Safe Maternity and Pediatric Nursing Care 2nd Edition
l l l l l l l
Safe Maternity and Pediatric Nursing Care 2nd Edition Linnard-
l l l l l l l l
Palmer TestBank
l l
Chapterl 1.l Introductionl tol Maternityl andl Pediatricl Nursing
MULTIPLEl CHOICE
1. Al patientl choosesl tol havel thel certifiedl nursel midwifel (CNM)l providel carel duringl herlpreg
nancy.lWhatldoeslthelCNMslscopeloflpracticelinclude?
a. Practicel independentl froml medicall supervision
b. Comprehensivel prenatall care
c. Attendancel atl alll deliveries
d. Cesareanl sectionsl
ANS:lB
Thel CNMl providesl comprehensivel prenatall andl postnatall care,l attendsl uncomplicatedl deliveries,landl
ensureslthatlalbackuplphysicianlislavailablelinlcaseloflunforeseenlproblems.
DIF:l Cognitivel Level:l Comprehensionl REF:l Pagel 6l OBJ:l 12
TOP:l Advancel Practicel Nursingl Rolesl KEY:l Nursingl Processl Step:l Implementation
MSC:l NCLEX:l Healthl Promotionl andl Maintenance:l Preventionl andl Earlyl Detectionl ofl Disease
2. Whichl medicall pioneerl discoveredl thel relationshipl betweenl thel incidencel ofl puerperall feverland
l unwashedlhands?
a. Karll Cred
b. Ignazl Semmelweis
c. Louisl Pasteur
d. Josephl Listerl
ANS:lB
Ignazl Semmelweisl deducedl thatl puerperall feverl wasl septic,l contagious,l andl transmittedl byl thelunwas
hedlhandsloflphysicianslandlmedicallstudents.
DIF:l Cognitivel Level:l Knowledgel REF:l Pagel 2l OBJ:l 1lTOP:l
ThelPastlKEY:lNursinglProcesslStep:lN/A
MSC:l NCLEX:l Safe,l Effectivel Carel Environment:l Safetyl andl Infectionl Control
3. Al pregnantl womanl whol hasl recentlyl immigratedl tol thel Unitedl Statesl commentsl tol thel nurse,l I
,Safe Maternity and Pediatric Nursing Care 2nd Edition
l l l l l l l
aml afraidl ofl childbirth.l Itl isl sol dangerous.l Il aml afraidl Il willl die.l Whatl isl thel bestl nursinglrespo
nselreflectinglculturallsensitivity?
a. Maternall mortalityl inl thel Unitedl Statesl isl extremelyl low.
b. Anesthesial isl availablel tol relievel painl duringl laborl andl childbirth.
c. Telll mel whyl youl arel afraidl ofl childbirth.
d. Yourl conditionl willl bel monitoredl duringl laborl andl delivery.lA
NS:lC
Askingl thel patientl aboutl herl concernsl helpsl promotel understandingl andl individualizesl patientlcar
e.
DIF:l Cognitivel Level:l Applicationl REF:l Pagel 7-8l OBJ:l 8
TOP:l Cross-
Culturall Carel KEY:l Nursingl Processl Step:l ImplementationlMSC:l NCLEX:
l Psychosociall Integrity:l Psychologicall Adaptation
4. Anl urbanl areal hasl beenl reportedl tol havel al highl perinatall mortalityl rate.l Whatl informationl doeslthisl
provide?
a. Maternall andl infantl deathsl perl 100,000l livel birthsl perl year
b. Deathsl ofl fetusesl weighingl morel thanl 500l gl perl 10,000l birthsl perl year
c. Deathsl ofl infantsl upl tol 1l yearl ofl agel perl 1000l livel birthsl perl year
d. Fetall andl neonatall deathsl perl 1000l livel birthsl perl yearlA
NS:lD
Thel perinatall mortalityl ratel includesl fetall andl neonatall deathsl perl 1000l livel birthsl perl year.
DIF:l Cognitivel Level:l Comprehensionl REF:l Pagel 12,l Boxl 1-
6lOBJ:l9lTOP:lThelPresent-ChildlCare
KEY:l Nursingl Processl Step:l Implementation
MSC:l NCLEX:l Safe,l Effectivel Carel Environment:l Coordinatedl Care
5. Whatl isl thel focusl ofl currentl maternityl practice?
a. Hospitall birthsl forl thel majorityl ofl women
b. Thel traditionall familyl unit
c. Separationl ofl laborl roomsl froml deliveryl rooms
d. Al qualityl familyl experiencel forl eachl patientlA
NS:lD
Currentl maternityl practicel focusesl onl al high-
qualityl familyl experiencel forl alll families,ltraditionallorlotherwise.
