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,TestxBankxForxIntroductionxtoxMaternity andxPediatricxNursingx 9thxEditionxLeifer
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Chapter 01: The Past, Present, and Future
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Leifer: Introduction to Maternity and Pediatric Nursing, 9th Edition
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MULTIPLExCHOICE
1. Axpatientxchoosesxtoxhavexthexcertifiedxnurse-
midwifex(CNM)xprovidexcarexduringxherpregnancy.xWhat ri
x doesthexCNM‗sxscopexofxpracticexinclude?
a. Practicexindependentxfrommedicalsupervision
b. Comprehensivexprenatalxcare
c. Attendancexatxallxdeliveries
d. Cesareansections
ANS:x B
ThexCNMxprovidesxcomprehensivexprenatalandxpostnatalxcax
re,xattendsxuncomplicatedxdeliveries,xandxensuresxthatxa bacx ri
kupxphysicianxisxavailablexinxcasexofxunforeseenxproblems.
DIF: CognitivexLevel:xComprehension
REF:xp.x6
OBJ:x5
TOP: AdvancexPracticexNursingxRoles
KEY:xNursingxProcessxStep:xImplementationxMS
C:xNCLEX:xHealthxPromotionxand Maintenance:xPreventionxand EarlyxDetectionxof Disease
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2. Which medicalxpioneerxdiscoveredxthexrelationshipxbetweenxthexincidencexofxpuerperalxfeverxax
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nd unwashedxhands?
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a. Karl Credé ri
b. IgnazxSemmelweis
c. LouisxPasteur
d. JosephLister
ANS:x B
IgnazxSemmelweisxdeducedxthatxpuerperalxfeverxwasxseptic,xcontagious,xandxtransmittedxbyxthxe
xunwashedxhandsxofxphysiciansxandxmedicalxstudents.
DIF: CognitivexLevel:xKnowledge REF:
p.x2xOBJ:x1xTOP: The Past ri
KEY:xNursingxProcessxStep:xN/A
MSC:xNCLEX:xSafe,x EffectivexCare Environment:xSafetyandxInfectionxControl ri
3. ApregnantxwomanxwhoxhasxrecentlyimmigratedxtoxthexUnitedxStatesxcommentsxtoxthexnurse,x ―I x ri
amxafraidxofxchildbirth.xIt isxsoxdangerous.xI am afraidxI willxdie.‖xWhatxisxthe bestxnursingxrespox
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nsexreflectingxculturalxsensitivity?
a. ―Maternalmortalityin thex United Statesxisxextremelylow.‖ ri ri
b. ―Anesthesiaisavailabletorelievepainduringlaborand childbirth.‖ ri
c. ―Tellme whyyoux areafraidofchildbirth.‖
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d. ―Yourxconditionxwillxbexmonitoredxduringlaborxandxdelivery.‖
ANS:xC
Askingxthe patientxaboutxherxconcernsxhelpsxpromotexunderstandingxandxindividualizesxpatientxcare.
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DIF: Cognitive Level:xApplicationREF: pp.x6-8
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OBJ:x8xTOP: Cross-CulturalxCare
KEY:xNursingxProcessxStep:xImplementation
xMSC:xNCLEX:xPsychosocialxIntegrity:xPsychologicalxAdaptation
,TestxBank ForxIntroductionxtoxMaternityxandxPediatricxNursingx9thxEdition
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4. Anxurbanxareaxhasxbeenxreportedxtoxhavexaxhighxperinatalxmortalityrate.xWhatxinformationxdxo
esxthisxprovide?
a. Maternalxandxinfantxdeathsxperx100,000xlivexbirthsxperxyear
b. Deathsxofxfetusesxweighingxmorexthan 500xgxperx10,000xbirthsxperxyear
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c. Deathsxofxinfantsxuptox1xyearxofxagexperx1000xlivexbirthsxperx year
d. Fetalxandxneonatalxdeathsxperx1000xlivexbirthsxperxyear
ANS:xD
Theperinatalxmortalityratexincludesxfetalxandxneonatalxdeathsxperx1000xlivexbirthsxperx year.
DIF: CognitivexLevel:xComprehension
REF:xp.x13x|Boxx1.6xOBJ: 9 TOP:xThexPresent-
xChildxCare
KEY:xNursingProcessxStep:xImplementation
MSC:xNCLEX:xSafe,xEffectivexCarexEnvironment:xCoordinated Care ri
5. What isxthexfocusxofxcurrentxmaternitypractice?
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a. Hospitalxbirthsxforxthexmajorityofwomen
b. Thetraditionalxfamilyunit
c. Separationxofxlaborxroomsxfromdeliveryrooms
d. Aqualityfamilyexperiencex forx eachpatient
ANS:xD
Currentxmaternitypracticexfocusesxonxaxhigh-
qualityfamilyxexperiencexforxallxfamilies,xtraditionalxorxotherwise.
DIF: CognitivexLevel:xComprehension REF:
p.x6xOBJ:x5xTOP:
ThexPresent-MaternityxCare
KEY:xNursingxProcessxStep:xN/AxMSC:xNCLEX:xHealth Promotionxanx ri
dxMaintenance
6. WhoxadvocatedthexestablishmentxofthexChildren‗sxBureau?
a. LillianxWald
b. FlorenceNightingale
c. FlorencexKelly
d. ClaraxBarton
ANS:xA
LillianxWaldxis creditedxwithsuggestingthexestablishmentxofaxfederalxChildren‗s Bureau.
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DIF: CognitivexLevel:xKnowledge REF:
p.x4xOBJ:x1x|2xTOP: ThexPast
KEY:xNursingxProcessxStep:xImplementation
MSC:xNCLEX:xHealthxPromotionxand Maintenance:xGrowthandxDevelopment
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7. What wasxthexresultxofxresearchxdonex in thex1930sxbythexChildren‗sxBureau?
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a. Children withxheartxproblemsxarexnowxcaredxforxbypediatricxcardiologists.
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b. ThexChildxAbusexandxPreventionxActxwasxpassed.
c. Hot lunchxprogramsxwerexestablishedxinxmanyschools.
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d. Children‗sxasylumsxwerexfounded.
ANS:xC
Schoolhotxlunchxprogramsxwerexdevelopedxasxa result ofxresearchxbythexChildren‗sxBureauxonxthexeffe
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ctsxofxeconomicxdepressionxonxchildren.
DIF: CognitivexLevel:xKnowledge REF: p.x4 OBJ:x2x|x3
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