INTRODUCTION TO MATERNITY AND PEDIA
TestfBankf-fIntroductionftofMaternityfand
f f Pediatric
f f Nursingf8ef (byf Leifer) f f 2
TRICChapter
NURSING
f 8TH EDITION LEIFER
f
01: The Past, Present, and Future
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MULTIPLEf CHOICE
1. Afpatientfchoosesftofhavefthefcertifiedfnursefmidwifef(CNM)fprovidefcarefduringfherfpregnancy.fWhatfdoesfthef
CNMsfscopefoffpracticefinclude?
a. Practicef independentf fromf medicalf supervision
b. Comprehensivefprenatalfcare
c. Attendancefatfallfdeliveries
d. Cesareanfsections
ANS:fB
ThefCNMfprovidesfcomprehensivefprenatalfandfpostnatalfcare,fattendsfuncomplicatedfdeliveries,fandfensuresfthatf
afbackupfphysicianfisfavailablefinfcasefoffunforeseenfproblems.
DIF:fCognitivefLevel:fComprehensionfREF:fPagef6
TOP:fAdvancefPracticefNursingfRolesfKEY:fNursingfProcessfStep:fImplementation
MSC:fNCLEX:fHealthfPromotionfandfMaintenance:fPreventionfandfEarlyfDetectionfoffDisease
2. Whichfmedicalfpioneerfdiscoveredfthefrelationshipfbetweenfthefincidencefoffpuerperalffeverfandfunwashedfha
nds?
a. KarlfCred
b. Ignazf Semmelweis
c. Louisf Pasteur
d. Josephf Lister
ANS:fB
IgnazfSemmelweisfdeducedfthatfpuerperalffeverfwasfseptic,fcontagious,fandftransmittedfbyfthefunwashed
handsfoffphysiciansfandfmedicalfstudents.
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DIF:fCognitivefLevel:fKnowledgefREF:fPagef2fT
OP:fThefPastfKEY:fNursingfProcessfStep:fN/A
MSC:fNCLEX:fSafe,fEffectivefCarefEnvironment:fSafetyfandfInfectionfControl
3. AfpregnantfwomanfwhofhasfrecentlyfimmigratedftofthefUnitedfStatesfcommentsftofthefnurse,fIfamfafraidfoffchil
dbirth.fItfisfsofdangerous.fIfamfafraidfIfwillfdie.fWhatfisfthefbestfnursingfresponsefreflectingfculturalfsensitivity
?
a. MaternalfmortalityfinfthefUnitedfStatesfisfextremelyflow.
b. Anesthesiafisfavailableftofrelievefpainfduringflaborfandfchildbirth.
c. Tellfmefwhyfyoufarefafraidfoffchildbirth.
d. Yourfconditionfwillfbefmonitoredfduringflaborfandfdelivery.
ANS:fC
Askingfthefpatientfaboutfherfconcernsfhelpsfpromotefunderstandingfandfindividualizesfpatientfcare.
