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Introduction to Maternity and Pediatric Nursing, 8th Edition by Gloria Leifer New Version 2025
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Introduction to Maternity and Pediatric Nursing, 8th Edition by Gloria Leifer Introduction to Maternity and Pediatric Nursing, 8th Edition by Gloria Leifer Introduction to Maternity and Pediatric Nursing, 8th Edition by Gloria Leifer Introduction to Maternity and Pediatric Nursing, 8th Edition by G...

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  • January 26, 2025
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  • introduction to maternity and pediatric nursing
  • introduction to maternity and pediatric
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INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
2



Chapter 01: The Past, Present, and Future
MULTIPLE CHOICE
TEST BANK FOR
1. A patient chooses to have the certified nurse midwife (CNM) provide care during her pregnancy. What does
the CNMs scope of practice include?
Introduction to Maternity and Pediatric Nursing, a. Practice independent from medical supervision
b. Comprehensive prenatal care
8th Edition by Gloria Leifer c. Attendance at all deliveries
d. Cesarean sections

UNIT I: An Overview of Maternity and Pediatric Nursing ANS: B
Chapter 1: The Past, Present, and Future The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated deliveries, and ensures
UNIT II: Maternal-Newborn Nursing and Women’s Health that a backup physician is available in case of unforeseen problems.
Chapter 2: Human Reproductive Anatomy and Physiology
Chapter 3: Fetal Development DIF: Cognitive Level: Comprehension REF: Page 6
Chapter 4: Prenatal Care and Adaptations to Pregnancy TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: Implementation
Chapter 5: Nursing Care of Women with Complications during Pregnancy MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
Chapter 6: Nursing Care of Mother and Infant during Labor and Birth
Chapter 7: Nursing Management of Pain during Labor and Birth 2. Which medical pioneer discovered the relationship between the incidence of puerperal fever and unwashed
Chapter 8: Nursing Care of Women with Complications during Labor and hands?
Birth a. Karl Cred
Chapter 9: The Family after Birth b. Ignaz Semmelweis
Chapter 10: Nursing Care of Women with Complications Following Birth c. Louis Pasteur
Chapter 11: The Nurse’s Role in Women’s Health Care d. Joseph Lister
Chapter 12: The Term Newborn
Chapter 13: Preterm and Post-Term Newborns ANS: B
Chapter 14: The Newborn with a Perinatal Injury or Congenital Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the unwashed
Malformation hands of physicians and medical students.
UNIT III: The Growing Child and Family
Chapter 15: An Overview of Growth, Development, and Nutrition DIF: Cognitive Level: Knowledge REF: Page 2
Chapter 16: The Infant TOP: The Past KEY: Nursing Process Step: N/A
Chapter 17: The Toddler MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
Chapter 18: The Preschool Child
Chapter 19: The School-Age Child 3. A pregnant woman who has recently immigrated to the United States comments to the nurse, I am afraid of
Chapter 20: The Adolescent childbirth. It is so dangerous. I am afraid I will die. What is the best nursing response reflecting cultural
UNIT IV: Adapting Care to the Pediatric Patient sensitivity?
Chapter 21: The Child’s Experience of Hospitalization a. Maternal mortality in the United States is extremely low.
Chapter 22: Health Care Adaptations for the Child and Family b. Anesthesia is available to relieve pain during labor and childbirth.
UNIT V: The Child Needing Nursing Care c. Tell me why you are afraid of childbirth.
Chapter 23: The Child with a Sensory or Neurological Condition d. Your condition will be monitored during labor and delivery.
Chapter 24: The Child with a Musculoskeletal Condition
Chapter 25: The Child with a Respiratory Disorder ANS: C
Chapter 26: The Child with a Cardiovascular Disorder Asking the patient about her concerns helps promote understanding and individualizes patient care.
Chapter 27: The Child with a Condition of the Blood, Blood-Forming Organs or Lymphatic System
Chapter 28: The Child with a Gastrointestinal Condition DIF: Cognitive Level: Application REF: Page 7
Chapter 29: The Child with a Genitourinary Condition TOP: Cross-Cultural Care KEY: Nursing Process Step: Implementation
Chapter 30: The Child with a Skin Condition MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
Chapter 31: The Child with a Metabolic Condition
Chapter 32: Childhood Communicable Diseases, Bioterrorism, Natural Disasters and the Maternal-Child 4. An urban area has been reported to have a high perinatal mortality rate. What information does this provide?
Patient a. Maternal and infant deaths per 100,000 live births per year
Chapter 33: The Child with an Emotional or Behavioral Condition b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
UNIT VI: The Changing Health Care Environment c. Deaths of infants up to 1 year of age per 1000 live births per year
Chapter 34: Complementary and Alternative Therapies in Maternity and Pediatric Nursing d. Fetal and neonatal deaths per 1000 live births per year

ANS: D
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.

