,TEST BANK FOR xr xr
Introduction to Maternity and Pediatric Nursing, 1 xr xr xr xr xr xr
0th Edition by Gloria Leifer xr xr xr xr
UNIT I: An Overview of Maternity and Pediatric Nursing
xr xr xr xr xr xr xr xr
Chapter 1: The Past, Present, and Future xr xr xr xr xr xr
UNIT II: Maternal- xr xr
Newborn Nursing and Women’s Health Chapter 2: Human Re
xr xr xr xr xr xr xr xr
productive Anatomy and Physiology Chapter 3: Fetal Developm
xr xr xr xr xr xr xr
ent
Chapter 4: Prenatal Care and Adaptations to Pregnancy
xr xr xr xr xr xr xr
Chapter 5: Nursing Care of Women with Complications during Pregnancy C
xr xr xr xr xr xr xr xr xr xr
hapter 6: Nursing Care of Mother and Infant during Labor and Birth Chapte
xr xr xr xr xr xr xr xr xr xr xr xr
r 7: Nursing Management of Pain during Labor and Birth
xr xr xr xr xr xr xr xr xr
Chapter 8: Nursing Care of Women with Complications during Labor and Bi
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rth
Chapter 9: The Family after Birth xr xr xr xr xr
Chapter 10: Nursing Care of Women with Complications Following Birth Ch
xr xr xr xr xr xr xr xr xr xr
apter 11: The Nurse’s Role in Women’s Health Care
xr xr xr xr xr xr xr xr
Chapter 12: The Term Newborn xr xr xr xr
Chapter 13: Preterm and Post-Term Newbornsxr xr xr xr xr
Chapter 14: The Newborn with a Perinatal Injury or Congenital M
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alformation
UNIT III: The Growing Child and Family
xr xr xr xr xr xr
Chapter 15: An Overview of Growth, Development, and Nutrition
xr xr xr xr xr xr xr xr
Chapter 16: The Infant
xr xr xr xr
Chapter 17: The Toddler Chapt xr xr xr xr
er 18: The Preschool Child
xr xr xr xr
Chapter 19: The School- xr xr xr
Age Child Chapter 20: The Adolescent
xr xr xr xr xr
UNIT IV: Adapting Care to the Pediatric Patient
xr xr xr xr xr xr xr
Chapter 21: The Child’s Experience of Hospitalization Chapt
xr xr xr xr xr xr xr
er 22: Health Care Adaptations for the Child and Family UNI
xr xr xr xr xr xr xr xr xr xr
T V: The Child Needing Nursing Care
xr xr xr xr xr xr
Chapter 23: The Child with a Sensory or Neurological Condition
xr xr xr xr xr xr xr xr xr
Chapter 24: The Child with a Musculoskeletal Condition Chap
xr xr xr xr xr xr xr xr xr
ter 25: The Child with a Respiratory Disorder
xr xr xr xr xr xr xr
Chapter 26: The Child with a Cardiovascular Disorder
xr xr xr xr xr xr xr
Chapter 27: The Child with a Condition of the Blood, Blood-
xr xr xr xr xr xr xr xr xr xr
Forming Organs or Lymphatic System Chapter 28: The Child with a Gastrointestinal Condition
xr xr xr xr xr xr xr xr xr xr xr xr
Chapter 29: The Child with a Genitourinary Condition Chapt
xr xr xr xr xr xr xr xr
er 30: The Child with a Skin Condition
xr xr xr xr xr xr xr
Chapter 31: The Child with a Metabolic Condition
xr xr xr xr xr xr xr
Chapter 32: Childhood Communicable Diseases, Bioterrorism, Natural Disasters and the Maternal-
xr xr xr xr xr xr xr xr xr xr
Child Patient xr
Chapter 33: The Child with an Emotional or Behavioral Condition
xr xr xr xr xr xr xr xr xr
UNIT VI: The Changing Health Care Environment
xr xr xr xr xr xr
Chapter 34: Complementary and Alternative Therapies in Maternity and Pediatric Nursing
xr xr xr xr xr xr xr xr xr xr
, 2
Chapter 01: The Past, Present, and Future xr xr xr xr xr xr
MULTIPLE CHOICE xr
1. A patient chooses to have the certified nurse midwife (CNM) provide care during her pregnancy. What doe
xr xr xr xr xr xr xr xr xr xr xr xr xr xr xr xr
s the CNMs scope of practice include?
