INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK

INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 2




Introduction To Maternity And Pediatric
Nursing 8th Edition – Leifer

Chapter 01: The Past, Present, and Future

MULTIPLE CHOICE


1. A patient chooses to have the certified nurse midwife (CNM) provide care during her
pregnancy. What does the CNMs scope of practice include?
a. Practice independent from medical supervision

b. Comprehensive prenatal care

c. Attendance at all deliveries
d. Cesarean sections


ANS: B
The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated
deliveries, and ensures that a backup physician is available in case of unforeseen
problems.


DIF: Cognitive Level: Comprehension REF: Page 6
TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of
Disease


2. Which medical pioneer discovered the relationship between the incidence of
puerperal fever and unwashed hands?
a. Karl Cred

b. Ignaz Semmelweis

c. Louis Pasteur
d. Joseph Lister


ANS: B
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, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 3
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted
by the unwashed
hands of physicians and medical
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students.
DIF: Cognitive Level: Knowledge
REF: Page 2 TOP: The Past KEY:
Nursing Process Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control


3. A pregnant woman who has recently immigrated to the United States comments to
the nurse, I am afraid of childbirth. It is so dangerous. I am afraid I will die. What is
the best nursing response reflecting cultural sensitivity?
a. Maternal mortality in the United States is extremely low.
b. Anesthesia is available to relieve pain during labor and childbirth.

c. Tell me why you are afraid of childbirth.
d. Your condition will be monitored during labor and delivery.


ANS: C
Asking the patient about her concerns helps promote understanding and individualizes
patient care.


DIF: Cognitive Level: Application REF: Page 7
TOP: Cross-Cultural Care KEY: Nursing Process Step:
Implementation MSC: NCLEX: Psychosocial Integrity:
Psychological Adaptation


4. An urban area has been reported to have a high perinatal mortality rate. What
information does this provide?
a. Maternal and infant deaths per 100,000 live births per year
b. Deaths of fetuses weighing more than 500 g per 10,000 births per year

c. Deaths of infants up to 1 year of age per 1000 live births per year
d. Fetal and neonatal deaths per 1000 live births per year


ANS: D
The perinatal mortality rate includes fetal and neonatal deaths per 1000
live births per year. DIF: Cognitive Level: Comprehension REF: Page 12




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Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 4




OBJ: 9 TOP: The Present-Child Care
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care


5. What is the focus of current maternity practice?
a. Hospital births for the majority of women

b. The traditional family unit
c. Separation of labor rooms from delivery rooms

d. A quality family experience for each patient


ANS: D
Current maternity practice focuses on a high-quality family experience for all families,
traditional or otherwise.


DIF: Cognitive Level: Comprehension REF: Page 6
TOP: The Present-Maternity Care KEY: Nursing Process
Step: N/A MSC: NCLEX: Health Promotion and
Maintenance


6. Who advocated the establishment of the Childrens Bureau?

a. Lillian Wald
b. Florence Nightingale
c. Florence Kelly

d. Clara Barton


ANS: A
Lillian Wald is credited with suggesting the establishment of a federal Childrens Bureau.


DIF: Cognitive Level: Knowledge REF: Page 4
TOP: The Past KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
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7. What was the result of research done in the 1930s by the Childrens Bureau?

a. Children with heart problems are now cared for by pediatric cardiologists.

b. The Child Abuse and Prevention Act was passed.
c. Hot lunch programs were established in many schools.

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Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 5
d. Childrens asylums were founded.


ANS: C
School hot lunch programs were developed as a result of research by the Childrens
Bureau on the effects of economic depression on children.


DIF: Cognitive Level: Knowledge
REF: Page 4 TOP: The Past KEY:
Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care


8. What government program was implemented to increase the educational exposure of
preschool children?
a. WIC
b. Title XIX of Medicaid
c. The Childrens Charter
d. Head Start


ANS: D
Head Start programs were established to increase educational exposure of preschool
children.


DIF: Cognitive Level: Knowledge REF: Page 3
TOP: Government Influences in Maternity and Pediatric Care KEY: Nursing
Process Step: N/A MSC: NCLEX: Health Promotion and Maintenance:
Growth and Development


9. What guidelines define multidisciplinary patient care in terms of expected
outcome and timeframe from different areas of care provision?





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