j j
Introduction to Maternityand Pediatric Nursing,8t
j j j j j j
h Edition byGloria Leifer
j j j j
UNITjI:jAnjOverviewjofjMaternityjandjPediatricjNursing
Chapterj 1:jThejPast,jPresent,jandjFuture
UNITjII:jMaternal-
NewbornjNursingjandjWomen’sjHealthjChapterj2:jHumanjRe
productivejAnatomyjandjPhysiologyjChapterj 3:jFetaljDevelopm
ent
Chapterj4:jPrenataljCarejandjAdaptationsjtojPregnancy
Chapterj5:jNursingjCarejofjWomenjwithjComplicationsjduringjPregnancyjCh
apterj6:jNursingjCarejofjMotherjandjInfantjduringjLaborjandjBirthjChapterj 7:
jNursingjManagementj ofjPainjduringjLaborjandjBirth
Chapterj8:jNursingjCarejofjWomenjwithjComplicationsjduringjLaborjandjBir
th
Chapterj9:jThejFamilyjafterjBirth
Chapterj10:jNursingjCarejofjWomenjwithjComplicationsjFollowingjBirthjCh
apterj 11:jThejNurse’sjRolejinjWomen’sjHealthjCare
Chapterj 12:jThejTermjNewborn
Chapterj 13:jPretermjandjPost-TermjNewborns
Chapterj14:jThejNewbornjwithjajPerinataljInjuryjorj CongenitaljM
alformation
UNITjIII:jThejGrowingjChildjandjFamily
Chapterj15:jAnjOverviewjofjGrowth,jDevelopment,jandjNutritionjChapterj 1
6:jThejInfant
Chapterj 17:jThejToddlerjChapter
j 18:jThejPreschooljChild
Chapterj19:jThejSchool-
AgejChildjChapterj 20:jThejAdolesc
ent
UNITjIV:jAdaptingjCarejtojthejPediatricjPatient
Chapterj21:jThejChild’sjExperiencejofjHospitalizationjChapterj
22:jHealthjCarejAdaptationsjforjthejChildjandjFamilyjUNITj V:jT
hejChildjNeedingjNursingjCare
Chapterj23:jThejChildjwithjajSensoryjorjNeurologicaljConditionjCh
apterj 24:jThejChildjwithjaj MusculoskeletaljConditionjChapterj 25:j
ThejChildjwithjaj RespiratoryjDisorder
Chapterj26:jThejChildjwithjajCardiovascularjDisorder
Chapterj27:jThejChildjwithjajConditionjofjthejBlood,jBlood-
FormingjOrgansjorjLymphaticjSystemjChapterj 28:jThejChildjwithjaj GastrointestinaljCondition
Chapterj29:jThejChildjwithjajGenitourinaryjConditionjChapterj 3
0:jThejChildjwithjaj SkinjCondition
Chapterj31:jThejChildjwithjajMetabolicjCondition
Chapterj32:jChildhoodjCommunicablejDiseases,jBioterrorism,jNaturaljDisastersjandjthejMaternal-
ChildjPatient
Chapterj33:jThejChildjwithjanjEmotionaljorjBehavioraljCondition
UNITjVI:jThejChangingjHealthjCarejEnvironment
Chapterj34:jComplementaryjandjAlternativejTherapiesjinjMaternityjandjPediatricjNursing
, INTRODUCTIONjTOjMATERNITYjANDjPEDIATRICjNURSINGj8THjEDITIONjLEIFERjTESTjBANK
2
Chapter 01: The Past, Present, and Future
j j j j j j
MULTIPLEj CHOICE
1. Ajpatientj choosesj toj havej thej certifiedj nursej midwifej (CNM)j providej carej duringj herj pregnancy.j Whatj doesjthejC
NMsjscopej ofjpracticejinclude?
a. Practicej independentj fromj medicalj supervisionjb
.jComprehensivejprenataljcare
c.j Attendancejatjalljdeliveries
d.j Cesareanjsections
ANS:jB
Thej CNMj providesj comprehensivej prenataljandj postnatalj care,j attendsj uncomplicatedj deliveries,j andj ensuresjthatjaj
backupjphysicianjisjavailablejinjcasejofjunforeseenj problems.
DIF:jCognitivej Level:j Comprehensionj REF:j Pagej 6
TOP:j Advancej Practicej Nursingj Rolesj KEY:j NursingjProcessj Step:j Implementation
MSC:j NCLEX:j Healthj Promotionj andj Maintenance:j Preventionj andj Earlyj Detectionj ofj Disease
2. Whichj medicalj pioneerj discoveredj thej relationshipjbetweenjthej incidencej ofj puerperalj feverj andj unwashedjhan
ds?
a. KarljCred
b. Ignazj Semmelweis
c. Louisj Pasteur
d. Josephj Lister
ANS:jB
IgnazjSemmelweisjdeducedjthatjpuerperaljfeverjwasjseptic,jcontagious,jandjtransmittedjbyjthejunwashedjhandsjofj
physiciansjandjmedicaljstudents.