xr xr xr xr xr xr
a. Practice independent from medical supervision xr xr xr xr
b. Comprehensive prenatal care xr xr
c. Attendance at all deliveries xr xr xr
d. Cesarean sections xr
ANS: B xr
The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated deliveries, and ensures
xr xr xr xr xr xr xr xr xr xr xr xr xr
that a backup physician is available in case of unforeseen problems.
xr x r x r x r x r xr x r x r x r x r
DIF: Cognitive Level: Comprehension REF: Page 6
xr xr xr xr xr xr
TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: Implementation
xr xr xr xr xr xr xr xr xr
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
xr xr xr xr xr xr xr xr xr xr xr
2. Which medical pioneer discovered the relationship between the incidence of puerperal fever and unwashed
xr xr xr xr xr xr xr xr xr xr xr xr xr
hands?
xr
a. Karl Cred xr
b. Ignaz Semmelweis xr
c. Louis Pasteur xr
d. Joseph Lister xr
ANS: B xr
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the unwashed ha
xr xr xr xr xr xr xr xr xr xr xr xr xr xr
nds of physicians and medical students.
xr xr xr xr xr
DIF: Cognitive Level: Knowledge REF: Page 2 T
xr xr xr xr xr xr xr
OP: The Past KEY: Nursing Process Step: N/A
xr xr xr xr xr xr xr
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
xr xr xr xr xr xr xr xr xr
3. A pregnant woman who has recently immigrated to the United States comments to the nurse, I am afraid o
xr xr xr xr xr xr xr xr xr xr xr xr xr xr xr xr xr xr
f childbirth. It is so dangerous. I am afraid I will die. What is the best nursing response reflecting
xr x r xr xr xr x r xr xr xr xr x r x r xr xr x r x r xr xr x
rcultural sensitivity? xr
a. Maternal mortality in the United States is extremely low.
xr xr xr xr xr xr xr xr
b. Anesthesia is available to relieve pain during labor and childbirth.
xr xr xr xr xr xr xr xr xr
c. Tell me why you are afraid of childbirth.
xr xr xr xr xr xr xr
d. Your condition will be monitored during labor and delivery.
xr xr xr xr xr xr xr xr
ANS: C xr
Asking the patient about her concerns helps promote understanding and individualizes patient care.
xr xr xr xr xr xr xr xr xr xr xr xr
DIF: Cognitive Level: Application REF: Page 7
xr xr xr xr xr xr
TOP: Cross- xr
Cultural Care KEY: Nursing Process Step: Implementation MSC: NC
xr xr xr xr xr xr xr xr
LEX: Psychosocial Integrity: Psychological Adaptation
xr xr x r xr
4. An urban area has been reported to have a high perinatal mortality rate. What information does this provide?
xr xr xr xr xr xr xr xr xr xr xr xr xr xr xr xr xr
a. Maternal and infant deaths per 100,000 live births per year
xr xr xr xr xr xr xr xr xr
b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
xr xr xr xr xr xr xr xr xr xr xr xr
c. Deaths of infants up to 1 year of age per 1000 live births per year
xr xr xr xr xr xr xr xr xr xr xr xr xr xr
d. Fetal and neonatal deaths per 1000 live births per year
xr xr xr xr xr xr xr xr xr
ANS: D xr
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per ye
xr xr xr xr xr xr xr xr xr xr xr xr xr xr
ar. DIF: Cognitive Level: Comprehension REF: Page 12
xr xr xr xr xr xr xr
, 3
OBJ: 9 TOP: The Present-Child Care
xr xr xr xr xr
KEY: Nursing Process Step: Implementation
xr xr xr xr
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
xr xr xr xr xr xr xr
5. What is the focus of current maternity practice?
xr xr xr xr xr xr xr
a. Hospital births for the majority of women xr xr xr xr xr xr
b. The traditional family unit xr xr xr
c. Separation of labor rooms from delivery rooms xr xr xr xr xr xr
d. A quality family experience for each patient
xr xr xr xr xr xr
ANS: D xr
Current maternity practice focuses on a high-quality family experience for all families, traditional or otherwise.
xr xr xr xr xr xr xr xr xr xr xr xr xr xr
DIF: Cognitive Level: Comprehension REF: Page 6
xr xr xr xr xr xr
TOP: The Present- xr xr
Maternity Care KEY: Nursing Process Step: N/A MSC: NCLEX: Hea
xr xr xr xr xr xr xr xr xr
lth Promotion and Maintenance
xr xr xr
6. Who advocated the establishment of the Childrens Bureau?
xr xr xr xr xr xr xr
a. Lillian Wald xr
b. Florence Nightingale xr
c. Florence Kelly xr
d. Clara Barton xr
ANS: A xr
Lillian Wald is credited with suggesting the establishment of a federal Childrens Bureau.