DIF:fCognitivefLevel:fApplicationfREF:fPagef7
TOP:f Cross-
Culturalf Caref KEY:f Nursingf Processf Step:f ImplementationfMSC:fNCLE
X:fPsychosocialfIntegrity:fPsychologicalfAdaptation
4. Anfurbanfareafhasfbeenfreportedftofhavefafhighfperinatalfmortalityfrate.fWhatfinformationfdoesfthisfprovide?
a. Maternalfandfinfantfdeathsfperf100,000flivefbirthsfperfyear
b. Deathsfofffetusesfweighingfmorefthanf500fgfperf10,000fbirthsfperfyear
c. Deathsfoffinfantsfupftof1fyearfoffagefperf1000flivefbirthsfperfyear
d. Fetalfandfneonatalfdeathsfperf1000flivefbirthsfperfyear
ANS:fD
Thefperinatalfmortalityfratefincludesffetalfandfneonatalfdeathsfperf1000flivefbirthsfperfyear.fDI
F:fCognitivefLevel:fComprehensionfREF:fPagef12
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, INTRODUCTIONfTOfMATERNITYfANDfPEDIATRICfNURSINGf8THfEDITIONfLEIFERfTESTfBANK
TestfBankf-fIntroductionftofMaternityfandfPediatricfNursingf8ef(byfLeifer) 3
OBJ:f9fTOP:fThefPresent-ChildfCare
KEY:fNursingfProcessfStep:fImplementation
MSC:fNCLEX:fSafe,fEffectivefCarefEnvironment:fCoordinatedfCare
5. Whatfisftheffocusfoffcurrentfmaternityfpractice?
a. Hospitalfbirthsfforfthefmajorityfoffwomen
b. Theftraditionalffamilyfunit
c. Separationfofflaborfroomsffromfdeliveryfrooms
d. Afqualityffamilyfexperiencefforfeachfpatient
ANS:fD
Currentfmaternityfpracticeffocusesfonfafhigh-qualityffamilyfexperiencefforfallffamilies,ftraditionalforfotherwise.
DIF:fCognitivefLevel:fComprehensionfREF:fPagef6
TOP:fThefPresent-
MaternityfCarefKEY:fNursingfProcessfStep:fN/AfMSC:fNCLEX:fHealthf
PromotionfandfMaintenance
6. WhofadvocatedfthefestablishmentfoffthefChildrensfBureau?
a. LillianfWald
b. Florencef Nightingale
c. FlorencefKelly
d. ClarafBarton
ANS:fA
LillianfWaldfisfcreditedfwithfsuggestingfthefestablishmentfoffaffederalfChildrensfBureau.
DIF:fCognitivefLevel:fKnowledgefREF:fPagef4
TOP:fThefPastfKEY:fNursingfProcessfStep:fImplementation
MSC:fNCLEX:fHealthfPromotionfandfMaintenance:fGrowthfandfDevelopment
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7. Whatfwasfthefresultfoffresearchfdonefinfthef1930sfbyfthefChildrensfBureau?
a. Childrenfwithfheartfproblemsfarefnowfcaredfforfbyfpediatricfcardiologists.
b. ThefChildfAbusefandfPreventionfActfwasfpassed.
c. Hotflunchfprogramsfwerefestablishedfinfmanyfschools.
d. Childrensfasylumsfwereffounded.
ANS:fC
SchoolfhotflunchfprogramsfwerefdevelopedfasfafresultfoffresearchfbyfthefChildrensfBureaufonfthefeffectsfoffeconomic
fdepression fon fchildren.
DIF:fCognitivefLevel:fKnowledgefREF:fPagef4fT
OP:fThefPastfKEY:fNursingfProcessfStep:fN/A
MSC:fNCLEX:fHealthfPromotionfandfMaintenance:fCoordinatedfCare
8. Whatfgovernmentfprogramfwasfimplementedftofincreasefthefeducationalfexposurefoffpreschoolfchildren?
a. WIC
b. Titlef XIXf off Medicaid
c. Thef Childrensf Charter
d. HeadfStart
ANS:fD
HeadfStartfprogramsfwerefestablishedftofincreasefeducationalfexposurefoffpreschoolfchildren.
DIF:fCognitivefLevel:fKnowledgefREF:fPagef3
TOP:fGovernmentfInfluencesfinfMaternityfandfPediatricfCarefKEY:fNursingfProcessfStep:fN/AfM
SC:fNCLEX:fHealthfPromotionfandfMaintenance:fGrowthfandfDevelopment
9. Whatfguidelinesfdefinefmultidisciplinaryfpatientfcarefinftermsfoffexpectedfoutcomefandftimeframeffromfdif
ferentfareasfoffcarefprovision?
