INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
2
Chapter 01: The Past, Present, and Future
MULTIPLE CHOICE
TEST BANK FOR
1. A patient chooses to have the certified nurse midwife (CNM) provide care during her pregnancy. What does
the CNMs scope of practice include?
Introduction to Maternity and Pediatric Nursing, a. Practice independent from medical supervision
b. Comprehensive prenatal care
8th Edition by Gloria Leifer c. Attendance at all deliveries
d. Cesarean sections
UNIT I: An Overview of Maternity and Pediatric Nursing ANS: B
Chapter 1: The Past, Present, and Future The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated deliveries, and ensures
UNIT II: Maternal-Newborn Nursing and Women’s Health that a backup physician is available in case of unforeseen problems.
Chapter 2: Human Reproductive Anatomy and Physiology
Chapter 3: Fetal Development DIF: Cognitive Level: Comprehension REF: Page 6
Chapter 4: Prenatal Care and Adaptations to Pregnancy TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: Implementation
Chapter 5: Nursing Care of Women with Complications during Pregnancy MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
Chapter 6: Nursing Care of Mother and Infant during Labor and Birth
Chapter 7: Nursing Management of Pain during Labor and Birth 2. Which medical pioneer discovered the relationship between the incidence of puerperal fever and unwashed
Chapter 8: Nursing Care of Women with Complications during Labor and hands?
Birth a. Karl Cred
Chapter 9: The Family after Birth b. Ignaz Semmelweis
Chapter 10: Nursing Care of Women with Complications Following Birth c. Louis Pasteur
Chapter 11: The Nurse’s Role in Women’s Health Care d. Joseph Lister
Chapter 12: The Term Newborn
Chapter 13: Preterm and Post-Term Newborns ANS: B
Chapter 14: The Newborn with a Perinatal Injury or Congenital Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the unwashed
Malformation hands of physicians and medical students.
UNIT III: The Growing Child and Family
Chapter 15: An Overview of Growth, Development, and Nutrition DIF: Cognitive Level: Knowledge REF: Page 2
Chapter 16: The Infant TOP: The Past KEY: Nursing Process Step: N/A
Chapter 17: The Toddler MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
Chapter 18: The Preschool Child
Chapter 19: The School-Age Child 3. A pregnant woman who has recently immigrated to the United States comments to the nurse, I am afraid of
Chapter 20: The Adolescent childbirth. It is so dangerous. I am afraid I will die. What is the best nursing response reflecting cultural
UNIT IV: Adapting Care to the Pediatric Patient sensitivity?
Chapter 21: The Child’s Experience of Hospitalization a. Maternal mortality in the United States is extremely low.
Chapter 22: Health Care Adaptations for the Child and Family b. Anesthesia is available to relieve pain during labor and childbirth.
UNIT V: The Child Needing Nursing Care c. Tell me why you are afraid of childbirth.
Chapter 23: The Child with a Sensory or Neurological Condition d. Your condition will be monitored during labor and delivery.
Chapter 24: The Child with a Musculoskeletal Condition
Chapter 25: The Child with a Respiratory Disorder ANS: C
Chapter 26: The Child with a Cardiovascular Disorder Asking the patient about her concerns helps promote understanding and individualizes patient care.
Chapter 27: The Child with a Condition of the Blood, Blood-Forming Organs or Lymphatic System
Chapter 28: The Child with a Gastrointestinal Condition DIF: Cognitive Level: Application REF: Page 7
Chapter 29: The Child with a Genitourinary Condition TOP: Cross-Cultural Care KEY: Nursing Process Step: Implementation
Chapter 30: The Child with a Skin Condition MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
Chapter 31: The Child with a Metabolic Condition
Chapter 32: Childhood Communicable Diseases, Bioterrorism, Natural Disasters and the Maternal-Child 4. An urban area has been reported to have a high perinatal mortality rate. What information does this provide?
