Chapter 01: The Past, Present, and Future
r r r r r r
Leifer: Introduction to Maternity and Pediatric Nursing, 9th Edition
r r r r r r r r
MULTIPLErCHOICE
1. Arpatientrchoosesrtorhaverthercertifiedrnurse-
midwifer(CNM)rprovidercarerduringrherpregnancy.rWhatrd
oesrtherCNM‘srscoperofrpracticerinclude?
a. Practicerindependentrfromrmedicalrsupervision
b. Comprehensiverprenatalrcare
c. Attendanceratrallrdeliveries
d. Cesareanrsections
ANS:r B
TherCNMrprovidesrcomprehensiverprenatalrandrpostnatalrcar
e,rattendsruncomplicatedrdeliveries,randrensuresrthatrarbacku
prphysicianrisravailablerinrcaserofrunforeseenrproblems.
2. Whichrmedicalrpioneerrdiscoveredrtherrelationshiprbetweenrtherincidencerofrpuerperalrfeverran
drunwashedrhands?
a. KarlrCredé
b. IgnazrSemmelweis
c. LouisrPasteur
d. JosephrLister
ANS:r B
IgnazrSemmelweisrdeducedrthatrpuerperalrfeverrwasrseptic,rcontagious,randrtransmittedrbyrther
unwashedrhandsrofrphysiciansrandrmedicalrstudents.
3. ArpregnantrwomanrwhorhasrrecentlyrimmigratedrtortherUnitedrStatesrcommentsrtorthernurse,r“Ira
mrafraidrofrchildbirth.rItrisrsordangerous.rIramrafraidrIrwillrdie.”rWhatrisrtherbestrnursingrresponser
reflectingrculturalrsensitivity?
a. “MaternalrmortalityrinrtherUnitedrStatesrisrextremelyrlow.”
b. “Anesthesiarisravailablertorrelieverpainrduringrlaborrandrchildbirth.”
c. “Tellrmerwhyryourarerafraidrofrchildbirth.”
d. “Yourrconditionrwillrbermonitoredrduringrlaborrandrdelivery.”
ANS:rC
Askingrtherpatientraboutrherrconcernsrhelpsrpromoterunderstandingrandrindividualizesrpatientrcare.
4. Anrurbanrarearhasrbeenrreportedrtorhaverarhighrperinatalrmortalityrrate.rWhatrinformationrdoe
srthisrprovide?
a. Maternalrandrinfantrdeathsrperr100,000rliverbirthsrperryear
b. Deathsrofrfetusesrweighingrmorerthanr500rgrperr10,000rbirthsrperryear
c. Deathsrofrinfantsruprtor1ryearrofragerperr1000rliverbirthsrperr year
d. Fetalrandrneonatalrdeathsrperr1000rliverbirthsrperryear
ANS:rD
Therperinatalrmortalityrraterincludesrfetalrandrneonatalrdeathsrperr1000rliverbirthsrperr year.
5. Whatrisrtherfocusrofrcurrentrmaternityrpractice?
a. Hospitalrbirthsrforrthermajorityrofrwomen
b. Thertraditionalrfamilyrunit
c. Separationrofrlaborrroomsrfromrdeliveryrrooms
d. Arqualityrfamilyrexperiencerforreachrpatient
ANS:rD
Currentrmaternityrpracticerfocusesronrarhigh-
qualityrfamilyrexperiencerforrallrfamilies,rtraditionalrorrotherwise.
7. Whatrwasrtherresultrofrresearchrdonerinrther1930srbyrtherChildren‘srBureau?
a. Childrenrwithrheartrproblemsrarernowrcaredrforrbyrpediatricrcardiologists.
b. TherChildrAbuserandrPreventionrActrwasrpassed.
c. Hotrlunchrprogramsrwererestablishedrinrmanyrschools.
d. Children‘srasylumsrwererfounded.
ANS:rC
SchoolrhotrlunchrprogramsrwererdevelopedrasrarresultrofrresearchrbyrtherChildren‘srBureauronrthereff
ectsrofreconomicrdepressionronrchildren.
