TesthBanku-uIntroductionutouMaternityuanduPediatricuNursingu8eu(byuLeifer) 2
Chapter 01: The Past, Present, and Future
u u u u u u
MULTIPLEu CHOICE
1. Aupatientuchooseshtouhaveutheucertifiedunurseumidwifeu(CNM)uprovideucareuduringuherupregnancy.uWhatudoestuh
euCNMsuscopehofupracticeuinclude?
a. Practiceu independentu fromu medicalu supervision
b. Comprehensiveu prenatalu care
c. Attendanceuatualludeliveries
d. Cesareanu sections
ANS:u B
TheuCNMuprovidesucomprehensiveuprenataluandupostnatalucare,uattendsuuncomplicatedudeliveries,uanduensuresthuath
aubackupuphysicianuisuavailableuinucaseuofuunforeseenuproblems.
DIF:u Cognitiveu Level:u Comprehensionu REF:u Pageu 6
TOP:u Advanceu Practiceu NursinghRolesu KEY:u NursinguProcessu Step:uImplementation
MSC:u NCLEX:uHealthuPromotionu andu Maintenance:uPreventionu anduEarlyu Detectionu ofu Disease
2. Whichumedicalupioneerudiscoveredutheurelationshipubetweenuthehincidenceuofupuerperalufeveruanduunwasheduh
ands?
a. KarluCred
b. Ignazu Semmelweis
c. Louisu Pasteur
d. Josephu Lister
ANS:u B
IgnazuSemmelweisudeduceduthathpuerperalufeveruwasuseptic,ucontagious,uandutransmittedubyutheuunwashedu
handsuofuphysiciansuandumedicalustudents.
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DIF:uCognitiveuLevel:uKnowledgeuREF:uPageu2uT
OP:uTheuPastu KEY:uNursinguProcessu Step:uN/A
MSC:uNCLEX:u Safe,u Effectiveu Careu Environment:u Safetyu anduInfectionu Control
3. AupregnantuwomanuwhouhasurecentlyuimmigratedutoutheuUniteduStatesucommentsutohtheunurse,uIuamuafraiduofuch
ildbirth.uIthisusoudangerous.uIuamuafraiduIuwilludie.uWhatuisutheubestunursinguresponseureflectinguculturalusenusit
ivity?
a. Maternalu mortalityu inhtheu UniteduStatesuisuextremelyu low.
b. Anesthesiauisuavailableutourelieveu painuduringulaboru anduchildbirth.
c. Tellumeuwhyu youuareuafraiduofuchildbirth.
d. Youruconditionu willubeu monitoredu duringulaboru andudelivery.
ANS:u C
Askingu theu patientu aboutu herhconcernsu helpsu promoteu understandingu andu individualizesu patientu care.
DIF:uCognitiveuLevel:uApplicationuREF:uPageu7uTOP
:uCross-
CulturaluCarehuKEY:uNursinguProcessuStep:uImplementationMSC:uNCLu
EX:uPsychosocialuIntegrity:uPsychologicaluAdaptation
4. Anuurbanu areauhasubeenhreportedutou haveuauhighuperinatalumortalityurate.u Whatuinformationu doesuthisuprovide?
a. Maternaluandhinfantu deathsuperu 100,000uliveu birthsuperu year
b. Deathsu ofufetusesu weighingumoreu thanu500uguperu10,000ubirthsu perhyear
c. Deathsuofuinfantsuuputou1uyearuofuageuperu1000uliveubirthsuperuyear
d. Fetaluanduneonatalu deathsuperu1000u liveubirthsu peru year
ANS:u D
Theuperinatalumortalityurateuincludesufetaluanduneonataludeathsuperu1000uliveubirthsuperuyear.DIF:uCognitiv
euLevel:uComprehensionuREF:uPageu12
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OBJ:u 9u TOP:uTheu Present-Childu Care
KEY:uNursinguProcessuStep:u Implementation
MSC:u NCLEX:u Safe,uEffectiveu Careu Environment:u Coordinatedu Care
5. Whatuisutheufocusuofucurrentumaternityupractice?
a. Hospitalu birthsuforutheu majorityuofu women
b. Theutraditionalu familyu unit
c. Separationuofulaboruroomsu fromu deliveryu rooms
d. Auqualityufamilyuexperienceu forueachu patient
ANS:u D
Currentumaternityupracticeu focusesu onuauhigh-qualityufamilyuexperienceuforu allufamilies,u traditionalu oru otherwise.
DIF:uCognitiveuLevel:uComprehensionuREF:uPageu6u
TOP:uTheuPresent-
MaternityuCareuKEY:uNursinguProcesshStep:uN/AMSC:u NCLEX:uHealtu
huPromotionuanduMaintenance
6. Whouadvocatedu theu establishmentu ofutheu Childrensu Bureau?
a. LillianuWald
b. Florenceu Nightingale
c. Florenceu Kelly
d. Clarau Barton
ANS:u A
Lillianu Walduishcrediteduwithu suggestingutheu establishmentu ofu aufederalu Childrensu Bureau.
