Table of Contents
n n
Tablen of n Contents 1
Chaptern 01:n Then Past,n Present,n andn Future 2
Chaptern 02:n Humann Reproductiven Anatomy n andn Physiology nC h 12
aptern03:nFetalnDevelopm ent 22
Chaptern 04:n Prenataln Caren andn Adaptationsn ton Pregnancy 31
Chaptern 05:n Nursingn Caren of n Womenn withn Complicationsn Duringn Pregnancy nCh 40
aptern06:n NursingnCaren of n Mothern andn Infant nDuringn Laborn andn BirthnChaptern 0 50
7:nNursingnManagem ent nof nPainnDuringn Labornand nBirth 60
Chaptern 08:n Nursingn Caren of n Womenn withn Complicationsn Duringn Laborn andn Birthn 70
Chaptern09:nThenFamily nAfternBirth 79
Chaptern 10:n Nursingn Caren of n Womenn withn Complicationsn Aftern BirthnChapter 88
n11:nThenNursesnRoleninnWomensnHealthnCare 97
Chaptern 12:n Then Term n Newborn 106
Chaptern 13:n Preterm n andn Postterm n Newborns 116
Chaptern 14:n Then Newbornn withn an Perinataln Injury n orn Congenitaln MalformationnCha 125
ptern15:nAnnOverviewnof nGrowth,nDevelopment,n andnNutrition 135
Chaptern16:n Then InfantnChapte 145
rn 17:n Then Toddler 155
Chaptern 18:n Then Preschooln ChildnC 164
haptern 19:n Then School- 173
Agen ChildnChaptern20:nThen Adolesc 182
ent 191
Chaptern21:nThen Childsn Experiencen of n HospitalizationnChapte 200
rn 22:n Healthn Caren Adaptationsn forn then Childn andn Family 209
Chaptern 23:n Then Childn withn an Sensory n orn Neurologicaln Conditionn 219
Chaptern24:nThenChildnwithn an Musculoskeletaln ConditionnChapte 229
rn25:nThenChildnwithn anRespiratory nDisorder 238
Chaptern 26:n Then Childn withn an Cardiovascularn Disorder
Chaptern 27:n Then Childn withn an Conditionn of n then Blood,n Blood-Formingn Organs,n orn Lymphatic
System 246
Chaptern 28:n Then Childn withn an Gastrointestinaln Conditionn 256
Chaptern 29:n Then Childn withn an Genitourinary n ConditionnCh 267
aptern30:nThenChildnwithnan SkinnCondition 276
Chaptern 31:n Then Childn withn an Metabolic n Condition 286
Chaptern 32:n Childhoodn Communicablen Diseases,n Bioterrorism,n Naturaln Disastersn andn the
Maternal-Childn Patient 296
Chaptern 33:n Then Childn withn ann Emotionaln orn Behavioraln Condition 305
Chaptern 34:n Complementary n andn Alternativen Therapiesn inn Maternity n andn Pediatric n Nursing
315
,Test nBank n-nIntroductionnto nMaternity nand nPediatric nNursing n7en(Leif ern2015) 2
Chapter 01: The Past, Present, and Future
n n n n n n
MULTIPLE n CHOICE
1. Anpatientnchoosesntonhaventhencertifiednnursenmidwifen(CNM)nproviden carenduringnhernpregnancy. nWhatndoesnt
hen CNMsn scopen ofn practicen include?
a. Practicen independentn fromn medicaln supervision
b. Comprehensivenprenatalncare
c. Attendancenatnallndeliveries
d. Cesareannsections
ANS:nB
ThenCNMnprovidesncomprehensivenprenatalnandnpostnataln care, nattendsnuncomplicatedndeliveries, nandnensuresnth
atn an backupn physiciann isn availablen inn casen ofn unforeseenn problems.
DIF:nCognitivenLevel:nComprehensionnREF:nPagen6nOBJ:n12
TOP:nAdvancenPracticenNursingn RolesnKE Y:nNursingnProcessnStep:nImplementation
MSC:nNCLEX:nHealthnPromotionnandnMaintenance:nPreventionnandnEarlynDetectionnofn Disease
2. Whichnmedicalnpioneerndiscoverednthenrelationshipnbetweennthenincidencenofnpuerperalnfevernandnunwashedn
hands?
a. KarlnCred
b. Ignazn Semmelweis
c. Louisn Pasteur
d. Josephn Lister
ANS:nB
IgnaznSemmelweisndeducednthatnpuerperalnfevernwasn septic, ncontagious, nandntransmittednbynthenunwashednhand
sn ofn physiciansn andn medicaln students.