Patient a. Maternal and infant deaths per 100,000 live births per year
Chapter 33: The Child with an Emotional or Behavioral Condition b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
UNIT VI: The Changing Health Care Environment c. Deaths of infants up to 1 year of age per 1000 live births per year
Chapter 34: Complementary and Alternative Therapies in Maternity and Pediatric Nursing 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
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
3 4
OBJ: 9 TOP: The Present-Child Care a. Clinical pathways
KEY: Nursing Process Step: Implementation b. Nursing outcome criteria
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care c. Standards of care
d. Nursing care plan
5. What is the focus of current maternity practice?
a. Hospital births for the majority of women ANS: A
b. The traditional family unit Clinical pathways, also known as critical pathways or care maps, are collaborative guidelines that define
c. Separation of labor rooms from delivery rooms patient care across disciplines. Expected progress within a specified timeline is identified.
d. A quality family experience for each patient
DIF: Cognitive Level: Knowledge REF: Page 12
ANS: D TOP: Health Care Delivery Systems KEY: Nursing Process Step: N/A
Current maternity practice focuses on a high-quality family experience for all families, traditional or otherwise. MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
DIF: Cognitive Level: Comprehension REF: Page 6 10. A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her mother, and collected
TOP: The Present-Maternity Care KEY: Nursing Process Step: N/A admission data. What is the next step the student will take to develop a nursing care plan for this child?
MSC: NCLEX: Health Promotion and Maintenance a. Identify measurable outcomes with a timeline.
b. Choose specific nursing interventions for the child.
6. Who advocated the establishment of the Childrens Bureau? c. Determine appropriate nursing diagnoses.
a. Lillian Wald d. State nursing actions related to the childs medical diagnosis.
b. Florence Nightingale
c. Florence Kelly ANS: C
d. Clara Barton The nurse uses assessment data to select appropriate nursing diagnoses from the NANDA-I list. Outcomes and
interventions are then developed to address the relevant nursing diagnoses.
ANS: A
Lillian Wald is credited with suggesting the establishment of a federal Childrens Bureau. DIF: Cognitive Level: Application REF: Page 11
TOP: Nursing Process KEY: Nursing Process Step: Nursing Diagnosis
DIF: Cognitive Level: Knowledge REF: Page 4 MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
TOP: The Past KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development 11. A nursing student on an obstetric rotation questions the floor nurse about the definition of the LVN/LPN
7. What was the result of research done in the 1930s by the Childrens Bureau? scope of practice. What resource can the nurseNsUuR
gS
geIN
stGtoTB
th.C
eOstM
udent?
a. Children with heart problems are now cared for by pediatric cardiologists. a. American Nurses Association
b. The Child Abuse and Prevention Act was passed. b. States board of nursing
c. Hot lunch programs were established in many schools. c. Joint Commission
d. Childrens asylums were founded. d. Association of Womens Health, Obstetric and Neonatal Nurses
ANS: C ANS: B
School hot lunch programs were developed as a result of research by the Childrens Bureau on the effects of The scope of practice of the LVN/LPN is published by the states board of nursing.
economic depression on children.
DIF: Cognitive Level: Comprehension REF: Page 3
DIF: Cognitive Level: Knowledge REF: Page 4 OBJ: 18 TOP: Critical Thinking
TOP: The Past KEY: Nursing Process Step: N/A KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
8. What government program was implemented to increase the educational exposure of preschool children? 12. What was recommended by Karl Cred in 1884?
a. WIC a. All women should be delivered in a hospital setting.
b. Title XIX of Medicaid b. Chemical means should be used to combat infection.
c. The Childrens Charter c. Podalic version should be done on all fetuses.
d. Head Start d. Silver nitrate should be placed in the eyes of newborns.
ANS: D ANS: D
Head Start programs were established to increase educational exposure of preschool children. In 1884 Karl Cred recommended the use of 2% silver nitrate in the eyes of newborns to reduce the incidence of
blindness.
DIF: Cognitive Level: Knowledge REF: Page 3
TOP: Government Influences in Maternity and Pediatric Care KEY: Nursing Process Step: N/A DIF: Cognitive Level: Knowledge REF: Page 2
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development TOP: Use of Silver Nitrate KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
9. What guidelines define multidisciplinary patient care in terms of expected outcome and timeframe from
different areas of care provision? 13. What is the purpose of the White House Conference on Children and Youth?
a. Set criteria for normal growth patterns.
