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TestHBankH-HIntroductionHtoHMaternityHandHPediatricHNursingH8eH(byHLeifer)
Chapter 01: The Past, Present, and Future
H H H H H H
MULTIPLEH CHOICE
1. AH patientH choosesH toH haveH theH certifiedH nurseH midwifeH (CNM)H provideH careH duringH herH pregnancy.H WhatH d
oesHtheHCNMsHscopeHofHpracticeHinclude?
a. PracticeH independentH fromH medicalH supervision
b. ComprehensiveH prenatalH care
c. AttendanceH atH allH deliveries
d. CesareanH sections
ANS:HB
TheH CNMH providesH comprehensiveH prenatalH andH postnatalH care,H attendsH uncomplicatedH deliveries,H andH ensur
esHthatHaHbackupHphysicianHisHavailableHinHcaseHofHunforeseenHproblems.
DIF:H CognitiveH Level:H ComprehensionH REF:H PageH 6
TOP:H AdvanceH PracticeH NursingH RolesH KEY:H NursingH ProcessH Step:H Implementation
MSC:H NCLEX:H HealthH PromotionH andH Maintenance:H PreventionH andH EarlyH DetectionH ofH Disease
2. WhichH medicalH pioneerH discoveredH theH relationshipH betweenH theH incidenceH ofH puerperalH feverH andH unwas
hedHhands?
a. KarlHCred
b. IgnazH Semmelweis
c. LouisH Pasteur
d. JosephH Lister
ANS:HB
IgnazH SemmelweisH deducedH thatH puerperalH feverH wasH septic,H contagious,H andH transmittedH byH theH unwashedHh
andsHofHphysiciansHandHmedicalHstudents.
DIF:HCognitiveHLevel:HKnowledgeHREF:HPageH
2HTOP:H TheH PastH KEY:H NursingH ProcessH Step:H
N/A
MSC:H NCLEX:H Safe,H EffectiveH CareH Environment:H SafetyH andH InfectionH Control
3. AH pregnantH womanH whoH hasH recentlyH immigratedH toH theH UnitedH StatesH commentsH toH theH nurse,H IH amH afrai
dH ofHchildbirth.HItHisHsoHdangerous.HIHamHafraidHIHwillHdie.HWhatHisHtheHbestHnursingHresponseHreflectingHc
ulturalHsensitivity?
a. MaternalH mortalityHinH theH UnitedH StatesH isH extremelyH low.
b. AnesthesiaH isH availableH toH relieveH painH duringH laborH andH childbirth.
c. TellHmeHwhyHyouHareHafraidHofHchildbirth.
d. YourH conditionH willH beH monitoredH duringH laborH andH delivery.
ANS:HC
AskingH theH patientH aboutH herH concernsH helpsH promoteH understandingH andH individualizesH patientH care.
DIF:H CognitiveH Level:H ApplicationH REF:H PageH 7
TOP:H Cross-
CulturalH CareH KEY:H NursingH ProcessH Step:H ImplementationHMSC:H NCL
EX:H PsychosocialH Integrity:H PsychologicalH Adaptation
4. AnH urbanH areaH hasH beenH reportedH toH haveH aH highH perinatalH mortalityH rate.H WhatH informationH doesH thisH provide
?
a. MaternalH andHinfantH deathsH perH 100,000H liveH birthsH perHyear
b. DeathsH ofHfetusesH weighingH moreH thanH 500H gH perH 10,000H birthsH perH year
c. DeathsHofHinfantsHupHtoH1HyearHofHageHperH1000HliveHbirthsHperHyear
d. FetalH andH neonatalH deathsH perH 1000H liveH birthsH perHyear
ANS:HD
TheH perinatalH mortalityH rateH includesH fetalH andH neonatalH deathsH perH 1000H liveH birthsH perH y
ear.HDIF:HCognitiveHLevel:HComprehensionHREF:HPageH12
, INTRODUCTIONHTOHMATERNITYHANDHPEDIATRICHNURSINGH8THHEDITIONHLEIFERHTESTHBA
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TestHBankH-HIntroductionHtoHMaternityHandHPediatricHNursingH8eH(byHLeifer)
