v v v v v v v v v
Chapterv01:vThevPast,vPresent,vandvFuturev
MULTIPLEvCHOICE
1.vAvpatientvchoosesvtovhavevthevcertifiedvnursevmidwifev(CNM)vprovidevcarevduringvhervp
regnancy.vWhatvdoesvthevCNMsvscopevofvpracticevinclude?
a.vPracticevindependentvfromvmedicalvsupervision
b.vComprehensivevprenatalvcare
c.Attendancevatvallvdeliveries
d.vCesareanvsectionsv
ANS:vB
ThevCNMvprovidesvcomprehensivevprenatalvandvpostnatalvcare,vattendsvuncomplicatedvdeliv
eries,vandvensuresvthatvavbackupvphysicianvisvavailablevinvcasevofvunforeseenvproblems.
DIF:vCognitivevLevel:vComprehensionvREF:vPagev6vOBJ:v12
TOP:vAdvancevPracticevNursingvRolesvKEY:vNursingvProcessvStep:vImplementationvM
SC:vNCLEX:vHealthvPromotionvandvMaintenance:vPreventionvandvEarlyvDetectionvofvDis
ease
2.vWhichvmedicalvpioneervdiscoveredvthevrelationshipvbetweenvthevincidencevofvpuerperalvf
evervandvunwashedvhands?
a. KarlvCred
b. IgnazvSemmelweis
c.LouisvPasteur
d.vJosephvListervANS
:vB
IgnazvSemmelweisvdeducedvthatvpuerperalvfevervwasvseptic,vcontagious,vandvtransmittedvbythevu
nwashedvhandsvofvphysiciansvandvmedicalvstudents.
DIF:vCognitivevLevel:vKnowledgevREF:vPagev2vOBJ:v1v
TOP:vThevPastvKEY:vNursingvProcessvStep:vN/A
MSC:vNCLEX:vSafe,vEffectivevCarevEnvironment:vSafetyvandvInfectionvControl
3.vAvpregnantvwomanvwhovhasvrecentlyvimmigratedvtovthevUnitedvStatesvcommentsvtovthevn
urse,vIvamvafraidvofvchildbirth.vItvisvsovdangerous.vIvamvafraidvIvwillvdie.vWhatvisvthevbestvnu
rsingvresponsevreflectingvculturalvsensitivity?
a.vMaternalvmortalityvinvthevUnitedvStatesvisvextremelyvlow.
b.vAnesthesiavisvavailablevtovrelievevpainvduringvlaborvandvchildbirth.
c.Tellvmevwhyvyouvarevafraidvofvchildbirth.
d.vYourvconditionvwillvbevmonitoredvduringvlaborvandvdelivery.v
ANS:vC
Askingvthevpatientvaboutvhervconcernsvhelpsvpromotevunderstandingvandvindividualizesvp
atientvcare.
DIF:vCognitivevLevel:vApplicationvREF:vPagev7-8vOBJ:v8
TOP:vCross-
CulturalvCarevKEY:vNursingvProcessvStep:vImplementationvMSC:vNCLE
X:vPsychosocialvIntegrity:vPsychologicalvAdaptation
,4. Anvurbanvareavhasvbeenvreportedvtovhavevavhighvperinatalvmortalityvrate.vWhatvinformationdoesvt
hisvprovide?
a.vMaternalvandvinfantvdeathsvperv100,000vlivevbirthsvpervyear
b.vDeathsvofvfetusesvweighingvmorevthanv500vgvperv10,000vbirthsvpervyear
c.Deathsvofvinfantsvupvtov1vyearvofvagevperv1000vlivevbirthsvpervyear
d.vFetalvandvneonatalvdeathsvperv1000vlivevbirthsvpervyearv
ANS:vD
Thevperinatalvmortalityvratevincludesvfetalvandvneonatalvdeathsvperv1000vlivevbirthsvpervyear.
DIF:vCognitivevLevel:vComprehensionvREF:vPagev12,vBoxv1-
6vOBJ:v9vTOP:vThevPresent-ChildvCare
KEY:vNursingvProcessvStep:vImplementation
MSC:vNCLEX:vSafe,vEffectivevCarevEnvironment:vCoordinatedvCare
5. Whatvisvthevfocusvofvcurrentvmaternityvpractice?
a.vHospitalvbirthsvforvthevmajorityvofv women
b.vThevtraditionalvfamilyvunit
c.Separationvofvlaborvroomsvfromvdeliveryvrooms
d.vAvqualityvfamilyvexperiencevforveachvpatientv
ANS:vD
Currentvmaternityvpracticevfocusesvonvavhigh-
qualityvfamilyvexperiencevforvallvfamilies,vtraditionalvorvotherwise.
