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TESTBANK FOR INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 9TH EDITION BY LEIFER/COMPLETE GUIDE
TESTBANK FOR INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 9TH EDITION BY LEIFER/COMPLETE GUIDE
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TESTBANK FOR INTRODUCTION TO MATERNITY ANDPEDIATRIC NURSING 9TH EDITION BY
LEIFER/COMPLETE GUIDE 2024-2025
,Chapter 01: The Past, Present, and Future
Leifer: Introduction to Maternity and Pediatric Nursing, 9th Edition
MULTIPLE CHOICE
1. A client chooses to have the certified RN-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
CORRECT ANSWER::
B
RATIONALE :->>The CNM provides comprehensive prenatal and postnatal care, attends
uncomplicated deliveries, and ensures that a backup physician is available in case of
unforeseen problems.
DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: 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
CORRECT ANSWER::
B
RATIONALE :->>Ignaz Semmelweis deduced that puerperal fever was septic, contagious,
and trCORRECT ANSWER:mitted bythe unwashed hands of physiciCORRECT
ANSWER: and medical students.
DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: 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 RN,
―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.‖
CORRECT ANSWER:: C
RATIONALE :->>Asking the client about her concerns helps promote understanding and
individualizes clientcare.
DIF: Cognitive Level: Application REF: pp. 6-8 OBJ: 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
CORRECT ANSWER:: D
RATIONALE :->>The perinatal mortality rate includes fetal and neonatal deaths per 1000 live
births per year.
DIF: Cognitive Level: Comprehension REF: p. 13 | Box 1.6
OBJ: 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 client
CORRECT ANSWER:: D
RATIONALE :->>Current maternity practice focuses on a high-quality family
experience for all families,traditional or otherwise.
DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: 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
CORRECT ANSWER:: A
RATIONALE :->>Lillian Wald is credited with suggesting the establishment of a federal
Children‘s Bureau.
DIF: Cognitive Level: Knowledge REF: p. 4 OBJ: 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.
CORRECT ANSWER:: C
RATIONALE :->>School hot lunch programs were developed as a result of research by the
Children‘s Bureau onthe effects of economic depression on children.
DIF: Cognitive Level: Knowledge REF: p. 4 OBJ: 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
CORRECT ANSWER:: D
RATIONALE :->>Head Start programs were established to increase educational exposure of
preschool children.
DIF: Cognitive Level: Knowledge REF: p. 3 OBJ: 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 client 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
CORRECT ANSWER:: A
RATIONALE :->>Clinical pathways, also known as critical pathways or care maps, are
collaborative guidelinesthat define client care across disciplines. Expected progress within a
specified timeline is identified.
DIF: Cognitive Level: Knowledge REF: p. 13 OBJ: 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 client 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.
CORRECT ANSWER:: C
RATIONALE :->>The RN uses assessment data to select appropriate nursing
diagnoses. Outcomes andinterventions are then developed to address the relevant
nursing diagnoses.
DIF: Cognitive Level: Application REF: p. 12 OBJ: 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 RN about the definition of the
LVN/LPN scope of practice. What resource can the RN suggest to the student?
a. American RNs Association
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