TEST BANK
Leifer's Introduction to Maternity and Pediatric Nursing, 10th
Edition
Authors: Kim Cooper, MSN, RN & Kelly Gosnell, MSN, RN
ISBN: 9780443127571
Chapter 1- the past, present, and future, 10e
MCQ
1. A patient chooses to have the certified nurse-midwife (cnm) provide care during her
pregnancy. What does the cnm‘s scope of practice include?
a. Practice independent from medical supervision
b. Comprehensive prenatal care
c. Attendance at all deliveries
d. Cesarean sections
(answer): 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.
Difficulty: cognitive level: comprehension
reference/page number: P.G 6
learning objective: 5
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 credé
b. Ignaz semmelweis
c. Louis pasteur
d. Joseph lister
(answer): b
Ignaz semmelweis deduced that puerperal fever was septic, contagious, and transmitted by
the unwashed hands of physicians and medical students.
Difficulty: cognitive level: knowledge reference/page
number: P.G 2 learning objective: 1 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.”
(answer): c
Asking the patient about her concerns helps promote understanding and individualizes patient
care.
Difficulty: cognitive level: application
reference/page number: pP.G 6-8 learning objective: 8
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
(answer): d
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
Difficulty: cognitive level: comprehension
reference/page number: P.G 13 | box 1.6 learning objective:
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
(answer): d
Current maternity practice focuses on a high-quality family experience for all families,
traditional or otherwise.
Difficulty: cognitive level:
comprehension reference/page number: P.G 6
learning objective: 5 top: the present-maternity care
key: nursing process step: n/a msc: nclex: health promotion and
maintenance
6. Who advocated the establishment of the children‘s bureau?
a. Lillian wald
b. Florence nightingale
, c. Florence kelly
d. Clara barton
(answer): a
Lillian wald is credited with suggesting the establishment of a federal children‘s bureau.
Difficulty: cognitive level: knowledge reference/page
number: P.G 4 learning objective: 1 | 2 top: the past
key: nursing process step: implementation
Msc: nclex: health promotion and maintenance: growth and development
7. What was the result of research done in the 1930s by the children‘s 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.
d. Children‘s asylums were founded.
(answer): c
School hot lunch programs were developed as a result of research by the children‘s bureau on
the effects of economic depression on children.
Difficulty: cognitive level: knowledge
reference/page number: P.G 4 learning objective: 2 | 3
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 children‘s charter
d. Head start
(answer): d
Head start programs were established to increase educational exposure of preschool children.
Difficulty: cognitive level: knowledge
reference/page number: P.G 3 learning objective: 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?
a. Clinical pathways
b. Nursing outcome criteria
c. Standards of care
d. Nursing care plan
(answer): a
, Clinical pathways, also known as critical pathways or care maps, are collaborative guidelines
that define patient care across disciplines. Expected progress within a specified timeline is
identified.
Difficulty: cognitive level: knowledge
reference/page number: P.G 13
learning objective: 10 top: health care delivery systems
key: nursing process step: n/a msc: nclex: safe, effective care environment:
coordinated care
10. A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her
mother, and collected admission data. What is the next step the student will take to
develop a nursing care plan for this child?
a. Identify measurable outcomes with a timeline.
b. Choose specific nursing interventions for the child.
c. Determine appropriate nursing diagnoses.
d. State nursing actions related to the child‘s medical diagnosis.
(answer): c
The nurse uses assessment data to select appropriate nursing diagnoses. Outcomes and
interventions are then developed to address the relevant nursing diagnoses.
Difficulty: cognitive level: application
reference/page number: P.G 12 learning objective: 7
Top: nursing process key: nursing process step: nursing
diagnosis msc: nclex: safe, effective care environment: coordinated care
11. A nursing student on an obstetric rotation questions the floor nurse about the definition
of the lvn/lpn scope of practice. What resource can the nurse suggest to the student?
a. American nurses association
b. State‘s board of nursing
c. Joint commission
d. Association of women‘s health, obstetric and neonatal nurses
(answer): b
The scope of practice of the lvn/lpn is published by the state‘s board of nursing.