,Safe Maternity and Pediatric Nursing Care 2nd Edition
l l l l l l l
DIF:l Cognitivel Level:l Comprehensionl REF:l Pagel 6l OBJ:l 7
TOP:l Thel Present-
Maternityl Carel KEY:l Nursingl Processl Step:l N/AlMSC:lNCLEX:lHealthlPr
omotionlandlMaintenance
6. Whol advocatedl thel establishmentl ofl thel Childrensl Bureau?
a. Lillianl Wald
b. Florencel Nightingale
c. Florencel Kelly
d. Claral Bartonl
ANS:lA
Lillianl Waldl isl creditedl withl suggestingl thel establishmentl ofl al federall Childrensl Bureau.
DIF:l Cognitivel Level:l Knowledgel REF:l Pagel 4l OBJ:l1l |l 2lTOP:l T
hel Pastl KEY:l Nursingl Processl Step:l Implementation
MSC:l NCLEX:l Healthl Promotionl andl Maintenance:l Growthl andl Development
7. Whatl wasl thel resultl ofl researchl donel inl thel 1930sl byl thel Childrensl Bureau?
a. Childrenl withl heartl problemsl arel nowl caredl forl byl pediatricl cardiologists.
b. Thel Childl Abusel andl Preventionl Actl wasl passed.
c. Hotl lunchl programsl werel establishedl inl manyl schools.
d. Childrensl asylumsl werel founded.l
ANS:lC
Schooll hotl lunchl programsl werel developedl asl al resultl ofl researchl byl thel Childrensl Bureaul onl theleffec
tslofleconomicldepressionlonlchildren.
DIF:l Cognitivel Level:l Knowledgel REF:l Pagel 4l OBJ:l 2l |l 3lTO
P:lThelPastlKEY:lNursinglProcesslStep:lN/A
MSC:l NCLEX:l Healthl Promotionl andl Maintenance:l Coordinatedl Care
8. Whatl governmentl programl wasl implementedl tol increasel thel educationall exposurel oflpre
schoollchildren?
a. WIC
b. Titlel XIXl ofl Medicaid
c. Thel Childrensl Charter
d. Headl Startl
ANS:lD
Headl Startl programsl werel establishedl tol increasel educationall exposurel ofl preschooll children.
, Safe Maternity and Pediatric Nursing Care 2nd Edition
l l l l l l l
DIF:l Cognitivel Level:l Knowledgel REF:l Pagel 3l OBJ:l 5
TOP:l Governmentl Influencesl inl Maternityl andl Pediatricl Carel KEY:l Nursingl Processl Step:l N/AlMSC:l
NCLEX:lHealthlPromotionlandlMaintenance:lGrowthlandlDevelopment
9. Whatl guidelinesl definel multidisciplinaryl patientl carel inl termsl ofl expectedl outcomel andltim
eframelfromldifferentlareasloflcarelprovision?
a. Clinicall pathways
b. Nursingl outcomel criteria
c. Standardsl ofl care
d. Nursingl carel planl
ANS:lA
Clinicall pathways,l alsol knownl asl criticall pathwaysl orl carel maps,l arel collaborativel guidelineslthatl
definel patientl carel acrossl disciplines.l Expectedl progressl withinl al specifiedl timelinel islidentified.
DIF:l Cognitivel Level:l Knowledgel REF:l Pagel 12l OBJ:l 14
TOP:l Healthl Carel Deliveryl Systemsl KEY:l Nursingl Processl Step:l N/AlMSC
:l NCLEX:l Safe,l Effectivel Carel Environment:l Coordinatedl Care
10. Al nursingl studentl hasl reviewedl al hospitalizedl pediatricl patientl chart,l interviewedl herl mother,land
l collectedl admissionl data.l Whatl isl thel nextl stepl thel studentl willl takel tol developl al nursinglcarelplanlforl
thislchild?
a. Identifyl measurablel outcomesl withl al timeline.
b. Choosel specificl nursingl interventionsl forl thel child.
c. Determinel appropriatel nursingl diagnoses.
d. Statel nursingl actionsl relatedl tol thel childsl medicall diagnosis.lA
NS:lC
Thel nursel usesl assessmentl datal tol selectl appropriatel nursingl diagnosesl froml thel NANDA-
Il list.lOutcomesl andl interventionsl arelthenl developedl tol addressl thel relevantlnursingl diagnoses.
