with Complications during Labor
andBirth
Chapter 9: The Family after Birth
Chapter 10: Nursing Care of Women with Complications Following
BirthChapter 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
CongenitalMalformation
UNIT III: The Growing Child and Family
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
ChildChapter 20: The
Adolescent
UNIT IV: Adapting Care to the Pediatric Patient
Chapter 21: The Child’s Experience of Hospitalization
Chapter 22: Health Care Adaptations for the Child and
FamilyUNIT V: The Child Needing Nursing Care
Chapter 23: The Child with a Sensory or Neurological
ConditionChapter 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-
ChildPatient
Chapter 33: The Child with an Emotional or Behavioral Condition
UNIT VI: The Changing Health Care Environment
Chapter 34: Complementary and Alternative Therapies in Maternity and Pediatric Nursing
,Chapter 01: The Past, Present, and Future
MULTIPLE CHOICE
• A patient chooses to have the certified nurse midwife (CNM) provide care during her pregnancy.
What doesthe CNMs scope of practice include?
• Practice independent from medical supervision
• b. Comprehensive prenatal care
c. Attendance at all deliveries
d. Cesarean sections
ANS: B
The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated deliveries, and
ensuresthat a backup physician is available in case of unforeseen problems.
DIF: Cognitive Level: Comprehension REF: Page 6
TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
• Which medical pioneer discovered the relationship between the incidence of puerperal fever and
unwashedhands?
• Karl Cred
• Ignaz Semmelweis
• Louis Pasteur
• Joseph Lister
ANS: B
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the
unwashedhands of physicians and medical students.
DIF: Cognitive Level: Knowledge REF: Page
2TOP: The Past KEY: Nursing Process Step:
N/A
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
• 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.
• c. Tell me why you are afraid of childbirth.
d. Your condition will be monitored during labor and delivery.
ANS: C
Asking the patient about her concerns helps promote understanding and individualizes patient care.
DIF: Cognitive Level: Application REF: Page 7
,TOP: Cross-Cultural Care KEY: Nursing Process Step:
ImplementationMSC: NCLEX: Psychosocial Integrity:
Psychological Adaptation
• 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
• d. 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.DIF: Cognitive Level: Comprehension REF: Page 12
OBJ: 9 TOP: The Present-Child Care
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated 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
• d. 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.
DIF: Cognitive Level: Comprehension REF: Page 6
TOP: The Present-Maternity Care KEY: Nursing Process Step:
N/AMSC: NCLEX: Health Promotion and Maintenance
• Who advocated the establishment of the Childrens
Bureau?
• a. Lillian Wald
• Florence Nightingale
• Florence Kelly
• Clara Barton
ANS: A
Lillian Wald is credited with suggesting the establishment of a federal Childrens Bureau.
DIF: Cognitive Level: Knowledge REF: Page 4
TOP: The Past KEY: Nursing Process Step: Implementation
MSC: NCLEX: 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.
DIF: Cognitive Level: Knowledge REF: Page
4TOP: The Past KEY: Nursing Process Step:
N/A
MSC: NCLEX: 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
• d. Head Start
ANS: D
Head Start programs were established to increase educational exposure of preschool children.
DIF: Cognitive Level: Knowledge REF: Page 3
TOP: Government Influences in Maternity and Pediatric Care KEY: Nursing Process
Step: N/AMSC: NCLEX: Health Promotion and Maintenance: Growth and Development
• What guidelines define multidisciplinary patient care in terms of expected outcome and timeframe
fromdifferent areas of care provision?
• Clinical pathways
• Nursing outcome criteria
• Standards of care
• Nursing 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.
DIF: Cognitive Level: Knowledge REF: Page 12
TOP: Health Care Delivery Systems KEY: Nursing Process
Step: N/AMSC: NCLEX: Safe, Effective Care Environment:
Coordinated Care
• A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her mother, and
collected admission data. What is the next step the student will take to develop a nursing care plan for
this child?
• Identify measurable outcomes with a timeline.
• Choose specific nursing interventions for the
child.
• c. Determine appropriate nursing diagnoses.
d. State nursing actions related to the childs medical diagnosis.
PEDIATRIC NURSING, 9TH EDITION BY GLORIA LEIFER.
