Introduction to Maternity and Pediatric Nursing,
io io io io io
8th Edition by Gloria Leifer
io io io io io
UNIT ioI: ioAn ioOverview ioof ioMaternity ioand ioPediatric ioNursing
Chapter io1: ioThe ioPast, ioPresent, ioand ioFuture
UNIT ioII: ioMaternal-Newborn ioNursing ioand ioWomen’s ioHealth
ioChapter io2: ioHuman ioReproductive ioAnatomy ioand ioPhysiology
ioChapter io3: ioFetal ioDevelopment
Chapter io4: ioPrenatal ioCare ioand ioAdaptations ioto ioPregnancy
Chapter io5: ioNursing ioCare ioof ioWomen iowith ioComplications ioduring ioPregnancy
ioChapter io6: ioNursing ioCare ioof ioMother ioand ioInfant ioduring ioLabor ioand ioBirth
ioChapter io7: ioNursing ioManagement ioof ioPain ioduring ioLabor ioand ioBirth
Chapter io8: ioNursing ioCare ioof ioWomen iowith ioComplications ioduring ioLabor ioand
ioBirth
Chapter io9: ioThe ioFamily ioafter io Birth
Chapter io10: ioNursing ioCare ioof ioWomen iowith ioComplications ioFollowing ioBirth
ioChapter io11: ioThe ioNurse’s ioRole ioin ioWomen’s ioHealth ioCare
Chapter io 12: ioThe ioTerm ioNewborn
Chapter io13: ioPreterm ioand ioPost-Term ioNewborns
Chapter io14: ioThe ioNewborn iowith ioa ioPerinatal ioInjury ioor ioCongenital
ioMalformation
UNIT ioIII: ioThe ioGrowing ioChild ioand ioFamily
Chapter io15: ioAn ioOverview ioof ioGrowth, ioDevelopment, ioand
ioNutrition ioChapter io16: ioThe ioInfant
Chapter io17: ioThe ioToddler
ioChapter io18: ioThe ioPreschool
ioChild
Chapter io19: ioThe ioSchool-Age ioChild
ioChapter io20: ioThe ioAdolescent
UNIT ioIV: ioAdapting ioCare ioto iothe ioPediatric ioPatient
Chapter io21: ioThe ioChild’s ioExperience ioof ioHospitalization
ioChapter io22: ioHealth ioCare ioAdaptations iofor iothe ioChild ioand
ioFamily ioUNIT ioV: ioThe ioChild ioNeeding ioNursing ioCare
Chapter io23: ioThe ioChild iowith ioa ioSensory ioor ioNeurological
ioCondition ioChapter io24: ioThe ioChild iowith ioa ioMusculoskeletal
ioCondition ioChapter io25: ioThe ioChild iowith ioa ioRespiratory
ioDisorder
Chapter io26: ioThe ioChild iowith ioa ioCardiovascular ioDisorder
Chapter io27: ioThe ioChild iowith ioa ioCondition ioof iothe ioBlood, ioBlood-Forming ioOrgans ioor ioLymphatic ioSystem
ioChapter io28: ioThe ioChild iowith ioa ioGastrointestinal ioCondition
Chapter io29: ioThe ioChild iowith ioa ioGenitourinary ioCondition
ioChapter io30: ioThe ioChild iowith ioa ioSkin ioCondition
Chapter io31: ioThe ioChild iowith ioa ioMetabolic ioCondition
Chapter io32: ioChildhood ioCommunicable ioDiseases, ioBioterrorism, ioNatural ioDisasters ioand iothe ioMaternal-
Child ioPatient
Chapter io33: ioThe ioChild iowith ioan ioEmotional ioor ioBehavioral ioCondition
UNIT ioVI: ioThe ioChanging ioHealth ioCare ioEnvironment
Chapter io34: ioComplementary ioand ioAlternative ioTherapies ioin ioMaternity ioand ioPediatric ioNursing
, INTRODUCTION ioTO ioMATERNITY ioAND ioPEDIATRIC ioNURSING io8TH ioEDITION ioLEIFER ioTEST
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Chapter 01: The Past, Present, and Future
io io io io io io
MULTIPLE i o CHOICE
1. A iopatient iochooses ioto iohave iothe iocertified ionurse iomidwife io(CNM) ioprovide iocare ioduring ioher iopregnancy.