DIF:uCognitiveu Level:u Knowledgeu REF:u Pageu 4
TOP:uTheuPasthKEY:uNursinguProcessuStep:uImplementation
MSC:uNCLEX:u HealthuPromotionu andu Maintenance:u Growthu andu Development
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7. Whatu wasutheuresultu ofuresearchu doneuinutheu1930subyuthehChildrensuBureau?
a. Childrenuwithuheartuproblemsuareunowucaredhforubyupediatricucardiologists.
b. ThehChilduAbuseuanduPreventionu Actu wasu passed.
c. Hotu lunchu programshwereu establishedu inhmanyu schools.
d. Childrensuasylumsu wereufounded.
ANS:u C
SchooluhothlunchuprogramsuwereudevelopeduasuauresultuofuresearchubyutheuChildrensuBureauuonutheueffectsuofeconou
micudepressionuonuchildren.
DIF:uCognitiveuLevel:uKnowledgeuREF:uPageu4uT
OP:uTheuPastu KEY:uNursinguProcessu Step:uN/A
MSC:u NCLEX:u HealthuPromotionu andu Maintenance:u CoordinatedhCare
8. Whatu governmentu programu wasu implementedu tou increasehtheu educationalu exposureu ofupreschoolu children?
a. WIC
b. Titleu XIXu ofu Medicaid
c. Theu Childrensu Charter
d. Headu Start
ANS:u D
HeaduStartu programsu wereu establishedu touincreaseueducationalu exposureu ofu preschoolu children.
DIF:u Cognitiveu Level:u Knowledgeu REF:u Pageu 3
TOP:uGovernmentuInfluencesuinuMaternityuandhPediatricuCareuKEY:uNursinguProcessuStep:uN/AMSC:uNC
LEX:uHealthuPromotionuanduMaintenance:uGrowthuanduDevelopment
9. Whatuguidelinesudefineumultidisciplinaryupatienthcareuinutermsuofuexpecteduoutcomeuandutimeframeufromhu d
ifferentuareashofucareuprovision?
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a. Clinicalu pathways
b. Nursinghoutcomeu criteria
c. Standardsu ofucare
d. Nursingu careu plan
ANS:u A
Clinicalupathways,ualsouknownuasucriticalupathwaysuorucareumaps,uareucollaborativeuguidelinesuthatudefinepatientucar
euacrossudisciplines.uExpecteduprogressuwithinuauspecifiedutimelineuisuidentified.
DIF:u Cognitiveu Level:u Knowledgeu REF:u Pageu 12
TOP:uHealthuCareuDeliveryuSystemsuKEY:uNursinghProcessuStep:uN/Au
MSC:uNCLEX:uSafe,uEffectiveuCareuEnvironment:uCoordinateduCare
10. Aunursingustudentuhashreviewedhahhospitalizedupediatricupatientuchart,uintervieweduherumother,uanducollectedua
dmissionudata.uWhatuisutheunextusteputheustudentuwillutakeutoudevelopuaunursingucareuplanuforhthisuchild?
a. Identifyu measurableuoutcomesu withuau timeline.
b. Chooseu specificu nursingu interventionsu forhtheu child.
c. Determineu appropriatehunursingu diagnoses.
d. Stateunursinguactionsurelatedutoutheuchildsu medicaludiagnosis.
ANS:u C
Theu nurseuusesuassessmenthdatau touselectu appropriatehnursingu diagnosesu fromhtheu NANDA-
Iulist.u Outcomesu andinterventionsu arehthenu developedu tou addressu theu relevantu nursingu diagnoses.
DIF:u Cognitiveu Level:u Applicationu REF:u Pageu 11
TOP:uNursinguProcessuKEY:uNursinguProcessuStep:uNursinguDiagnosisu
MSC:uNCLEX:uSafe,uEffectiveuCareuEnvironment:uCoordinateduCare
11. AunursingustudenthonuanuobstetricurotationuquestionsutheufloorunurseuaboututheudefinitionuofuthehLVN/LPNusc
opeu ofupractice.u Whaturesourcehcanu theu n urseNsUuRggSIeNstGtoT Bth. Ce hOstM
ude nt?
a. Americanu Nursesu Association
b. Statesuboarduofunursing
c. JointuCommission
d. Associationuofu Womensu Health,u Obstetrichandu Neonatalu Nurses
ANS:u B
TheuscopeuofupracticeuofutheuLVN/LPNu isupublishedubyutheustatesuboarduofunursing.