DIF: Cognitive Level: Comprehension REF: Page 12

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OBJ: 9 TOP: The Present-Child Care a. Clinical pathways
KEY: Nursing Process Step: Implementation b. Nursing outcome criteria
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care c. Standards of care
d. Nursing care plan
5. What is the focus of current maternity practice?
a. Hospital births for the majority of women ANS: A
b. The traditional family unit Clinical pathways, also known as critical pathways or care maps, are collaborative guidelines that define
c. Separation of labor rooms from delivery rooms patient care across disciplines. Expected progress within a specified timeline is identified.
d. A quality family experience for each patient
DIF: Cognitive Level: Knowledge REF: Page 12
ANS: D TOP: Health Care Delivery Systems KEY: Nursing Process Step: N/A
Current maternity practice focuses on a high-quality family experience for all families, traditional or otherwise. MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care

DIF: Cognitive Level: Comprehension REF: Page 6 10. A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her mother, and collected
TOP: The Present-Maternity Care KEY: Nursing Process Step: N/A admission data. What is the next step the student will take to develop a nursing care plan for this child?
MSC: NCLEX: Health Promotion and Maintenance a. Identify measurable outcomes with a timeline.
b. Choose specific nursing interventions for the child.
6. Who advocated the establishment of the Childrens Bureau? c. Determine appropriate nursing diagnoses.
a. Lillian Wald d. State nursing actions related to the childs medical diagnosis.
b. Florence Nightingale
c. Florence Kelly ANS: C
d. Clara Barton The nurse uses assessment data to select appropriate nursing diagnoses from the NANDA-I list. Outcomes and
interventions are then developed to address the relevant nursing diagnoses.
ANS: A
Lillian Wald is credited with suggesting the establishment of a federal Childrens Bureau. DIF: Cognitive Level: Application REF: Page 11
TOP: Nursing Process KEY: Nursing Process Step: Nursing Diagnosis
DIF: Cognitive Level: Knowledge REF: Page 4 MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
TOP: The Past KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development 11. A nursing student on an obstetric rotation questions the floor nurse about the definition of the LVN/LPN
7. What was the result of research done in the 1930s by the Childrens Bureau? scope of practice. What resource can the nurseNsUuR
gS
geIN
stGtoTB
th.C
eOstM
udent?
a. Children with heart problems are now cared for by pediatric cardiologists. a. American Nurses Association
b. The Child Abuse and Prevention Act was passed. b. States board of nursing
c. Hot lunch programs were established in many schools. c. Joint Commission
d. Childrens asylums were founded. d. Association of Womens Health, Obstetric and Neonatal Nurses

ANS: C ANS: B
School hot lunch programs were developed as a result of research by the Childrens Bureau on the effects of The scope of practice of the LVN/LPN is published by the states board of nursing.
economic depression on children.
DIF: Cognitive Level: Comprehension REF: Page 3
DIF: Cognitive Level: Knowledge REF: Page 4 OBJ: 18 TOP: Critical Thinking
TOP: The Past KEY: Nursing Process Step: N/A KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care

8. What government program was implemented to increase the educational exposure of preschool children? 12. What was recommended by Karl Cred in 1884?
a. WIC a. All women should be delivered in a hospital setting.
b. Title XIX of Medicaid b. Chemical means should be used to combat infection.
c. The Childrens Charter c. Podalic version should be done on all fetuses.
d. Head Start d. Silver nitrate should be placed in the eyes of newborns.

ANS: D ANS: D
Head Start programs were established to increase educational exposure of preschool children. In 1884 Karl Cred recommended the use of 2% silver nitrate in the eyes of newborns to reduce the incidence of
blindness.
DIF: Cognitive Level: Knowledge REF: Page 3
TOP: Government Influences in Maternity and Pediatric Care KEY: Nursing Process Step: N/A DIF: Cognitive Level: Knowledge REF: Page 2
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development TOP: Use of Silver Nitrate KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
9. What guidelines define multidisciplinary patient care in terms of expected outcome and timeframe from
different areas of care provision? 13. What is the purpose of the White House Conference on Children and Youth?
a. Set criteria for normal growth patterns.

, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
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b. Examine the number of live births in minority populations. c. By organizing HMOs
c. Raise money to support well-child clinics in rural areas. d. By defining a person who will require hospitalization
d. Promote comprehensive child welfare.
ANS: A
ANS: D DRGs determine the amount of payment and length of hospital stay based on the diagnosis.
White House Conferences on Children and Youth are held every 10 years to promote comprehensive child
welfare. DIF: Cognitive Level: Comprehension REF: Page 8
TOP: DRGs KEY: Nursing Process Step: Implementation
DIF: Cognitive Level: Knowledge REF: Page 4 MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
TOP: White House Conferences KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease 18. What is the best example of a Nursing Interventions Classification (NIC) intervention?
a. Patient will ambulate in the hall independently for 10 minutes three times a day.
14. How many hours of hospital stay does legislation currently allow for a postpartum patient who has b. Nurse will report temperature elevations to the charge nurse.
delivered vaginally without complications? c. Nurse will offer extra liquids at all meals.
a. 24 d. Patient will express pain relief after massage.
b. 48
c. 36 ANS: C
d. 72 NIC is a guide to nursing actions.

ANS: B DIF: Cognitive Level: Comprehension REF: Page 12
Postpartum patients who deliver vaginally stay in the hospital for an average of 48 hours; patients who have OBJ: 15 TOP: NICs KEY: Nursing Process Step: N/A
had a cesarean delivery usually stay 4 days. MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care

DIF: Cognitive Level: Knowledge REF: Page 6 19. How does electronic charting ensure comprehensive charting more effectively than handwritten charting?
TOP: Hospital Terms for Postpartum Patients a. Provides a uniform style of chart
KEY: Nursing Process Step: Planning b. Requires certain responses before allowing the user to progress
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease c. All documentation is reflective of the nursing care plan
d. Requires a daily audit by the charge nurse
15. How does the clinical pathway or critical pathway improve quality of care?
a. Lists diagnosis-specific implementations ANS: B
b. Outlines expected progress with stated timelines Comprehensive electronic documentation is ensured by requiring specific input in designated categories before
c. Prioritizes effective nursing diagnoses the user can progress through the system.
d. Describes common complications
DIF: Cognitive Level: Comprehension REF: Page 15
ANS: B TOP: Computer Charting KEY: Nursing Process Step: Implementation
Critical pathways outline expected progress with stated timelines. Any deviation from those timelines is called MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
a variance.
20. The nurse reminds family members that the philosophy of family-centered care is to provide control to the
DIF: Cognitive Level: Comprehension REF: Page 12 family over health care decisions. What is the appropriate term for this type of control?
TOP: Critical Pathway KEY: Nursing Process Step: Implementation a. Empowerment
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care b. Insight
c. Regulation
16. A patient asks the nurse to explain what is meant by gene therapy. What is the nurses best response? d. Organization
a. Gene therapy can replace missing genes.
b. Gene therapy evaluates the parents genes. ANS: A
c. Gene therapy can change the sex of the fetus. The term empowerment refers to the control a family has over its own health care decisions.
d. Gene therapy supports the regeneration of defective genes.
DIF: Cognitive Level: Knowledge REF: Page 2
ANS: A TOP: Empowerment KEY: Nursing Process Step: Implementation
Gene therapy can replace missing or defective genes. MSC: NCLEX: Physiological Integrity: Basic Care and Comfort

DIF: Cognitive Level: Knowledge REF: Page 8 21. A patient in the prenatal clinic is concerned about losing her job because of her pregnancy. The nurse
TOP: Gene Therapy KEY: Nursing Process Step: Implementation instructs her that the Family Medical Leave Act (FMLA) allows an employee to be absent from work without
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease pay. How many weeks does the FMLA allow a woman to recover from childbirth or care for a sick family
member without loss of benefits or pay status?
17. The nurse is clarifying information to a patient regarding diagnosis-related groups (DRGs). What is the a. 4
nurses best response when the patient asks how DRGs reduce medical care costs? b. 6
a. By determining payment based on diagnosis c. 10
b. By requiring two medical opinions to confirm a diagnosis d. 12

, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
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d. Adoption referrals
ANS: D e. Family planning
The FMLA allows for employees to leave work for up to 12 weeks to recover from childbirth or to care for an
ill family member without losing benefits or pay status. ANS: A, B, C, E
Birthing centers are capable of providing full-service obstetric care, classes for new mothers, and family
DIF: Cognitive Level: Knowledge REF: Page 3 planning. Birthing centers do not offer adoption services.
TOP: FMLA KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation DIF: Cognitive Level: Comprehension REF: Page 6
TOP: Birthing Centers KEY: Nursing Process Step: Implementation
22. What term appropriately describes the nurse who is able to adapt health care practices to meet the needs of MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care
various cultures?
a. Culturally aware 26. What developments in the early 20th century encouraged women to seek hospitalization for childbirth?
b. Culturally sensitive (Select all that apply.)
c. Culturally competent a. Use of specialized obstetric instruments
d. Culturally adaptive b. Use of anesthesia
c. Physicians closer relationships with hospitals
ANS: C d. Focus on family-centered care
The nurse who is able to adapt health care to meet the needs of various cultures is said to be culturally e. Insurance coverage
competent.
ANS: A, B, C
DIF: Cognitive Level: Knowledge REF: Page 7 In the early 1900s, the development of specialized obstetric instruments, better modes of anesthesia, and the
TOP: Cultural Competency KEY: Nursing Process Step: N/A physicians reliance on hospital services were instrumental in encouraging women to seek hospitalization for
MSC: NCLEX: N/A childbirth.

23. What is one major advantage to the application of critical thinking? DIF: Cognitive Level: Comprehension REF: Page 3
a. Problem-free care TOP: Hospitalization for Childbirth KEY: Nursing Process Step: Implementation
b. Limitation of approaches to care MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
c. Decreased need for assessment
d. Problem prevention 27. What nonfamily-centered policies were prevalent in the 1960s? (Select all that apply.)
NURSINGTB.COM a. Waiting room for fathers c. Delay of reunion of mother and infant
ANS: D b. Sedation of mother during labor d. Lenient visiting hours
Critical thinking results in problem prevention in designing nursing care. e. Restrictions of visitations by minor children

DIF: Cognitive Level: Comprehension REF: Page 14 ANS: A, B, C, E
TOP: Critical Thinking KEY: Nursing Process Step: N/A Hospital policies in the 1960s provided a separate waiting room for fathers while the mother went through
MSC: NCLEX: N/A labor in a sedated state. The reunion of mother and infant was delayed for several hours because of the
sedation. Visiting hours were rigid and disallowed the visitation of minor children.
24. Student practical nurses are discussing the North American Nursing Diagnosis Association International
(NANDA-I) taxonomy in post conference on the acute care clinical setting. The students are aware that the role DIF: Cognitive Level: Comprehension REF: Page 3
of the LPN with nursing diagnosis formulation is what? TOP: Nonfamily-centered Practices KEY: Nursing Process Step: Implementation
a. To initiate and identify nursing diagnosis specific to patient MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
b. To update changes in nursing diagnosis as needed
c. To have an understanding of nursing diagnosis terminology 28. The nurse is aware that there is a legal responsibility to report certain diseases and conditions to county or
d. To accurately document nursing diagnosis on patient plan of care state health authorities. Which would be included? (Select all that apply.)
a. Tuberculosis
ANS: C b. Child abuse
The registered nurse is responsible to initiate, identify, update, and document nursing diagnoses. The licensed c. Industrial accidents
practical nurse is responsible to have an understanding of nursing diagnosis terminology. d. Sexually transmitted diseases
e. Food-borne infections
DIF: Cognitive Level: Comprehension REF: Page 14
TOP: NANDA-I taxonomy KEY: Nursing Process Step: Nursing Diagnosis ANS: A, B, D, E
MSC: NCLEX: Health Promotion and Maintenance: Data Collection Techniques The nurse has a legal responsibility to report communicable diseases (such as tuberculosis and sexually
transmitted diseases), food-borne infections, child abuse, and threats of suicide.
MULTIPLE RESPONSE
DIF: Cognitive Level: Comprehension REF: Page 6
25. What services are birthing centers able to provide? (Select all that apply.) OBJ: 6 TOP: Reportable Diseases
a. Prenatal care KEY: Nursing Process Step: Planning
b. Labor and delivery services
c. Classes for new mothers

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