m m
Introduction to Maternity and Pediatric Nursing,
m m m m m m
8th Edition by Gloria Leifer
m m m m
UNITmI:mAnmOverviewmofmMaternitymandmPediatricmNursing
Chapterm 1:mThemPast,mPresent,mandmFuture
UNITmII:mMaternal-
NewbornmNursingmandmWomen’smHealthmChapterm2:mHuman
mReproductivemAnatomymandmPhysiologymChapterm 3:mFetalmDe
velopment
Chapterm 4:mPrenatalmCaremandmAdaptationsmtomPregnancy
Chapterm5:mNursingmCaremofmWomenmwithmComplicationsmduringmPregnan
cymChapterm6:mNursingmCaremofmMothermandmInfantmduringmLabormandmBirt
hmChapterm 7:mNursingmManagementmofmPainmduringmLabormandmBirth
Chapterm8:mNursingmCaremofmWomenmwithmComplicationsmduringmLaborma
ndmBirth
Chapterm9:mThemFamilymafterm Birth
Chapterm10:mNursingmCaremofmWomenmwithmComplicationsmFollowingmBi
rthmChapterm 11:mThemNurse’smRoleminmWomen’smHealthmCare
Chapterm 12:mThemTermmNewborn
Chapterm 13:mPretermmandmPost-TermmNewborns
Chapterm14:mThemNewbornmwithmamPerinatalmInjurymorm Congeni
talmMalformation
UNITmIII:mThemGrowingmChildmandmFamily
Chapterm15:mAnmOverviewmofmGrowth,mDevelopment,mandmNutritionmChap
term 16:mThemInfant
Chapterm 17:mThemToddlermChap
term 18:mThemPreschoolmChild
Chapterm 19:mThemSchool-
AgemChildmChapterm 20:mThemAdole
scent
UNITmIV:mAdaptingmCaremtomthemPediatricmPatient
Chapterm21:mThemChild’smExperiencemofmHospitalizationmCha
pterm22:mHealthmCaremAdaptationsmformthemChildmandmFamilymU
NITm V:mThemChildmNeedingmNursingmCare
Chapterm23:mThemChildmwithmamSensorymormNeurologicalmConditi
onmChapterm 24:mThemChildmwithmam MusculoskeletalmConditionmC
hapterm 25:mThemChildmwithmam RespiratorymDisorder
Chapterm26:mThemChildmwithmamCardiovascularm Disorder
Chapterm27:mThemChildmwithmamConditionmofmthemBlood,mBlood-
FormingmOrgansmormLymphaticmSystemmChapterm 28:mThemChildmwithmam GastrointestinalmCondition
Chapterm 29:mThemChildmwithmamGenitourinarymConditionmChap
term 30:mThemChildmwithmam SkinmCondition
Chapterm 31:mThemChildmwithmamMetabolicmCondition
Chapterm32:mChildhoodmCommunicablemDiseases,mBioterrorism,mNaturalmDisastersmandmthemMaternal-
ChildmPatient
Chapterm33:mThemChildmwithmanmEmotionalmorm BehavioralmCondition
UNITmVI:mThemChangingmHealthmCaremEnvironment
Chapterm34:mComplementarymandmAlternativemTherapiesminmMaternitymandmPediatricmNursing
, INTRODUCTIONmTOmMATERNITYmANDmPEDIATRICmNURSINGm8THmEDITIONmLEIFERmTESTmBA
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Chapter 01: The Past, Present, and Future
m m m m m m
MULTIPLEm CHOICE
1. Ampatientm choosesm tom havem them certifiedm nursem midwifem (CNM)m providem carem duringm herm pregnancy.m Whatm
doesmthemCNMsm scopem ofm practiceminclude?
a. Practicem independentm fromm medicalm supervisio
nmb.m Comprehensivemprenatalmcare
c.m Attendancem atmallmdeliveries
d.m Cesareanmsections
ANS:mB
Them CNMm providesm comprehensivem prenatalm andm postnatalm care,m attendsm uncomplicatedm deliveries,m andm ensure
smthatmam backupmphysicianmism availableminm casem ofm unforeseenm problems.
DIF:m Cognitivem Level:m Comprehensionm REF:m Pagem 6
TOP:m Advancem Practicem Nursingm Rolesm KEY:m NursingmProcessm Step:m Implementation
MSC:m NCLEX:m Healthm Promotionm andm Maintenance:m Preventionm andm Earlym Detectionm ofm Disease
2. Whichm medicalm pioneerm discoveredm them relationshipm betweenm them incidencem ofm puerperalm feverm andm unwas
hedmhands?
a. Karlm Cred
b. Ignazm Semmelweis
c. Louism Pasteur
d. Josephm Lister
ANS:mB
IgnazmSemmelweismdeducedmthatmpuerperalmfevermwasmseptic,mcontagious,mandmtransmittedmbymthemunwashedmh
andsmofmphysiciansmandmmedicalmstudents.