OBJ:H 9H TOP:H TheH Present-ChildH Care
KEY:H NursingH ProcessH Step:H Implementation
MSC:H NCLEX:H Safe,H EffectiveH CareH Environment:H CoordinatedH Care
5. WhatH isH theH focusH ofH currentH maternityH practice?
a. HospitalH birthsH forH theH majorityH ofH women
b. TheHtraditionalH familyH unit
c. SeparationH ofH laborH roomsH fromH deliveryH rooms
d. AHqualityH familyH experienceH forH eachH patient
ANS:HD
CurrentH maternityH practiceH focusesH onH aH high-qualityH familyH experienceH forH allH families,H traditionalH orH otherwise.
DIF:H CognitiveH Level:H ComprehensionH REF:H PageH 6
TOP:H TheH Present-
MaternityH CareH KEY:H NursingH ProcessH Step:H N/AHMSC:HNCLEX:HHeal
thHPromotionHandHMaintenance
6. WhoH advocatedH theH establishmentH ofH theH ChildrensH Bureau?
a. LillianHWald
b. FlorenceH Nightingale
c. FlorenceH Kelly
d. ClaraH Barton
ANS:HA
LillianH WaldH isH creditedH withH suggestingH theH establishmentH ofH aH federalH ChildrensH Bureau.
DIF:H CognitiveH Level:H KnowledgeH REF:H PageH 4
TOP:H TheH PastH KEY:H NursingH ProcessH Step:H Implementation
MSC:H NCLEX:H HealthH PromotionH andH Maintenance:H GrowthH andH Development
NURSINGTB.COM
7. WhatH wasH theH resultH ofH researchH doneH inH theH 1930sH byH theH ChildrensH Bureau?
a. ChildrenH withH heartH problemsH areH nowH caredH forH byH pediatricH cardiologists.
b. TheHChildH AbuseH andH PreventionH ActH wasH passed.
c. HotH lunchH programsH wereH establishedH inH manyH schools.
d. ChildrensH asylumsH wereH founded.
ANS:HC
SchoolH hotH lunchH programsH wereH developedH asH aH resultH ofH researchH byH theH ChildrensH BureauH onH theH effectsH o
fHeconomicHdepressionHonHchildren.
DIF:HCognitiveHLevel:HKnowledgeHREF:HPageH
4HTOP:H TheH PastH KEY:H NursingH ProcessH Step:H
N/A
MSC:H NCLEX:H HealthH PromotionH andH Maintenance:H CoordinatedH Care
8. WhatH governmentH programH wasH implementedH toH increaseH theH educationalH exposureH ofH preschoolH children?
a. WIC
b. TitleH XIXH ofH Medicaid
c. TheH ChildrensH Charter
d. HeadHStart
ANS:HD
HeadH StartH programsH wereH establishedH toH increaseH educationalH exposureH ofH preschoolH children.
DIF:H CognitiveH Level:H KnowledgeH REF:H PageH 3
TOP:H GovernmentH InfluencesH inH MaternityH andH PediatricH CareH KEY:H NursingH ProcessH Step:H N
/AHMSC:HNCLEX:HHealthHPromotionHandHMaintenance:HGrowthHandHDevelopment
9. WhatH guidelinesH defineH multidisciplinaryH patientH careH inH termsH ofH expectedH outcomeH andH timeframeH fr
omHdifferentHareasHofHcareHprovision?
