Chapter 01: The Past, Present, and Future
n n n n n n
MULTIPLEn CHOICE
1. Anpatientnchoosesntonhaventhencertifiednnursenmidwifen(CNM)nprovidencarenduringnhernpregnancy.nWhatndoesnt
henCNMsnscopenofnpracticeninclude?
a. Practicen independentn fromn medicaln supervision
b. Comprehensivenprenatalncare
c. Attendancenatnallndeliveries
d. Cesareannsections
ANS:nB
ThenCNMnprovidesncomprehensivenprenatalnandnpostnatalncare,nattendsnuncomplicatedndeliveries,nandnensuresnth
atnanbackupnphysiciannisnavailableninncasenofnunforeseennproblems.
DIF:nCognitivenLevel:nComprehensionnREF:nPagen6
TOP:nAdvancenPracticenNursingnRolesnKEY:nNursingnProcessnStep:nImplementation
MSC:nNCLEX:nHealthnPromotionnandnMaintenance:nPreventionnandnEarlynDetectionnofnDisease
2. Whichnmedicalnpioneerndiscoverednthenrelationshipnbetweennthenincidencenofnpuerperalnfevernandnunwashedn
hands?
a. KarlnCred
b. Ignazn Semmelweis
c. Louisn Pasteur
d. Josephn Lister
ANS:nB
IgnaznSemmelweisndeducednthatnpuerperalnfevernwasnseptic,ncontagious,nandntransmittednbynthenunwashed
handsnofnphysiciansnandnmedicalnstudents.
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, INTRODUCTIONnTOnMATERNITYnANDnPEDIATRICnNURSINGn8THnEDITIONnLEIFERnTESTnBANK
TestnBankn-nIntroductionntonMaternitynandnPediatricnNursingn8en(bynLeifer) 3
DIF:nCognitivenLevel:nKnowledgenREF:nPagen2n
TOP:nThenPastnKEY:nNursingnProcessnStep:nN/A
MSC:nNCLEX:nSafe,nEffectivenCarenEnvironment:nSafetynandnInfectionnControl
3. AnpregnantnwomannwhonhasnrecentlynimmigratedntonthenUnitednStatesncommentsntonthennurse,nInamnafraidnofn
childbirth.nItnisnsondangerous.nInamnafraidnInwillndie.nWhatnisnthenbestnnursingnresponsenreflectingnculturalnsen
sitivity?
a. MaternalnmortalityninnthenUnitednStatesnisnextremelynlow.
b. Anesthesianisnavailablentonrelievenpainnduringnlabornandnchildbirth.
c. Tellnmenwhynyounarenafraidnofnchildbirth.
d. Yournconditionnwillnbenmonitorednduringnlabornandndelivery.
ANS:nC
Askingnthenpatientnaboutnhernconcernsnhelpsnpromotenunderstandingnandnindividualizesnpatientncare.
DIF:nCognitivenLevel:nApplicationnREF:nPagen7
TOP:n Cross-
Culturaln Caren KEY:n Nursingn Processn Step:n ImplementationnMSC:nNCL
EX:nPsychosocialnIntegrity:nPsychologicalnAdaptation
4. Annurbannareanhasnbeennreportedntonhavenanhighnperinatalnmortalitynrate.nWhatninformationndoesnthisnprovide?
a. Maternalnandninfantndeathsnpern100,000nlivenbirthsnpernyear
b. Deathsnofnfetusesnweighingnmorenthann500ngnpern10,000nbirthsnpernyear
c. Deathsnofninfantsnupnton1nyearnofnagenpern1000nlivenbirthsnpernyear
d. Fetalnandnneonatalndeathsnpern1000nlivenbirthsnpernyear
ANS:nD
Thenperinatalnmortalitynratenincludesnfetalnandnneonatalndeathsnpern1000nlivenbirthsnpernyear.n
DIF:nCognitivenLevel:nComprehensionnREF:nPagen12
OBJ:n9nTOP:nThenPresent-ChildnCare
KEY:nNursingnProcessnStep:nImplementation
MSC:nNCLEX:nSafe,nEffectivenCarenEnvironment:nCoordinatednCare
5. Whatnisnthenfocusnofncurrentnmaternitynpractice?
a. Hospitalnbirthsnfornthenmajoritynofnwomen
b. Thentraditionalnfamilynunit
c. Separationnofnlabornroomsnfromndeliverynrooms
d. Anqualitynfamilynexperiencenforneachnpatient
ANS:nD
Currentnmaternitynpracticenfocusesnonnanhigh-qualitynfamilynexperiencenfornallnfamilies,ntraditionalnornotherwise.
DIF:nCognitivenLevel:nComprehensionnREF:nPagen6
TOP:nThenPresent-
MaternitynCarenKEY:nNursingnProcessnStep:nN/AnMSC:nNCLEX:nHealt
hnPromotionnandnMaintenance
6. WhonadvocatednthenestablishmentnofnthenChildrensnBureau?
a. LilliannWald
b. Florencen Nightingale
c. FlorencenKelly
d. ClaranBarton
ANS:nA
LilliannWaldnisncreditednwithnsuggestingnthenestablishmentnofnanfederalnChildrensnBureau.
DIF:nCognitivenLevel:nKnowledgenREF:nPagen4
TOP:nThenPastnKEY:nNursingnProcessnStep:nImplementation
MSC:nNCLEX:nHealthnPromotionnandnMaintenance:nGrowthnandnDevelopment
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, INTRODUCTIONnTOnMATERNITYnANDnPEDIATRICnNURSINGn8THnEDITIONnLEIFERnTESTnBANK
TestnBankn-nIntroductionntonMaternitynandnPediatricnNursingn8en(bynLeifer) 4
7. Whatnwasnthenresultnofnresearchndoneninnthen1930snbynthenChildrensnBureau?
a. Childrennwithnheartnproblemsnarennowncarednfornbynpediatricncardiologists.
b. ThenChildnAbusenandnPreventionnActnwasnpassed.
c. Hotnlunchnprogramsnwerenestablishedninnmanynschools.
d. Childrensnasylumsnwerenfounded.