UNIT I: An Overview of Maternity and Pediatric Nursing
Chapter 1: The Past, Present, and Future
UNIT II: Maternal-Newborn Nursing and Women’s
HealthChapter 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
PregnancyChapter 6: Nursing Care of Mother and Infant during Labor
and Birth Chapter 7: Nursing Management of Pain during Labor and
Birth
Chapter 8: Nursing Care of Women with Complications during Labor
andBirth
Chapter 9: The Family after Birth
Chapter 10: Nursing Care of Women with Complications Following
BirthChapter 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
CongenitalMalformation
UNIT III: The Growing Child and Family
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
ChildChapter 20: The
Adolescent
UNIT IV: Adapting Care to the Pediatric Patient
Chapter 21: The Child’s Experience of Hospitalization
Chapter 22: Health Care Adaptations for the Child and
FamilyUNIT V: The Child Needing Nursing Care
Chapter 23: The Child with a Sensory or Neurological
ConditionChapter 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-
ChildPatient
Chapter 33: The Child with an Emotional or Behavioral Condition
UNIT VI: The Changing Health Care Environment
Chapter 34: Complementary and Alternative Therapies in Maternity and Pediatric Nursing
,Chapter 01: The Past, Present, and Future
MULTIPLE CHOICE
• A patient chooses to have the certified nurse midwife (CNM) provide care during her pregnancy.
What doesthe CNMs scope of practice include?
• Practice independent from medical supervision
• b. Comprehensive prenatal care
c. Attendance at all deliveries
d. Cesarean sections
ANS: B
The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated deliveries, and
ensuresthat a backup physician is available in case of unforeseen problems.
DIF: Cognitive Level: Comprehension REF: Page 6
TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
• Which medical pioneer discovered the relationship between the incidence of puerperal fever and
unwashedhands?
• Karl Cred
• Ignaz Semmelweis
• Louis Pasteur
• Joseph Lister
ANS: B
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the
unwashedhands of physicians and medical students.
DIF: Cognitive Level: Knowledge REF: Page
2TOP: The Past KEY: Nursing Process Step:
N/A
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
• 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.
• c. Tell me why you are afraid of childbirth.
d. Your condition will be monitored during labor and delivery.
ANS: C
Asking the patient about her concerns helps promote understanding and individualizes patient care.
DIF: Cognitive Level: Application REF: Page 7
,TOP: Cross-Cultural Care KEY: Nursing Process Step:
ImplementationMSC: NCLEX: Psychosocial Integrity:
Psychological Adaptation
• 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
• d. 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.DIF: Cognitive Level: Comprehension REF: Page 12
OBJ: 9 TOP: The Present-Child Care
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated 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
• d. 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.
DIF: Cognitive Level: Comprehension REF: Page 6
TOP: The Present-Maternity Care KEY: Nursing Process Step:
N/AMSC: NCLEX: Health Promotion and Maintenance
• Who advocated the establishment of the Childrens
Bureau?
• a. Lillian Wald
• Florence Nightingale
• Florence Kelly
• Clara Barton
ANS: A
Lillian Wald is credited with suggesting the establishment of a federal Childrens Bureau.
DIF: Cognitive Level: Knowledge REF: Page 4
TOP: The Past KEY: Nursing Process Step: Implementation
MSC: NCLEX: 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.
DIF: Cognitive Level: Knowledge REF: Page
4TOP: The Past KEY: Nursing Process Step:
N/A
MSC: NCLEX: 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
• d. Head Start
ANS: D
Head Start programs were established to increase educational exposure of preschool children.
DIF: Cognitive Level: Knowledge REF: Page 3
TOP: Government Influences in Maternity and Pediatric Care KEY: Nursing Process
Step: N/AMSC: NCLEX: Health Promotion and Maintenance: Growth and Development
• What guidelines define multidisciplinary patient care in terms of expected outcome and timeframe
fromdifferent areas of care provision?
• Clinical pathways
• Nursing outcome criteria
• Standards of care
• Nursing 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.
DIF: Cognitive Level: Knowledge REF: Page 12
TOP: Health Care Delivery Systems KEY: Nursing Process
Step: N/AMSC: NCLEX: Safe, Effective Care Environment:
Coordinated Care
• A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her mother, and
collected admission data. What is the next step the student will take to develop a nursing care plan for
this child?
• Identify measurable outcomes with a timeline.
• Choose specific nursing interventions for the
child.
• c. Determine appropriate nursing diagnoses.
d. State nursing actions related to the childs medical diagnosis.