DIF:m Cognitivem Level:m Knowledgem REF:m Pagem 2mT
OP:m Them Pastm KEY:m NursingmProcessm Step:m N/A
MSC:m NCLEX:m Safe,m Effectivem Carem Environment:m Safetym andm Infectionm Control
3. Am pregnantm womanm whom hasm recentlym immigratedm tomthem UnitedmStatesm commentsm tomthem nurse,m Im ammafra
idm ofmchildbirth.mItmismsomdangerous.mImammafraidmImwillmdie.mWhatmismthembestmnursingmresponsemreflectingmcult
uralmsensitivity?
a. Maternalm mortalityminmthem Unitedm Statesm ism extremelymlow.
b. Anesthesiamismavailablemtomrelievempainmduringmlabormandmchildbirt
h.mc.m Tellm memwhymyoumaremafraidmofmchildbirth.
d.m Yourm conditionm willm bem monitoredm duringmlaborm andmdelivery.
ANS:mC
Askingm them patientm aboutm herm concernsm helpsm promotem understandingm andm individualizesm patientm care.
DIF:m Cognitivem Level:m Applicationm REF:m Pagem 7
TOP:m Cross-
Culturalm Carem KEY:m Nursingm Processm Step:m ImplementationmMSC:m NC
LEX:m Psychosocialm Integrity:m Psychologicalm Adaptation
4. Anm urbanmaream hasm beenmreportedm tom havem am highmperinatalm mortalitym rate.m Whatm informationm doesm thism provide
?
a. Maternalmandminfantm deathsm perm 100,000m livem birthsm perm year
b. Deathsm ofmfetusesm weighingm morem thanm500m gmperm 10,000m birthsm perm year
c. Deathsm ofminfantsm upmtom1m yearm ofmagem perm 1000mlivem birthsm perm
yearmd.m Fetalmandmneonatalmdeathsmperm1000mlivembirthsm permyear
ANS:mD
Them perinatalm mortalitymratem includesm fetalm andmneonatalm deathsm perm 1000m livem birthsm perm
year.mDIF:m Cognitivem Level:m Comprehensionm REF:m Pagem12
, INTRODUCTIONmTOmMATERNITYmANDmPEDIATRICmNURSINGm8THmEDITIONmLEIFERmTESTmBA
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OBJ:m 9m TOP:m Them Present-Childm Care
KEY:m Nursingm Processm Step:m Implementation
MSC:m NCLEX:m Safe,m Effectivem Carem Environment:m Coordinatedm Care
5. Whatm ismthem focusm ofmcurrentm maternitym practice?
a. Hospitalmbirthsm form them majoritymofm women
b. Them traditionalm familym unit
c. Separationm ofm laborm roomsm fromm deliverym roo
msmd.m Amqualitymfamilymexperiencemformeachmpatie
nt
ANS:mD
Currentm maternitym practicem focusesm onmam high-
qualitym familym experiencem form allm families,m traditionalm orm otherwise.
DIF:m Cognitivem Level:m ComprehensionmREF:m Pagem6
TOP:m Them Present-
Maternitym Carem KEY:m Nursingm Processm Step:m N/AmMSC:m NCLEX:m Hea
lthmPromotionm andmMaintenance
6. WhomadvocatedmthemestablishmentmofmthemChildrensmBureau
?ma.mLillianmWald
b. Florencem Nightingale
c. Florencem Kelly
d. Claram Barton
ANS:m A
Lillianm Waldm ism creditedm withm suggestingm them establishmentm ofm am federalm Childrensm Bureau.
DIF:m Cognitivem Level:m Knowledgem REF:m Pagem 4
TOP:m Them Pastm KEY:m Nursingm Processm Step:m Implementation
MSC:m NCLEX:m Healthm Promotionm andm Maintenance:m Growthm andm Development
7. Whatm wasm them resultm ofmresearchm donem inmthem 1930sm bymthem Childrensm Bureau?
a. Childrenm withmheartm problemsm arem nowm caredm form bym pediatricm cardiologists.
b. Them Childm Abusem andm Preventionm Actm wasm passed.
c. Hotm lunchm programsm werem establishedm inm manymschools.
d. Childrensm asylumsm werem founded.
ANS:mC
Schoolm hotm lunchm programsm werem developedm asm am resultm ofm researchm bymthem Childrensm Bureaumonmthem effectsm ofme
conomicm depressionm onm children.
