Test Bank for Introduction to
Maternity and Pediatric
Nursing 9th Edition by Gloria
Leifer
Chapter 01-05
Chapter 01: The Past, Present, and Future
Leifer: Introduction to Maternity and Pediatric Nursing, 9th Edition
MULTIPLE CHOICE
1. A nursing student on an obstetric rotation questions the floor nurse about the definition of the
LVN/LPN scope of practice. What resource can the nurse suggest to the student?
a. American Nurses Association
b. State‘s Board of Nursing
c. Joint Commission
d. Association of Women‘s Health, Obstetric and Neonatal Nurses
ANS: B
The scope of practice of the LVN/LPN is published by the state‘s board of nursing.
DIF: Cognitive Level: Comprehension REF: p. 16 OBJ: 2
TOP: Critical Thinking KEY: Nursing Process Step: Implementation
, MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
2. What was recommended by Karl Credé in 1884?
a. All women should be delivered in a hospital setting.
b. Chemical means should be used to combat infection.
c. Podalic version should be done on all fetuses.
d. Silver nitrate should be placed in the eyes of newborns.
ANS: D
In 1884 Karl Credé recommended the use of 2% silver nitrate in the eyes of newborns to
reduce the incidence of blindness.
DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: 1
TOP: Use of Silver Nitrate KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection
of Disease
3. What is the purpose of the White House Conference on Children and Youth?
a. Set criteria for normal growth patterns.
b. Examine the number of live births in minority populations.
c. Raise money to support well-child clinics in rural areas.
d. Promote comprehensive child welfare.
ANS: D
White House Conferences on Children and Youth are held every 10 years to promote
comprehensive child welfare.
DIF: Cognitive Level: Knowledge REF: p. 4 OBJ: 2
TOP: White House Conferences KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection
of Disease
4. How many hours of hospital stay does legislation currently allow for a postpartum patient who
has delivered vaginally without complications?
a. 24
b. 48
, c. 36
d. 72
ANS: B
Postpartum patients who deliver vaginally stay in the hospital for an average of 48 hours;
patients who have had a cesarean delivery usually stay 4 days.
DIF: Cognitive Level: Knowledge REF: p. 6 OBJ: 5
TOP: Hospital Terms for Postpartum Patients
KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection
of Disease
5. How does the clinical pathway or critical pathway improve quality of care?
a. Lists diagnosis-specific implementations
b. Outlines expected progress with stated timelines
c. Prioritizes effective nursing diagnoses
d. Describes common complications
ANS: B
Critical pathways outline expected progress with stated timelines. Any deviation from those
timelines is called a variance.
DIF: Cognitive Level: Comprehension REF: p. 13 OBJ: 10
TOP: Critical Pathway KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
6. 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
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.
DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: 5
TOP: Advance Practice Nursing Roles KEY: Nursing Process Step:
Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection
of Disease
7. 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
ANS: B
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by
the unwashed hands of physicians and medical students.
DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: 1
TOP: The Past KEY: Nursing Process Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
8. 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.”
ANS: C
Asking the patient about her concerns helps promote understanding and individualizes patient
care.
DIF: Cognitive Level: Application REF: pp. 6-8 OBJ: 8
Maternity and Pediatric
Nursing 9th Edition by Gloria
Leifer
Chapter 01-05
Chapter 01: The Past, Present, and Future
Leifer: Introduction to Maternity and Pediatric Nursing, 9th Edition
MULTIPLE CHOICE
1. A nursing student on an obstetric rotation questions the floor nurse about the definition of the
LVN/LPN scope of practice. What resource can the nurse suggest to the student?
a. American Nurses Association
b. State‘s Board of Nursing
c. Joint Commission
d. Association of Women‘s Health, Obstetric and Neonatal Nurses
ANS: B
The scope of practice of the LVN/LPN is published by the state‘s board of nursing.
DIF: Cognitive Level: Comprehension REF: p. 16 OBJ: 2
TOP: Critical Thinking KEY: Nursing Process Step: Implementation
, MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
2. What was recommended by Karl Credé in 1884?
a. All women should be delivered in a hospital setting.
b. Chemical means should be used to combat infection.
c. Podalic version should be done on all fetuses.
d. Silver nitrate should be placed in the eyes of newborns.
ANS: D
In 1884 Karl Credé recommended the use of 2% silver nitrate in the eyes of newborns to
reduce the incidence of blindness.
DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: 1
TOP: Use of Silver Nitrate KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection
of Disease
3. What is the purpose of the White House Conference on Children and Youth?
a. Set criteria for normal growth patterns.
b. Examine the number of live births in minority populations.
c. Raise money to support well-child clinics in rural areas.
d. Promote comprehensive child welfare.
ANS: D
White House Conferences on Children and Youth are held every 10 years to promote
comprehensive child welfare.
DIF: Cognitive Level: Knowledge REF: p. 4 OBJ: 2
TOP: White House Conferences KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection
of Disease
4. How many hours of hospital stay does legislation currently allow for a postpartum patient who
has delivered vaginally without complications?
a. 24
b. 48
, c. 36
d. 72
ANS: B
Postpartum patients who deliver vaginally stay in the hospital for an average of 48 hours;
patients who have had a cesarean delivery usually stay 4 days.
DIF: Cognitive Level: Knowledge REF: p. 6 OBJ: 5
TOP: Hospital Terms for Postpartum Patients
KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection
of Disease
5. How does the clinical pathway or critical pathway improve quality of care?
a. Lists diagnosis-specific implementations
b. Outlines expected progress with stated timelines
c. Prioritizes effective nursing diagnoses
d. Describes common complications
ANS: B
Critical pathways outline expected progress with stated timelines. Any deviation from those
timelines is called a variance.
DIF: Cognitive Level: Comprehension REF: p. 13 OBJ: 10
TOP: Critical Pathway KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
6. 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
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.
DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: 5
TOP: Advance Practice Nursing Roles KEY: Nursing Process Step:
Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection
of Disease
7. 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
ANS: B
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by
the unwashed hands of physicians and medical students.
DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: 1
TOP: The Past KEY: Nursing Process Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
8. 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.”
ANS: C
Asking the patient about her concerns helps promote understanding and individualizes patient
care.
DIF: Cognitive Level: Application REF: pp. 6-8 OBJ: 8
