Introduction to Maternity and Pediatric Nursing,
hj hj hj hj hj
8th Edition by Gloria Leifer
hj hj hj hj hj
UNIT hjI: hjAn hjOverview hjof hjMaternity hjand hjPediatric hjNursing
Chapter hj1: hjThe hjPast, hjPresent, hjand hjFuture
UNIT hjII: hjMaternal-Newborn hjNursing hjand hjWomen’s hjHealth
hjChapter hj2: hjHuman hjReproductive hjAnatomy hjand hjPhysiology
hjChapter hj3: hjFetal hjDevelopment
Chapter hj4: hjPrenatal hjCare hjand hjAdaptations hjto hjPregnancy
Chapter hj5: hjNursing hjCare hjof hjWomen hjwith hjComplications hjduring hjPregnancy
hjChapter hj6: hjNursing hjCare hjof hjMother hjand hjInfant hjduring hjLabor hjand hjBirth
hjChapter hj7: hjNursing hjManagement hjof hjPain hjduring hjLabor hjand hjBirth
Chapter hj8: hjNursing hjCare hjof hjWomen hjwith hjComplications hjduring hjLabor hjand
hjBirth
Chapter hj9: hjThe hjFamily hjafter hjBirth
Chapter hj10: hjNursing hjCare hjof hjWomen hjwith hjComplications hjFollowing hjBirth
hjChapter hj11: hjThe hjNurse’s hjRole hjin hjWomen’s hjHealth hjCare
Chapter hj12: hjThe hjTerm hjNewborn
Chapter hj13: hjPretermhjand hjPost-Term hjNewborns
Chapter hj14: hjThe hjNewborn hjwith hja hjPerinatal hjInjury hjor hjCongenital
hjMalformation
UNIT hjIII: hjThe hjGrowing hjChild hjand hjFamily
Chapter hj15: hjAn hjOverview hjof hjGrowth, hjDevelopment, hjand
hjNutrition hjChapter hj16: hjThe hjInfant
Chapter hj17: hjThe hjToddler
hjChapter hj18: hjThe hjPreschool
hjChild
Chapter hj19: hjThe hjSchool-Age hjChild
hjChapter hj20: hjThe hjAdolescent
UNIT hjIV: hjAdapting hjCare hjto hjthe hjPediatric hjPatient
Chapter hj21: hjThe hjChild’s hjExperience hjof hjHospitalization
hjChapter hj22: hjHealth hjCare hjAdaptations hjfor hjthe hjChild hjand
hjFamily hjUNIT hjV: hjThe hjChild hjNeeding hjNursing hjCare
Chapter hj23: hjThe hjChild hjwith hja hjSensory hjor hjNeurological
hjCondition hjChapter hj24: hjThe hjChild hjwith hja hjMusculoskeletal
hjCondition hjChapter hj25: hjThe hjChild hjwith hja hjRespiratory
hjDisorder
Chapter hj26: hjThe hjChild hjwith hja hjCardiovascular hjDisorder
Chapter hj27: hjThe hjChild hjwith hja hjCondition hjof hjthe hjBlood, hjBlood-Forming hjOrgans hjor hjLymphatic hjSystem
hjChapter hj28: hjThe hjChild hjwith hja hjGastrointestinal hjCondition
Chapter hj29: hjThe hjChild hjwith hja hjGenitourinary hjCondition
hjChapter hj30: hjThe hjChild hjwith hja hjSkin hjCondition
Chapter hj31: hjThe hjChild hjwith hja hjMetabolic hjCondition
Chapter hj32: hjChildhood hjCommunicable hjDiseases, hjBioterrorism, hjNatural hjDisasters hjand hjthe hjMaternal-
Child hjPatient
Chapter hj33: hjThe hjChild hjwith hjan hjEmotional hjor hjBehavioral hjCondition
UNIT hjVI: hjThe hjChanging hjHealth hjCare hjEnvironment
Chapter hj34: hjComplementary hjand hjAlternative hjTherapies hjin hjMaternity hjand hjPediatric hjNursing
, INTRODUCTION hjTO hjMATERNITY hjAND hjPEDIATRIC hjNURSING hj8TH hjEDITION hjLEIFER hjTEST
BANK
2
Chapter 01: The Past, Present, and Future
hj hj hj hj hj hj
MULTIPLE h j CHOICE
1. A hjpatient hjchooses hjto hjhave hjthe hjcertified hjnurse hjmidwife hj(CNM) hjprovide hjcare hjduring hjher hjpregnancy.
