TestvBankvForvIntroductionvtovMaternityvandvPediatricvNursingv9thvEditio 1
n
,TestvBankvForvIntroductionvtovMaternityvandvPediatricvNursingv9thvEditionvLeifer 2
Chapter 01: The Past, Present, and Future
fi fi fi fi fi fi
Leifer: Introduction to Maternity and Pediatric Nursing, 9th Edition
fi fi fi fi fi fi fi fi
MULTIPLEvCHOICE
1. Avpatientvchoosesvtovhavevthevcertifiedvnurse-
midwifev(CNM)vprovidevcarevduringvherpregnancy.vWhatvdo
esthevCNM‗svscopevofvpracticevinclude?
a. Practicevindependentvfrommedicalsupervision
b. Comprehensivevprenatalvcare
c. Attendancevatvallvdeliveries
d. Cesareansections
ANS:v B
ThevCNMvprovidesvcomprehensivevprenatalandvpostnatalvcav
re,vattendsvuncomplicatedvdeliveries,vandvensuresvthatvavbacv
kupvphysicianvisvavailablevinvcasevofvunforeseenvproblems.
DIF: CognitivevLevel:vComprehension
REF:p.v6
OBJ:v5
TOP: AdvancevPracticevNursingvRoles
KEY:vNursingvProcessvStep:vImplementation MS fi
C:vNCLEX:vHealthvPromotionvand Maintenance:vPreventionandvEarlyvDetectionvofDisease
fi
2. Which medicalvpioneervdiscoveredvthevrelationshipvbetweenvthevincidencevofvpuerperalvfevervav
fi
nd unwashedvhands?
fi
a. KarlvCredé
b. IgnazvSemmelweis
c. LouisvPasteur
d. JosephLister
ANS:v B
IgnazvSemmelweisvdeducedvthatvpuerperalvfevervwasvseptic,vcontagious,vandvtransmittedvbyvthve
vunwashedvhands vofvphysiciansvandvmedical vstudents.
DIF: CognitivevLevel:vKnowledge REF:
p.v2vOBJ:1vTOP: ThevPast
KEY:vNursingvProcessvStep:vN/A
MSC:vNCLEX:vSafe,vEffectivevCare Environment:vSafetyandvInfectionvControl fi
3. ApregnantvwomanvwhovhasvrecentlyimmigratedvtovthevUnitedvStates commentsvtovthevnurse,v ―I v fi fi
amvafraidvofvchildbirth.vIt isvsovdangerous.vI am afraidvI willvdie.‖vWhatvisvthevbestvnursingvrespov
fi fi fi fi
nse reflectingvculturalvsensitivity?
fi
a. ―Maternalmortalityin thev United Statesvisvextremelylow.‖
fi fi
b. ―Anesthesiaisavailabletorelievepainduringlaborand childbirth.‖ fi
c. ―Tellme whyyouv areafraidofchildbirth.‖
fi
d. ―Yourvconditionvwillvbevmonitoredvduringlaborvandvdelivery.‖
ANS:vC
Askingvthe patientvaboutvhervconcernsvhelpsvpromotevunderstandingvandvindividualizesvpatientvcare.
fi
DIF: Cognitive Level:vApplication
fi REF: pp.v6-8
OBJ:v8vTOP: Cross-CulturalvCare
KEY:vNursingvProcessvStep:vImplementationv
MSC:vNCLEX:vPsychosocialvIntegrity:vPsychologicalvAdaptation
,TestvBankvForvIntroductionvtovMaternityvandvPediatricvNursingv9thvEditio 1
n
4. Anvurbanvareavhasvbeenvreportedvtovhavevavhighvperinatalvmortalityrate.vWhatvinformationvdvo
esvthisvprovide?
a. Maternalvandvinfantvdeathsvperv100,000vlivevbirthsvpervyear
b. Deathsvofvfetusesvweighingvmorevthan 500vgvperv10,000vbirthsvpervyear
fi
c. Deathsvofvinfantsvuptov1vyearvofvagevperv1000vlivevbirthsvperv year
d. Fetalvandvneonatalvdeathsvperv1000vlivevbirthsvpervyear
ANS:vD
Theperinatalvmortalityratevincludesvfetalvandvneonatalvdeathsvperv1000vlivevbirthsvperv year.