xr xr xr xr xr xr xr xr xr xr xr xr
DIF: Cognitive Level: Knowledge REF: Page 4
xr xr xr xr xr xr
TOP: The Past KEY: Nursing Process Step: Implementation
xr xr xr xr xr xr xr
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
xr xr xr xr xr xr xr xr
7. What was the result of research done in the 1930s by the Childrens Bureau?
xr xr xr xr xr xr xr xr xr xr xr xr xr
a. Children with heart problems are now cared for by pediatric cardiologists.
xr xr xr xr xr xr xr xr xr xr
b. The Child Abuse and Prevention Act was passed.
xr xr xr xr xr xr xr
c. Hot lunch programs were established in many schools.
xr xr xr xr xr xr xr
d. Childrens asylums were founded. xr xr xr
ANS: C xr
School hot lunch programs were developed as a result of research by the Childrens Bureau on the effects o
xr xr xr xr xr xr xr xr xr xr xr xr xr xr xr xr xr xr
f economic depression on children.
xr xr xr xr
DIF: Cognitive Level: Knowledge REF: Page 4 T
xr xr xr xr xr xr xr
OP: The Past KEY: Nursing Process Step: N/A
xr xr xr xr xr xr xr
MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care
xr xr xr xr xr xr xr
8. What government program was implemented to increase the educational exposure of preschool children?
xr xr xr xr xr xr xr xr xr xr xr xr
a. WIC
b. Title XIX of Medicaid xr xr xr
c. The Childrens Charter xr xr
d. Head Start xr
ANS: D xr
Head Start programs were established to increase educational exposure of preschool children.
xr xr xr xr xr xr xr xr xr xr xr
DIF: Cognitive Level: Knowledge REF: Page 3
xr xr xr xr xr xr
TOP: Government Influences in Maternity and Pediatric Care KEY: Nursing Process Step: N/
xr xr xr xr xr xr xr xr xr xr xr xr
A MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
xr x r x r x r x r x r x r xr x r
9. What guidelines define multidisciplinary patient care in terms of expected outcome and timeframe from
xr xr xr xr xr xr xr xr xr xr xr xr xr
different areas of care provision?
xr xr xr xr xr
Introduction to Maternity and Pediatric Nursing, 1 xr xr xr xr xr xr
0th Edition by Gloria Leifer xr xr xr xr
UNIT I: An Overview of Maternity and Pediatric Nursing
xr xr xr xr xr xr xr xr
Chapter 1: The Past, Present, and Future xr xr xr xr xr xr
UNIT II: Maternal- xr xr
Newborn Nursing and Women’s Health Chapter 2: Human Re
xr xr xr xr xr xr xr xr
productive Anatomy and Physiology Chapter 3: Fetal Developm
xr xr xr xr xr xr xr
ent
Chapter 4: Prenatal Care and Adaptations to Pregnancy
xr xr xr xr xr xr xr
Chapter 5: Nursing Care of Women with Complications during Pregnancy C
xr xr xr xr xr xr xr xr xr xr
hapter 6: Nursing Care of Mother and Infant during Labor and Birth Chapte
xr xr xr xr xr xr xr xr xr xr xr xr
r 7: Nursing Management of Pain during Labor and Birth
xr xr xr xr xr xr xr xr xr
Chapter 8: Nursing Care of Women with Complications during Labor and Bi
xr xr xr xr xr xr xr xr xr xr xr
rth
Chapter 9: The Family after Birth xr xr xr xr xr
Chapter 10: Nursing Care of Women with Complications Following Birth Ch
xr xr xr xr xr xr xr xr xr xr
apter 11: The Nurse’s Role in Women’s Health Care
xr xr xr xr xr xr xr xr
Chapter 12: The Term Newborn xr xr xr xr
Chapter 13: Preterm and Post-Term Newbornsxr xr xr xr xr
Chapter 14: The Newborn with a Perinatal Injury or Congenital M
xr xr xr xr xr xr xr xr xr xr
alformation
UNIT III: The Growing Child and Family
xr xr xr xr xr xr
Chapter 15: An Overview of Growth, Development, and Nutrition
xr xr xr xr xr xr xr xr
Chapter 16: The Infant
xr xr xr xr
Chapter 17: The Toddler Chapt xr xr xr xr
er 18: The Preschool Child
xr xr xr xr
Chapter 19: The School- xr xr xr
Age Child Chapter 20: The Adolescent
xr xr xr xr xr
UNIT IV: Adapting Care to the Pediatric Patient
xr xr xr xr xr xr xr
Chapter 21: The Child’s Experience of Hospitalization Chapt