hjWhat hjdoes hjthe hjCNMs hjscope hjof hjpractice hjinclude?
a. Practice h j independent h j from h j medical h j supervision
b. Comprehensive h j prenatal h j care
c. Attendance hjat hjall hjdeliveries
d. Cesarean h j sections
ANS: h j B
The hjCNM hjprovides hjcomprehensive hjprenatal hjand hjpostnatal hjcare, hjattends hjuncomplicated hjdeliveries, hjand
hjensures hjthat hja h j backup h j physician h j is h j available hjin h j case h j of h j unforeseen h j problems.
DIF: hjCognitive h j Level: h j Comprehension h j REF: h j Page h j 6
TOP: h j Advance h j Practice hjNursing h jRoles hjKEY: hjNursing hjProcess h j Step: hjImplementation
MSC: h jNCLEX: h j Health hjPromotion hjand h j Maintenance: h j Prevention hjand hjEarly hjDetection h j of hjDisease
2. Which hjmedical hjpioneer hjdiscovered hjthe hjrelationship hjbetween hjthe hjincidence hjof hjpuerperal hjfever hjand
hjunwashed hjhands?
a. Karl hjCred
b. Ignaz h j Semmelweis
c. Louis h j Pasteur
d. Joseph h j Lister
ANS: h j B
Ignaz hjSemmelweis hjdeduced hjthat hjpuerperal hjfever hjwas hjseptic, hjcontagious, hjand hjtransmitted hjby hjthe
hjunwashed hjhands hjof hjphysicians hjand hjmedical hjstudents.
DIF: hjCognitive hjLevel: hjKnowledge hjREF: hjPage hj2
hjTOP: hj The hj Past hj KEY: h j Nursing hjProcess h j Step:
h j N/A
MSC: h j NCLEX: h j Safe, h j Effective h j Care h j Environment: h j Safety hjand hjInfection hjControl
3. A hjpregnant hjwoman hjwho hjhas hjrecently hjimmigrated hjto hjthe hjUnited hjStates hjcomments hjto hjthe hjnurse, hjI hjam
hjafraid hjof hjchildbirth. h j It h j is h j so h j dangerous. h j I h j am h j afraid h j I h j will h j die. h j What h j is h j the h j best h j nursing
hjresponse h j reflecting h j cultural hjsensitivity?
a. Maternal h j mortality hjin hjthe h j United h j States h j is hjextremely hjlow.
b. Anesthesia h j is hjavailable hjto hjrelieve h j pain h j during hjlabor hjand hjchildbirth.
c. Tell h j me hjwhy hjyou hjare hjafraid hjof hjchildbirth.
d. Your h j condition hjwill hjbe hj monitored h jduring hjlabor h j and hjdelivery.
ANS: h j C
Asking hjthe hjpatient hjabout h j her h j concerns h j helps h j promote hjunderstanding hjand hjindividualizes h j patient h j care.
DIF: hjCognitive h j Level: h j Application hjREF: h j Page hj7
TOP: hjCross-Cultural hjCare hjKEY: hjNursing hjProcess hjStep:
hjImplementation hjMSC: hjNCLEX: hjPsychosocial hjIntegrity:
h j Psychological hjAdaptation
4. An hjurban hjarea h j has hjbeen hjreported hjto hjhave hja h j high hjperinatal hjmortality hjrate. h jWhat hjinformation h j does hjthis
hj provide?
a. Maternal hjand hjinfant hjdeaths h j per h j 100,000 h j live hjbirths h jper h j year
b. Deaths hjof hjfetuses h j weighing h j more hjthan hj500 h j g hjper h j 10,000 hjbirths h j per hjyear
c. Deaths hjof hjinfants hjup hjto hj1 hjyear h j of hjage h j per h j1000 hjlive hjbirths hjper h j year
d. Fetal hjand hjneonatal hjdeaths h j per hj1000 hjlive hjbirths h j per hjyear
ANS: h j D
The hjperinatal hjmortality hjrate hjincludes hjfetal hjand hjneonatal hjdeaths hjper hj1000 hjlive hjbirths
per hjyear. hjDIF: hjCognitive hjLevel: hjComprehension hjREF: hjPage hj12
hj
, INTRODUCTION hjTO hjMATERNITY hjAND hjPEDIATRIC hjNURSING hj8TH hjEDITION hjLEIFER hjTEST
BANK
3
OBJ: h j 9 h j TOP: h jThe hjPresent-Child h j Care
KEY: hjNursing hjProcess h jStep: hjImplementation
MSC: h j NCLEX: h j Safe, h j Effective h j Care h j Environment: h j Coordinated hjCare
