Professional Documents
Culture Documents
Test Bank For Introduction To Maternity and Pediatric Nursing 8th Edition by Leifer
Test Bank For Introduction To Maternity and Pediatric Nursing 8th Edition by Leifer
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.
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.
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.
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.
7. What was the result of research done in the 1930s by the Children’s Bureau?
a. Children with heart problems are now cared for by pediatric cardiologists.
b. The Child Abuse and Prevention Act was passed.
c. Hot lunch programs were established in many schools.
d. 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.
8. What government program was implemented to increase the educational exposure of preschool children?
a. WIC
b. Title XIX of Medicaid
c. The Children’s Charter
d. Head Start
ANS: D
Head Start programs were established to increase educational exposure of preschool children.
9. What guidelines define multidisciplinary patient care in terms of expected outcome and timeframe from different areas of care
provision?
a. Clinical pathways
b. Nursing outcome criteria
c. Standards of care
d. 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.
10. 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?
a. Identify measurable outcomes with a timeline.
b. Choose specific nursing interventions for the child.
c. Determine appropriate nursing diagnoses.
d. State nursing actions related to the child’s 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.
11. 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 nurse suggest to the student?
a. American Nurses Association
b. State’s board of nursing
c. Joint Commission
d. Association of Women’s Health, Obstetric and Neonatal Nurses
ANS: B
The scope of practice of the LVN/LPN is published by the state’s board of nursing.
13. What is the purpose of the White House Conference on Children and Youth?
a. Set criteria for normal growth patterns.
b. Examine the number of live births in minority populations.
c. Raise money to support well-child clinics in rural areas.
d. Promote comprehensive child welfare.
ANS: D
White House Conferences on Children and Youth are held every 10 years to promote comprehensive child welfare.
14. How many hours of hospital stay does legislation currently allow for a postpartum patient who has delivered vaginally without
complications?
a. 24
b. 48
c. 36
d. 72
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.
15. How does the clinical pathway or critical pathway improve quality of care?
a. Lists diagnosis-specific implementations
b. Outlines expected progress with stated timelines
c. Prioritizes effective nursing diagnoses
d. Describes common complications
ANS: B
Critical pathways outline expected progress with stated timelines. Any deviation from those timelines is called a variance.
16. A patient asks the nurse to explain what is meant by “gene therapy.” What is the nurse’s best response?
a. Gene therapy can replace missing genes.
b. Gene therapy evaluates the parent’s genes.
c. Gene therapy can change the sex of the fetus.
d. Gene therapy supports the regeneration of defective genes.
ANS: A
Gene therapy can replace missing or defective genes.
17. The nurse is clarifying information to a patient regarding diagnosis-related groups (DRGs). What is the nurse’s best response when
the patient asks how DRGs reduce medical care costs?
a. By determining payment based on diagnosis
b. By requiring two medical opinions to confirm a diagnosis
c. By organizing HMOs
d. By defining a person who will require hospitalization
ANS: A
DRGs determine the amount of payment and length of hospital stay based on the diagnosis.
The parish of St. Catherine derived its name from the queen of
Charles II., who was king of England when the parish was formed. In
the first act in which it is mentioned it is correctly spelled Katharine.
It consists of what before the passing of law 20 of 1867 constituted
the parishes of St. Catherine, St. Dorothy, St. John and St. Thomas-
in-the-Vale. St. Thomas-in-the-Vale was probably named after Sir
Thomas Lynch. St. Dorothy, Roby, in his “Memorials of the
Cathedral Church and Parish of St. Catherine” (1831), conjectures,
received its name in compliment to Dorthy Wale, who had probably a
large estate there.
