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K 2
,INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BAN
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K 3
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BAN
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K 4
Chapter 01: The Past, Present, and Future xz xz xz xz xz xz
MULTIPLE CHOICE xz
1. A patient chooses to have the certified nurse midwife (CNM) provide care during her pregnancy. What do
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es the CNMs scope of practice include?
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a. Practice independent from medical supervision
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b. Comprehensive prenatal care
c. Attendance at all deliveries xz xz xz
d. Cesarean sections xz
ANS: B xz
The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated deliveries, and ensure
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s that a backup physician is available in case of unforeseen problems.
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DIF: Cognitive Level: Comprehension REF: Page 6
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TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: Implementation
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MSC: NCLE : Health Promotion and Maintenance: Prevention and Early Detection of Disease
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2. Which medical pioneer discovered the relationship between the incidence of puerperal fever and unwashe
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d hands?
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a. Karl Cred xz
b. Ignaz Semmelweis
c. Louis Pasteur xz
d. Joseph Lister xz
ANS: B xz
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the unwashed
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hands of physicians and medical students.
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DIF: Cognitive Level: Knowledge REF: Page 2 T
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OP: The Past KEY: Nursing Process Step: N/A
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MSC: NCLE : Safe, Effective Care Environment: Safety and Infection Control
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3. A pregnant woman who has recently immigrated to the United States comments to the nurse, I am afraid
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of childbirth. It is so dangerous. I am afraid I will die. What is the best nursing response reflecti ng
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cultural sensitivity? xz
a. Maternal mortality in the United States is e tremely low.
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b. Anesthesia is available to relieve pain during labor and childbirth.
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c. Tell me why you are afraid of childbirth.
d. Your condition will be monitored during labor and delivery.
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ANS: C xz
Asking the patient about her concerns helps promote understanding and individualizes patient care.
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DIF: Cognitive Level: Application REF: Page 7
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TOP: Cross- xz
4|Page
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BAN xz xz xz xz xz xz xz xz xz xz
K 5
Cultural Care KEY: Nursing Process Step: Implementation MSC: NC
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LE : Psychosocial Integrity: Psychological Adaptation
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4. An urban area has been reported to have a high perinatal mortality rate. What information does this provide?
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a. Maternal and infant deaths per 100,000 live births per year
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b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
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c. Deaths of infants up to 1 year of age per 1000 live births per year
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d. Fetal and neonatal deaths per 1000 live births per year
ANS: D xz
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per y
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ear. DIF: Cognitive Level: Comprehension REF: Page 12 OBJ: 9 TOP: The Present-Child Care
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KEY: Nursing Process Step: Implementation
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MSC: NCLE : Safe, Effective Care Environment: Coordinated Care
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5. What is the focus of current maternity practice?
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a. Hospital births for the majority of women
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b. The traditional family unit
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c. Separation of labor rooms from delivery rooms xz xz xz xz xz xz
d. A quality family eperience for each patient
ANS: D xz
Current maternity practice focuses on a high-quality family e perience for all families, traditional or otherwise.
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DIF: Cognitive Level: Comprehension REF: Page 6
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TOP: The Present-
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Maternity Care KEY: Nursing Process Step: N/A MSC: NCLE : Hea
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lth Promotion and Maintenance
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6. Who advocated the establishment of the Childrens Bureau? a.
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Lillian Wald
b. Florence Nightingale xz
c. Florence Kelly xz
d. Clara Barton xz
ANS: A xz
Lillian Wald is credited with suggesting the establishment of a federal Childrens Bureau.
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DIF: Cognitive Level: Knowledge REF: Page 4
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TOP: The Past KEY: Nursing Process Step: Implementation
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MSC: NCLE : Health Promotion and Maintenance: Growth and Development 7.
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What was the result of research done in the 1930s by the Childrens Bureau?
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a. Children with heart problems are now cared for by pediatric cardiologists.
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b. The Child Abuse and Prevention Act was passed.
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c. Hot lunch programs were established in many schools.
d. Childrens asylums were founded. xz xz xz
ANS: C xz
School hot lunch programs were developed as a result of research by the Childrens Bureau on the effects
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of economic depression on children.
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