5. What hjis hjthe hjfocus hjof hjcurrent h j maternity h j practice?
a. Hospital hjbirths hjfor h j the h j majority hjof h j women
b. The hjtraditional h j family h j unit
c. Separation h j of hjlabor hjrooms h j from h j delivery hjrooms
d. A hjquality hjfamily hjexperience hjfor h j each h j patient
ANS: h j D
Current h j maternity hjpractice hjfocuses h jon hja hjhigh-quality hjfamily hjexperience hjfor h j all hjfamilies, h j traditional h j or
h j otherwise.
DIF: h j Cognitive h j Level: h j Comprehension hjREF: h j Page hj6
TOP: hjThe hjPresent-Maternity hjCare hjKEY: hjNursing hjProcess hjStep:
hjN/A hjMSC: hjNCLEX: hjHealth hjPromotion hjand hjMaintenance
6. Who hjadvocated hjthe hjestablishment h j of hjthe hjChildrens h j Bureau?
a. Lillian hjWald
b. Florence hjNightingale
c. Florence hjKelly
d. Clara hjBarton
ANS: h j A
Lillian hjWald hjis hjcredited hjwith hjsuggesting hjthe hjestablishment h j of hja h j federal hjChildrens h j Bureau.
DIF: h j Cognitive h j Level: h j Knowledge h j REF: h j Page h j 4
TOP: hjThe hjPast hjKEY: hjNursing hjProcess hjStep: hjImplementation
MSC: h jNCLEX: h j Health hjPromotion hjand h j Maintenance: h j Growth hjand hjDevelopment
7. What hjwas hjthe hjresult hjof hjresearch h jdone hjin hjthe hj1930s hjby hjthe h j Childrens hjBureau?
a. Children hjwith hjheart hjproblems hjare hjnow hjcared hjfor hjby hjpediatric hjcardiologists.
b. The hjChild hjAbuse hjand hjPrevention h j Act h j was hjpassed.
c. Hot hjlunch h j programs h j were hjestablished hjin h j many hjschools.
d. Childrens h j asylums h j were hjfounded.
ANS: h j C
School hjhot hjlunch hjprograms hjwere hjdeveloped hjas hja hjresult hjof hjresearch hjby hjthe hjChildrens h j Bureau hjon hjthe
hjeffects h j of hjeconomic hjdepression hjon hjchildren.
DIF: hjCognitive hjLevel: hjKnowledge hjREF: hjPage hj4
hjTOP: hj The hj Past hj KEY: h j Nursing hjProcess h j Step:
h j N/A
MSC: h j NCLEX: h j Health h jPromotion h j and h j Maintenance: h j Coordinated h j Care
8. What hjgovernment h j program h j was h j implemented hjto hjincrease h j the hjeducational h j exposure h j of h j preschool h j children?
a. WIC
b. Title hjXIX h j of h j Medicaid
c. The h j Childrens h j Charter
d. Head hjStart
ANS: h j D
Head hjStart hjprograms h j were hjestablished hjto hjincrease h jeducational h j exposure h j of h j preschool h j children.
DIF: h j Cognitive h j Level: h j Knowledge h j REF: h j Page h j 3
TOP: hjGovernment hjInfluences hjin hjMaternity hjand hjPediatric hjCare hjKEY: hjNursing hjProcess
hjStep: hjN/A hjMSC: h j NCLEX: h j Health h j Promotion h j and h j Maintenance: h j Growth hjand
h j Development
9. What hjguidelines hjdefine hjmultidisciplinary hjpatient hjcare hjin hjterms hjof hjexpected hjoutcome hjand hjtimeframe
hjfrom hjdifferent hjareas hjof hjcare hjprovision?
, INTRODUCTION hjTO hjMATERNITY hjAND hjPEDIATRIC hjNURSING hj8TH hjEDITION hjLEIFER hjTEST
BANK
4
a. Clinical hjpathways
b. Nursing h j outcome h j criteria
c. Standards h j of h j care
d. Nursing hjcare h j plan
ANS: h j A
Clinical hjpathways, hjalso hjknown hjas hjcritical hjpathways hjor hjcare hjmaps, hjare hjcollaborative hjguidelines hjthat
hjdefine hjpatient h j care h j across h j disciplines. h j Expected h j progress h j within hja h j specified h j timeline h j is
h j identified.
