Chapter 01: The Past, Present, and Future Leifer: Introduction to Maternity and Pediatric Nursing, 9th Edition 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: p. 6 OBJ: 5 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: p. 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: pp. 6-8 OBJ: 8 TOP: Cross-Cultural Care KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation Stuvia.com - The Marketplace to Buy and Sell your Study MaterialStuvia.comStuvia.com- TheThe MarketplaceMarketplace toto BuyBuy lOMoARcPSD|273 228 61 TOPRANKPROF© FILES TopRankProf© Files 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: p. 13 | 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. DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: 5 TOP: The Present-Maternity Care KEY: Nursing Process Step: N/A MSC: NCLEX: Health Promotion and Maintenance 6. Who advocated the establishment of the Children‘s Bureau? a. Lillian Wald b. Florence Nightingale c. Florence Kelly d. Clara Barton ANS: A Lillian Wald is credited with suggesting the establishment of a federal Children‘s Bureau. DIF: Cognitive Level: Knowledge REF: p. 4 OBJ: 1 | 2 TOP: The Past KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Growth and Development 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. DIF: Cognitive Level: Knowledge REF: p. 4 OBJ: 2 | 3