Test bank for maternity nursing an introductory text 10th edition leifer

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Leifer: Maternity Nursing, 10th Edition
Chapter 1: Contemporary Maternity Care, Family, and Cultural Considerations
Test Bank
MULTIPLE CHOICE
1. A disadvantage of free standing birth centers is that:
1. many lack adequate technology and medical care to deal with complications.
2. they are often more expensive than hospital-based delivery settings.
3. the presence of family members increases the risk of postpartum infection.
4. mothers are expected to leave freestanding birthing centers shortly after delivery.
ANS: 1
Many of these centers do not have the technology or medical care readily available to assist
in an emergency.
PTS: 1
DIF: Cognitive Level: Knowledge
REF: Page 2
OBJ: 3
TOP: Birth Settings
KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
2. The role of the nurse has evolve to emphasize:
1. managing care to cure health problems once they have been identified.
2. participating in or leading the activities of a team of interdisciplinary health care
providers.
3. providing direct care to patients at the bedside.
4. planning patient care to cover longer hospital stays.
ANS: 2
The nurse must work with the interdisciplinary health care team to identify needs within the
community and create cost-effective approaches to comprehensive preventive and
therapeutic care. Creativity, problem solving, coordination of multidisciplinary caregivers,

case management, assessment, and referral are just some of the essential skills required of a
nurse providing community-based care.
PTS:
OBJ:
KEY:
MSC:

1
DIF: Cognitive Level: Comprehension
19
TOP: Community-Based Nursing
Nursing Process Step: N/A
NCLEX: Health Promotion and Maintenance

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REF: Page 4


Full file at />3. Symbols, actions, gestures, facial expressions, and body positions are examples of:
1. subtle communication.
2. listening.
3. nonverbal language.
4. observation.
ANS: 3
These are all examples of nonverbal language—means of communicating a message without
words.
PTS: 1
DIF: Cognitive Level: Knowledge
REF: Page 7

OBJ: 4
TOP: Communication
KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
4. A health care system in which physicians and hospitals contract with insurers to provide
service at a discounted rate to members is a:
1. health maintenance organization.
2. diagnosis-related group.
3. preferred provider organization.
4. federally managed insurance plan.
ANS: 3
A preferred provider organization (PPO) is a network of providers who agree to provide care
at a discount to individuals covered under the plan.
PTS: 1
DIF: Cognitive Level: Knowledge
REF: Page 3
OBJ: 5
TOP: Managed Care
KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
5. Unlike a nursing care plan, a clinical pathway:
1. is based on traditional nursing interventions.
2. presents criteria for hospital discharge.
3. spells out the progress expected each day.
4. includes only the nursing needs and care.
ANS: 3
Clinical pathways guide the daily care and expected progress of the patient. They reflect a
multidisciplinary focus and are based on research and standards of care. The nursing care
plan applies patient and nursing responses based on structured problem-solving approaches
to clinical problems.

PTS: 1
DIF: Cognitive Level: Comprehension REF: Page 4
OBJ: 11
TOP: Clinical Pathways
KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A

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Full file at />6. The nurse is working with a pregnant woman who is employed at minimum wage. She has
three small children. Her mother cares for the children so she can work, but she says she
cannot afford to feed her children properly. The nurse should refer her to the:
1. Women, Infants, and Children program.
2. National Institutes of Health.
3. local Medicare office.
4. Job Corps.
ANS: 1
The woman’s immediate need is to feed herself and her children. The Women, Infants, and
Children (WIC) program provides supplemental food and education for the indigent.
PTS:
OBJ:
KEY:
MSC:

1
DIF: Cognitive Level: Application
REF: Page 4
5
TOP: Specific Government Influences in Maternal/Infant Care

Nursing Process Step: Implementation
NCLEX: Health Promotion and Maintenance

7. In the United States, birth certificates are used to:
1. provide statistics on maternal mortality rates.
2. supplement data obtained in the U.S. Census.
3. guide the allocation of resources for mothers and infants.
4. document outcomes of all pregnancies in the 50 states and the District of
Columbia.
ANS: 3
Birth certificates document live births and provide information about maternal and infant
health that is used in determining the allocation of health resources.
PTS: 1
DIF: Cognitive Level: Knowledge
REF: Page 5 Table 1-1
OBJ: 7
TOP: Statistics Important to Maternal/Infant Care
KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
8. The effect of standards of care on nursing is to:
1. establish minimum criteria for competent nursing care.
2. allow other professions to determine what constitutes nursing care.
3. encourage lawsuits by presenting unrealistic expectations of nurses.
4. specify what action a nurse with a master’s degree would take in a given situation.
ANS: 1
Standards of care provide a minimum standard by which to judge the quality of care
provided. They are based on expectations of what a reasonable nurse with similar education
and experience would do in like circumstances. Therefore expectations of an LP/VN and an
MSN would differ in some ways. The standards have come from professional nursing
organizations, not other professions.

