TEST BANK
Test Bank for Introduction to Maternity & Pediatric Nursing,
7th Edition by Leifer
PR
O
FD
O
C
, Table of Contents
Table of Contents 1
Chapter 01: The Past, Present, and Future 2
Chapter 02: Human Reproductive Anatomy and Physiology 12
Chapter 03: Fetal Development 22
Chapter 04: Prenatal Care and Adaptations to Pregnancy 31
Chapter 05: Nursing Care of Women with Complications During Pregnancy 40
Chapter 06: Nursing Care of Mother and Infant During Labor and Birth 50
Chapter 07: Nursing Management of Pain During Labor and Birth 60
Chapter 08: Nursing Care of Women with Complications During Labor and Birth 70
Chapter 09: The Family After Birth 79
Chapter 10: Nursing Care of Women with Complications After Birth 88
Chapter 11: The Nurses Role in Womens Health Care 97
Chapter 12: The Term Newborn 106
Chapter 13: Preterm and Postterm Newborns 116
Chapter 14: The Newborn with a Perinatal Injury or Congenital Malformation 125
Chapter 15: An Overview of Growth, Development, and Nutrition 135
PR
Chapter 16: The Infant 145
Chapter 17: The Toddler 155
Chapter 18: The Preschool Child 164
Chapter 19: The School-Age Child 173
Chapter 20: The Adolescent 182
Chapter 21: The Childs Experience of Hospitalization 191
O
Chapter 22: Health Care Adaptations for the Child and Family 200
Chapter 23: The Child with a Sensory or Neurological Condition 209
Chapter 24: The Child with a Musculoskeletal Condition 219
FD
Chapter 25: The Child with a Respiratory Disorder 229
Chapter 26: The Child with a Cardiovascular Disorder 238
Chapter 27: The Child with a Condition of the Blood, Blood-Forming Organs, or Lymphatic
System 246
Chapter 28: The Child with a Gastrointestinal Condition 256
Chapter 29: The Child with a Genitourinary Condition 267
O
Chapter 30: The Child with a Skin Condition 276
Chapter 31: The Child with a Metabolic Condition 286
Chapter 32: Childhood Communicable Diseases, Bioterrorism, Natural Disasters and the
C
Maternal-Child Patient 296
Chapter 33: The Child with an Emotional or Behavioral Condition 305
Chapter 34: Complementary and Alternative Therapies in Maternity and Pediatric Nursing
315
,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 CNMs 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: Page 6 OBJ: 12
TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
2. Which medical pioneer discovered the relationship between the incidence of puerperal fever and unwashed
PR
hands?
a. Karl Cred
b. Ignaz Semmelweis
c. Louis Pasteur
d. Joseph Lister
O
ANS: B
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the unwashed
hands of physicians and medical students.
FD
DIF: Cognitive Level: Knowledge REF: Page 2 OBJ: 1
TOP: The Past KEY: Nursing Process Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
3. 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
O
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.
C
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 7-8 OBJ: 8
TOP: Cross-Cultural Care KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
4. An urban area has been reported to have a high perinatal mortality rate. What information does this provide?
a. Maternal and infant deaths per 100,000 live births per year
b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
c. 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, Box 1-6
, OBJ: 9 TOP: The Present-Child Care
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
5. What is the focus of current maternity practice?
a. Hospital births for the majority of women
b. The traditional family unit
c. 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 OBJ: 7
TOP: The Present-Maternity Care KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance
6. Who advocated the establishment of the Childrens Bureau?
a. Lillian Wald
b. Florence Nightingale
PR
c. Florence Kelly
d. Clara Barton
ANS: A
Lillian Wald is credited with suggesting the establishment of a federal Childrens Bureau.
DIF: Cognitive Level: Knowledge REF: Page 4 OBJ: 1 | 2
O
TOP: The Past KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
FD
7. What was the result of research done in the 1930s by the Childrens Bureau?
a. Children with heart problems are now cared for by pediatric cardiologists.
b. The Child Abuse and Prevention Act was passed.
c. Hot lunch programs were established in many schools.
d. Childrens asylums were founded.
O
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.
C
DIF: Cognitive Level: Knowledge REF: Page 4 OBJ: 2 | 3
TOP: The Past KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care
8. What government program was implemented to increase the educational exposure of preschool children?
a. WIC
b. Title XIX of Medicaid
c. 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 OBJ: 5
TOP: Government Influences in Maternity and Pediatric Care KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
9. What guidelines define multidisciplinary patient care in terms of expected outcome and timeframe from
different areas of care provision?