2
Chapter 01: The Past, Present, and Future
MULTIPLE CHOICE
TEST BANK FOR
1. A patient chooses to have the certified nurse midwife (CNM) provide care during her pregnancy. What does
the CNMs scope of practice include?
Introduction to Maternity and Pediatric Nursing, a. Practice independent from medical supervision
b. Comprehensive prenatal care
8th Edition by Gloria Leifer c. Attendance at all deliveries
d. Cesarean sections
UNIT I: An Overview of Maternity and Pediatric Nursing ANS: B
Chapter 1: The Past, Present, and Future The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated deliveries, and ensures
UNIT II: Maternal-Newborn Nursing and Women’s Health that a backup physician is available in case of unforeseen problems.
Chapter 2: Human Reproductive Anatomy and Physiology
Chapter 3: Fetal Development DIF: Cognitive Level: Comprehension REF: Page 6
Chapter 4: Prenatal Care and Adaptations to Pregnancy TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: Implementation
Chapter 5: Nursing Care of Women with Complications during Pregnancy MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
Chapter 6: Nursing Care of Mother and Infant during Labor and Birth
Chapter 7: Nursing Management of Pain during Labor and Birth 2. Which medical pioneer discovered the relationship between the incidence of puerperal fever and unwashed
Chapter 8: Nursing Care of Women with Complications during Labor and hands?
Birth a. Karl Cred
Chapter 9: The Family after Birth b. Ignaz Semmelweis
Chapter 10: Nursing Care of Women with Complications Following Birth c. Louis Pasteur
Chapter 11: The Nurse’s Role in Women’s Health Care d. Joseph Lister
Chapter 12: The Term Newborn
Chapter 13: Preterm and Post-Term Newborns ANS: B
Chapter 14: The Newborn with a Perinatal Injury or Congenital Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the unwashed
Malformation hands of physicians and medical students.
UNIT III: The Growing Child and Family
Chapter 15: An Overview of Growth, Development, and Nutrition DIF: Cognitive Level: Knowledge REF: Page 2
Chapter 16: The Infant TOP: The Past KEY: Nursing Process Step: N/A
Chapter 17: The Toddler MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
Chapter 18: The Preschool Child
Chapter 19: The School-Age Child 3. A pregnant woman who has recently immigrated to the United States comments to the nurse, I am afraid of
Chapter 20: The Adolescent childbirth. It is so dangerous. I am afraid I will die. What is the best nursing response reflecting cultural
UNIT IV: Adapting Care to the Pediatric Patient sensitivity?
Chapter 21: The Child’s Experience of Hospitalization a. Maternal mortality in the United States is extremely low.
Chapter 22: Health Care Adaptations for the Child and Family b. Anesthesia is available to relieve pain during labor and childbirth.
UNIT V: The Child Needing Nursing Care c. Tell me why you are afraid of childbirth.
Chapter 23: The Child with a Sensory or Neurological Condition d. Your condition will be monitored during labor and delivery.
Chapter 24: The Child with a Musculoskeletal Condition
Chapter 25: The Child with a Respiratory Disorder ANS: C
Chapter 26: The Child with a Cardiovascular Disorder Asking the patient about her concerns helps promote understanding and individualizes patient care.
Chapter 27: The Child with a Condition of the Blood, Blood-Forming Organs or Lymphatic System
Chapter 28: The Child with a Gastrointestinal Condition DIF: Cognitive Level: Application REF: Page 7
Chapter 29: The Child with a Genitourinary Condition TOP: Cross-Cultural Care KEY: Nursing Process Step: Implementation
Chapter 30: The Child with a Skin Condition MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
Chapter 31: The Child with a Metabolic Condition
Chapter 32: Childhood Communicable Diseases, Bioterrorism, Natural Disasters and the Maternal-Child 4. An urban area has been reported to have a high perinatal mortality rate. What information does this provide?