DIF:uCognitiveuLevel:uComprehensionuREF:uPageu3u
OBJ:u18uTOP:uCriticaluThinking
KEY:uNursinguProcessuStep:u Implementation
MSC:u NCLEX:u Safe,uEffectiveu Careu Environment:u Coordinatedu Care
12. Whatu wasurecommendedu byuKarlu Creduinu1884?
a. Alluwomenu shouldu beudelivereduinuahhospitalu setting.
b. Chemicalumeansushouldu beuusedu toucombatuinfection.
c. Podalicuversionushouldubeudoneuonu allufetuses.
d. Silverunitrateushouldu beuplacedhinutheueyesuofunewborns.
ANS:u D
Inu1884uKarluCredurecommendedutheuuseuofu2%usilverunitrateuinutheheyesuofunewbornsutoureduceutheuincidenceuofbluind
ness.
DIF:u Cognitiveu Level:u Knowledgeu REF:u Pageu 2
TOP:uUsehofu Silveru Nitrateu KEY:u NursinguProcessuStep:u N/A
MSC:u NCLEX:uHealthuPromotionu andu Maintenance:uPreventionu anduEarlyu Detectionu ofu Disease
13. Whatuisuthehpurposeuofu theuWhiteuHouseu Conferenceu onu Childrenu anduYouth?
a. Setucriteriahforu normalu growthupatterns.
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b. Examineuthehnumberuofulivehbirthsuinu minorityu populations.
c. Raiseu moneyutou supportu well-childuclinicsuinu ruraluareas.
d. Promoteu comprehensiveu childu welfare.
ANS:u D
WhiteuHouseuConferencesuonuChildrenuanduYouthuarehheldheveryu10uyearsutoupromoteu comprehensiveuchildwelfaru
e.
DIF:u Cognitiveu Level:u Knowledgeu REF:u Pageu 4
TOP:u WhiteuHouseu Conferencesu KEY:u Nursingu Processu Step:u N/A
MSC:u NCLEX:uHealthuPromotionu andu Maintenance:uPreventionu anduEarlyu Detectionu ofu Disease
14. Howumanyuhoursuofuhospitalustayudoesulegislationucurrentlyuallowuforuaupostpartumupatientuwhouhasud
elivereduvaginallyuwithoutucomplications?
a. 24
b. 48
c. 36
d. 72
ANS:u B
Postpartumupatientsu whoudeliveru vaginallyu stayuinutheuhospitalu foruanu averageu ofu48u hours;upatientsu whou havehadu
aucesareanudeliveryuusuallyustayu4udays.
DIF:uCognitiveuLevel:uKnowledgeuREF:uPageu6uTOP
:uHospitaluTermsuforuPostpartumhPatientsuKEY:uN
ursinguProcessuStep:uPlanning
MSC:u NCLEX:uHealthuPromotionu andu Maintenance:uPreventionu anduEarlyu Detectionu ofu Disease
15. Howudoesutheuclinicalupathwayu orucriticalu pathwayu improveu qualityu ofucare?
a. Listsu diagnosis-specificu implementations NURSINGTB.COM
b. Outlinesu expectedu progressu withu statedu timelines
c. Prioritizesu effectiveu nursingu diagnoses
d. Describesu commonu complications
ANS:u B
Criticalupathwaysuoutlineuexpecteduprogresshwithustatedutimelines.uAnyudeviationufromuthoseutimelinesuisucalledauv
ariance.
DIF:u Cognitiveu Level:u Comprehensionu REF:u Pageu 12
TOP:uCriticaluPathwayuKEY:uNursinguProcessuStep:uImplementationuM
SC:uNCLEX:u Safe,u Effectiveu Careu Environment:u Coordinatedu Care
16. Aupatientuasksutheunurseutouexplainuwhatuisumeantubyugeneutherapy.uWhatuisutheunursesubesturesponse?
a. Geneutherapyucanureplaceu missingu genes.
b. Geneutherapyuevaluatesutheu parentsu genes.
c. Geneutherapyucanuchangeutheusexuofu theufetus.
d. Geneutherapyu supportsu theu regenerationu ofu defectiveu genes.
ANS:u A
Geneutherapyucanhreplaceu missingu oru defectiveu genes.
DIF:u Cognitiveu Level:u Knowledgeu REF:u Pageu 8
TOP:uGeneuTherapyu KEY:u NursinguProcessu Step:uImplementation
MSC:u NCLEX:uHealthuPromotionu andu Maintenance:uPreventionu anduEarlyu Detectionu ofu Disease
17. Theunursehisuclarifyinguinformationutouaupatienturegardingudiagnosis-
relatedugroupsu(DRGs).uWhatuisuthenursesubesturesponseuwhenutheupatientuasksuhowuDRGsureduceumedicalucar
eucosts?
a. Byudeterminingupaymentu basedu onu diagnosis
b. Byurequiringutwou medicalu opinionsutouconfirmu audiagnosis
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