mIntroductionmto mMaternity mand mPediatric mNursing m7em(Leif erm2015)
Table of Contents
m m
Tablem of m Content 1
s
Chapterm01:mThem Past,m Present,m andmFuture 2
Chapterm02:mHumanmReproductivemAnatomy mandmPhysiology mCh 12
apterm03:mFetalmDevelopm ent 22
Chapterm 04:m Prenatalm Carem andm Adaptationsm tom Pregnancy 31
Chapterm05:mNursingmCaremof mWomenmwithmCom plicationsmDuringmPregnancy m 40
Chapterm06:mNursingmCaremof mMothermandmInfantmDuringmLabormandmBirthmCha 50
pterm07:mNursingmManagementmof mPainmDuringmLabormandmBirth 60
Chapterm08:mNursingmCaremof mWomenmwithmCom plicationsmDuringmLabormandmBirt 70
hmChapterm09:mThemFamily mAftermBirth 79
Chapterm10:mNursingmCaremof mWomenmwithmCom plicationsmAftermBirthmCha 88
pterm11:mThemNursesmRoleminmWomensmHealthmCare 97
Chapterm12:m ThemTerm m Newborn 106
Chapterm 13:m Preterm m andm Postterm m Newborns 116
Chapterm14:mThemNewbornmwithmamPerinatalmInjury mormCongenitalmMalformationmC 125
hapterm15:mAnmOverviewmof mGrowth,mDevelopment,mandmNutrition 135
Chapterm16:mThemInfantmChapt 145
erm17:mThemToddler 155
Chapterm18:mThemPreschoolmChildmChapt 164
erm19:mThemSchool- 173
AgemChildChapterm20:mThemAdolescent 182
Chapterm21:mThem Childsm Experiencem of m Hospitalizationm Chap 191
term22:mHealthmCaremAdaptationsmformthemChildmandmFamily mChap 200
term23:mThemChildmwithmamSensory mormNeurologicalmConditionmCh 209
apterm24:mThemChildmwithm am Musculoskeletalm ConditionmChapt 219
erm25:mThemChildmwithmamRespiratory mDisorder 229
Chapterm26:m Them Childm withm am Cardiovascularm Disorder 238
Chapterm27:m ThemChildm withmamConditionm of m them Blood,m Blood-Form ingm Organs,m orm Lymphatic
System 246
Chapterm28:mThemChildmwithmamGastrointestinalmConditio 256
nmChapterm29:mThemChildmwithmamGenitourinary mConditio 267
nmChapterm30:mThemChildmwithmamSkinmCondition 276
Chapterm31:m ThemChildmwithmamMetabolic mCondition 286
Chapterm 32:m Childhoodm Comm unicablem Diseases,m Bioterrorism,m Naturalm Disastersm andm the
Maternal-Childm Patient 296
Chapterm33:m ThemChildm withm anmEm otionalm ormBehavioralm Conditi 305
on
Chapterm 34:m Complementary m andm Alternativem Therapiesm inm Maternity m andm Pediatric m Nursing
315
,Test mBank m- 2
mIntroductionmto mMaternity mand mPediatric mNursing m7em(Leif erm2015)
Chapter 01: The Past, Present, and Future
m m m m m m
MULTIPLE m CHOICE
1. Ampatientmchoosesmtomhavemthemcertifiedmnursemmidwifem(CNM)mprovidemcaremduringmhermpregnancy. mWhatm
doesmthemCNMsm scope mof mpractice minclude?
a. Practicem independentm fromm medicalm supervision
b. Comprehensivemprenatalm care
c. Attendancematmallmdeliveries
d. Cesareanmsections
ANS:mB
ThemCNMmprovidesmcomprehensivemprenatalmandmpostnatalmcare, mattends muncomplicatedmdeliveries, mandmensures
mthatmambackup mphysicianmis mavailableminm case mof m unforeseenm problems.
DIF:mCognitivemLevel:mComprehensionmREF:mPagem6mOBJ:m12
TOP:mAdvancemPracticemNursingmRolesmKEY:mNursingmProcessmStep:mImplementation
MSC:mNCLEX:mHealthmPromotionmandmMaintenance:mPreventionmandmEarlymDetectionmofmDisease
2. Whichmmedicalmpioneermdiscoveredmthemrelationshipmbetweenmthemincidencemofmpuerperalmfevermandmunwas
hedmhands?
a. KarlmCred
b. Ignazm Semmelweis
c. Louism Pasteur
d. Josephm Lister
ANS:mB
IgnazmSemmelweismdeducedmthatmpuerperalmfevermwasmseptic, mcontagious, mandmtransmittedmbymthemunwashedihan
dsmofmphysicians mand mmedical mstudents.