xr xr xr xr xr xr xr
er 22: Health Care Adaptations for the Child and Family UNI
xr xr xr xr xr xr xr xr xr xr
T V: The Child Needing Nursing Care
xr xr xr xr xr xr
Chapter 23: The Child with a Sensory or Neurological Condition
xr xr xr xr xr xr xr xr xr
Chapter 24: The Child with a Musculoskeletal Condition Chap
xr xr xr xr xr xr xr xr xr
ter 25: The Child with a Respiratory Disorder
xr xr xr xr xr xr xr
Chapter 26: The Child with a Cardiovascular Disorder
xr xr xr xr xr xr xr
Chapter 27: The Child with a Condition of the Blood, Blood-
xr xr xr xr xr xr xr xr xr xr
Forming Organs or Lymphatic System Chapter 28: The Child with a Gastrointestinal Condition
xr xr xr xr xr xr xr xr xr xr xr xr
Chapter 29: The Child with a Genitourinary Condition Chapt
xr xr xr xr xr xr xr xr
er 30: The Child with a Skin Condition
xr xr xr xr xr xr xr
Chapter 31: The Child with a Metabolic Condition
xr xr xr xr xr xr xr
Chapter 32: Childhood Communicable Diseases, Bioterrorism, Natural Disasters and the Maternal-
xr xr xr xr xr xr xr xr xr xr
Child Patient xr
Chapter 33: The Child with an Emotional or Behavioral Condition
xr xr xr xr xr xr xr xr xr
UNIT VI: The Changing Health Care Environment
xr xr xr xr xr xr
Chapter 34: Complementary and Alternative Therapies in Maternity and Pediatric Nursing
xr xr xr xr xr xr xr xr xr xr
, 2
Chapter 01: The Past, Present, and Future xr xr xr xr xr xr
MULTIPLE CHOICE xr
1. A patient chooses to have the certified nurse midwife (CNM) provide care during her pregnancy. What doe
xr xr xr xr xr xr xr xr xr xr xr xr xr xr xr xr
s the CNMs scope of practice include?
xr xr xr xr xr xr
a. Practice independent from medical supervision xr xr xr xr
b. Comprehensive prenatal care xr xr
c. Attendance at all deliveries xr xr xr
d. Cesarean sections xr
ANS: B xr
The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated deliveries, and ensures
xr xr xr xr xr xr xr xr xr xr xr xr xr
that a backup physician is available in case of unforeseen problems.
xr x r x r x r x r xr x r x r x r x r
DIF: Cognitive Level: Comprehension REF: Page 6
xr xr xr xr xr xr
TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: Implementation
xr xr xr xr xr xr xr xr xr
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
xr xr xr xr xr xr xr xr xr xr xr
2. Which medical pioneer discovered the relationship between the incidence of puerperal fever and unwashed
xr xr xr xr xr xr xr xr xr xr xr xr xr
hands?
xr
a. Karl Cred xr
b. Ignaz Semmelweis xr
c. Louis Pasteur xr
d. Joseph Lister xr
ANS: B xr
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the unwashed ha
xr xr xr xr xr xr xr xr xr xr xr xr xr xr
nds of physicians and medical students.
xr xr xr xr xr
DIF: Cognitive Level: Knowledge REF: Page 2 T
xr xr xr xr xr xr xr
OP: The Past KEY: Nursing Process Step: N/A
xr xr xr xr xr xr xr
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
xr xr xr xr xr xr xr xr xr
3. A pregnant woman who has recently immigrated to the United States comments to the nurse, I am afraid o
xr xr xr xr xr xr xr xr xr xr xr xr xr xr xr xr xr xr
f childbirth. It is so dangerous. I am afraid I will die. What is the best nursing response reflecting
xr x r xr xr xr x r xr xr xr xr x r x r xr xr x r x r xr xr x
rcultural sensitivity? xr
a. Maternal mortality in the United States is extremely low.
xr xr xr xr xr xr xr xr
b. Anesthesia is available to relieve pain during labor and childbirth.
xr xr xr xr xr xr xr xr xr
c. Tell me why you are afraid of childbirth.
xr xr xr xr xr xr xr
d. Your condition will be monitored during labor and delivery.
xr xr xr xr xr xr xr xr
ANS: C xr
Asking the patient about her concerns helps promote understanding and individualizes patient care.