DIF:j Cognitivej Level:j Knowledgej REF:j Pagej 2jTOP:j
ThejPastj KEY:j NursingjProcessj Step:j N/A
MSC:j NCLEX:j Safe,j Effectivej Carej Environment:j Safetyj andj Infectionj Control
3. Aj pregnantj womanj whoj hasj recentlyjimmigratedjtojthej UnitedjStatesj commentsj tojthejnurse,j Ijamjafraidj ofjchild
birth.jItjisjsojdangerous.jIjamjafraidjIjwilljdie.jWhatjisjthejbestjnursingjresponsejreflectingjculturaljsensitivity?
a. Maternalj mortalityjinjthej Unitedj Statesj isjextremelyjlow.
b. Anesthesiajisjavailablejtojrelievejpainjduringjlaborjandjchildbirth.jc.j T
ellj mejwhyjyoujarejafraidjofjchildbirth.
d.j Yourj conditionj willjbej monitoredj duringjlaborj andjdelivery.
ANS:jC
Askingjthej patientjaboutj herj concernsj helpsj promotej understandingj andjindividualizesj patientj care.
DIF:j Cognitivej Level:j ApplicationjREF:j Pagej7
TOP:j Cross-
Culturalj Carej KEY:j Nursingj Processj Step:j ImplementationjMSC:j NCLEX
:j Psychosocialj Integrity:j Psychologicalj Adaptation
4. Anj urbanjareaj hasj beenjreportedjtoj havejaj highjperinatalj mortalityjrate.j Whatj informationj doesj thisj provide?
a. Maternaljandjinfantj deathsj perj 100,000j livejbirthsj perj year
b. Deathsjofjfetusesj weighingj morej thanj500j gjperj 10,000jbirthsj perj year
c. Deathsj ofjinfantsj upjtoj1j yearj ofjagej perj 1000jlivejbirthsj perj yearjd.j F
etaljandjneonataljdeathsjperj1000jlivejbirthsjperjyear
ANS:jD
Thejperinatalj mortalityjratejincludesj fetalj andjneonatalj deathsj perj 1000j livejbirthsj perj year.jDIF
:jCognitivej Level:jComprehensionj REF:j Pagej12
, INTRODUCTIONjTOjMATERNITYjANDjPEDIATRICjNURSINGj8THjEDITIONjLEIFERjTESTjBANK
3
OBJ:j 9j TOP:j ThejPresent-Childj Care
KEY:j Nursingj Processj Step:j Implementation
MSC:j NCLEX:j Safe,j Effectivej Carej Environment:j Coordinatedj Care
5. Whatj isjthejfocusj ofjcurrentj maternityj practice?
a. Hospitaljbirthsjforj thej majorityjofj women
b. Thejtraditionaljfamilyj unit
c. Separationj ofj laborj roomsj fromj deliveryj roomsjd.
j Ajqualityjfamilyj experiencejforj eachj patient
ANS:jD
Currentj maternityj practicej focusesj onjaj high-qualityj familyjexperiencej forj alljfamilies,j traditionalj orj otherwise.
DIF:j Cognitivej Level:j ComprehensionjREF:j Pagej6
TOP:j Thej Present-
Maternityj Carej KEY:j Nursingj Processj Step:j N/AjMSC:j NCLEX:j HealthjPr
omotionjandjMaintenance
6. WhojadvocatedjthejestablishmentjofjthejChildrensjBureau?ja.j
LillianjWald
b. Florencej Nightingale
c. Florencej Kelly
d. Claraj Barton
ANS:j A
LillianjWaldjisj creditedjwithj suggestingjthej establishmentj ofjaj federalj Childrensj Bureau.
DIF:j Cognitivej Level:j Knowledgej REF:j Pagej4
TOP:j ThejPastj KEY:j Nursingj Processj Step:j Implementation
MSC:j NCLEX:j Healthj Promotionj andj Maintenance:j Growthj andj Development
7. Whatj wasj thejresultj ofjresearchj donejinjthej1930sj byjthej Childrensj Bureau?
a. Childrenj withjheartj problemsj arejnowjcaredjforj byj pediatricj cardiologists.
b. Thej Childj Abusejandj Preventionj Actj wasj passed.
c. Hotj lunchj programsj werejestablishedjinj manyjschools.
d. Childrensj asylumsj werej founded.
ANS:jC
Schoolj hotj lunchj programsj werejdevelopedjasj ajresultj ofjresearchjbyjthej Childrensj Bureaujonjthej effectsj ofjeconomicj de
pressionjonjchildren.