DIF:m Cognitivem Level:m Knowledgem REF:m Pagem 4mT
OP:m Them Pastm KEY:m NursingmProcessm Step:m N/A
MSC:m NCLEX:m Healthm Promotionm andm Maintenance:m Coordinatedm Care
8. Whatm governmentm programm wasm implementedm tom increasem them educationalm exposurem ofm preschoolm children?
a. WIC
b. Titlem XIXm ofm Medicaid
c. Them Childrensm Charte
rmd.m HeadmStart
ANS:mD
Headm Startmprogramsm werem establishedm tom increasem educationalm exposurem ofm preschoolm children.
DIF:m Cognitivem Level:m Knowledgem REF:m Pagem 3
TOP:m Governmentm Influencesm inm Maternitymandm Pediatricm Carem KEY:m Nursingm Processm Step:m
N/AmMSC:m NCLEX:m HealthmPromotionm andm Maintenance:m GrowthmandmDevelopment
9. Whatmguidelinesmdefinemmultidisciplinarympatientmcareminmtermsmofmexpectedmoutcomemandmtimeframemfro
mmdifferentmareasm ofm caremprovision?
, INTRODUCTIONmTOmMATERNITYmANDmPEDIATRICmNURSINGm8THmEDITIONmLEIFERmTESTmBA
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a. Clinicalm pathways
b. Nursingm outcomem criteria
c. Standardsm ofm care
d. Nursingm carem plan
ANS:m A
Clinicalm pathways,malsom knownm asm criticalm pathwaysm orm carem maps,m arem collaborativem guidelinesm thatm define
mpatientm carem acrossm disciplines.m Expectedm progressm withinm am specifiedm timelinem ism identified.
DIF:m Cognitivem Level:m Knowledgem REF:m Pagem 12
TOP:m Healthm Carem Deliverym Systemsm KEY:m Nursingm Processm Step:m N/
AmMSC:m NCLEX:m Safe,m Effectivem Carem Environment:m Coordinatedm Car
e
10. Am nursingm studentm hasmreviewedm am hospitalizedm pediatricm patientm chart,m interviewedm herm mother,m andm colle
ctedmadmissionm data.m Whatm ism them nextm stepmthem studentm willm takem tom developmam nursingm carem planmform thism chil
d?
a. Identifym measurablem outcomesm withm am timeline.
b. Choosemspecificmnursingminterventionsmformthemchild
.mc.mDeterminem appropriatem nursingm diagnoses.
d.m Statem nursingmactionsmrelatedmtomthem childsm medicalm diagnosis.
ANS:mC
ThemnursemusesmassessmentmdatamtomselectmappropriatemnursingmdiagnosesmfrommthemNANDA-
Imlist.mOutcomesmandminterventionsm aremthenm developedmtomaddressm them relevantm nursingm diagnoses.
DIF:m Cognitivem Level:m Applicationm REF:m Pagem 11
TOP:m Nursingm Processm KEY:m Nursingm Processm Step:m Nursingm Diagnosi
smMSC:m NCLEX:m Safe,m Effectivem Carem Environment:m Coordinatedm Care
11. Am nursingm studentm onmanm obstetricmrotationm questionsm them floorm nursem aboutm them definitionm ofm them LVN/
LPNmscopemofm practice.mWhatmresourcemcanmthemnurseNsUuR gS
geIN
stGtoTBth.C
eOstM
udent?
a. Americanm Nursesm Association
b. Statesm boardm ofm nursing
c. Jointm Commission
d. Associationm ofm Womensm Health,m Obstetricm andmNeonatalm Nurses
ANS:mB
Themscopem ofm practicemofm them LVN/LPNm ism publishedmbym them statesm boardm ofm nursing.
DIF:m Cognitivem Level:m Comprehensionm REF:m Pagem
3mOBJ:m 18m TOP:mCriticalm Thinking
KEY:m Nursingm Processm Step:m Implementation
MSC:m NCLEX:m Safe,m Effectivem Carem Environment:m Coordinatedm Care
12. Whatm wasm recommendedm bymKarlm Credm inm1884?
a. Allm womenmshouldmbem deliveredminmam hospitalm setting.
b. Chemicalm meansm shouldm bem usedm tomcombatminfection.
c. Podalicm versionmshouldmbem donem onmallm fetuses.
d. Silverm nitratem shouldmbem placedminmthem eyesm ofm newborns.
ANS:mD
Inm1884m Karlm Credmrecommendedm them usem ofm2%m silverm nitratem inmthemeyesm ofm newbornsm tomreducem them incidence
m ofmblindness.
DIF:m Cognitivem Level:m Knowledgem REF:m Pagem 2
TOP:m Usem ofm Silverm Nitratem KEY:m NursingmProcessm Step:m N/A
MSC:m NCLEX:m Healthm Promotionm andm Maintenance:m Preventionm andm Earlym Detectionm ofm Disease
13. Whatm ism them purposem ofm them Whitem HousemConferencem onm Childrenm andmYouth?
a. Setmcriteriam form normalm growthm patterns.