ioWhat iodoes iothe ioCNMs ioscope ioof iopractice ioinclude?
a. Practice i o independent i o from io medical i o supervision
b. Comprehensive i o prenatal i o care
c. Attendance ioat ioall iodeliveries
d. Cesarean i o sections
ANS: i o B
The ioCNM ioprovides iocomprehensive ioprenatal ioand iopostnatal iocare, ioattends iouncomplicated iodeliveries, ioand
ioensures iothat ioa i o backup i o physician i o is i o available ioin i o case i o of i o unforeseen i o problems.
DIF: ioCognitive i o Level: i o Comprehension i o REF: i o Page i o 6
TOP: i o Advance i o Practice ioNursing i o Roles ioKEY: ioNursing ioProcess i o Step: io Implementation
MSC: io NCLEX: i o Health ioPromotion io and i o Maintenance: i o Prevention io and ioEarly ioDetection i o of io Disease
2. Which iomedical iopioneer iodiscovered iothe iorelationship iobetween iothe ioincidence ioof iopuerperal iofever ioand
iounwashed iohands?
a. Karl io Cred
b. Ignaz i o Semmelweis
c. Louis i o Pasteur
d. Joseph i o Lister
ANS: i o B
Ignaz ioSemmelweis iodeduced iothat iopuerperal iofever iowas ioseptic, iocontagious, ioand iotransmitted ioby iothe
iounwashed iohands ioof iophysicians ioand iomedical iostudents.
DIF: ioCognitive ioLevel: ioKnowledge ioREF: ioPage io2
ioTOP: io The io Past io KEY: i o Nursing ioProcess i o Step:
i o N/A
MSC: i o NCLEX: i o Safe, i o Effective i o Care i o Environment: i o Safety io and ioInfection io Control
3. A iopregnant iowoman iowho iohas iorecently ioimmigrated ioto iothe ioUnited ioStates iocomments ioto iothe ionurse, ioI ioam
ioafraid ioof iochildbirth. i o It i o is i o so i o dangerous. i o I i o am i o afraid i o I i o will i o die. i o What i o is i o the i o best i o nursing
ioresponse i o reflecting i o cultural iosensitivity?
a. Maternal i o mortality ioin iothe i o United i o States i o is io extremely iolow.
b. Anesthesia i o is ioavailable io to iorelieve i o pain i o during iolabor ioand iochildbirth.
c. Tell i o me iowhy ioyou ioare ioafraid ioof iochildbirth.
d. Your i o condition iowill io be io monitored i o during iolabor i o and iodelivery.
ANS: i o C
Asking iothe io patient ioabout i o her i o concerns i o helps i o promote io understanding io and ioindividualizes i o patient i o care.
DIF: io Cognitive i o Level: i o Application io REF: i o Page io 7
TOP: ioCross-Cultural ioCare ioKEY: ioNursing ioProcess ioStep:
ioImplementation ioMSC: ioNCLEX: ioPsychosocial ioIntegrity:
i o Psychological ioAdaptation
4. An iourban ioarea i o has io been ioreported ioto io have ioa i o high ioperinatal io mortality iorate. i o What io information i o does io this
io provide?
a. Maternal ioand ioinfant io deaths i o per i o 100,000 io live iobirths i o per i o year
b. Deaths ioof iofetuses i o weighing i o more io than io500 i o g ioper i o 10,000 iobirths i o per io year
c. Deaths ioof ioinfants io up ioto io1 io year io of ioage io per io 1000 iolive iobirths ioper i o year
d. Fetal ioand ioneonatal iodeaths i o per io 1000 io live iobirths i o per ioyear
ANS: i o D
The ioperinatal iomortality iorate ioincludes iofetal ioand ioneonatal iodeaths ioper io1000 iolive iobirths
per ioyear. ioDIF: ioCognitive ioLevel: ioComprehension ioREF: ioPage io12
io
, INTRODUCTION ioTO ioMATERNITY ioAND ioPEDIATRIC ioNURSING io8TH ioEDITION ioLEIFER ioTEST
ioBANK
3
OBJ: i o 9 i o TOP: i o The ioPresent-Child i o Care
KEY: ioNursing ioProcess i o Step: io Implementation
MSC: i o NCLEX: i o Safe, i o Effective i o Care i o Environment: i o Coordinated io Care