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, INTRODUCTIONfTOfMATERNITYfANDfPEDIATRICfNURSINGf8THfEDITIONfLEIFERfTESTfBANK
TestfBankf-fIntroductionftofMaternityfandfPediatricfNursingf8ef(byfLeifer) 4
a. Clinicalfpathways
b. Nursingfoutcomefcriteria
c. Standardsfoffcare
d. Nursingfcarefplan
ANS:fA
Clinicalfpathways,falsofknownfasfcriticalfpathwaysforfcarefmaps,farefcollaborativefguidelinesfthatfdefinefpatientfca
refacrossfdisciplines.fExpectedfprogressfwithinfafspecifiedftimelinefisfidentified.
DIF:fCognitivefLevel:fKnowledgefREF:fPagef12
TOP:fHealthfCarefDeliveryfSystemsfKEY:fNursingfProcessfStep:fN/AfM
SC:fNCLEX:fSafe,fEffectivefCarefEnvironment:fCoordinatedfCare
10. Afnursingfstudentfhasfreviewedfafhospitalizedfpediatricfpatientfchart,finterviewedfherfmother,fandfcollectedfad
missionfdata.fWhatfisfthefnextfstepfthefstudentfwillftakeftofdevelopfafnursingfcarefplanfforfthisfchild?
a. Identifyfmeasurablefoutcomesfwithfaftimeline.
b. Choosefspecificfnursingfinterventionsfforfthefchild.
c. Determinef appropriatef nursingf diagnoses.
d. Statefnursingfactionsfrelatedftofthefchildsfmedicalfdiagnosis.
ANS:fC
ThefnursefusesfassessmentfdataftofselectfappropriatefnursingfdiagnosesffromfthefNANDA-
Iflist.fOutcomesfandfinterventionsfarefthenfdevelopedftofaddressfthefrelevantfnursingfdiagnoses.
DIF:fCognitivefLevel:fApplicationfREF:fPagef11
TOP:fNursingfProcessfKEY:fNursingfProcessfStep:fNursingfDiagnosisf
MSC:fNCLEX:fSafe,fEffectivefCarefEnvironment:fCoordinatedfCare
11. AfnursingfstudentfonfanfobstetricfrotationfquestionsftheffloorfnursefaboutfthefdefinitionfoffthefLVN/LPNfsco
pefoffpractice.fWhatfresourcefcanfthefnurseNsUuR
gS
geIN
stGtoTBth.C
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stM
udent?
a. Americanf Nursesf Association
b. Statesfboardfoffnursing
c. JointfCommission
d. AssociationfoffWomensfHealth,fObstetricfandfNeonatalfNurses
ANS:fB
ThefscopefoffpracticefoffthefLVN/LPNfisfpublishedfbyfthefstatesfboardfoffnursing.
DIF:fCognitivefLevel:fComprehensionfREF:fPagef3f
OBJ:f18fTOP:fCriticalfThinking
KEY:fNursingfProcessfStep:fImplementation
MSC:fNCLEX:fSafe,fEffectivefCarefEnvironment:fCoordinatedfCare
12. WhatfwasfrecommendedfbyfKarlfCredfinf1884?
a. Allfwomenfshouldfbefdeliveredfinfafhospitalfsetting.
b. Chemicalfmeansfshouldfbefusedftofcombatfinfection.
c. Podalicfversionfshouldfbefdonefonfallffetuses.
d. Silverfnitratefshouldfbefplacedfinfthefeyesfoffnewborns.
ANS:fD
Inf1884fKarlfCredfrecommendedfthefusefoff2%fsilverfnitratefinfthefeyesfoffnewbornsftofreducefthefincidencefoffblindn
ess.
DIF:fCognitivefLevel:fKnowledgefREF:fPagef2
TOP:fUsefoffSilverfNitratefKEY:fNursingfProcessfStep:fN/A
MSC:fNCLEX:fHealthfPromotionfandfMaintenance:fPreventionfandfEarlyfDetectionfoffDisease
13. WhatfisfthefpurposefoffthefWhitefHousefConferencefonfChildrenfandfYouth?
a. Setfcriteriafforfnormalfgrowthfpatterns.