ANS:nC
SchoolnhotnlunchnprogramsnwerendevelopednasnanresultnofnresearchnbynthenChildrensnBureaunonntheneffectsnofnecono
micndepressionnonnchildren.
DIF:nCognitivenLevel:nKnowledgenREF:nPagen4n
TOP:nThenPastnKEY:nNursingnProcessnStep:nN/A
MSC:nNCLEX:nHealthnPromotionnandnMaintenance:nCoordinatednCare
8. Whatngovernmentnprogramnwasnimplementedntonincreasentheneducationalnexposurenofnpreschoolnchildren?
a. WIC
b. Titlen XIXn ofn Medicaid
c. Then Childrensn Charter
d. HeadnStart
ANS:nD
HeadnStartnprogramsnwerenestablishedntonincreaseneducationalnexposurenofnpreschoolnchildren.
DIF:nCognitivenLevel:nKnowledgenREF:nPagen3
TOP:nGovernmentnInfluencesninnMaternitynandnPediatricnCarenKEY:nNursingnProcessnStep:nN/An
MSC:nNCLEX:nHealthnPromotionnandnMaintenance:nGrowthnandnDevelopment
9. Whatnguidelinesndefinenmultidisciplinarynpatientncareninntermsnofnexpectednoutcomenandntimeframenfromn
differentnareasnofncarenprovision?
NURSINGTB.COM
, INTRODUCTIONnTOnMATERNITYnANDnPEDIATRICnNURSINGn8THnEDITIONnLEIFERnTESTnBANK
TestnBankn-nIntroductionntonMaternitynandnPediatricnNursingn8en(bynLeifer) 5
a. Clinicalnpathways
b. Nursingnoutcomencriteria
c. Standardsnofncare
d. Nursingncarenplan
ANS:nA
Clinicalnpathways,nalsonknownnasncriticalnpathwaysnorncarenmaps,narencollaborativenguidelinesnthatndefinenpatient
ncarenacrossndisciplines.nExpectednprogressnwithinnanspecifiedntimelinenisnidentified.
DIF:nCognitivenLevel:nKnowledgenREF:nPagen12
TOP:nHealthnCarenDeliverynSystemsnKEY:nNursingnProcessnStep:nN/An
MSC:nNCLEX:nSafe,nEffectivenCarenEnvironment:nCoordinatednCare
10. Annursingnstudentnhasnreviewednanhospitalizednpediatricnpatientnchart,ninterviewednhernmother,nandncollectedn
admissionndata.nWhatnisnthennextnstepnthenstudentnwillntakentondevelopnannursingncarenplannfornthisnchild?
a. Identifynmeasurablenoutcomesnwithnantimeline.
b. Choosenspecificnnursingninterventionsnfornthenchild.
c. Determinen appropriaten nursingn diagnoses.
d. Statennursingnactionsnrelatedntonthenchildsnmedicalndiagnosis.
ANS:nC
ThennursenusesnassessmentndatantonselectnappropriatennursingndiagnosesnfromnthenNANDA-
Inlist.nOutcomesnandninterventionsnarenthenndevelopedntonaddressnthenrelevantnnursingndiagnoses.
DIF:nCognitivenLevel:nApplicationnREF:nPagen11
TOP:nNursingnProcessnKEY:nNursingnProcessnStep:nNursingnDiagnosisn
MSC:nNCLEX:nSafe,nEffectivenCarenEnvironment:nCoordinatednCare
11. AnnursingnstudentnonnannobstetricnrotationnquestionsnthenfloornnursenaboutnthendefinitionnofnthenLVN/LPNn
scopenofnpractice.nWhatnresourcencannthennurseNsUuR
gS
geIN
stGtoTBth.C
enO
stM
udent?
a. Americann Nursesn Association
b. Statesnboardnofnnursing
c. JointnCommission
d. AssociationnofnWomensnHealth,nObstetricnandnNeonatalnNurses
ANS:nB
ThenscopenofnpracticenofnthenLVN/LPNnisnpublishednbynthenstatesnboardnofnnursing.
DIF:nCognitivenLevel:nComprehensionnREF:nPagen3n
OBJ:n18nTOP:nCriticalnThinking
KEY:nNursingnProcessnStep:nImplementation
MSC:nNCLEX:nSafe,nEffectivenCarenEnvironment:nCoordinatednCare
12. WhatnwasnrecommendednbynKarlnCredninn1884?
a. Allnwomennshouldnbendeliveredninnanhospitalnsetting.
b. Chemicalnmeansnshouldnbenusedntoncombatninfection.
c. Podalicnversionnshouldnbendonenonnallnfetuses.
d. Silvernnitratenshouldnbenplacedninntheneyesnofnnewborns.
ANS:nD
Inn1884nKarlnCrednrecommendednthenusenofn2%nsilvernnitrateninntheneyesnofnnewbornsntonreducenthenincidencenofnbl
indness.
DIF:nCognitivenLevel:nKnowledgenREF:nPagen2
TOP:nUsenofnSilvernNitratenKEY:nNursingnProcessnStep:nN/A
MSC:nNCLEX:nHealthnPromotionnandnMaintenance:nPreventionnandnEarlynDetectionnofnDisease
13. WhatnisnthenpurposenofnthenWhitenHousenConferencenonnChildrennandnYouth?
a. Setncriterianfornnormalngrowthnpatterns.
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