, INTRODUCTIONHTOHMATERNITYHANDHPEDIATRICHNURSINGH8THHEDITIONHLEIFERHTESTHBA
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TestHBankH-HIntroductionHtoHMaternityHandHPediatricHNursingH8eH(byHLeifer)
a. ClinicalH pathways
b. NursingH outcomeH criteria
c. StandardsH ofH care
d. NursingHcareH plan
ANS:HA
ClinicalH pathways,H alsoH knownH asH criticalH pathwaysH orH careH maps,H areH collaborativeH guidelinesH thatH defineHpa
tientHcareHacrossHdisciplines.HExpectedHprogressHwithinHaHspecifiedHtimelineHisHidentified.
DIF:H CognitiveH Level:H KnowledgeH REF:H PageH 12
TOP:H HealthH CareH DeliveryH SystemsH KEY:H NursingH ProcessH Step:H N/AH
MSC:H NCLEX:H Safe,H EffectiveH CareH Environment:H CoordinatedH Care
10. AH nursingH studentH hasH reviewedH aH hospitalizedH pediatricH patientH chart,H interviewedH herH mother,H andH collec
tedHadmissionHdata.HWhatHisHtheHnextHstepHtheHstudentHwillHtakeHtoHdevelopHaHnursingHcareHplanHforHthisHchild
?
a. IdentifyH measurableH outcomesH withH aH timeline.
b. ChooseH specificH nursingH interventionsH forH theH child.
c. DetermineH appropriateH nursingH diagnoses.
d. StateH nursingH actionsH relatedH toH theH childsH medicalH diagnosis.
ANS:HC
TheH nurseH usesHassessmentH dataH toH selectH appropriateH nursingH diagnosesH fromH theH NANDA-
IH list.H OutcomesH andHinterventionsHareHthenHdevelopedHtoHaddressHtheHrelevantHnursingHdiagnoses.
DIF:H CognitiveH Level:H ApplicationH REF:H PageH 11
TOP:H NursingH ProcessH KEY:H NursingH ProcessH Step:H NursingH DiagnosisH
MSC:H NCLEX:H Safe,H EffectiveH CareH Environment:H CoordinatedH Care
11. AH nursingH studentH onH anH obstetricH rotationH questionsH theH floorH nurseH aboutH theH definitionH ofH theH LVN/L
PNHscopeHofHpractice.HWhatHresourceHcanHtheHnurseNsUuR gSgIeN
stGtoTBth.C
eOstM
udent?
a. AmericanH NursesH Association
b. StatesH boardH ofH nursing
c. JointH Commission
d. AssociationH ofH WomensH Health,H ObstetricH andH NeonatalH Nurses
ANS:HB
TheH scopeH ofH practiceH ofHtheH LVN/LPNH isH publishedH byH theHstatesH boardH ofH nursing.
DIF:HCognitiveHLevel:HComprehensionHREF:HPageH3HO
BJ:H18HTOP:HCriticalHThinking
KEY:H NursingH ProcessH Step:H Implementation
MSC:H NCLEX:H Safe,H EffectiveH CareH Environment:H CoordinatedH Care
12. WhatH wasH recommendedH byH KarlH CredH inH 1884?
a. AllH womenH shouldH beH deliveredH inH aH hospitalH setting.
b. ChemicalH meansH shouldH beH usedH toH combatH infection.
c. PodalicH versionH shouldH beH doneH onH allH fetuses.
d. SilverH nitrateH shouldHbeH placedH inH theH eyesH ofH newborns.
ANS:HD
InH1884H KarlH CredH recommendedH theH useH ofH 2%H silverH nitrateH inH theHeyesH ofH newbornsH toH reduceH theH incidenceH
ofHblindness.
DIF:H CognitiveH Level:H KnowledgeH REF:H PageH 2
TOP:H UseH ofH SilverH NitrateH KEY:H NursingH ProcessH Step:H N/A
MSC:H NCLEX:H HealthH PromotionH andH Maintenance:H PreventionH andH EarlyH DetectionH ofH Disease
13. WhatH isH theH purposeH ofH theH WhiteH HouseH ConferenceH onH ChildrenH andH Youth?
a. SetHcriteriaH forH normalH growthH patterns.