DIF: h j Cognitive h j Level: h j Knowledge h j REF: h j Page h j 12
TOP: hjHealth hjCare hjDelivery hjSystems hjKEY: hjNursing hjProcess hjStep:
hjN/A hjMSC: hjNCLEX: hjSafe, hjEffective hjCare hjEnvironment:
hjCoordinated hjCare
10. A hjnursing hjstudent hjhas hjreviewed hja hjhospitalized hjpediatric hjpatient hjchart, hjinterviewed hjher hjmother, hjand
hjcollected hjadmission h j data. h j What h j is h j the h j next h j step hjthe h j student h j will h j take h j to h j develop hja h j nursing
h j care hjplan hjfor h j this h j child?
a. Identify h j measurable hjoutcomes h j with hja hjtimeline.
b. Choose h j specific h j nursing hjinterventions h j for h j the h j child.
c. Determine h j appropriate h j nursing h j diagnoses.
d. State hjnursing hjactions hjrelated hjto hjthe h j childs h j medical hjdiagnosis.
ANS: h j C
The hjnurse hjuses hjassessment hjdata hjto hjselect hjappropriate hjnursing hjdiagnoses hjfrom hjthe hjNANDA-I hjlist. hjOutcomes
hjand hjinterventions h j are h j then h j developed h j to h j address h j the h j relevant h j nursing h j diagnoses.
DIF: h j Cognitive h j Level: h j Application h j REF: h j Page hj11
TOP: hjNursing hjProcess hjKEY: hjNursing hjProcess hjStep: hjNursing
hjDiagnosis hjMSC: hjNCLEX: hjSafe, hjEffective hjCare hjEnvironment:
hjCoordinated hjCare
11. A hjnursing hjstudent hjon hjan hjobstetric hjrotation hjquestions hjthe hjfloor hjnurse hjabout hjthe hjdefinition hjof hjthe
hjLVN/LPN hjscope h j of h j practice. hjWhat hjresource h j can hjthe h j nurseNsUuRg Sg IeNstGt oT Bt h. Ce Os tM
ude nt?
a. American hjNurses h j Association
b. States hjboard hjof hjnursing
c. Joint hjCommission
d. Association hjof hjWomens h j Health, h j Obstetric h j and hjNeonatal h j Nurses
ANS: h j B
The hjscope hj of hj practice hjof h jthe h j LVN/LPN h j is hjpublished hjby hjthe hjstates hjboard hjof h jnursing.
DIF: hjCognitive hjLevel: hjComprehension hjREF:
hjPage hj3 hjOBJ: hj18 hjTOP: hjCritical hjThinking
KEY: hjNursing hjProcess h jStep: hjImplementation
MSC: h j NCLEX: h j Safe, h j Effective h j Care h j Environment: h j Coordinated hjCare
12. What h j was h j recommended h j by hjKarl h j Cred hjin hj1884?
a. All h j women hjshould hjbe h j delivered hjin hja h j hospital hjsetting.
b. Chemical h j means hjshould hjbe h j used hjto hjcombat hjinfection.
c. Podalic h j version hjshould hjbe h j done h j on hjall hjfetuses.
d. Silver h j nitrate hjshould hjbe hjplaced hjin hjthe hjeyes h j of h j newborns.
ANS: h j D
In hj1884 hjKarl hjCred hjrecommended hjthe hjuse hjof hj2% h j silver hjnitrate hjin hjthe hjeyes hjof hjnewborns hjto hjreduce hjthe
hjincidence hjof hjblindness.
DIF: h j Cognitive h j Level: h j Knowledge h j REF: h j Page h j 2
TOP: hjUse hjof hjSilver h j Nitrate hjKEY: h jNursing hjProcess h j Step: h jN/A
MSC: h jNCLEX: h j Health hjPromotion hjand h j Maintenance: h j Prevention hjand hjEarly hjDetection h j of hjDisease
13. What hjis hjthe h j purpose h j of hjthe h j White hjHouse hjConference h j on hjChildren hjand hjYouth?
a. Set hjcriteria hjfor h j normal hjgrowth hjpatterns.