Leifer's Introduction to Maternity and Pediatric Nursing, 10th
Edition
Authors: Kim Cooper, MSN, RN & Kelly Gosnell, MSN, RN
ISBN: 9780443127571
Chapter 1- the past, present, and future, 10e
MCQ
1. A patient chooses to have the certified nurse-midwife (cnm) provide care during her
pregnancy. What does the cnm‘s scope of practice include?
a. Practice independent from medical supervision
b. Comprehensive prenatal care
c. Attendance at all deliveries
d. Cesarean sections
(answer): 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.
Difficulty: cognitive level: comprehension
reference/page number: P.G 6
learning objective: 5
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 credé
b. Ignaz semmelweis
c. Louis pasteur
d. Joseph lister
(answer): b
Ignaz semmelweis deduced that puerperal fever was septic, contagious, and transmitted by
the unwashed hands of physicians and medical students.
Difficulty: cognitive level: knowledge reference/page
number: P.G 2 learning objective: 1 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.”
(answer): c
Asking the patient about her concerns helps promote understanding and individualizes patient
care.
Difficulty: cognitive level: application
reference/page number: pP.G 6-8 learning objective: 8
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
(answer): d
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
Difficulty: cognitive level: comprehension
reference/page number: P.G 13 | box 1.6 learning objective:
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
(answer): d
Current maternity practice focuses on a high-quality family experience for all families,
traditional or otherwise.
Difficulty: cognitive level:
comprehension reference/page number: P.G 6
learning objective: 5 top: the present-maternity care
key: nursing process step: n/a msc: nclex: health promotion and
maintenance
6. Who advocated the establishment of the children‘s bureau?
a. Lillian wald
b. Florence nightingale
, c. Florence kelly
d. Clara barton
(answer): a
Lillian wald is credited with suggesting the establishment of a federal children‘s bureau.
Difficulty: cognitive level: knowledge reference/page
number: P.G 4 learning objective: 1 | 2 top: the past
key: nursing process step: implementation
Msc: nclex: health promotion and maintenance: growth and development
7. What was the result of research done in the 1930s by the children‘s 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.
d. Children‘s asylums were founded.
(answer): c
School hot lunch programs were developed as a result of research by the children‘s bureau on
the effects of economic depression on children.
Difficulty: cognitive level: knowledge
reference/page number: P.G 4 learning objective: 2 | 3
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 children‘s charter
d. Head start
(answer): d
Head start programs were established to increase educational exposure of preschool children.
Difficulty: cognitive level: knowledge
reference/page number: P.G 3 learning objective: 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?
a. Clinical pathways
b. Nursing outcome criteria
c. Standards of care
d. Nursing care plan
(answer): a
, Clinical pathways, also known as critical pathways or care maps, are collaborative guidelines
that define patient care across disciplines. Expected progress within a specified timeline is
identified.
Difficulty: cognitive level: knowledge
reference/page number: P.G 13
learning objective: 10 top: health care delivery systems
key: nursing process step: n/a msc: nclex: safe, effective care environment:
coordinated care
10. A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her
mother, and collected admission data. What is the next step the student will take to
develop a nursing care plan for this child?
a. Identify measurable outcomes with a timeline.
b. Choose specific nursing interventions for the child.
c. Determine appropriate nursing diagnoses.
d. State nursing actions related to the child‘s medical diagnosis.
(answer): c
The nurse uses assessment data to select appropriate nursing diagnoses. Outcomes and
interventions are then developed to address the relevant nursing diagnoses.
Difficulty: cognitive level: application
reference/page number: P.G 12 learning objective: 7
Top: nursing process key: nursing process step: nursing
diagnosis msc: nclex: safe, effective care environment: coordinated care
11. A nursing student on an obstetric rotation questions the floor nurse about the definition
of the lvn/lpn scope of practice. What resource can the nurse suggest to the student?
a. American nurses association
b. State‘s board of nursing
c. Joint commission
d. Association of women‘s health, obstetric and neonatal nurses
(answer): b
The scope of practice of the lvn/lpn is published by the state‘s board of nursing.