DIF:vCognitivevLevel:vComprehensionvREF:vPagev6vOBJ:v7
TOP:vThevPresent-
MaternityvCarevKEY:vNursingvProcessvStep:vN/AvMSC:vNCLEX:vHe
althvPromotionvandvMaintenance
6. WhovadvocatedvthevestablishmentvofvthevChildrensvBureau?
a. LillianvWald
b.vFlorencevNightingale
c.FlorencevKelly
d.vClaravBartonvANS:
vA
LillianvWaldvisvcreditedvwithvsuggestingvthevestablishmentvofvavfederalvChildrensvBureau.
DIF:vCognitivevLevel:vKnowledgevREF:vPagev4vOBJ:v1v|v2vT
OP:vThevPastvKEY:vNursingvProcessvStep:vImplementation
MSC:vNCLEX:vHealthvPromotionvandvMaintenance:vGrowthvandvDevelopment
7. Whatvwasvthevresultvofvresearchvdonevinvthev1930svbyvthevChildrensvBureau?
a.vChildrenvwithvheartvproblemsvarevnowvcaredvforvbyvpediatricvcardiologists.
b.vThevChildvAbusevandvPreventionvActvwasvpassed.
c.Hotvlunchvprogramsvwerevestablishedvinvmanyvschools.
d.vChildrensvasylumsvwerevfounded.v
ANS:vC
SchoolvhotvlunchvprogramsvwerevdevelopedvasvavresultvofvresearchvbyvthevChildrensvBureauonvtheveffects
vofv economicvdepressionvonvchildren.
DIF:vCognitivevLevel:vKnowledgevREF:vPagev4vOBJ:v2v|v3v
TOP:vThevPastvKEY:vNursingvProcessvStep:vN/A
,MSC:vNCLEX:vHealthvPromotionvandvMaintenance:vCoordinatedvCare
, 8. Whatvgovernmentvprogramvwasvimplementedvtovincreasevtheveducationalvexposurevofv
preschoolvchildren?
a. WIC
b. TitlevXIXvofvMedicaid
c.ThevChildrensvCharter
d.vHeadvStartvAN
S:vD
HeadvStartvprogramsvwerevestablishedvtovincreaseveducationalvexposurevofvpreschoolvc
hildren.
DIF:vCognitivevLevel:vKnowledgevREF:vPagev3vOBJ:v5
TOP:vGovernmentvInfluencesvinvMaternityvandvPediatricvCarevKEY:vNursingvProcessvStep:N/Av
MSC:vNCLEX:vHealthvPromotionvandvMaintenance:vGrowthvandvDevelopment
9. Whatvguidelinesvdefinevmultidisciplinaryvpatientvcarevinvtermsvofvexpectedvoutcomevandvt
imeframevfromvdifferentvareasvofvcarevprovision?
a.vClinicalvpathways
b.vNursingvoutcomevcriteria
c.Standardsvofvcare
d.vNursingvcarevplanv
ANS:vA
Clinicalvpathways,valsovknownvasvcriticalvpathwaysvorvcarevmaps,varevcollaborativevguidelinesvt
hatvdefinevpatientvcarevacrossvdisciplines.vExpectedvprogressvwithinvavspecifiedtimelinevisvident
ified.
DIF:vCognitivevLevel:vKnowledgevREF:vPagev12vOBJ:v14
TOP:vHealthvCarevDeliveryvSystemsvKEY:vNursingvProcessvStep:vN/Av
MSC:vNCLEX:vSafe,vEffectivevCarevEnvironment:vCoordinatedvCare
10. Avnursingvstudentvhasvreviewedvavhospitalizedvpediatricvpatientvchart,vinterviewedvhervm
other,vandvcollectedvadmissionvdata.vWhatvisvthevnextvstepvthevstudentvwillvtakevtovdevelopavnur
singvcarevplanvforvthisvchild?
a.vIdentifyvmeasurablevoutcomesvwithvavtimeline.
b.vChoosevspecificvnursingvinterventionsvforvthevchild.
c.Determinevappropriatevnursingvdiagnoses.
d.vStatevnursingvactionsvrelatedvtovthevchildsvmedicalvdiagnosis.v
ANS:vC
ThevnursevusesvassessmentvdatavtovselectvappropriatevnursingvdiagnosesvfromvthevNANDA-
Ivlist.vOutcomesvandvinterventionsvarevthenvdevelopedvtovaddressvthevrelevantvnursingvdiagnoses.
DIF:vCognitivevLevel:vApplicationvREF:vPagev11vOBJ:v13
TOP:vNursingvProcessvKEY:vNursingvProcessvStep:vNursingvDiagnosisv
MSC:vNCLEX:vSafe,vEffectivevCarevEnvironment:vCoordinatedvCare
11. Avnursingvstudentvonvanvobstetricvrotationvquestionsvthevfloorvnursevaboutvthevdefinitionofvt
hevLVN/LPNvscopevofvpractice.vWhatvresourcevcanvthevnursevsuggestvtovthevstudent?
a.vAmericanvNursesvAssociation
b.vStatesvboardvofvnursing