PTS: 1
OBJ: 8

DIF: Cognitive Level: Knowledge
TOP: Standards of Care

REF: Page 5

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Full file at />KEY: Nursing Process Step: N/A

MSC: NCLEX: N/A

9. The nurse’s employer wants LP/VNs to begin doing some procedures that are now being
performed only by RNs. Which of the following is the best source of information about
taking on these new tasks?
1. The National League for Nursing
2. The National Federation of Licensed Practical Nurses
3. The American Nurses Association Division of Practice
4. The Joint Commission
ANS: 2
The National Federation of Licensed Practical Nurses (NFLPN) describes the role of
LPN/LVNs in clinical practice today. In addition, nursing actions must be in accordance with
the nurse practice acts of the state in which the nurse is practicing.
PTS: 1
DIF: Cognitive Level: Knowledge
REF: Page 5
OBJ: 8

TOP: Standards of Care
KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
10. The nurse is interviewing a returning patient in the prenatal clinic. The nurse has recorded
the patient’s name, age, month of gestation, number and ages of children, and chief
complaint (backache). This illustrates which step of the nursing process?
1. Assessment
2. Planning
3. Implementation
4. Evaluation
ANS: 1
Assessment includes the collection of objective and subjective patient data.
PTS: 1
DIF: Cognitive Level: Knowledge
REF: Page 8
OBJ: 13
TOP: Nursing Process
KEY: Nursing Process Step: Assessment MSC: NCLEX: N/A
11. In the prenatal clinic, a patient who is in her eighth month of pregnancy complains of
backaches. Further questioning reveals that the pain is in the lower back region and is worse
at the end of the day. The patient has no discomfort on voiding. She is working part-time as a
file clerk. She has children ages 2 and 5 years. The nurse thinks the patient’s backaches are
probably due to improper bending and lifting. This attempt to determine the nature of the
patient’s complaint and possible causes reflects which step of the nursing process?
1. Assessment
2. Diagnosis
3. Planning
4. Evaluation
ANS: 2

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Full file at />To make a diagnosis, the nurse pulls together related data that pinpoint a problem and help to
reveal contributing factors.
PTS: 1
DIF: Cognitive Level: Comprehension REF: Page 8
OBJ: 13
TOP: Nursing Process
KEY: Nursing Process Step: Diagnosis
MSC: NCLEX: N/A
12. A patient in the prenatal clinic has backaches related to improper lifting and bending. The
nurse demonstrates good body mechanics and explains how they can reduce back strain. This
illustrates which step of the nursing process?
1. Assessment
2. Diagnosis
3. Planning
4. Implementation
ANS: 4
In the implementation step, the nurse actually carries out interventions to address the nursing
diagnosis.
PTS:
OBJ:
KEY:
MSC:

1
DIF: Cognitive Level: Application
13
TOP: Nursing Process

Nursing Process Step: Implementation
NCLEX: Health Promotion and Maintenance

REF: Page 8

13. The nurse has demonstrated good body mechanics to a prenatal patient. She then asks the
patient to practice by picking up her 2-year-old. This illustrates which step of the nursing
process?
1. Assessment
2. Planning
3. Implementation
4. Evaluation
ANS: 4
By having her return the demonstration, you are evaluating whether she understands and can
perform the activities as advised.
PTS:
OBJ:
KEY:
MSC:

1
DIF: Cognitive Level: Application
13
TOP: Nursing Process
Nursing Process Step: Evaluation
NCLEX: Health Promotion and Maintenance