DIF:mCognitivemLevel:mKnowledgemREF:mPagem2mOBJ:m1m
TOP:mThemPast mKE Y:m NursingmProcess mStep:m N/A
MSC:mNCLEX:mSafe, mEffectivemCaremEnvironment:mSafetymandmInfectionmControl
3. AmpregnantmwomanmwhomhasmrecentlymimmigratedmtomthemUnitedmStatesmcommentsmtomthemnurse, mImammafra
idmofmchildbirth. mItmismsom dangerous. mIm am mafraidmI mwillmdie. m Whatm is mthembestm nursing mresponse mreflecti
ngmculturalmsensitivity?
a. MaternalmmortalityminmthemUnitedmStatesmismextremelymlow.
b. Anesthesiamismavailablemtomrelievempainmduringmlabormandmchildbirth.
c. Tellmmemwhymyoumaremafraidmofmchildbirth.
d. Yourmconditionmwillmbemmonitoredmduringmlabormandmdelivery.
ANS:mC
Askingmthempatientmaboutmhermconcernsmhelpsmpromotemunderstandingmandmindividualizesmpatientmcare.
DIF:mCognitivemLevel:mApplicationmREF:mPagem7-
8mOBJ:m8mTOP:m Cross-
Culturalm Carem KEY:m Nursingm Processm Step:
ImplementationiMSC:mNCLEX:mPsychosocialmIntegrity:mPsychologicalm
Adaptation
4. Anmurbanmareamhasmbeenmreportedmtomhavemamhighmperinatalmmortalitymrate. mWhatminformationmdoesmthismprovide?
a. Maternalmandminfantmdeathsmperm100,000mlivembirthsmpermyear
b. Deathsmofmfetusesmweighingmmoremthanm500mgmperm10,000mbirthsmpermyear
c. Deathsmofminfantsmupmtom1myearmofmagemperm1000mlivembirthsmpermyear
d. Fetalmandmneonatalmdeathsmperm1000mlivembirthsmpermyear
ANS:mD
Themperinatalmmortalitymratemincludesmfetalmandmneonatalmdeathsmperm1000mlivembirthsmperm
year. mDIF:mCognitivemLevel:m Comprehensionm REF: mPage m12, m Boxm 1-6
,Test mBank m- 3
mIntroductionmto mMaternity mand mPediatric mNursing m7em(Leif erm2015)
OBJ:m9mTOP:mThemPresent-ChildmCare
KEY:mNursingmProcessmStep:mImplementation
MSC:mNCLEX:mSafe, mEffectivemCaremEnvironment:mCoordinatedmCare
5. Whatmismthemfocusmofmcurrentmmaternitympractice?
a. Hospitalmbirthsmformthemmajoritymofmwomen
b. Themtraditionalmfamilymunit
c. Separationmofmlabormroomsmfrommdeliverymrooms
d. Amqualitymfamilymexperiencemformeachmpatient
ANS:mD
Currentmmaternitympracticemfocusesmonmamhigh-qualitymfamilymexperiencemformallmfamilies, mtraditionalmormotherwise.
DIF:mCognitivemLevel:mComprehensionmREF:mPagem6mOBJ:m7
TOP:mThemPresent-
MaternitymCaremKEY:mNursingmProcessmStep:mN/AmMSC:mNCLE X:m He
althmPromotionmand m Maintenance
6. WhomadvocatedmthemestablishmentmofmthemChildrensmBureau?
a. LillianmWald
b. Florencem Nightingale
c. FlorencemKelly
d. ClaramBarton
ANS:mA
LillianmWaldmismcreditedmwithmsuggestingmthemestablishmentmofmamfederalmChildrensmBureau.
DIF:mCognitivemLevel:mKnowledge m REF:mPagem4m OBJ:m1m|m
2mTOP:mThemPastmKEY:mNursingmProcessmStep:mImplementatio
n
MSC:mNCLEX:mHealthmPromotionmandmMaintenance:mGrowthmandmDevelopment
7. Whatmwasmthemresultmofmresearchmdoneminmthem1930smbymthemChildrensmBureau?
a. Childrenmwithmheartmproblemsmaremnowmcaredmformbympediatricmcardiologists.
b. ThemChildmAbusemandmPreventionmActmwasmpassed.
c. Hotmlunchmprogramsmweremestablishedminmmanymschools.
d. Childrensmasylumsmweremfounded.
ANS:mC
SchoolmhotmlunchmprogramsmweremdevelopedmasmamresultmofmresearchmbymthemChildrensmBureaumonmthemeffectsmof
meconomicmdepressionmonm children.
DIF:mCognitivemLevel:mKnowledgemREF:mPagem4mOBJ:m2m|
m3mTOP:mThemPastm KE Y:m NursingmProcessm Step:m N/A
MSC:mNCLEX:mHealthmPromotionmandmMaintenance:mCoordinatedmCare
8. Whatmgovernmentmprogrammwasmimplementedmtomincreasemthemeducationalmexposuremofmpreschoolmchildren?
a. WIC
b. Titlem XIXm ofm Medicaid
c. Them Childrensm Charter
d. HeadmStart
ANS:mD
HeadmStartmprogramsmweremestablishedmtomincreasemeducationalmexposuremofmpreschoolmchildren.