DIF: CognitiverLevel:rKnowledge REF:r r p.r4 OBJ:r2r|r3
8. Whatrgovernmentrprogramrwasrimplementedrtorincreaserthereducationalrexposurerofrpr
eschoolrchildren?
a. WIC
b. TitlerXIXrofrMedicaid
c. TherChildren‘srCharter
d. HeadrStart
ANS:rD
HeadrStartrprogramsrwererestablishedrtorincreasereducationalrexposurerofrpreschoolrchildren.
9. Whatrguidelinesrdefinermultidisciplinaryrpatientrcarerinrtermsrofrexpectedroutcomerandrti
meframerfromrdifferentrareasrofrcarerprovision?
a. Clinicalrpathways
b. Nursingroutcomercriteria
c. Standardsrofrcare
d. Nursingrcarerplan
ANS:rA
Clinicalrpathways,ralsorknownrasrcriticalrpathwaysrorrcarermaps,rarercollaborativerguidelinesrthatr
definerpatientrcareracrossrdisciplines.rExpectedrprogressrwithinrarspecifiedrtimelinerisridentified.
10. Arnursingrstudentrhasrreviewedrarhospitalizedrpediatricrpatientrchart,rinterviewedrherrmother,ran
drcollectedradmissionrdata.rWhatrisrthernextrsteprtherstudentrwillrtakertordeveloprarnursingrcarerpl
anrforrthisrchild?
a. Identifyrmeasurableroutcomesrwithrartimeline.
b. Chooserspecificrnursingrinterventionsrforrtherchild.
c. Determinerappropriaternursingrdiagnoses.
d. Staternursingractionsrrelatedrtortherchild‘srmedicalrdiagnosis.
ANS:rC
Thernurserusesrassessmentrdatartorselectrappropriaternursingrdiagnoses.rOutcomesrandrinterventionsr
arerthenrdevelopedrtoraddressrtherrelevantrnursingrdiagnoses.
11. ArnursingrstudentronranrobstetricrrotationrquestionsrtherfloorrnurseraboutrtherdefinitionrofrtherLV
N/LPNrscoperofrpractice.rWhatrresourcercanrthernursersuggestrtortherstudent?
a. AmericanrNursesrAssociation
b. State‘srBoardrofrNursing
c. JointrCommission
d. AssociationrofrWomen‘srHealth,rObstetricrandrNeonatalrNurses
ANS:rB
TherscoperofrpracticerofrtherLVN/LPNrisrpublishedrbyrtherstate‘srboardrofrnursing.
12. Whatrwasrrecommendedr byrKarlrCredérinr1884?
a. Allrwomenrshouldrberdeliveredrinrarhospitalrsetting.
b. Chemicalrmeansrshouldrberusedrtorcombatrinfection.
c. Podalicrversionrshouldrberdoneronrallrfetuses.
d. Silverrnitratershouldrberplacedrinrthereyesrofrnewborns.
ANS:rD
Inr1884rKarlrCredérrecommendedrtheruserofr2%rsilverrnitraterinrthereyesrofrnewbornsrtorreducert
herincidencerofrblindness.
13. WhatrisrtherpurposerofrtherWhiterHouserConferenceronrChildrenrandrYouth?
a. Setrcriteriarforrnormalrgrowthrpatterns.
b. Examinerthernumberrofrliverbirthsrinrminorityrpopulations.
c. Raisermoneyrtorsupportrwell-childrclinicsrinrruralrareas.
d. Promotercomprehensiverchildrwelfare.
ANS:rD
WhiterHouserConferencesronrChildrenrandrYouthrarerheldreveryr10ryearsrtorpromotercomprehensive
rchildrwelfare.
14. Howrmanyrhoursrofrhospitalrstayrdoesrlegislationrcurrentlyrallowrforrarpostpartumrpatientrwh
orhasrdeliveredrvaginallyrwithoutrcomplications?
a. 24
b. 48
c. 36
d. 72
ANS:rB
Postpartumrpatientsrwhordeliverrvaginallyrstayrinrtherhospitalrforranraveragerofr48rhours;rpatien
tsrwhorhaverhadrarcesareanrdeliveryrusuallyrstayr4rdays.
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Aguider. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $16.99. You're not tied to anything after your purchase.