Test Bank for Introduction to Maternity & Pediatric Nursing,
7th Edition by Leifer
PR
O
FD
O
C
, Table of Contents
Table of Contents 1
Chapter 01: The Past, Present, and Future 2
Chapter 02: Human Reproductive Anatomy and Physiology 12
Chapter 03: Fetal Development 22
Chapter 04: Prenatal Care and Adaptations to Pregnancy 31
Chapter 05: Nursing Care of Women with Complications During Pregnancy 40
Chapter 06: Nursing Care of Mother and Infant During Labor and Birth 50
Chapter 07: Nursing Management of Pain During Labor and Birth 60
Chapter 08: Nursing Care of Women with Complications During Labor and Birth 70
Chapter 09: The Family After Birth 79
Chapter 10: Nursing Care of Women with Complications After Birth 88
Chapter 11: The Nurses Role in Womens Health Care 97
Chapter 12: The Term Newborn 106
Chapter 13: Preterm and Postterm Newborns 116
Chapter 14: The Newborn with a Perinatal Injury or Congenital Malformation 125
Chapter 15: An Overview of Growth, Development, and Nutrition 135
PR
Chapter 16: The Infant 145
Chapter 17: The Toddler 155
Chapter 18: The Preschool Child 164
Chapter 19: The School-Age Child 173
Chapter 20: The Adolescent 182
Chapter 21: The Childs Experience of Hospitalization 191
O
Chapter 22: Health Care Adaptations for the Child and Family 200
Chapter 23: The Child with a Sensory or Neurological Condition 209
Chapter 24: The Child with a Musculoskeletal Condition 219
FD
Chapter 25: The Child with a Respiratory Disorder 229
Chapter 26: The Child with a Cardiovascular Disorder 238
Chapter 27: The Child with a Condition of the Blood, Blood-Forming Organs, or Lymphatic
System 246
Chapter 28: The Child with a Gastrointestinal Condition 256
Chapter 29: The Child with a Genitourinary Condition 267
O
Chapter 30: The Child with a Skin Condition 276
Chapter 31: The Child with a Metabolic Condition 286
Chapter 32: Childhood Communicable Diseases, Bioterrorism, Natural Disasters and the
C
Maternal-Child Patient 296
Chapter 33: The Child with an Emotional or Behavioral Condition 305
Chapter 34: Complementary and Alternative Therapies in Maternity and Pediatric Nursing
315
,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 CNMs 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: Page 6 OBJ: 12
TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
2. Which medical pioneer discovered the relationship between the incidence of puerperal fever and unwashed
PR
hands?
a. Karl Cred
b. Ignaz Semmelweis
c. Louis Pasteur
d. Joseph Lister
O
ANS: B
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the unwashed
hands of physicians and medical students.
FD
DIF: Cognitive Level: Knowledge REF: Page 2 OBJ: 1
TOP: The Past KEY: Nursing Process Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
3. 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
O
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.
C
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 7-8 OBJ: 8
TOP: Cross-Cultural Care KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
4. An urban area has been reported to have a high perinatal mortality rate. What information does this provide?
a. Maternal and infant deaths per 100,000 live births per year
b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
c. 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, Box 1-6
, OBJ: 9 TOP: The Present-Child Care
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
5. What is the focus of current maternity practice?
a. Hospital births for the majority of women
b. The traditional family unit
c. 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 OBJ: 7
TOP: The Present-Maternity Care KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance
6. Who advocated the establishment of the Childrens Bureau?
a. Lillian Wald
b. Florence Nightingale
PR
c. Florence Kelly
d. Clara Barton
ANS: A
Lillian Wald is credited with suggesting the establishment of a federal Childrens Bureau.
DIF: Cognitive Level: Knowledge REF: Page 4 OBJ: 1 | 2
O
TOP: The Past KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
FD
7. What was the result of research done in the 1930s by the Childrens Bureau?
a. Children with heart problems are now cared for by pediatric cardiologists.
b. The Child Abuse and Prevention Act was passed.
c. Hot lunch programs were established in many schools.
d. Childrens asylums were founded.
O
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.
C
DIF: Cognitive Level: Knowledge REF: Page 4 OBJ: 2 | 3
TOP: The Past KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care
8. What government program was implemented to increase the educational exposure of preschool children?
a. WIC
b. Title XIX of Medicaid
c. 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 OBJ: 5
TOP: Government Influences in Maternity and Pediatric Care KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
9. What guidelines define multidisciplinary patient care in terms of expected outcome and timeframe from
different areas of care provision?