DIF:mCognitivemLevel:mKnowledgemREF:mPagem3mOBJ:m5
TOP:mGovernmentmInfluencesminmMaternitymandmPediatricmCaremKEY:mNursingmProcessmStep:mN/Am
MSC:mNCLEX:m Health mPromotionm and m Maintenance:m Growth mandm Development
9. Whatmguidelinesmdefinemmultidisciplinarympatientmcareminmtermsmofmexpectedmoutcomemandmtimeframemfr
ommdifferentmareasmofm carem provision?
, Test mBank m- 4
mIntroductionmto mMaternity mand mPediatric mNursing m7em(Leif erm2015)
a. Clinicalmpathways
b. Nursingmoutcomemcriteria
c. Standardsmofmcare
d. Nursingmcaremplan
ANS:mA
Clinicalmpathways, malsomknownmasmcriticalmpathwaysmormcaremmaps, maremcollaborativemguidelinesmthatmdefineipati
entmcaremacrossm disciplines. mExpectedm progressm withinm am specified mtimelinemismidentified.
DIF:mCognitivemLevel:mKnowledgemREF:mPagem12mOBJ:m14
TOP:mHealthmCaremDeliverymSystemsmKEY:mNursingmProcessmStep:mN/Am
MSC:mNCLEX:mSafe, mEffectivemCaremEnvironment:mCoordinatedmCare
10. Amnursingmstudentmhasmreviewedmamhospitalizedmpediatricmpatientmchart, minterviewedmhermmother, mandmcolle
ctedmadmissionmdata. m What mismthe mnextmstep mthe mstudent mwill mtakemto mdevelop ma mnursingm care mplanmformthism
child?
a. Identifymmeasurablemoutcomesmwithmamtimeline.
b. Choosemspecificmnursingminterventionsmformthemchild.
c. Determinem appropriatem nursingm diagnoses.
d. Statemnursingmactionsmrelatedmtomthemchildsmmedicalmdiagnosis.
ANS:mC
ThemnursemusesmassessmentmdatamtomselectmappropriatemnursingmdiagnosesmfrommthemNANDA-
Imlist. mOutcomesmandminterventionsm are mthenm developedmtom address mthemrelevant mnursingm diagnoses.
DIF:mCognitivemLevel:mApplicationmREF:mPagem11mOBJ:m13
TOP:mNursingmProcessmKEY:mNursingmProcessmStep:mNursingmDiagnosism
MSC:mNCLEX:mSafe, mEffectivemCaremEnvironment:mCoordinatedmCare
11. AmnursingmstudentmonmanmobstetricmrotationmquestionsmthemfloormnursemaboutmthemdefinitionmofmthemLVN/
LPNmscopemofmpractice. m Whatmresourcem canmthe mnursem suggest mtom the m student?
a. Americanm Nursesm Association
b. Statesmboardmofmnursing
c. JointmCommission
d. AssociationmofmWomensmHealth, mObstetricmandmNeonatalmNurses
ANS:mB
ThemscopemofmpracticemofmthemLVN/LPNmismpublishedmbymthemstatesmboardmofmnursing.
DIF:mCognitivemLevel:mComprehensionmREF:mPagem3, mLegalmandmEthicalmConsiderationsm
OBJ:m18mTOP:m Critical m Thinking
KEY:mNursingmProcessmStep:mImplementation
MSC:mNCLEX:mSafe, mEffectivemCaremEnvironment:mCoordinatedmCare
12. WhatmwasmrecommendedmbymKarlmCredminm1884?
a. Allmwomenmshouldmbemdeliveredminmamhospitalmsetting.
b. Chemicalmmeansmshouldmbemusedmtomcombatminfection.
c. Podalicmversionmshouldmbemdonemonmallmfetuses.
d. Silvermnitratemshouldmbemplacedminmthemeyesmofmnewborns.
ANS:mD
Inm1884mKarlmCredmrecommendedmthemusemofm2%msilvermnitrateminmthemeyesmofmnewbornsmtomreducemthemincidencemof
mblindness.
DIF:mCognitivem Level: mKnowledge m REF:m Pagem 2m OBJ:m1 mT
OP:mUsemofmSilvermNitratemKEY:mNursingmProcessmStep:mN/A
MSC:mNCLEX:mHealthmPromotionmandmMaintenance:mPreventionmandmEarlymDetectionmofmDisease
13. WhatmismthempurposemofmthemWhitemHousemConferencemonmChildrenmandmYouth?
a. Setmcriteriamformnormalmgrowthmpatterns.