DIF:l Cognitivel Level:l Applicationl REF:l Pagel 11l OBJ:l 13
TOP:l Nursingl Processl KEY:l Nursingl Processl Step:l Nursingl DiagnosislMS
C:l NCLEX:l Safe,l Effectivel Carel Environment:l Coordinatedl Care
11. Al nursingl studentl onl anl obstetricl rotationl questionsl thel floorl nursel aboutl thel definitionl ofl thelLV
N/LPNlscopeloflpractice.lWhatlresourcelcanlthelnurselsuggestltolthelstudent?
a. Americanl Nursesl Association
l l l l l l l
Safe Maternity and Pediatric Nursing Care 2nd Edition Linnard-
l l l l l l l l
Palmer TestBank
l l
Chapterl 1.l Introductionl tol Maternityl andl Pediatricl Nursing
MULTIPLEl CHOICE
1. Al patientl choosesl tol havel thel certifiedl nursel midwifel (CNM)l providel carel duringl herlpreg
nancy.lWhatldoeslthelCNMslscopeloflpracticelinclude?
a. Practicel independentl froml medicall supervision
b. Comprehensivel prenatall care
c. Attendancel atl alll deliveries
d. Cesareanl sectionsl
ANS:lB
Thel CNMl providesl comprehensivel prenatall andl postnatall care,l attendsl uncomplicatedl deliveries,landl
ensureslthatlalbackuplphysicianlislavailablelinlcaseloflunforeseenlproblems.
DIF:l Cognitivel Level:l Comprehensionl REF:l Pagel 6l OBJ:l 12
TOP:l Advancel Practicel Nursingl Rolesl KEY:l Nursingl Processl Step:l Implementation
MSC:l NCLEX:l Healthl Promotionl andl Maintenance:l Preventionl andl Earlyl Detectionl ofl Disease
2. Whichl medicall pioneerl discoveredl thel relationshipl betweenl thel incidencel ofl puerperall feverland
l unwashedlhands?
a. Karll Cred
b. Ignazl Semmelweis
c. Louisl Pasteur
d. Josephl Listerl
ANS:lB
Ignazl Semmelweisl deducedl thatl puerperall feverl wasl septic,l contagious,l andl transmittedl byl thelunwas
hedlhandsloflphysicianslandlmedicallstudents.
DIF:l Cognitivel Level:l Knowledgel REF:l Pagel 2l OBJ:l 1lTOP:l
ThelPastlKEY:lNursinglProcesslStep:lN/A
MSC:l NCLEX:l Safe,l Effectivel Carel Environment:l Safetyl andl Infectionl Control
3. Al pregnantl womanl whol hasl recentlyl immigratedl tol thel Unitedl Statesl commentsl tol thel nurse,l I
,Safe Maternity and Pediatric Nursing Care 2nd Edition
l l l l l l l
aml afraidl ofl childbirth.l Itl isl sol dangerous.l Il aml afraidl Il willl die.l Whatl isl thel bestl nursinglrespo
nselreflectinglculturallsensitivity?
a. Maternall mortalityl inl thel Unitedl Statesl isl extremelyl low.
b. Anesthesial isl availablel tol relievel painl duringl laborl andl childbirth.
c. Telll mel whyl youl arel afraidl ofl childbirth.
d. Yourl conditionl willl bel monitoredl duringl laborl andl delivery.lA
NS:lC
Askingl thel patientl aboutl herl concernsl helpsl promotel understandingl andl individualizesl patientlcar
e.
DIF:l Cognitivel Level:l Applicationl REF:l Pagel 7-8l OBJ:l 8
TOP:l Cross-
Culturall Carel KEY:l Nursingl Processl Step:l ImplementationlMSC:l NCLEX:
l Psychosociall Integrity:l Psychologicall Adaptation
4. Anl urbanl areal hasl beenl reportedl tol havel al highl perinatall mortalityl rate.l Whatl informationl doeslthisl
provide?
a. Maternall andl infantl deathsl perl 100,000l livel birthsl perl year
b. Deathsl ofl fetusesl weighingl morel thanl 500l gl perl 10,000l birthsl perl year
c. Deathsl ofl infantsl upl tol 1l yearl ofl agel perl 1000l livel birthsl perl year
d. Fetall andl neonatall deathsl perl 1000l livel birthsl perl yearlA
NS:lD
Thel perinatall mortalityl ratel includesl fetall andl neonatall deathsl perl 1000l livel birthsl perl year.
DIF:l Cognitivel Level:l Comprehensionl REF:l Pagel 12,l Boxl 1-
6lOBJ:l9lTOP:lThelPresent-ChildlCare
KEY:l Nursingl Processl Step:l Implementation
MSC:l NCLEX:l Safe,l Effectivel Carel Environment:l Coordinatedl Care
5. Whatl isl thel focusl ofl currentl maternityl practice?
a. Hospitall birthsl forl thel majorityl ofl women
b. Thel traditionall familyl unit
c. Separationl ofl laborl roomsl froml deliveryl rooms
d. Al qualityl familyl experiencel forl eachl patientlA
NS:lD
Currentl maternityl practicel focusesl onl al high-
qualityl familyl experiencel forl alll families,ltraditionallorlotherwise.