DIF: CognitivevLevel:vComprehension
REF:p.v13v|Boxv1.6vOBJ: 9 TOP:vThevPresent-
vChildvCare
KEY:vNursingProcessvStep:vImplementation
MSC:vNCLEX:vSafe,vEffective CareEnvironment:vCoordinated Care
fi fi
5. What isvthevfocusvofvcurrentvmaternitypractice?
fi
a. Hospitalvbirthsvforvthevmajorityofwomen
b. Thetraditionalvfamilyunit
c. Separationvofvlaborvroomsvfromdeliveryrooms
d. Aqualityfamilyexperiencev forv eachpatient
ANS:vD
Currentvmaternitypracticevfocusesvonvavhigh-
qualityfamilyvexperiencevforvallvfamilies,vtraditionalvorvotherwise.
DIF: CognitivevLevel:vComprehension REF:
p.v6vOBJ:v5vTOP:
ThevPresent-MaternityvCare
KEY:vNursingvProcessvStep:vN/AvMSC:vNCLEX:vHealthvPromotionvanv
dvMaintenance
6. WhovadvocatedvthevestablishmentvofthevChildren‗s Bureau? fi
a. LillianvWald
b. FlorenceNightingale
c. FlorencevKelly
d. ClaravBarton
ANS:vA
LillianvWaldvisvcreditedvwithsuggestingthevestablishmentvofavfederalvChildren‗s Bureau. fi
DIF: CognitivevLevel:vKnowledge REF:
p.v4vOBJ:1v|2vTOP: ThevPast
KEY:vNursingvProcessvStep:vImplementation
MSC:vNCLEX:vHealthvPromotion and Maintenance:vGrowth andvDevelopment
fi fi fi
7. What wasvthevresultvofvresearchvdonevin thev1930svbythevChildren‗svBureau?
fi fi
a. Children withvheartvproblemsvarevnowvcaredvforvbypediatricvcardiologists.
fi
b. ThevChildvAbusevandvPreventionvActvwasvpassed.
c. Hot lunchvprogramsvwerevestablishedvinvmanyschools.
fi
d. Children‗svasylumsvwerevfounded.
ANS:vC
Schoolhotvlunchvprogramsvwerevdevelopedvasvavresult ofvresearchvbythevChildren‗svBureauvonvtheveffe
fi
ctsvofveconomicvdepressionvonvchildren.
DIF: Cognitive Level:vKnowledge
fi REF: p.v4 OBJ:v2v|v3
,
n
,TestvBankvForvIntroductionvtovMaternityvandvPediatricvNursingv9thvEditionvLeifer 2
Chapter 01: The Past, Present, and Future
fi fi fi fi fi fi
Leifer: Introduction to Maternity and Pediatric Nursing, 9th Edition
fi fi fi fi fi fi fi fi
MULTIPLEvCHOICE
1. Avpatientvchoosesvtovhavevthevcertifiedvnurse-
midwifev(CNM)vprovidevcarevduringvherpregnancy.vWhatvdo
esthevCNM‗svscopevofvpracticevinclude?
a. Practicevindependentvfrommedicalsupervision
b. Comprehensivevprenatalvcare
c. Attendancevatvallvdeliveries
d. Cesareansections
ANS:v B
ThevCNMvprovidesvcomprehensivevprenatalandvpostnatalvcav
re,vattendsvuncomplicatedvdeliveries,vandvensuresvthatvavbacv
kupvphysicianvisvavailablevinvcasevofvunforeseenvproblems.
DIF: CognitivevLevel:vComprehension
REF:p.v6
OBJ:v5
TOP: AdvancevPracticevNursingvRoles
KEY:vNursingvProcessvStep:vImplementation MS fi
C:vNCLEX:vHealthvPromotionvand Maintenance:vPreventionandvEarlyvDetectionvofDisease
fi
2. Which medicalvpioneervdiscoveredvthevrelationshipvbetweenvthevincidencevofvpuerperalvfevervav
fi
nd unwashedvhands?
fi
a. KarlvCredé
b. IgnazvSemmelweis
c. LouisvPasteur
d. JosephLister
ANS:v B
IgnazvSemmelweisvdeducedvthatvpuerperalvfevervwasvseptic,vcontagious,vandvtransmittedvbyvthve
vunwashedvhands vofvphysiciansvandvmedical vstudents.
