TEST BANK FOR INTRODUCTION

EXAM ELABORATIONS Sep 4, 2025
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TEST BANK FOR INTRODUCTION

TO MATERNITY AND PEDIATRIC

NURSING,

8TH EDITION BY GLORIA LEIFER

CHAPTER 1-34 COMPLETE

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Chapter 01: The Past, Present, and Future

MULTIPLE CHOICE

  • A patient chooses to have the certified nurse midwife (CNM) provide care during her pregnancy. What does
  • the CNMs 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: Page 6 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 Cred
  • 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.

NURSINGTB.COM

DIF: Cognitive Level: Knowledge REF: Page 2 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.

DIF: Cognitive Level: Application REF: Page 7 TOP: Cross-Cultural Care KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation

  • 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: Page 12

  • / 4

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 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 TOP: The Past KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Growth and Development

NURSINGTB.COM

  • 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 TOP: The Past KEY: Nursing Process Step: N/A MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care

  • What government program was implemented to increase the educational exposure of preschool children?
  • WIC
  • Title XIX of Medicaid
  • The Childrens Charter
  • Head Start

ANS: D

Head Start programs were established to increase educational exposure of preschool children.

DIF: Cognitive Level: Knowledge REF: Page 3 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 timeframe from
  • different areas of care provision?

  • / 4
  • Clinical pathways
  • Nursing outcome criteria
  • Standards of care
  • Nursing care plan

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 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 mother, and collected
  • admission data. What is the next step the student will take to develop a nursing care plan for this child?

  • 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.

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 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 of the LVN/LPN
  • scope of practice. What resource can the nurseNsUuRgSgeINstGtoTBth.Ce OstMudent?

  • American Nurses Association
  • States board of nursing
  • 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 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 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.

  • / 4

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Category: EXAM ELABORATIONS
Added: Sep 4, 2025
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TEST BANK FOR INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING, 8TH EDITION BY GLORIA LEIFER CHAPTER 1-34 COMPLETE This is a bank of tests (study questions) to help you prepare for the tests. To cla...

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