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Introduction to Maternity and Pediatric Nu
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rsing,8th Edition by Gloria Leifer
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UNITvI:vAnvOverviewvofvMaternityvandvPediatricvNursing
Chapterv 1:vThevPast,vPresent,vandvFuture
UNITvII:vMaternal-
NewbornvNursingvandvWomen’svHealthvChapterv2:vHumanvR
eproductivevAnatomyvandvPhysiologyvChapterv 3:vFetalvDevelo
pment
Chapterv4:vPrenatalvCarevandvAdaptationsvtovPregnancy
Chapterv5:vNursingvCarevofvWomenvwithvComplicationsvduringvPregnancyv
Chapterv6:vNursingvCarevofvMothervandvInfantvduringvLaborvandvBirthvCha
pterv 7:vNursingvManagementvofvPainvduringvLaborvandvBirth
Chapterv8:vNursingvCarevofvWomenvwithvComplicationsvduringvLaborvandv
Birth
Chapterv9:vThevFamilyvaftervBirth
Chapterv10:vNursingvCarevofvWomenvwithvComplicationsvFollowingvBirthv
Chapterv 11:vThevNurse’svRolevinvWomen’svHealthvCare
Chapterv 12:vThevTermvNewborn
Chapterv 13:vPretermvandvPost-TermvNewborns
Chapterv14:vThevNewbornvwithvavPerinatalvInjuryvorv Congenitalv
Malformation
UNITvIII:vThevGrowingvChildvandvFamily
Chapterv15:vAnvOverviewvofvGrowth,vDevelopment,vandvNutritionvChapter
v 16:vThevInfant
Chapterv 17:vThevToddlervChapt
erv18:vThevPreschoolvChild
Chapterv19:vThevSchool-
AgevChildvChapterv 20:vThevAdolesc
ent
UNITvIV:vAdaptingvCarevtovthevPediatricvPatient
Chapterv21:vThevChild’svExperiencevofvHospitalizationvChapte
rv22:vHealthvCarevAdaptationsvforvthevChildvandvFamilyvUNITv
V:vThevChildvNeedingvNursingvCare
Chapterv23:vThevChildvwithvavSensoryvorvNeurologicalvConditionv
Chapterv 24:vThevChildvwithvav MusculoskeletalvConditionvChapte
rv 25:vThevChildvwithvav RespiratoryvDisorder
Chapterv26:vThevChildvwithvavCardiovascularvDisorder
Chapterv27:vThevChildvwithvavConditionvofvthevBlood,vBlood-
FormingvOrgansvorvLymphaticvSystemvChapterv 28:vThevChildvwithvav GastrointestinalvCondition
Chapterv29:vThevChildvwithvavGenitourinaryvConditionvChapter
v 30:vThevChildvwithvav SkinvCondition
Chapterv31:vThevChildvwithvavMetabolicvCondition
Chapterv32:vChildhoodvCommunicablevDiseases,vBioterrorism,vNaturalvDisastersvandvthevMaternal-
ChildvPatient
Chapterv33:vThevChildvwithvanvEmotionalvorvBehavioralvCondition
UNITvVI:vThevChangingvHealthvCarevEnvironment
Chapterv34:vComplementaryvandvAlternativevTherapiesvinvMaternityvandvPediatricvNursing
, INTRODUCTIONvTOvMATERNITYvANDvPEDIATRICvNURSINGv8THvEDITIONvLEIFERvTESTvBANK
2
Chapter 01: The Past, Present, and Future
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MULTIPLEv CHOICE
1. Avpatientv choosesv tov havevthevcertifiedv nursev midwifev (CNM)v providev carev duringv herv pregnancy.v Whatv doesvt
hevCNMsvscopev ofvpracticevinclude?
a. Practicev independentv fromv medicalv supervisionv
b.vComprehensivevprenatalvcare
c.v Attendancevatvallvdeliveries
d.v Cesareanvsections
ANS:vB
Thev CNMv providesv comprehensivev prenatalvandv postnatalv care,v attendsv uncomplicatedv deliveries,v andv ensuresvtha
tvav backupvphysicianvisvavailablevinvcasevofvunforeseenv problems.
DIF:vCognitivev Level:v Comprehensionv REF:v Pagev 6
TOP:v Advancev Practicev Nursingv Rolesv KEY:v NursingvProcessv Step:v Implementation
MSC:v NCLEX:v Healthv Promotionv andv Maintenance:v Preventionv andv Earlyv Detectionv ofv Disease
2. Whichv medicalv pioneerv discoveredv thev relationshipvbetweenvthev incidencev ofv puerperalv feverv andv unwashedv
hands?
a. KarlvCred
b. Ignazv Semmelweis
c. Louisv Pasteur
d. Josephv Lister
ANS:vB
IgnazvSemmelweisvdeducedvthatvpuerperalvfevervwasvseptic,vcontagious,vandvtransmittedvbyvthevunwashedvhands
vofvphysiciansvandvmedicalvstudents.
