Introduction to Maternity and Pediatric

Introduction to Maternity and Pediatric Nursing, 9th Edition

Introduction to Maternity and Pediatric Nursing 9th Edition 1 / 4

Chapter 01: The Past, Present, and Future

Leifer: Introduction to Maternity and Pediatric Nursing, 9th Edition

MULTIPLE CHOICE

• A patient chooses to have the certified nurse-midwife (CNM) provide care during her

pregnancy. What does the CNM‘s scope of practice include?

• Practice independent from medical supervision
• Comprehensive prenatal care
• Attendance at all deliveries
• Cesarean sections

ANS: B

The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated deliveries, and ensures that a backup physician is available in case of unforeseen problems.DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: 5 TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

• Which medical pioneer discovered the relationship between the incidence of puerperal fever

and unwashed hands?

• Karl Credé
• Ignaz Semmelweis
• Louis Pasteur
• Joseph Lister

ANS: B

Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the unwashed hands of physicians and medical students.DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: 1 TOP: The Past KEY: Nursing Process Step: N/A MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control

• A pregnant woman who has recently immigrated to the United States comments to the nurse,

―I am afraid of childbirth. It is so dangerous. I am afraid I will die.‖ What is the best nursing response reflecting cultural sensitivity?

• ―Maternal mortality in the United States is extremely low.‖
• ―Anesthesia is available to relieve pain during labor and childbirth.‖
• ―Tell me why you are afraid of childbirth.‖
• ―Your condition will be monitored during labor and delivery.‖

ANS: C

Asking the patient about her concerns helps promote understanding and individualizes patient care. 2 / 4

DIF: Cognitive Level: Application REF: pp. 6-8 OBJ: 8 TOP: Cross-Cultural Care KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation 3 / 4

• An urban area has been reported to have a high perinatal mortality rate. What information

does this provide?

• Maternal and infant deaths per 100,000 live births per year
• Deaths of fetuses weighing more than 500 g per 10,000 births per year
• Deaths of infants up to 1 year of age per 1000 live births per year
• 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: p. 13 | Box 1.6 OBJ: 9 TOP: The Present-Child Care KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care

• What is the focus of current maternity practice?
• Hospital births for the majority of women
• The traditional family unit
• Separation of labor rooms from delivery rooms
• A quality family experience for each patient

ANS: D

Current maternity practice focuses on a high-quality family experience for all families, traditional or otherwise.DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: 5 TOP: The Present-Maternity Care KEY: Nursing Process Step: N/A MSC: NCLEX: Health Promotion and Maintenance

• Who advocated the establishment of the Children‘s Bureau?
• Lillian Wald
• Florence Nightingale
• Florence Kelly
• Clara Barton

ANS: A

Lillian Wald is credited with suggesting the establishment of a federal Children‘s Bureau.DIF: Cognitive Level: Knowledge REF: p. 4 OBJ: 1 | 2 TOP: The Past KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Growth and Development

• What was the result of research done in the 1930s by the Children‘s Bureau?
• Children with heart problems are now cared for by pediatric cardiologists.
• The Child Abuse and Prevention Act was passed.
• Hot lunch programs were established in many schools.
• Children‘s asylums were founded.

ANS: C

School hot lunch programs were developed as a result of research by the Children‘s Bureau on the effects of economic depression on children.DIF: Cognitive Level: Knowledge REF: p. 4 OBJ: 2 | 3

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