DIF:nCognitivenLevel:nKnowledgen REF:nPagen2n OBJ:n1n
TOP:n Then Pastn KEY:n Nursingn Processn Step:n N/A
MSC:nNCLEX:nSafe, nEffectiven CarenEnvironment:nSafetynandnInfectionnControl
3. AnpregnantnwomannwhonhasnrecentlynimmigratedntonthenUnitednStatesn commentsntonthennurse, nInamnafraidnofn
childbirth. n Itn isn son dangerous. n In amn afraidn In willn die. n Whatn isn then bestn nursingn responsen reflectingn culturaln sen
sitivity?
a. MaternalnmortalityninnthenUnitednStatesnisnextremelynlow.
b. Anesthesianisnavailablentonrelievenpainnduringnlabornandnchildbirth.
c. Tellnmenwhynyounarenafraidnofnchildbirth.
d. Yournconditionnwillnbenmonitorednduringnlabornandndelivery.
ANS:nC
Askingnthenpatientnaboutnhernconcernsnhelpsnpromotenunderstandingnandnindividualizesnpatientncare.
DIF:nCognitivenLevel:n Applicationn REF:nPagen7-8nOBJ:n8
TOP:n Cross-
Culturaln Caren KEY:n Nursingn Processn Step:n ImplementationnMSC:nNCL
EX:nPsychosocialnIntegrity:nPsychologicaln Adaptation
4. Annurbannareanhasnbeennreportedntonhavenanhighnperinatalnmortalitynrate. nWhatninformationndoesnthisnprovide?
a. Maternalnandninfantndeathsnpern100,000nlivenbirthsnpernyear
b. Deathsnofnfetusesn weighingnmorenthann500ngnpern10,000nbirthsnpernyear
c. Deathsnofninfantsnupnton1nyearnofn agen pern1000nliven birthsnpern year
d. Fetalnandnneonatalndeathsnpern1000nlivenbirthsnpernyear
ANS:nD
Thenperinatalnmortalitynratenincludesnfetalnandnneonataln deathsnpern1000nlivenbirthsnpernyear. n
DIF:n Cognitiven Level:n Comprehensionn REF:n Pagen 12, n Boxn 1-6
,Test nBank n-nIntroductionnto nMaternity nand nPediatric nNursing n7en(Leif ern2015) 3
OBJ:n9nTOP:nThenPresent-ChildnCare
KEY:nNursingnProcessnStep:nImplementation
MSC:nNCLEX:nSafe, nEffectiven CarenEnvironment:n CoordinatednCare
5. Whatnisnthenfocusnofncurrentnmaternitynpractice?
a. Hospitalnbirthsnfornthenmajoritynofnwomen
b. Thentraditionalnfamilynunit
c. Separationnofnlabornroomsnfromndeliverynrooms
d. Anqualitynfamilynexperiencenforneachnpatient
ANS:nD
Currentnmaternitynpracticenfocusesnonnanhigh-qualitynfamilyn experiencenfornallnfamilies, ntraditionalnornotherwise.
DIF:nCognitivenLevel:n Comprehensionn REF:nPagen6nOBJ:n7
TOP:nThenPresent-
MaternitynCarenKEY:nNursingnProcessnStep:nN/AnMSC:n NCLE X:n Healt
hn Promotionn andn Maintenance
6. WhonadvocatednthenestablishmentnofnthenChildrensn Bureau?
a. LilliannWald
b. Florencen Nightingale
c. FlorencenKelly
d. ClaranBarton
ANS:nA
LilliannWaldnisncreditednwithn suggestingnthenestablishmentnofnanfederalnChildrensn Bureau.
DIF:n Cognitiven Level:n Knowledgen REF:n Pagen 4n OBJ:n 1n |n 2n
TOP:nThenPastnKEY:nNursingnProcessnStep:nImplementation
MSC:nNCLEX:nHealthnPromotionnandnMaintenance:n Growthnandn Development
7. Whatnwasnthenresultnofnresearchndoneninnthen1930snbynthenChildrensnBureau?
a. Childrennwithnheartnproblemsnarennowncarednfornbynpediatricn cardiologists.
b. ThenChildnAbusen andnPreventionnActn wasnpassed.
c. Hotnlunchnprogramsnwerenestablishedninnmanynschools.
d. Childrensnasylumsnwerenfounded.
ANS:nC
Schoolnhotnlunchnprogramsnwerendevelopednasnanresultnofnresearchnbynthen Childrensn Bureaunonntheneffectsnofnecono
micn depressionn onn children.
DIF:nCognitivenLevel:nKnowledgen REF:nPagen4n OBJ:n2n|n3n
TOP:n Then Pastn KEY:n Nursingn Processn Step:n N/A
MSC:nNCLEX:nHealthnPromotionnandn Maintenance:n CoordinatednCare
8. Whatngovernmentnprogramnwasnimplementedntonincreasentheneducationalnexposuren ofnpreschoolnchildren?
a. WIC
b. Titlen XIXn ofn Medicaid
c. Then Childrensn Charter
d. HeadnStart
ANS:nD
HeadnStartnprogramsnwerenestablishedntonincreaseneducationalnexposurenofnpreschoolnchildren.
