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Introduction To Maternity And Pediatric Nursing 8th Edition
TEST BANK
Chapter 01: The Past, Present, and Future
MULTIPLE CHOICE
- A patient chooses to have the certified nurse midwife (CNM) provide care during her
- Practice independent from medical supervision
- Comprehensive prenatal care
- Attendance at all deliveries
- Cesarean sections
pregnancy. What does the CNMs scope of practice include?
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: Page 6 OBJ: 12 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
- Karl Cred
- Ignaz Semmelweis
- Louis Pasteur
- Joseph Lister
fever and unwashed hands?
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: Page 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
- 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.
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?
ANS: C
Asking the patient about her concerns helps promote understanding and individualizes patient care.DIF: Cognitive Level: Application REF: Page 7-8 OBJ: 8 TOP: Cross-Cultural Care KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation 1 / 4
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- An urban area has been reported to have a high perinatal mortality rate. What information
- 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
does this provide?
ANS: D
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.DIF: Cognitive Level: Comprehension REF: Page 12, 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: Page 6 OBJ: 7 TOP: The Present-Maternity Care KEY: Nursing Process Step: N/A MSC: NCLEX: Health Promotion and Maintenance
- Who advocated the establishment of the Childrens Bureau?
- Lillian Wald
- Florence Nightingale
- Florence Kelly
- Clara Barton
ANS: A
Lillian Wald is credited with suggesting the establishment of a federal Childrens Bureau.DIF: Cognitive Level: Knowledge REF: Page 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 Childrens 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.
- Childrens asylums were founded.
ANS: C
School hot lunch programs were developed as a result of research by the Childrens Bureau on the effects of economic depression on children.DIF: Cognitive Level: Knowledge REF: Page 4 OBJ: 2 | 3 TOP: The Past KEY: Nursing Process Step: N/A MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care 2 / 4
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- What government program was implemented to increase the educational exposure of
- WIC
- Title XIX of Medicaid
- The Childrens Charter
- Head Start
preschool children?
ANS: D
Head Start programs were established to increase educational exposure of preschool children.DIF: Cognitive Level: Knowledge REF: Page 3 OBJ: 5 TOP: Government Influences in Maternity and Pediatric Care KEY: Nursing Process Step: N/A MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
- What guidelines define multidisciplinary patient care in terms of expected outcome and
- Clinical pathways
- Nursing outcome criteria
- Standards of care
- Nursing care plan
timeframe from different areas of care provision?
ANS: A
Clinical pathways, also known as critical pathways or care maps, are collaborative guidelines that define patient care across disciplines. Expected progress within a specified timeline is identified.DIF: Cognitive Level: Knowledge REF: Page 12 OBJ: 14 TOP: Health Care Delivery Systems KEY: Nursing Process Step: N/A MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
- A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her
- Identify measurable outcomes with a timeline.
- Choose specific nursing interventions for the child.
- Determine appropriate nursing diagnoses.
- State nursing actions related to the childs medical diagnosis.
mother, and collected admission data. What is the next step the student will take to develop a nursing care plan for this child?
ANS: C
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.DIF: Cognitive Level: Application REF: Page 11 OBJ: 13 TOP: Nursing Process KEY: Nursing Process Step: Nursing Diagnosis MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
- A nursing student on an obstetric rotation questions the floor nurse about the definition
- American Nurses Association
- States board of nursing 3 / 4
of the LVN/LPN scope of practice. What resource can the nurse suggest to the student?
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- Joint Commission
- Association of Womens Health, Obstetric and Neonatal Nurses
ANS: B
The scope of practice of the LVN/LPN is published by the states board of nursing.DIF: Cognitive Level: Comprehension REF: Page 3, Legal and Ethical Considerations OBJ: 18 TOP: Critical Thinking KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
- What was recommended by Karl Cred in 1884?
- All women should be delivered in a hospital setting.
- Chemical means should be used to combat infection.
- Podalic version should be done on all fetuses.
- Silver nitrate should be placed in the eyes of newborns.
ANS: D
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 2 OBJ: 1 TOP: Use of Silver Nitrate KEY: Nursing Process Step: N/A MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
- What is the purpose of the White House Conference on Children and Youth?
- Set criteria for normal growth patterns.
- Examine the number of live births in minority populations.
- Raise money to support well-child clinics in rural areas.
- Promote comprehensive child welfare.
ANS: D
White House Conferences on Children and Youth are held every 10 years to promote comprehensive child welfare.DIF: Cognitive Level: Knowledge REF: Page 4 OBJ: 3 TOP: White House Conferences KEY: Nursing Process Step: N/A MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
- How many hours of hospital stay does legislation currently allow for a postpartum
- 24
- 48
- 36
- 72
patient who has delivered vaginally without complications?
ANS: B
Postpartum patients who deliver vaginally stay in the hospital for an average of 48 hours; patients who have had a cesarean delivery usually stay 4 days.DIF: Cognitive Level: Knowledge REF: Page 6 OBJ: 7
TOP: Hospital Terms for Postpartum Patients
KEY: Nursing Process Step: Planning
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