Passage Fort, at first known as The Passage, probably so called
by the Spaniards as being their place of embarkation from St. Jago
de la Vega (Spanish Town), situated at the west end of Kingston
harbour, first appears in the annals of Jamaica as the landing-place
of a predatory expedition fitted out chiefly in Barbados and St. Kitts
in 1642 by a certain Captain William Jackson, of whom little is
known but of whose expedition a graphic account is given in a
manuscript in the Sloane MSS. in the British Museum entitled:
“CXVIII—Mercurius Americanus—A Briefe Journall, or a succinct
and true relation of the most Remarkable Passages observed in the
Voyage undertaken by Captain William Jackson to the West Indies
or Continent of America. Anno Domini, 1642, September 27,”
reprinted in “The West India Committee Circular,” May 9, 1911—
January 16, 1912. The date, September 27, 1642, it may be
mentioned, is the date of sailing, not of the writing of the account.
Richard Norwood, who was a minister of religion and a school
teacher, writing under date May 14, 1645, from Somers Islands, now
known as Bermuda, to the Governor and Company of Adventurers to
the Somers Islands, alluded to the time when of late the valiant and
victorious General Capt. Jackson arrived after his voyage through the
West Indies, and added “it was doubtful how things would go.”
After attempts more or less successful on various islands and the
Spanish main, Jackson, in the Charles, accompanied by the Dolphin
and the Valentine, put into Port Royal harbour on March 25, 1643.
After trying the west coast of the harbour, where they perceived “noe
passage,” they interrogated some prisoners and were led to Passage
Fort “at a place where we found an Old Trench and a storehouse of
Timber, lately sett by but not fully finished,” where, after a skirmish
with both horse and foot of the enemy, they took the fort and
marched past “divers workes,” one of which they dismantled, into
Spanish Town. Jackson’s men were so pleased that they wished “to
sett by their stacon here”; but the general, bent on robbing the
Spaniards, had no taste for bucolic simplicity and gave up the town
for “200 Beaves and 10,000 weight of cassavi bread for ye victualling
of our ships, besides 20 Beaves every day for ye general expense till
our departure and 7,000 pieces of Eight.” After spending sixteen
days in “salting up our Beaves” Jackson and his men sailed away, but
a few days later took a Spanish frigate “in an Harbour next to that
where wee had formerly ridd at ankor,” probably Old Harbour.
The most important event, however, in the history of Passage Fort
is the taking of Jamaica by the English in 1655. After an inexcusable
failure on Hispaniola (or, to give it its original name, Haiti), due in
some measure to silly jealousy between the naval and military
authorities, when, to use Venables’s own words, passion usurped the
seat of reason, and also to want of care—one might almost say of
honesty—on the part of those responsible for the organization of the
expedition, Penn and Venables, joint commanders of an expedition
intended “to assault the Spaniard in the West Indies,” entered what
we now call Kingston harbour on May 10, 1655, and anchored at
about 11 A.M. On nearing the island it had been proclaimed to the
whole army, as a result of the cowardice displayed in the attack on
Hispaniola, that whoever should be found to turn his back on the
enemy and run away, the next officer (that brought up the rear of
that division) should immediately run him through, on penalty of
death if he failed to do it.
PASSAGE FORT
SPANISH-TOWN CATHEDRAL
and ending:
To sum in short—yet speak in full—
Our plain John Venn was blunt John Bull.
H — ,
S — —
I .
T ,
G , C
, ,
,
; A J ,
’ ,
H ,
, .
By an Act passed in 1789, burying in churches had been recently
prohibited, and a penalty of £500 imposed on any rector permitting
such burial; but two bills, dispensing with that Act and indemnifying
the Rev. Robert Stanton Woodham, the then lately appointed rector
of St. Catherine, from its penalties in the special cases of the Earl and
Countess were introduced in the Assembly by Bryan Edwards and
passed unanimously.
On November 19 the House “resolved, nem. con., in order to testify
the grateful respect which this House entertain of his late
Excellency’s merit and virtues, his firm and independent conduct,
and the sense they have of the great and universal satisfaction which
his mild and equitable administration, in every department, gave to
all ranks of people, and the regret which they feel at his loss, that the
funeral of the late Earl of Effingham be conducted at the public
expense”; and on December 7, 1791, the Assembly voted £500
sterling toward this monument. The monument, together with the