xr xr xr xr xr xr xr xr xr xr xr xr
DIF: Cognitive Level: Application REF: Page 7
xr xr xr xr xr xr
TOP: Cross- xr
Cultural Care KEY: Nursing Process Step: Implementation MSC: NC
xr xr xr xr xr xr xr xr
LEX: Psychosocial Integrity: Psychological Adaptation
xr xr x r xr
4. An urban area has been reported to have a high perinatal mortality rate. What information does this provide?
xr xr xr xr xr xr xr xr xr xr xr xr xr xr xr xr xr
a. Maternal and infant deaths per 100,000 live births per year
xr xr xr xr xr xr xr xr xr
b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
xr xr xr xr xr xr xr xr xr xr xr xr
c. Deaths of infants up to 1 year of age per 1000 live births per year
xr xr xr xr xr xr xr xr xr xr xr xr xr xr
d. Fetal and neonatal deaths per 1000 live births per year
xr xr xr xr xr xr xr xr xr
ANS: D xr
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per ye
xr xr xr xr xr xr xr xr xr xr xr xr xr xr
ar. DIF: Cognitive Level: Comprehension REF: Page 12
xr xr xr xr xr xr xr
, 3
OBJ: 9 TOP: The Present-Child Care
xr xr xr xr xr
KEY: Nursing Process Step: Implementation
xr xr xr xr
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
xr xr xr xr xr xr xr
5. What is the focus of current maternity practice?
xr xr xr xr xr xr xr
a. Hospital births for the majority of women xr xr xr xr xr xr
b. The traditional family unit xr xr xr
c. Separation of labor rooms from delivery rooms xr xr xr xr xr xr
d. A quality family experience for each patient
xr xr xr xr xr xr
ANS: D xr
Current maternity practice focuses on a high-quality family experience for all families, traditional or otherwise.
xr xr xr xr xr xr xr xr xr xr xr xr xr xr
DIF: Cognitive Level: Comprehension REF: Page 6
xr xr xr xr xr xr
TOP: The Present- xr xr
Maternity Care KEY: Nursing Process Step: N/A MSC: NCLEX: Hea
xr xr xr xr xr xr xr xr xr
lth Promotion and Maintenance
xr xr xr
6. Who advocated the establishment of the Childrens Bureau?
xr xr xr xr xr xr xr
a. Lillian Wald xr
b. Florence Nightingale xr
c. Florence Kelly xr
d. Clara Barton xr
ANS: A xr
Lillian Wald is credited with suggesting the establishment of a federal Childrens Bureau.
xr xr xr xr xr xr xr xr xr xr xr xr
DIF: Cognitive Level: Knowledge REF: Page 4
xr xr xr xr xr xr
TOP: The Past KEY: Nursing Process Step: Implementation
xr xr xr xr xr xr xr
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
xr xr xr xr xr xr xr xr
7. What was the result of research done in the 1930s by the Childrens Bureau?
xr xr xr xr xr xr xr xr xr xr xr xr xr
a. Children with heart problems are now cared for by pediatric cardiologists.
xr xr xr xr xr xr xr xr xr xr
b. The Child Abuse and Prevention Act was passed.
xr xr xr xr xr xr xr
c. Hot lunch programs were established in many schools.
xr xr xr xr xr xr xr
d. Childrens asylums were founded. xr xr xr
ANS: C xr
School hot lunch programs were developed as a result of research by the Childrens Bureau on the effects o
xr xr xr xr xr xr xr xr xr xr xr xr xr xr xr xr xr xr
f economic depression on children.
xr xr xr xr
DIF: Cognitive Level: Knowledge REF: Page 4 T
xr xr xr xr xr xr xr
OP: The Past KEY: Nursing Process Step: N/A
xr xr xr xr xr xr xr
MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care
xr xr xr xr xr xr xr
8. What government program was implemented to increase the educational exposure of preschool children?
xr xr xr xr xr xr xr xr xr xr xr xr
a. WIC
b. Title XIX of Medicaid xr xr xr
c. The Childrens Charter xr xr
d. Head Start xr
ANS: D xr
Head Start programs were established to increase educational exposure of preschool children.
xr xr xr xr xr xr xr xr xr xr xr
DIF: Cognitive Level: Knowledge REF: Page 3
xr xr xr xr xr xr
TOP: Government Influences in Maternity and Pediatric Care KEY: Nursing Process Step: N/
xr xr xr xr xr xr xr xr xr xr xr xr
A MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
xr x r x r x r x r x r x r xr x r
9. What guidelines define multidisciplinary patient care in terms of expected outcome and timeframe from
xr xr xr xr xr xr xr xr xr xr xr xr xr
different areas of care provision?
xr xr xr xr xr