Patient a. Maternal and infant deaths per 100,000 live births per year
Chapter 33: The Child with an Emotional or Behavioral Condition b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
UNIT VI: The Changing Health Care Environment c. Deaths of infants up to 1 year of age per 1000 live births per year
Chapter 34: Complementary and Alternative Therapies in Maternity and Pediatric Nursing 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
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
3 4
OBJ: 9 TOP: The Present-Child Care a. Clinical pathways
KEY: Nursing Process Step: Implementation b. Nursing outcome criteria
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care c. Standards of care
d. Nursing care plan
5. What is the focus of current maternity practice?
a. Hospital births for the majority of women ANS: A
b. The traditional family unit Clinical pathways, also known as critical pathways or care maps, are collaborative guidelines that define
c. Separation of labor rooms from delivery rooms patient care across disciplines. Expected progress within a specified timeline is identified.
d. A quality family experience for each patient
DIF: Cognitive Level: Knowledge REF: Page 12
ANS: D TOP: Health Care Delivery Systems KEY: Nursing Process Step: N/A
Current maternity practice focuses on a high-quality family experience for all families, traditional or otherwise. MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
DIF: Cognitive Level: Comprehension REF: Page 6 10. A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her mother, and collected
TOP: The Present-Maternity Care KEY: Nursing Process Step: N/A admission data. What is the next step the student will take to develop a nursing care plan for this child?
MSC: NCLEX: Health Promotion and Maintenance a. Identify measurable outcomes with a timeline.
b. Choose specific nursing interventions for the child.
6. Who advocated the establishment of the Childrens Bureau? c. Determine appropriate nursing diagnoses.
a. Lillian Wald d. State nursing actions related to the childs medical diagnosis.
b. Florence Nightingale
c. Florence Kelly ANS: C
d. Clara Barton The nurse uses assessment data to select appropriate nursing diagnoses from the NANDA-I list. Outcomes and
interventions are then developed to address the relevant nursing diagnoses.
ANS: A
Lillian Wald is credited with suggesting the establishment of a federal Childrens Bureau. DIF: Cognitive Level: Application REF: Page 11
TOP: Nursing Process KEY: Nursing Process Step: Nursing Diagnosis
DIF: Cognitive Level: Knowledge REF: Page 4 MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
TOP: The Past KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development 11. A nursing student on an obstetric rotation questions the floor nurse about the definition of the LVN/LPN
7. What was the result of research done in the 1930s by the Childrens Bureau? scope of practice. What resource can the nurseNsUuR
gS
geIN
stGtoTB
th.C
eOstM
udent?
a. Children with heart problems are now cared for by pediatric cardiologists. a. American Nurses Association
b. The Child Abuse and Prevention Act was passed. b. States board of nursing
c. Hot lunch programs were established in many schools. c. Joint Commission
d. Childrens asylums were founded. d. Association of Womens Health, Obstetric and Neonatal Nurses
ANS: C ANS: B
School hot lunch programs were developed as a result of research by the Childrens Bureau on the effects of The scope of practice of the LVN/LPN is published by the states board of nursing.
economic depression on children.
DIF: Cognitive Level: Comprehension REF: Page 3
DIF: Cognitive Level: Knowledge REF: Page 4 OBJ: 18 TOP: Critical Thinking
TOP: The Past KEY: Nursing Process Step: N/A KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
8. What government program was implemented to increase the educational exposure of preschool children? 12. What was recommended by Karl Cred in 1884?
a. WIC a. All women should be delivered in a hospital setting.
b. Title XIX of Medicaid b. Chemical means should be used to combat infection.
c. The Childrens Charter c. Podalic version should be done on all fetuses.
d. Head Start d. Silver nitrate should be placed in the eyes of newborns.
ANS: D ANS: D
Head Start programs were established to increase educational exposure of preschool children. In 1884 Karl Cred recommended the use of 2% silver nitrate in the eyes of newborns to reduce the incidence of
blindness.
DIF: Cognitive Level: Knowledge REF: Page 3
TOP: Government Influences in Maternity and Pediatric Care KEY: Nursing Process Step: N/A DIF: Cognitive Level: Knowledge REF: Page 2
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development TOP: Use of Silver Nitrate KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
9. What guidelines define multidisciplinary patient care in terms of expected outcome and timeframe from
different areas of care provision? 13. What is the purpose of the White House Conference on Children and Youth?
a. Set criteria for normal growth patterns.