5. What io is iothe iofocus ioof iocurrent i o maternity io practice?
a. Hospital iobirths io for io the i o majority ioof io women
b. The iotraditional i o family i o unit
c. Separation i o of io labor io rooms i o from i o delivery iorooms
d. A ioquality iofamily io experience io for io each i o patient
ANS: i o D
Current i o maternity iopractice io focuses i o on ioa iohigh-quality iofamily ioexperience io for i o all iofamilies, i o traditional i o or
i o otherwise.
DIF: i o Cognitive i o Level: i o Comprehension ioREF: i o Page io 6
TOP: ioThe ioPresent-Maternity ioCare ioKEY: ioNursing ioProcess ioStep:
ioN/A ioMSC: ioNCLEX: ioHealth ioPromotion ioand ioMaintenance
6. Who ioadvocated io the io establishment i o of io the ioChildrens i o Bureau?
a. Lillian ioWald
b. Florence ioNightingale
c. Florence ioKelly
d. Clara ioBarton
ANS: i o A
Lillian ioWald iois io credited iowith iosuggesting iothe io establishment i o of ioa i o federal ioChildrens i o Bureau.
DIF: i o Cognitive i o Level: i o Knowledge i o REF: i o Page io 4
TOP: ioThe ioPast ioKEY: ioNursing io Process ioStep: io Implementation
MSC: io NCLEX: i o Health io Promotion io and i o Maintenance: i o Growth io and ioDevelopment
7. What iowas io the ioresult ioof ioresearch i o done ioin iothe io1930s ioby iothe i o Childrens ioBureau?
a. Children iowith ioheart io problems ioare ionow iocared iofor io by io pediatric io cardiologists.
b. The ioChild ioAbuse ioand io Prevention i o Act i o was io passed.
c. Hot io lunch i o programs i o were ioestablished ioin i o many ioschools.
d. Childrens i o asylums i o were io founded.
ANS: i o C
School iohot iolunch ioprograms iowere iodeveloped ioas ioa ioresult ioof ioresearch ioby iothe ioChildrens i o Bureau ioon iothe
ioeffects i o of ioeconomic iodepression ioon iochildren.
DIF: ioCognitive ioLevel: ioKnowledge ioREF: ioPage io4
ioTOP: io The io Past io KEY: i o Nursing ioProcess i o Step:
i o N/A
MSC: i o NCLEX: i o Health io Promotion i o and i o Maintenance: i o Coordinated i o Care
8. What iogovernment i o program i o was i o implemented io to ioincrease i o the io educational i o exposure i o of i o preschool i o children?
a. WIC
b. Title ioXIX i o of i o Medicaid
c. The i o Childrens i o Charter
d. Head ioStart
ANS: i o D
Head ioStart ioprograms i o were io established io to ioincrease i o educational i o exposure i o of i o preschool i o children.
DIF: i o Cognitive i o Level: i o Knowledge i o REF: i o Page io 3
TOP: ioGovernment ioInfluences ioin ioMaternity ioand ioPediatric ioCare ioKEY: ioNursing ioProcess
ioStep: ioN/A ioMSC: i o NCLEX: i o Health i o Promotion i o and i o Maintenance: i o Growth ioand
i o Development
9. What ioguidelines iodefine iomultidisciplinary iopatient iocare ioin ioterms ioof ioexpected iooutcome ioand iotimeframe
iofrom iodifferent ioareas ioof iocare ioprovision?
, INTRODUCTION ioTO ioMATERNITY ioAND ioPEDIATRIC ioNURSING io8TH ioEDITION ioLEIFER ioTEST
ioBANK
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a. Clinical io pathways
b. Nursing i o outcome i o criteria
c. Standards i o of i o care
d. Nursing iocare i o plan
ANS: i o A
Clinical iopathways, ioalso ioknown ioas iocritical iopathways ioor iocare iomaps, ioare iocollaborative ioguidelines iothat
iodefine iopatient i o care i o across i o disciplines. i o Expected i o progress i o within ioa i o specified i o timeline i o is
i o identified.