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, INTRODUCTIONfTOfMATERNITYfANDfPEDIATRICfNURSINGf8THfEDITIONfLEIFERfTESTfBANK
TestfBankf-fIntroductionftofMaternityfandfPediatricfNursingf8ef(byfLeifer) 5
b. Examinefthefnumberfofflivefbirthsfinfminorityfpopulations.
c. Raisefmoneyftofsupportfwell-childfclinicsfinfruralfareas.
d. Promotefcomprehensivefchildfwelfare.
ANS:f D
WhitefHousefConferencesfonfChildrenfandfYouthfarefheldfeveryf10fyearsftofpromotefcomprehensivefchildfwelfare.
DIF:fCognitivefLevel:fKnowledgefREF:fPagef4
TOP:fWhitefHousefConferencesfKEY:fNursingfProcessfStep:fN/A
MSC:fNCLEX:fHealthfPromotionfandfMaintenance:fPreventionfandfEarlyfDetectionfoffDisease
14. Howfmanyfhoursfoffhospitalfstayfdoesflegislationfcurrentlyfallowfforfafpostpartumfpatientfwhofhasfdeli
veredfvaginallyfwithoutfcomplications?
a. 24
b. 48
c. 36
d. 72
ANS:fB
Postpartumfpatientsfwhofdeliverfvaginallyfstayfinfthefhospitalfforfanfaveragefoff48fhours;fpatientsfwhofhavefhadfafc
esareanfdeliveryfusuallyfstayf4fdays.
DIF:fCognitivefLevel:fKnowledgefREF:fPagef6fT
OP:fHospitalfTermsfforfPostpartumfPatientsfKE
Y:fNursingfProcessfStep:fPlanning
MSC:fNCLEX:fHealthfPromotionfandfMaintenance:fPreventionfandfEarlyfDetectionfoffDisease
15. Howfdoesfthefclinicalfpathwayforfcriticalfpathwayfimprovefqualityfoffcare?
a. Listsf diagnosis-specificf implementations NURSINGTB.COM
b. Outlinesfexpectedfprogressfwithfstatedftimelines
c. Prioritizesfeffectivefnursingfdiagnoses
d. Describesf commonf complications
ANS:fB
Criticalfpathwaysfoutlinefexpectedfprogressfwithfstatedftimelines.fAnyfdeviationffromfthoseftimelinesfisfcalledfafva
riance.
DIF:fCognitivefLevel:fComprehensionfREF:fPagef12
TOP:fCriticalfPathwayfKEY:fNursingfProcessfStep:fImplementationf
MSC:f NCLEX:f Safe,f Effectivef Caref Environment:f Coordinatedf Care
16. Afpatientfasksfthefnurseftofexplainfwhatfisfmeantfbyfgeneftherapy.fWhatfisfthefnursesfbestfresponse?
a. Geneftherapyfcanfreplacefmissingfgenes.
b. Geneftherapyfevaluatesfthefparentsfgenes.
c. Geneftherapyfcanfchangefthefsexfofftheffetus.
d. Geneftherapyfsupportsfthefregenerationfoffdefectivefgenes.
ANS:fA
Geneftherapyfcanfreplacefmissingforfdefectivefgenes.
DIF:fCognitivefLevel:fKnowledgefREF:fPagef8
TOP:fGenefTherapyfKEY:fNursingfProcessfStep:fImplementation
MSC:fNCLEX:fHealthfPromotionfandfMaintenance:fPreventionfandfEarlyfDetectionfoffDisease
17. Thefnursefisfclarifyingfinformationftofafpatientfregardingfdiagnosis-
relatedfgroupsf(DRGs).fWhatfisfthefnursesfbestfresponsefwhenfthefpatientfasksfhowfDRGsfreducefmedicalfcar
efcosts?
a. Byfdeterminingfpaymentfbasedfonfdiagnosis
b. Byfrequiringftwofmedicalfopinionsftofconfirmfafdiagnosis
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