DIF:j Cognitivej Level:j Knowledgej REF:j Pagej 4jTOP:j
ThejPastj KEY:j NursingjProcessj Step:j N/A
MSC:j NCLEX:j Healthj Promotionj andj Maintenance:j Coordinatedj Care
8. Whatjgovernmentj programj wasj implementedj tojincreasej thej educationalj exposurej ofj preschoolj children?
a. WIC
b. Titlej XIXj ofj Medicaid
c. Thej Childrensj Charterj
d.j HeadjStart
ANS:jD
HeadjStartjprogramsj werej establishedj tojincreasej educationalj exposurej ofj preschoolj children.
DIF:j Cognitivej Level:j Knowledgej REF:j Pagej3
TOP:j Governmentj Influencesj inj Maternityjandj Pediatricj Carej KEY:j Nursingj Processj Step:j N/AjMS
C:j NCLEX:j HealthjPromotionj andjMaintenance:j GrowthjandjDevelopment
9. Whatjguidelinesjdefinejmultidisciplinaryjpatientjcarejinjtermsjofjexpectedjoutcomejandjtimeframejfromjdiffer
entjareasjofjcarejprovision?
, INTRODUCTIONjTOjMATERNITYjANDjPEDIATRICjNURSINGj8THjEDITIONjLEIFERjTESTjBANK
4
a. Clinicalj pathways
b. Nursingj outcomej criteria
c. Standardsj ofj care
d. Nursingjcarejplan
ANS:j A
Clinicaljpathways,jalsojknownjasj criticalj pathwaysj orj carej maps,j arej collaborativej guidelinesj thatj definejpatientj
carejacrossj disciplines.j Expectedj progressj withinjaj specifiedj timelinejisjidentified.
DIF:j Cognitivej Level:j Knowledgej REF:j Pagej 12
TOP:j Healthj Carej DeliveryjSystemsj KEY:j Nursingj Processj Step:j N/AjMS
C:j NCLEX:j Safe,jEffectivej Carej Environment:j Coordinatedj Care
10. Ajnursingj studentj hasjreviewedj aj hospitalizedjpediatricj patientj chart,jinterviewedj herj mother,j andj collectedjadm
issionj data.j Whatjisjthej nextjstepjthej studentj willjtakej tojdevelopjaj nursingjcarejplanjforj thisjchild?
a. Identifyj measurablej outcomesj withjajtimeline.
b. Choosejspecificjnursingjinterventionsjforjthejchild.jc.j
Determinej appropriatej nursingj diagnoses.
d.j Statejnursingjactionsjrelatedjtojthej childsj medicaljdiagnosis.
ANS:jC
ThejnursejusesjassessmentjdatajtojselectjappropriatejnursingjdiagnosesjfromjthejNANDA-
Ijlist.jOutcomesjandjinterventionsj arejthenj developedjtojaddressj thejrelevantj nursingj diagnoses.
DIF:j Cognitivej Level:j Applicationj REF:j Pagej11
TOP:j Nursingj Processj KEY:j Nursingj Processj Step:j Nursingj DiagnosisjMS
C:j NCLEX:j Safe,j Effectivej Carej Environment:j Coordinatedj Care
11. Aj nursingjstudentj onjanj obstetricjrotationjquestionsj thej floorj nursej aboutj thej definitionj ofjthej LVN/LPNsj cop
ejofjpractice.jWhatjresourcejcanjthejnurseNsUuR gS
geIN
stGtoTBth.C
eOstM
udent?
a. Americanj Nursesj Association
b. Statesj boardj ofj nursing
c. Jointj Commission
d. Associationj ofj Womensj Health,j Obstetricj andjNeonatalj Nurses
ANS:jB
Thejscopej ofj practicejofj thej LVN/LPNj isjpublishedjbyjthejstatesj boardj ofj nursing.
DIF:j Cognitivej Level:j Comprehensionj REF:j Pagej 3jOB
J:j18jTOP:jCriticaljThinking
KEY:j Nursingj Processj Step:j Implementation
MSC:j NCLEX:j Safe,j Effectivej Carej Environment:j Coordinatedj Care
12. Whatj wasj recommendedj byjKarlj Credjinj1884?
a. Allj womenjshouldjbej deliveredjinjaj hospitalj setting.
b. Chemicalj meansj shouldjbej usedjtojcombatjinfection.
c. Podalicj versionjshouldjbej donej onjallj fetuses.
d. Silverj nitratej shouldjbejplacedjinjthejeyesj ofj newborns.
ANS:jD
Inj1884j KarljCredjrecommendedjthej usej ofj2%j silverj nitratejinjthejeyesj ofj newbornsj tojreducej thejincidencej ofjblindnes
s.
DIF:j Cognitivej Level:j Knowledgej REF:j Pagej2
TOP:jUsejofjSilverj Nitratej KEY:j NursingjProcessj Step:j N/A
MSC:j NCLEX:j Healthj Promotionj andj Maintenance:j Preventionj andj Earlyj Detectionj ofj Disease
13. Whatj isj thej purposej ofjthej Whitej HousejConferencej onj ChildrenjandjYouth?
a. Setjcriteriaj forj normalj growthjpatterns.