Maternity And Child Nursing NCLEX Challenge Exam (All Questions With Rationaled Answers).

2

Chapterg 01:g Theg Past,g Present,g andg Future
MULTIPLEg CHOICE

1. Agpatientgchoosesgtoghavegthegcertifiedgnursegmidwifeg(CNM)gprovidegcaregduringghergpregnancy.gWhatgd
oesgthegCNMsgscopegofgpracticeginclude?
a. Practiceg independentg fromg medicalg supervision
b. Comprehensivegprenatalgcare
c. Attendancegatgallgdeliveries
d. Cesareangsections

ANS:gB
ThegCNMgprovidesgcomprehensivegprenatalgandgpostnatalgcare,gattendsguncomplicatedgdeliveries,gandgensure
sgthatgagbackupgphysiciangisgavailablegingcasegofgunforeseengproblems.

DIF:gCognitivegLevel:gComprehensiongREF:gPageg6
TOP:gAdvancegPracticegNursinggRolesgKEY:gNursinggProcessgStep:gImplementation
MSC:gNCLEX:gHealthgPromotiongandgMaintenance:gPreventiongandgEarlygDetectiongofgDisease

2. Whichgmedicalgpioneergdiscoveredgthegrelationshipgbetweengthegincidencegofgpuerperalgfevergandgunwash
edghands?
a. KarlgCred
b. Ignazg Semmelweis
c. Louisg Pasteur
d. Josephg Lister

ANS:gB
IgnazgSemmelweisgdeducedgthatgpuerperalgfevergwasgseptic,gcontagious,gandgtransmittedgbygthegunwashed
handsgofgphysiciansgandgmedicalgstudents
.




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, INTRODUCTIONgTOgMATERNITYgANDgPEDIATRICgNURSINGg8THgEDITIONgLEIFERgTESTgBA
NK
3
Test
DIF:ggBank g-gIntroduction
Cognitive gtogMaternity
gLevel:gKnowledge gand
gREF: gg Pediatric
Page g gNursingg8eg(bygLeifer)

2gTOP:gThegPastgKEY:gNursinggProcessgStep:g
N/A
MSC:gNCLEX:gSafe,gEffectivegCaregEnvironment:gSafetygandgInfectiongControl

3. AgpregnantgwomangwhoghasgrecentlygimmigratedgtogthegUnitedgStatesgcommentsgtogthegnurse,gIgamgafrai
dgofgchildbirth.gItgisgsogdangerous.gIgamgafraidgIgwillgdie.gWhatgisgthegbestgnursinggresponsegreflectinggcul
turalgsensitivity?
a. MaternalgmortalitygingthegUnitedgStatesgisgextremelyglow.
b. Anesthesiagisgavailablegtogrelievegpaingduringglaborgandgchildbirth.
c. Tellgmegwhygyougaregafraidgofgchildbirth.
d. Yourgconditiongwillgbegmonitoredgduringglaborgandgdelivery.

ANS:gC
Askinggthegpatientgaboutghergconcernsghelpsgpromotegunderstandinggandgindividualizesgpatientgcare.

DIF:gCognitivegLevel:gApplicationgREF:gPageg7
TOP:g Cross-
Culturalg Careg KEY:g Nursingg Processg Step:g ImplementationgMSC:gNC
LEX:gPsychosocialgIntegrity:gPsychologicalgAdaptation

4. Angurbangareaghasgbeengreportedgtoghavegaghighgperinatalgmortalitygrate.gWhatginformationgdoesgthisgprovid
e?
a. Maternalgandginfantgdeathsgperg100,000glivegbirthsgpergyear
b. Deathsgofgfetusesgweighinggmoregthang500gggperg10,000gbirthsgpergyear
c. Deathsgofginfantsgupgtog1gyeargofgagegperg1000glivegbirthsgpergyear
d. Fetalgandgneonatalgdeathsgperg1000glivegbirthsgpergyear

