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Test Bank Introduction to Maternity and Pediatric Nursing 8th edition Leifer| ALL CHAPTERS
Test Bank Introduction to Maternity and Pediatric Nursing 8th edition Leifer| ALL CHAPTERS
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2NURSINGTB.COM
,INTRODUCTION TO MATERNITY AND PEDIA ri ri ri ri 3
TRICChapter
NURSING
ri 8TH EDITION LEIFER
01: The Past, Present, and Future ri ri ri
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MULTIPLE CHOICE ri
1. A patient chooses to have the certified nurse midwife (CNM) provide care during her pregnancy. What does th
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e CNMs scope of practice include?
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a. Practice independent from medical supervision ri ri ri ri
b. Comprehensive prenatal care ri ri
c. Attendance at all deliveries ri ri ri
d. Cesarean sections ri
ANS: B ri
The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated deliveries, and ensures t
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hat a backup physician is available in case of unforeseen problems.
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DIF: Cognitive Level: Comprehension REF: Page 6
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TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
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2. Which medical pioneer discovered the relationship between the incidence of puerperal fever and unwashed ha
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nds?
a. Karl Cred ri
b. Ignaz Semmelweis ri
c. Louis Pasteur ri
d. Joseph Lister ri
ANS: B ri
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the unwashed hand
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s of physicians and medical students.
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DIF: Cognitive Level: Knowledge REF: Page 2 T
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OP: The Past KEY: Nursing Process Step: N/A
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MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
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3. A pregnant woman who has recently immigrated to the United States comments to the nurse, I am afraid of ch
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ildbirth. It is so dangerous. I am afraid I will die. What is the best nursing response reflecting cultural sensit
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ivity?
a. Maternal mortality in the United States is extremely low.
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b. Anesthesia is available to relieve pain during labor and childbirth. ri ri ri ri ri ri ri ri ri
c. Tell me why you are afraid of childbirth.
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d. Your condition will be monitored during labor and delivery.
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ANS: C ri
Asking the patient about her concerns helps promote understanding and individualizes patient care.
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DIF: Cognitive Level: Application REF: Page 7
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TOP: Cross- ri
Cultural Care KEY: Nursing Process Step: Implementation MSC: NCLE
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X: Psychosocial Integrity: Psychological Adaptation
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4. An urban area has been reported to have a high perinatal mortality rate. What information does this provide?
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a. Maternal and infant deaths per 100,000 live births per year
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b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
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c. Deaths of infants up to 1 year of age per 1000 live births per year
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d. Fetal and neonatal deaths per 1000 live births per year
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ANS: D ri
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
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DIF: Cognitive Level: Comprehension REF: Page 12
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NURSINGTB.COM
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK ri ri ri ri ri ri ri ri ri ri
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer)
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OBJ: 9 TOP: The Present-Child Care
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KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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5. What is the focus of current maternity practice?
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a. Hospital births for the majority of women ri ri ri ri ri ri
b. The traditional family unit
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c. Separation of labor rooms from delivery rooms ri ri ri ri ri ri
d. A quality family experience for each patient
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ANS: D ri
Current maternity practice focuses on a high-quality family experience for all families, traditional or otherwise.
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DIF: Cognitive Level: Comprehension REF: Page 6
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TOP: The Present-
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Maternity Care KEY: Nursing Process Step: N/A MSC: NCLEX: Healt
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h Promotion and Maintenance
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6. Who advocated the establishment of the Childrens Bureau?
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a. Lillian Wald ri
b. Florence Nightingale ri
c. Florence Kelly ri
d. Clara Barton ri
ANS: A ri
Lillian Wald is credited with suggesting the establishment of a federal Childrens Bureau.
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DIF: Cognitive Level: Knowledge REF: Page 4
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TOP: The Past KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
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7. What was the result of research done in the 1930s by the Childrens Bureau?
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a. Children with heart problems are now cared for by pediatric cardiologists.
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b. The Child Abuse and Prevention Act was passed.
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c. Hot lunch programs were established in many schools.
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d. Childrens asylums were founded. ri ri ri
ANS: C ri
School hot lunch programs were developed as a result of research by the Childrens Bureau on the effects of eco
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nomic depression on children.
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DIF: Cognitive Level: Knowledge REF: Page 4 T
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OP: The Past KEY: Nursing Process Step: N/A
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MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care
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8. What government program was implemented to increase the educational exposure of preschool children?
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a. WIC
b. Title XIX of Medicaid ri ri ri
c. The Childrens Charter
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d. Head Start ri
ANS: D ri
Head Start programs were established to increase educational exposure of preschool children.
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DIF: Cognitive Level: Knowledge REF: Page 3
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TOP: Government Influences in Maternity and Pediatric Care KEY: Nursing Process Step: N/A
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MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
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9. What guidelines define multidisciplinary patient care in terms of expected outcome and timeframe from di
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fferent areas of care provision?
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NURSINGTB.COM
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK ri ri ri ri ri ri ri ri ri ri
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer)
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a. Clinical pathways ri
b. Nursing outcome criteria ri ri
c. Standards of care ri ri
d. Nursing care plan ri ri
ANS: A ri
Clinical pathways, also known as critical pathways or care maps, are collaborative guidelines that define patien
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t care across disciplines. Expected progress within a specified timeline is identified.
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DIF: Cognitive Level: Knowledge REF: Page 12
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TOP: Health Care Delivery Systems KEY: Nursing Process Step: N/A
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MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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10. A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her mother, and collected ad
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mission data. What is the next step the student will take to develop a nursing care plan for this child?
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a. Identify measurable outcomes with a timeline. ri ri ri ri ri
b. Choose specific nursing interventions for the child.
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c. Determine appropriate nursing diagnoses. ri ri ri
d. State nursing actions related to the childs medical diagnosis.
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ANS: C ri
The nurse uses assessment data to select appropriate nursing diagnoses from the NANDA-
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I list. Outcomes and interventions are then developed to address the relevant nursing diagnoses.
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DIF: Cognitive Level: Application REF: Page 11
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TOP: Nursing Process KEY: Nursing Process Step: Nursing Diagnosis
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MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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11. A nursing student on an obstetric rotation questions the floor nurse about the definition of the LVN/LPN sco
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pe of practice. What resource can the n urseNsUuRggSIeNstGtoT Bth. Ce OstM
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a. American Nurses Association ri ri
b. States board of nursing ri ri ri
c. Joint Commission ri
d. Association of Womens Health, Obstetric and Neonatal Nurses ri ri ri ri ri ri ri
ANS: B ri
The scope of practice of the LVN/LPN is published by the states board of nursing.
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DIF: Cognitive Level: Comprehension REF: Page 3
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OBJ: 18 TOP: Critical Thinking
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KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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12. What was recommended by Karl Cred in 1884?ri ri ri ri ri ri ri
a. All women should be delivered in a hospital setting.
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b. Chemical means should be used to combat infection. ri ri ri ri ri ri ri
c. Podalic version should be done on all fetuses.
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d. Silver nitrate should be placed in the eyes of newborns.
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ANS: D ri
In 1884 Karl Cred recommended the use of 2% silver nitrate in the eyes of newborns to reduce the incidence of b
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lindness.
DIF: Cognitive Level: Knowledge REF: Page 2
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TOP: Use of Silver Nitrate KEY: Nursing Process Step: N/A
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MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
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13. What is the purpose of the White House Conference on Children and Youth?
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a. Set criteria for normal growth patterns.
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