DIF:v Cognitivev Level:v Knowledgev REF:v Pagev 2vTOP
:v Thev Pastv KEY:v NursingvProcessv Step:v N/A
MSC:v NCLEX:v Safe,v Effectivev Carev Environment:v Safetyv andv Infectionv Control
3. Av pregnantv womanv whov hasv recentlyv immigratedv tovthev UnitedvStatesv commentsv tovthevnurse,v Ivamvafraidv ofv
childbirth.vItvisvsovdangerous.vIvamvafraidvIvwillvdie.vWhatvisvthevbestvnursingvresponsevreflectingvculturalvsensitivi
ty?
a. Maternalv mortalityvinvthev Unitedv Statesv isvextremelyvlow.
b. Anesthesiavisvavailablevtovrelievevpainvduringvlaborvandvchildbirth.vc.
v Tellv mevwhyvyouvarevafraidvofvchildbirth.
d.v Yourv conditionv willvbev monitoredv duringvlaborv andvdelivery.
ANS:vC
Askingvthev patientvaboutv herv concernsv helpsv promotev understandingv andvindividualizesv patientv care.
DIF:v Cognitivev Level:v ApplicationvREF:v Pagev7
TOP:v Cross-
Culturalv Carev KEY:v Nursingv Processv Step:v ImplementationvMSC:v NCLE
X:v Psychosocialv Integrity:v Psychologicalv Adaptation
4. Anv urbanvareav hasv beenvreportedvtov havevav highvperinatalv mortalityvrate.v Whatv informationv doesv thisv provide?
a. Maternalvandvinfantv deathsv perv 100,000v livevbirthsv perv year
b. Deathsvofvfetusesv weighingv morev thanv500v gvperv 10,000vbirthsv perv year
c. Deathsv ofvinfantsv upvtov1v yearv ofvagev perv 1000vlivevbirthsv perv yearv
d.v Fetalvandvneonatalvdeathsvperv1000vlivevbirthsvpervyear
ANS:vD
Thevperinatalv mortalityvratevincludesv fetalv andvneonatalv deathsv perv 1000v livevbirthsv perv year.v
DIF:vCognitivev Level:vComprehensionv REF:v Pagev12
, INTRODUCTIONvTOvMATERNITYvANDvPEDIATRICvNURSINGv8THvEDITIONvLEIFERvTESTvBANK
3
OBJ:v 9v TOP:v ThevPresent-Childv Care
KEY:v Nursingv Processv Step:v Implementation
MSC:v NCLEX:v Safe,v Effectivev Carev Environment:v Coordinatedv Care
5. Whatv isvthev focusv ofvcurrentv maternityv practice?
a. Hospitalvbirthsvforv thev majorityvofv women
b. Thevtraditionalvfamilyv unit
c. Separationv ofv laborv roomsv fromv deliveryv roomsv
d.v Avqualityvfamilyvexperiencevforveachvpatient
ANS:vD
Currentv maternityvpracticev focusesv onvav high-qualityv familyvexperiencev forv allv families,v traditionalv orv otherwise.
DIF:v Cognitivev Level:v ComprehensionvREF:v Pagev6
TOP:v Thev Present-
Maternityv Carev KEY:v Nursingv Processv Step:v N/AvMSC:v NCLEX:v Health
v Promotionv andvMaintenance
6. WhovadvocatedvthevestablishmentvofvthevChildrensvBureau?va
.vLillianvWald
b. Florencev Nightingale
c. Florencev Kelly
d. Clarav Barton
ANS:v A
LillianvWaldvisv creditedvwithvsuggestingv thev establishmentv ofvav federalv Childrensv Bureau.
DIF:v Cognitivev Level:v Knowledgev REF:v Pagev4
TOP:v ThevPastv KEY:v Nursingv Processv Step:v Implementation
MSC:v NCLEX:v Healthv Promotionv andv Maintenance:v Growthv andv Development
7. Whatv wasv thev resultv ofvresearchv donevinvthev1930sv byvthev Childrensv Bureau?
a. Childrenv withvheartv problemsv arevnowvcaredvforv byv pediatricv cardiologists.
b. Thev Childv Abusevandv Preventionv Actv wasv passed.
c. Hotv lunchv programsv werevestablishedvinv manyvschools.
d. Childrensv asylumsv werev founded.
ANS:vC
Schoolv hotv lunchv programsv werevdevelopedvasv avresultv ofvresearchvbyvthev Childrensv Bureauvonvthev effectsv ofveconom
icv depressionvonvchildren.
DIF:v Cognitivev Level:v Knowledgev REF:v Pagev 4vTOP
:v Thev Pastv KEY:v NursingvProcessv Step:v N/A
MSC:v NCLEX:v Healthv Promotionv andv Maintenance:v Coordinatedv Care
8. Whatvgovernmentv programv wasv implementedv tovincreasev thev educationalv exposurev ofv preschoolv children?
a. WIC
b. Titlev XIXv ofv Medicaid
c. Thev Childrensv Charterv
d.v HeadvStart
ANS:vD
HeadvStartvprogramsv werev establishedv tov increasev educationalv exposurev ofv preschoolv children.
DIF:v Cognitivev Level:v Knowledgev REF:v Pagev3
TOP:v Governmentv Influencesv inv Maternityvandv Pediatricv Carev KEY:v Nursingv Processv Step:v N/Av
MSC:v NCLEX:v HealthvPromotionv andvMaintenance:v GrowthvandvDevelopment
9. Whatvguidelinesvdefinevmultidisciplinaryvpatientvcarevinvtermsvofvexpectedvoutcomevandvtimeframevfromvdif
ferentvareasvofvcarevprovision?