, INTRODUCTIONHTOHMATERNITYHANDHPEDIATRICHNURSINGH8THHEDITIONHLEIFERHTESTHBA
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TestHBankH-HIntroductionHtoHMaternityHandHPediatricHNursingH8eH(byHLeifer)
b. ExamineHtheH numberH ofH liveH birthsH inH minorityH populations.
c. RaiseH moneyH toH supportH well-childH clinicsH inH ruralH areas.
d. PromoteH comprehensiveH childH welfare.
ANS:H D
WhiteH HouseH ConferencesH onH ChildrenH andHYouthH areH heldH everyH 10H yearsH toH promoteH comprehensiveH childHwe
lfare.
DIF:H CognitiveH Level:H KnowledgeH REF:H PageH 4
TOP:H WhiteH HouseH ConferencesH KEY:H NursingH ProcessH Step:H N/A
MSC:H NCLEX:H HealthH PromotionH andH Maintenance:H PreventionH andH EarlyH DetectionH ofH Disease
14. HowH manyH hoursH ofH hospitalH stayH doesH legislationH currentlyH allowH forH aH postpartumH patientH whoH
hasHdeliveredHvaginallyHwithoutHcomplications?
a. 24
b. 48
c. 36
d. 72
ANS:HB
PostpartumH patientsH whoH deliverH vaginallyH stayH inH theH hospitalH forH anH averageH ofH 48H hours;H patientsH whoH hav
eHhadHaHcesareanHdeliveryHusuallyHstayH4Hdays.
DIF:H CognitiveH Level:H KnowledgeH REF:H PageH 6H
TOP:HHospitalHTermsHforHPostpartumHPatientsH
KEY:HNursingHProcessHStep:HPlanning
MSC:H NCLEX:H HealthH PromotionH andH Maintenance:H PreventionH andH EarlyH DetectionH ofH Disease
15. HowH doesHtheH clinicalH pathwayH orH criticalH pathwayH improveH qualityH ofH care?
a. ListsH diagnosis-specificH implementations
b. OutlinesH expectedH progressH withH statedH timelines
c. PrioritizesH effectiveH nursingH diagnoses
d. DescribesH commonH complications
ANS:HB
CriticalH pathwaysH outlineH expectedH progressH withH statedH timelines.H AnyH deviationH fromH thoseH timelinesH isH cal
ledHaHvariance.
DIF:H CognitiveH Level:H ComprehensionH REF:H PageH 12
TOP:H CriticalH PathwayH KEY:H NursingH ProcessH Step:H ImplementationHM
SC:H NCLEX:H Safe,H EffectiveH CareH Environment:H CoordinatedH Care
16. AH patientH asksHtheH nurseH toH explainH whatH isH meantH byH geneHtherapy.H WhatH isH theH nursesH bestH response?
a. GeneH therapyHcanH replaceH missingH genes.
b. GeneH therapyH evaluatesH theH parentsH genes.
c. GeneHtherapyHcanHchangeHtheHsexHofHtheHfetus.
d. GeneH therapyH supportsH theH regenerationH ofH defectiveH genes.
ANS:HA
GeneH therapyH canH replaceH missingH orH defectiveH genes.
DIF:H CognitiveH Level:H KnowledgeH REF:H PageH 8
TOP:H GeneH TherapyH KEY:H NursingH ProcessH Step:H Implementation
MSC:H NCLEX:H HealthH PromotionH andH Maintenance:H PreventionH andH EarlyH DetectionH ofH Disease
17. TheH nurseH isH clarifyingH informationH toH aH patientH regardingH diagnosis-
relatedH groupsH (DRGs).H WhatH isH theHnursesHbestHresponseHwhenHtheHpatientHasksHhowHDRGsHreduceHme
dicalHcareHcosts?
a. ByH determiningH paymentH basedH onH diagnosis
b. ByH requiringH twoH medicalH opinionsH toH confirmH aH diagnosis