Introduction to Maternity And Pediatric Nursing 7th Edition by Gloria Leifer - Test Bank
Chapter 01: The Past, Present, and Future
MULTIPLE CHOICE
1. A patient chooses to have the certified nurse midwife (CNM) provide care during her pregnancy. What does the CNM’s scope of practice include?
|
a. |
Practice independent from medical supervision |
|
b. |
Comprehensive prenatal care |
|
c. |
Attendance at all deliveries |
|
d. |
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 OBJ: 12
TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
2. Which medical pioneer discovered the relationship between the incidence of puerperal fever and unwashed hands?
|
a. |
Karl Credé |
|
b. |
Ignaz Semmelweis |
|
c. |
Louis Pasteur |
|
d. |
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: Page 2 OBJ: 1
TOP: The Past KEY: Nursing Process Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
3. 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?
|
a. |
“Maternal mortality in the United States is extremely low.” |
|
b. |
“Anesthesia is available to relieve pain during labor and childbirth.” |
|
c. |
“Tell me why you are afraid of childbirth.” |
|
d. |
“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 7-8 OBJ: 8
TOP: Cross-Cultural Care KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
4. An urban area has been reported to have a high perinatal mortality rate. What information does this provide?
|
a. |
Maternal and infant deaths per 100,000 live births per year |
|
b. |
Deaths of fetuses weighing more than 500 g per 10,000 births per year |
|
c. |
Deaths of infants up to 1 year of age per 1000 live births per year |
|
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, Box 1-6
OBJ: 9 TOP: The Present-Child Care
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
5. What is the focus of current maternity practice?
|
a. |
Hospital births for the majority of women |
|
b. |
The traditional family unit |
|
c. |
Separation of labor rooms from delivery rooms |
|
d. |
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.
Free Shipping
24/7 Live Chat
Secure Payments
Questions