DIF:nCognitivenLevel:nKnowledgen REF:nPagen3nOBJ:n5
TOP:nGovernmentnInfluencesninn MaternitynandnPediatricn Caren KEY:n NursingnProcessnStep:nN/An
MSC:n NCLEX:n Healthn Promotionn andn Maintenance:n Growthn andn Development
9. Whatnguidelinesndefinenmultidisciplinarynpatientncareninntermsnofnexpectednoutcomen andntimeframenfromn
differentn areasn ofn caren provision?
, Test nBank n-nIntroductionnto nMaternity nand nPediatric nNursing n7en(Leif ern2015) 4
a. Clinicalnpathways
b. Nursingnoutcomencriteria
c. Standardsnofncare
d. Nursingncarenplan
ANS:nA
Clinicalnpathways, nalsonknownnasn criticalnpathwaysnorncarenmaps, narencollaborativenguidelinesnthatndefinenpatient
n caren acrossn disciplines. n Expectedn progressn withinn an specifiedn timelinen isn identified.
DIF:nCognitivenLevel:nKnowledgenRE F:nPagen12nOBJ:n14
TOP:nHealthnCarenDeliverynSystemsnKE Y:nNursingnProcessnStep:nN/An
MSC:nNCLEX:nSafe, nEffectiven CarenEnvironment:n CoordinatednCare
10. Annursingnstudentnhasnreviewednanhospitalizednpediatricnpatientn chart, ninterviewednhernmother, nandncollectedn
admissionndata. n Whatnisn then nextnstepnthen studentnwillntaken tondevelopnan nursingn carenplannforn thisnchild?
a. Identifynmeasurablenoutcomesn withnantimeline.
b. Choosenspecificnnursingninterventionsnfornthenchild.
c. Determinen appropriaten nursingn diagnoses.
d. Statennursingnactionsnrelatedntonthenchildsnmedicalndiagnosis.
ANS:nC
ThennursenusesnassessmentndatantonselectnappropriatennursingndiagnosesnfromnthenNANDA-
Inlist. nOutcomesnandninterventionsn aren thenn developedn ton addressn then relevantn nursingn diagnoses.
DIF:nCognitivenLevel:n Applicationn REF:nPagen11nOBJ:n13
TOP:nNursingnProcessnKE Y:nNursingnProcessnStep:nNursingnDiagnosisn
MSC:nNCLEX:nSafe, nEffectiven CarenEnvironment:n Coordinatedn Care
11. Annursingnstudentnonnannobstetricnrotationnquestionsnthenfloor nnursenaboutnthendefinitionnofnthen LVN/LPNn
scopen ofn practice. n Whatn resourcen cann then nursen suggestn ton then student?
a. Americann Nursesn Association
b. Statesnboardnofnnursing
c. JointnCommission
d. AssociationnofnWomensnHealth, nObstetricnandnNeonataln Nurses
ANS:nB
Thenscopenofnpracticenofnthen LVN/LPNnisnpublishednbynthen statesnboardnofnnursing.
DIF:nCognitivenLevel:nComprehensionn REF:nPagen3, nLegalnandnEthicalnConsiderationsn
OBJ:n 18n TOP:n Criticaln Thinking
KEY:nNursingnProcessnStep:nImplementation
MSC:nNCLEX:nSafe, nEffectiven CarenEnvironment:n CoordinatednCare
12. WhatnwasnrecommendednbynKarln Credninn1884?
a. Allnwomennshouldnbendeliveredninnanhospitalnsetting.
b. Chemicalnmeansnshouldnbenusedntoncombatninfection.
c. Podalicnversionnshouldnbendonenonnallnfetuses.
d. Silvernnitratenshouldnbenplacedninntheneyesn ofnnewborns.
ANS:nD
Inn1884nKarlnCrednrecommendednthenusenofn2%nsilvernnitrateninnthen eyesnofnnewbornsntonreducenthenincidencenofnbl
indness.
DIF:n Cognitiven Level:n Knowledgen REF:n Pagen 2n OBJ:n 1n TO
P:nUsenofnSilvernNitratenKEY:nNursingnProcessnStep:nN/A
MSC:nNCLEX:nHealthnPromotionnandnMaintenance:nPreventionnandnEarlynDetectionnofn Disease
13. WhatnisnthenpurposenofnthenWhiten HousenConferencenonn ChildrennandnYouth?
a. Setncriterianfornnormalngrowthnpatterns.