Safe Maternity and Pediatric Nursing Care 2nd Edition
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Safe Maternity and Pediatric Nursing Care 2nd Edition Linnard-Palmer
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Chapter 1. Introduction to Maternity and Pediatric Nursing
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MULTIPLE CHOICE w
1. A patient chooses to have the certified nurse midwife (CNM) provide care during
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w herpregnancy. What does the CNMs scope of practice include?
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a. Practice independent from medical supervision
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b. Comprehensive prenatal care w w
c. Attendance at all deliveries w w w
d. Cesarean
w sections ANS: B w w
The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated
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w deliveries,and ensures that a backup physician is available in case of unforeseen problems.
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DIF: Cognitive Level: Comprehension REF: Page 6 OBJ: 12
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TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
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2. Which medical pioneer discovered the relationship between the incidence of puerperal
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w feverand unwashed hands?
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a. Karl Cred w
b. Ignaz Semmelweis w
c. Louis Pasteur w
d. Joseph
w Lister ANS: B w w
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by
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w theunwashed hands of physicians and medical students.
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DIF: Cognitive Level: Knowledge REF: Page 2 OBJ: 1
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TOP: The Past KEY: Nursing Process Step: N/A
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MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
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3. A pregnant woman who has recently immigrated to the United States comments to the
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nurse, I
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,Safe Maternity and Pediatric Nursing Care 2nd Edition
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am afraid of childbirth. It is so dangerous. I am afraid I will die. What is the best
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w nursingresponse reflecting cultural sensitivity?
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a. Maternal mortality in the United States is extremely low.
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b. Anesthesia is available to relieve pain during labor and childbirth.
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c. Tell me why you are afraid of childbirth.
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d. Your condition will be monitored during labor and
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w delivery.ANS: C w w
Asking the patient about her concerns helps promote understanding and individualizes
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w patientcare. w
DIF: Cognitive Level: Application REF: Page 7-8 OBJ: 8
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TOP: Cross-Cultural Care KEY: Nursing Process Step:
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w ImplementationMSC: NCLEX: Psychosocial Integrity: Psychological
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w Adaptation
4. An urban area has been reported to have a high perinatal mortality rate. What information
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w doesthis provide?
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a. Maternal and infant deaths per 100,000 live births per year
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b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
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c. Deaths of infants up to 1 year of age per 1000 live births per year
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d. Fetal and neonatal deaths per 1000 live births per
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w yearANS: Dw w
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
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DIF: Cognitive Level: Comprehension REF: Page 12, Box
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w 1-6OBJ: 9 TOP: The Present-Child Care
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KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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5. What is the focus of current maternity practice?
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a. Hospital births for the majority of women
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b. The traditional family unit
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c. Separation of labor rooms from delivery rooms w w w w w w
d. A quality family experience for each
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w patientANS: D w w
Current maternity practice focuses on a high-quality family experience for all
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w families,traditional or otherwise.
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,Safe Maternity and Pediatric Nursing Care 2nd Edition
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DIF: Cognitive Level: Comprehension REF: Page 6 OBJ: 7
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TOP: The Present-Maternity Care KEY: Nursing Process Step: N/A
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MSC: NCLEX: Health Promotion and Maintenance
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6. Who advocated the establishment of the Childrens Bureau?
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a. Lillian Wald w
b. Florence Nightingale w
c. Florence Kelly w
d. Clara
wBartonANS: w
wA
Lillian Wald is credited with suggesting the establishment of a federal Childrens Bureau.
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DIF: Cognitive Level: Knowledge REF: Page 4 OBJ: 1 | 2
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wTOP: The Past KEY: Nursing Process Step:
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w Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
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7. What was the result of research done in the 1930s by the Childrens Bureau?
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a. Children with heart problems are now cared for by pediatric cardiologists.
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b. The Child Abuse and Prevention Act was passed.
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c. Hot lunch programs were established in many schools.
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d. Childrens asylums were w w
w founded. ANS: C w w
School hot lunch programs were developed as a result of research by the Childrens Bureau
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w on theeffects of economic depression on children.
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DIF: Cognitive Level: Knowledge REF: Page 4 OBJ: 2 |
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w 3TOP: The Past KEY: Nursing Process Step: N/A
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MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care
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8. What government program was implemented to increase the educational
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w exposure ofpreschool children? w w w
a. WIC
b. Title XIX of Medicaid w w w
c. The Childrens Charter
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d. Head
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Head Start programs were established to increase educational exposure of preschool children.
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, Safe Maternity and Pediatric Nursing Care 2nd Edition
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DIF: Cognitive Level: Knowledge REF: Page 3 OBJ: 5
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TOP: Government Influences in Maternity and Pediatric Care KEY: Nursing Process Step:
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w N/A MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
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9. What guidelines define multidisciplinary patient care in terms of expected outcome
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w andtimeframe from different areas of care provision?
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a. Clinical pathways w
b. Nursing outcome criteria w w
c. Standards of care w w
d. Nursing care w
planANS: A
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Clinical pathways, also known as critical pathways or care maps, are collaborative
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w guidelines that define patient care across disciplines. Expected progress within a specified
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w timeline is identified. w w
DIF: Cognitive Level: Knowledge REF: Page 12 OBJ: 14
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TOP: Health Care Delivery Systems KEY: Nursing Process Step:
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w N/AMSC: NCLEX: Safe, Effective Care Environment: Coordinated
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w Care
10. A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her
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w mother,and collected admission data. What is the next step the student will take to develop
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w a nursing care plan for this child?
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a. Identify measurable outcomes with a timeline.
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b. Choose specific nursing interventions for the child.
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c. Determine appropriate nursing diagnoses. w w w
d. State nursing actions related to the childs medical
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w diagnosis.ANS: C w w
The nurse uses assessment data to select appropriate nursing diagnoses from the NANDA-I
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w list.Outcomes and interventions are then developed to address the relevant nursing diagnoses.
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DIF: Cognitive Level: Application REF: Page 11 OBJ: 13
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TOP: Nursing Process KEY: Nursing Process Step: Nursing
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w Diagnosis MSC: NCLEX: Safe, Effective Care Environment:
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w Coordinated Care w
11. A nursing student on an obstetric rotation questions the floor nurse about the definition
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w of theLVN/LPN scope of practice. What resource can the nurse suggest to the student?
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a. American Nurses Association w w
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