DIF: CognitivevLevel:vKnowledge REF:
p.v2vOBJ:1vTOP: ThevPast
KEY:vNursingvProcessvStep:vN/A
MSC:vNCLEX:vSafe,vEffectivevCare Environment:vSafetyandvInfectionvControl fi
3. ApregnantvwomanvwhovhasvrecentlyimmigratedvtovthevUnitedvStates commentsvtovthevnurse,v ―I v fi fi
amvafraidvofvchildbirth.vIt isvsovdangerous.vI am afraidvI willvdie.‖vWhatvisvthevbestvnursingvrespov
fi fi fi fi
nse reflectingvculturalvsensitivity?
fi
a. ―Maternalmortalityin thev United Statesvisvextremelylow.‖
fi fi
b. ―Anesthesiaisavailabletorelievepainduringlaborand childbirth.‖ fi
c. ―Tellme whyyouv areafraidofchildbirth.‖
fi
d. ―Yourvconditionvwillvbevmonitoredvduringlaborvandvdelivery.‖
ANS:vC
Askingvthe patientvaboutvhervconcernsvhelpsvpromotevunderstandingvandvindividualizesvpatientvcare.
fi
DIF: Cognitive Level:vApplication
fi REF: pp.v6-8
OBJ:v8vTOP: Cross-CulturalvCare
KEY:vNursingvProcessvStep:vImplementationv
MSC:vNCLEX:vPsychosocialvIntegrity:vPsychologicalvAdaptation
,TestvBankvForvIntroductionvtovMaternityvandvPediatricvNursingv9thvEditio 1
n
4. Anvurbanvareavhasvbeenvreportedvtovhavevavhighvperinatalvmortalityrate.vWhatvinformationvdvo
esvthisvprovide?
a. Maternalvandvinfantvdeathsvperv100,000vlivevbirthsvpervyear
b. Deathsvofvfetusesvweighingvmorevthan 500vgvperv10,000vbirthsvpervyear
fi
c. Deathsvofvinfantsvuptov1vyearvofvagevperv1000vlivevbirthsvperv year
d. Fetalvandvneonatalvdeathsvperv1000vlivevbirthsvpervyear
ANS:vD
Theperinatalvmortalityratevincludesvfetalvandvneonatalvdeathsvperv1000vlivevbirthsvperv year.
DIF: CognitivevLevel:vComprehension
REF:p.v13v|Boxv1.6vOBJ: 9 TOP:vThevPresent-
vChildvCare
KEY:vNursingProcessvStep:vImplementation
MSC:vNCLEX:vSafe,vEffective CareEnvironment:vCoordinated Care
fi fi
5. What isvthevfocusvofvcurrentvmaternitypractice?
fi
a. Hospitalvbirthsvforvthevmajorityofwomen
b. Thetraditionalvfamilyunit
c. Separationvofvlaborvroomsvfromdeliveryrooms
d. Aqualityfamilyexperiencev forv eachpatient
ANS:vD
Currentvmaternitypracticevfocusesvonvavhigh-
qualityfamilyvexperiencevforvallvfamilies,vtraditionalvorvotherwise.
DIF: CognitivevLevel:vComprehension REF:
p.v6vOBJ:v5vTOP:
ThevPresent-MaternityvCare
KEY:vNursingvProcessvStep:vN/AvMSC:vNCLEX:vHealthvPromotionvanv
dvMaintenance
6. WhovadvocatedvthevestablishmentvofthevChildren‗s Bureau? fi
a. LillianvWald
b. FlorenceNightingale
c. FlorencevKelly
d. ClaravBarton
ANS:vA
LillianvWaldvisvcreditedvwithsuggestingthevestablishmentvofavfederalvChildren‗s Bureau. fi
DIF: CognitivevLevel:vKnowledge REF:
p.v4vOBJ:1v|2vTOP: ThevPast
KEY:vNursingvProcessvStep:vImplementation
MSC:vNCLEX:vHealthvPromotion and Maintenance:vGrowth andvDevelopment
fi fi fi
7. What wasvthevresultvofvresearchvdonevin thev1930svbythevChildren‗svBureau?
fi fi
a. Children withvheartvproblemsvarevnowvcaredvforvbypediatricvcardiologists.
fi
b. ThevChildvAbusevandvPreventionvActvwasvpassed.
c. Hot lunchvprogramsvwerevestablishedvinvmanyschools.
fi
d. Children‗svasylumsvwerevfounded.
ANS:vC
Schoolhotvlunchvprogramsvwerevdevelopedvasvavresult ofvresearchvbythevChildren‗svBureauvonvtheveffe
fi
ctsvofveconomicvdepressionvonvchildren.
DIF: Cognitive Level:vKnowledge
fi REF: p.v4 OBJ:v2v|v3
,