ANS:gD
Thegperinatalgmortalitygrategincludesgfetalgandgneonatalgdeathsgperg1000glivegbirthsgpergye

ar.gDIF:gCognitivegLevel:gComprehensiongREF:gPageg12



OBJ:g9gTOP:gThegPresent-ChildgCare
KEY:gNursinggProcessgStep:gImplementation
MSC:gNCLEX:gSafe,gEffectivegCaregEnvironment:gCoordinatedgCare

5. Whatgisgthegfocusgofgcurrentgmaternitygpractice?
a. Hospitalgbirthsgforgthegmajoritygofgwomen
b. Thegtraditionalgfamilygunit
c. Separationgofglaborgroomsgfromgdeliverygrooms
d. Agqualitygfamilygexperiencegforgeachgpatient

ANS:gD
Currentgmaternitygpracticegfocusesgongaghigh-
qualitygfamilygexperiencegforgallgfamilies,gtraditionalgorgotherwise.

DIF:gCognitivegLevel:gComprehensiongREF:gPageg6
TOP:gThegPresent-
MaternitygCaregKEY:gNursinggProcessgStep:gN/AgMSC:gNCLEX:gHea
lthgPromotiongandgMaintenance

6. WhogadvocatedgthegestablishmentgofgthegChildrensgBureau?
a. LilliangWald
b. Florenceg Nightingale
c. FlorencegKelly
d. ClaragBarton

ANS:gA
LilliangWaldgisgcreditedgwithgsuggestinggthegestablishmentgofgagfederalgChildrensgBureau.

DIF:gCognitivegLevel:gKnowledgegREF:gPageg4

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, INTRODUCTIONgTOgMATERNITYgANDgPEDIATRICgNURSINGg8THgEDITIONgLEIFERgTESTgBA
NK
4
Test
TOP: gBank -gIntroduction
gTheggPast gtogMaternity
gKEY:gNursing gProcessggand gPediatric
Step: gNursingg8eg(bygLeifer)
gImplementation
MSC:gNCLEX:gHealthgPromotiongandgMaintenance:gGrowthgandgDevelopment
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7. Whatgwasgthegresultgofgresearchgdonegingtheg1930sgbygthegChildrensgBureau?
a. Childrengwithgheartgproblemsgaregnowgcaredgforgbygpediatricgcardiologists.
b. ThegChildgAbusegandgPreventiongActgwasgpassed.
c. Hotglunchgprogramsgweregestablishedgingmanygschools.
d. Childrensgasylumsgweregfounded.

ANS:gC
SchoolghotglunchgprogramsgweregdevelopedgasgagresultgofgresearchgbygthegChildrensgBureaugongthegeffectsgofge
conomicgdepressiongongchildren.

DIF:gCognitivegLevel:gKnowledgegREF:gPageg
4gTOP:gThegPastgKEY:gNursinggProcessgStep:g
N/A
MSC:gNCLEX:gHealthgPromotiongandgMaintenance:gCoordinatedgCare

8. Whatggovernmentgprogramgwasgimplementedgtogincreasegthegeducationalgexposuregofgpreschoolgchildren?
a. WIC
b. Titleg XIXg ofg Medicaid
c. Theg Childrensg Charter
d. HeadgStart

ANS:gD
HeadgStartgprogramsgweregestablishedgtogincreasegeducationalgexposuregofgpreschoolgchildren.

DIF:gCognitivegLevel:gKnowledgegREF:gPageg3
TOP:gGovernmentgInfluencesgingMaternitygandgPediatricgCaregKEY:gNursinggProcessgStep:gN/
AgMSC:gNCLEX:gHealthgPromotiongandgMaintenance:gGrowthgandgDevelopment

9. Whatgguidelinesgdefinegmultidisciplinarygpatientgcaregingtermsgofgexpectedgoutcomegandgtimeframegfr
omgdifferentgareasgofgcaregprovision?