DIF: i o Cognitive i o Level: i o Knowledge i o REF: i o Page io 12
TOP: ioHealth ioCare ioDelivery ioSystems ioKEY: ioNursing ioProcess ioStep:
ioN/A ioMSC: ioNCLEX: ioSafe, ioEffective ioCare ioEnvironment:
ioCoordinated ioCare
10. A ionursing iostudent iohas ioreviewed ioa iohospitalized iopediatric iopatient iochart, iointerviewed ioher iomother, ioand
iocollected ioadmission i o data. i o What i o is i o the i o next i o step iothe i o student i o will i o take i o to i o develop ioa i o nursing
i o care ioplan iofor i o this i o child?
a. Identify i o measurable iooutcomes i o with ioa iotimeline.
b. Choose i o specific i o nursing io interventions i o for i o the i o child.
c. Determine i o appropriate i o nursing i o diagnoses.
d. State ionursing ioactions iorelated ioto iothe i o childs i o medical io diagnosis.
ANS: i o C
The ionurse iouses ioassessment iodata ioto ioselect ioappropriate ionursing iodiagnoses iofrom iothe ioNANDA-I iolist. ioOutcomes
ioand iointerventions i o are i o then i o developed i o to i o address i o the i o relevant i o nursing i o diagnoses.
DIF: io Cognitive i o Level: i o Application i o REF: i o Page io 11
TOP: ioNursing ioProcess ioKEY: ioNursing ioProcess ioStep: ioNursing
ioDiagnosis ioMSC: ioNCLEX: ioSafe, ioEffective ioCare ioEnvironment:
ioCoordinated ioCare
11. A ionursing iostudent ioon ioan ioobstetric iorotation ioquestions iothe iofloor ionurse ioabout iothe iodefinition ioof iothe
ioLVN/LPN ioscope i o of i o practice. ioWhat ioresource i o can iothe i o nurseNsUuRg Sg IeNstGt oT Bt h. Ce Os tM
ude nt ?
a. American ioNurses i o Association
b. States ioboard ioof io nursing
c. Joint ioCommission
d. Association io of io Womens i o Health, i o Obstetric i o and ioNeonatal i o Nurses
ANS: i o B
The ioscope io of io practice ioof io the i o LVN/LPN i o is iopublished ioby io the iostates io board io of io nursing.
DIF: ioCognitive ioLevel: ioComprehension ioREF:
ioPage io3 ioOBJ: io18 ioTOP: ioCritical ioThinking
KEY: ioNursing ioProcess i o Step: io Implementation
MSC: i o NCLEX: i o Safe, i o Effective i o Care i o Environment: i o Coordinated io Care
12. What i o was i o recommended i o by ioKarl i o Cred ioin io1884?
a. All i o women ioshould iobe i o delivered ioin ioa i o hospital io setting.
b. Chemical i o means io should iobe i o used ioto iocombat ioinfection.
c. Podalic i o version ioshould iobe io done i o on ioall io fetuses.
d. Silver i o nitrate ioshould iobe ioplaced ioin iothe ioeyes i o of i o newborns.
ANS: i o D
In io1884 ioKarl ioCred iorecommended iothe iouse ioof io2% i o silver ionitrate ioin iothe ioeyes ioof ionewborns ioto ioreduce iothe
ioincidence ioof ioblindness.
DIF: i o Cognitive i o Level: i o Knowledge i o REF: i o Page io 2
TOP: ioUse ioof ioSilver i o Nitrate io KEY: i o Nursing ioProcess i o Step: i o N/A
MSC: io NCLEX: i o Health ioPromotion io and i o Maintenance: i o Prevention io and ioEarly ioDetection i o of io Disease
13. What iois io the i o purpose i o of iothe i o White io House ioConference i o on ioChildren ioand ioYouth?
a. Set iocriteria io for i o normal io growth iopatterns.