,Safe Maternity and Pediatric Nursing Care 2nd Edition
l l l l l l l
DIF:l Cognitivel Level:l Comprehensionl REF:l Pagel 6l OBJ:l 7
TOP:l Thel Present-
Maternityl Carel KEY:l Nursingl Processl Step:l N/AlMSC:lNCLEX:lHealthlPr
omotionlandlMaintenance
6. Whol advocatedl thel establishmentl ofl thel Childrensl Bureau?
a. Lillianl Wald
b. Florencel Nightingale
c. Florencel Kelly
d. Claral Bartonl
ANS:lA
Lillianl Waldl isl creditedl withl suggestingl thel establishmentl ofl al federall Childrensl Bureau.
DIF:l Cognitivel Level:l Knowledgel REF:l Pagel 4l OBJ:l1l |l 2lTOP:l T
hel Pastl KEY:l Nursingl Processl Step:l Implementation
MSC:l NCLEX:l Healthl Promotionl andl Maintenance:l Growthl andl Development
7. Whatl wasl thel resultl ofl researchl donel inl thel 1930sl byl thel Childrensl Bureau?
a. Childrenl withl heartl problemsl arel nowl caredl forl byl pediatricl cardiologists.
b. Thel Childl Abusel andl Preventionl Actl wasl passed.
c. Hotl lunchl programsl werel establishedl inl manyl schools.
d. Childrensl asylumsl werel founded.l
ANS:lC
Schooll hotl lunchl programsl werel developedl asl al resultl ofl researchl byl thel Childrensl Bureaul onl theleffec
tslofleconomicldepressionlonlchildren.
DIF:l Cognitivel Level:l Knowledgel REF:l Pagel 4l OBJ:l 2l |l 3lTO
P:lThelPastlKEY:lNursinglProcesslStep:lN/A
MSC:l NCLEX:l Healthl Promotionl andl Maintenance:l Coordinatedl Care
8. Whatl governmentl programl wasl implementedl tol increasel thel educationall exposurel oflpre
schoollchildren?
a. WIC
b. Titlel XIXl ofl Medicaid
c. Thel Childrensl Charter
d. Headl Startl
ANS:lD
Headl Startl programsl werel establishedl tol increasel educationall exposurel ofl preschooll children.
, Safe Maternity and Pediatric Nursing Care 2nd Edition
l l l l l l l
DIF:l Cognitivel Level:l Knowledgel REF:l Pagel 3l OBJ:l 5
TOP:l Governmentl Influencesl inl Maternityl andl Pediatricl Carel KEY:l Nursingl Processl Step:l N/AlMSC:l
NCLEX:lHealthlPromotionlandlMaintenance:lGrowthlandlDevelopment
9. Whatl guidelinesl definel multidisciplinaryl patientl carel inl termsl ofl expectedl outcomel andltim
eframelfromldifferentlareasloflcarelprovision?
a. Clinicall pathways
b. Nursingl outcomel criteria
c. Standardsl ofl care
d. Nursingl carel planl
ANS:lA
Clinicall pathways,l alsol knownl asl criticall pathwaysl orl carel maps,l arel collaborativel guidelineslthatl
definel patientl carel acrossl disciplines.l Expectedl progressl withinl al specifiedl timelinel islidentified.
DIF:l Cognitivel Level:l Knowledgel REF:l Pagel 12l OBJ:l 14
TOP:l Healthl Carel Deliveryl Systemsl KEY:l Nursingl Processl Step:l N/AlMSC
:l NCLEX:l Safe,l Effectivel Carel Environment:l Coordinatedl Care
10. Al nursingl studentl hasl reviewedl al hospitalizedl pediatricl patientl chart,l interviewedl herl mother,land
l collectedl admissionl data.l Whatl isl thel nextl stepl thel studentl willl takel tol developl al nursinglcarelplanlforl
thislchild?
a. Identifyl measurablel outcomesl withl al timeline.
b. Choosel specificl nursingl interventionsl forl thel child.
c. Determinel appropriatel nursingl diagnoses.
d. Statel nursingl actionsl relatedl tol thel childsl medicall diagnosis.lA
NS:lC
Thel nursel usesl assessmentl datal tol selectl appropriatel nursingl diagnosesl froml thel NANDA-
Il list.lOutcomesl andl interventionsl arelthenl developedl tol addressl thel relevantlnursingl diagnoses.
DIF:l Cognitivel Level:l Applicationl REF:l Pagel 11l OBJ:l 13
TOP:l Nursingl Processl KEY:l Nursingl Processl Step:l Nursingl DiagnosislMS
C:l NCLEX:l Safe,l Effectivel Carel Environment:l Coordinatedl Care
11. Al nursingl studentl onl anl obstetricl rotationl questionsl thel floorl nursel aboutl thel definitionl ofl thelLV
N/LPNlscopeloflpractice.lWhatlresourcelcanlthelnurselsuggestltolthelstudent?
a. Americanl Nursesl Association