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, INTRODUCTIONgTOgMATERNITYgANDgPEDIATRICgNURSINGg8THgEDITIONgLEIFERgTESTgBA
NK
5
TestgBankg-gIntroductiongtogMaternitygandgPediatricgNursingg8eg(bygLeifer)

a. Clinicalgpathways
b. Nursinggoutcomegcriteria
c. Standardsgofgcare
d. Nursinggcaregplan

ANS:gA
Clinicalgpathways,galsogknowngasgcriticalgpathwaysgorgcaregmaps,garegcollaborativegguidelinesgthatgdefinegpat
ientgcaregacrossgdisciplines.gExpectedgprogressgwithingagspecifiedgtimelinegisgidentified.

DIF:gCognitivegLevel:gKnowledgegREF:gPageg12
TOP:gHealthgCaregDeliverygSystemsgKEY:gNursinggProcessgStep:gN/
AgMSC:gNCLEX:gSafe,gEffectivegCaregEnvironment:gCoordinatedgCar
e

10. Agnursinggstudentghasgreviewedgaghospitalizedgpediatricgpatientgchart,ginterviewedghergmother,gandgcollec
tedgadmissiongdata.gWhatgisgthegnextgstepgthegstudentgwillgtakegtogdevelopgagnursinggcaregplangforgthisgchild?
a. Identifygmeasurablegoutcomesgwithgagtimeline.
b. Choosegspecificgnursingginterventionsgforgthegchild.
c. Determineg appropriateg nursingg diagnoses.
d. Stategnursinggactionsgrelatedgtogthegchildsgmedicalgdiagnosis.

ANS:gC
ThegnursegusesgassessmentgdatagtogselectgappropriategnursinggdiagnosesgfromgthegNANDA-
Iglist.gOutcomesgandginterventionsgaregthengdevelopedgtogaddressgthegrelevantgnursinggdiagnoses.

DIF:gCognitivegLevel:gApplicationgREF:gPageg11
TOP:gNursinggProcessgKEY:gNursinggProcessgStep:gNursinggDiagnos
isgMSC:gNCLEX:gSafe,gEffectivegCaregEnvironment:gCoordinatedgCa
re

11. AgnursinggstudentgongangobstetricgrotationgquestionsgthegfloorgnursegaboutgthegdefinitiongofgthegLVN/L
PNgscopegofgpractice.gWhatgresourcegcangthegnurseNsUuR
gS
geIN
stGtoTBth.C
egO
stM
udent?
a. Americang Nursesg Association
b. Statesgboardgofgnursing
c. JointgCommission
d. AssociationgofgWomensgHealth,gObstetricgandgNeonatalgNurses

ANS:gB
ThegscopegofgpracticegofgthegLVN/LPNgisgpublishedgbygthegstatesgboardgofgnursing.

DIF:gCognitivegLevel:gComprehensiongREF:gPageg
3gOBJ:g18gTOP:gCriticalgThinking
KEY:gNursinggProcessgStep:gImplementation
MSC:gNCLEX:gSafe,gEffectivegCaregEnvironment:gCoordinatedgCare

12. WhatgwasgrecommendedgbygKarlgCredging1884?
a. Allgwomengshouldgbegdeliveredgingaghospitalgsetting.
b. Chemicalgmeansgshouldgbegusedgtogcombatginfection.
c. Podalicgversiongshouldgbegdonegongallgfetuses.
d. Silvergnitrategshouldgbegplacedgingthegeyesgofgnewborns.

ANS:gD
Ing1884gKarlgCredgrecommendedgthegusegofg2%gsilvergnitrategingthegeyesgofgnewbornsgtogreducegthegincidence
gofgblindness.


DIF:gCognitivegLevel:gKnowledgegREF:gPageg2
TOP:gUsegofgSilvergNitrategKEY:gNursinggProcessgStep:gN/A
MSC:gNCLEX:gHealthgPromotiongandgMaintenance:gPreventiongandgEarlygDetectiongofgDisease

13. WhatgisgthegpurposegofgthegWhitegHousegConferencegongChildrengandgYouth?
a. Setgcriteriagforgnormalggrowthgpatterns.



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