REF: Page 8

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Full file at />14. The nurse who understands cultural differences and adapts clinical practice to a patient’s
culture is said to have:
1. cultural competence.
2. empathy.
3. open-mindedness.
4. compassion.
ANS: 1
Cultural competence requires knowledge and appreciation of other cultures that permit
adaptation of nursing care to accommodate the patient’s cultural beliefs and practices.
PTS: 1
DIF: Cognitive Level: Comprehension REF: Page 10
OBJ: 15
TOP: Culture
KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
15. The family type in which several families live together and share responsibilities is called:
1. nuclear.
2. blended.
3. cohabiting.
4. communal.
ANS: 4
This definition describes the communal family.
PTS: 1
DIF: Cognitive Level: Knowledge
REF: Page 12, Box 1-5
OBJ: 16
TOP: Family Types
KEY: Nursing Process Step: N/A

MSC: NCLEX: N/A
16. The nurse’s interview with a new prenatal patient reveals that the patient is taking herbs that
she believes will promote her baby’s health. The nurse’s most appropriate response is:
1. “That’s a great idea! Herbs are natural products and cannot be harmful.”
2. “It’s your choice if you want to take herbs, but the doctor won’t like it.”
3. “It is important to let your doctor know everything you are taking.”
4. “That is nonsense and could actually harm you or your baby.”
ANS: 3
Nurses should not advocate or discourage use of herbal and folk remedies. However, health
care providers need to know what the patient is taking because herbals and other remedies
may affect traditional medicines. Also, the patient may not know whether the herbals are
potentially harmful to her or her fetus.
PTS: 1
DIF: Cognitive Level: Application
REF: Page 12
OBJ: 18
TOP: Complementary and Alternative Therapies
KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiologic Integrity
17. The best definition of family is:
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Full file at />1. at least one parent in a household with one or more children.
2. two or more individuals who share bonds and emotional closeness and who
consider themselves a family.
3. a husband and wife with at least one child.
4. several individuals related by marriage or blood who make up a single household
and share financial resources.
ANS: 2
The U.S. Census Bureau definition of family (two or more people who reside together and

who are related by blood, marriage, or adoption) is useful for statistical purposes, but is
limited when assessing a family for health purposes. A broader definition considers a family
as “two or more people who live in the same household, share a common emotional bond,
and perform certain interrelated social tasks.”
PTS: 1
DIF: Cognitive Level: Comprehension REF: Page 12
OBJ: 16
TOP: Family Types
KEY: Nursing Process Step: N/A
MSC: NCLEX:N/A
18. The Health Insurance Portability and Accountability Act of 1996 (HIPAA) was enacted
primarily to:
1. protect patient confidentiality and privacy.
2. render insurance companies accountable for payment for services.
3. ensure that a person could move his or her health insurance from one place of
employment to another.
4. prevent cultural, ethnic, or gender-based discrimination against patients.
ANS: 1
Patient privacy is protected by federal law and regulated by accrediting agencies. The
Privacy Act of 1974 and HIPAA require a patient’s consent before any identifying
information (name, Social Security number, diagnosis) is disclosed from the medical records.
PTS:
REF:
TOP:
MSC:

1
DIF: Cognitive Level: Comprehension
Page 7, 8, Fast Focus 1-1
OBJ: 14

Patient Privacy and HIPAA Rights KEY: Nursing Process Step: N/A
NCLEX:N/A

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Full file at />COMPLETION
19. The number of fetal deaths and number of neonatal deaths per 1000 live births per year is
called ____________________.
ANS:
Perinatal mortality
Vital statistics depict the status of health of the nation’s women and children and help the
government allocate resources to meet identified needs.
PTS: 1
DIF: Cognitive Level: Knowledge
REF: Page 5, Box 1-2
OBJ: 7
TOP: Statistics Important to Maternal and Newborn Care
KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
20. The nurse writes on the nursing care plan: “The newborn will maintain a patent airway as
evidenced by regular, unlabored respirations with no cyanosis or pallor.” This is the
____________________ step of the nursing process.
ANS:
Planning
The nursing process uses this step to plan comprehensive nursing care, stated as specific,
individualized, measurable goals.
PTS: 1
DIF: Cognitive Level: Application
REF: Page 8

OBJ: 13
TOP: Nursing Process
KEY: Nursing Process Step: Planning
MSC: NCLEX: N/A
21. ____________________ therapies for health problems are remedies differing from the usual
treatment and not generally recommended by health care providers. Nontraditional methods
or treatments used in conjunction with conventional therapy are known as
____________________ therapies.
ANS:
Alternative, complementary
Alternative therapies are not based on empirical science, may be dangerous, and are often
dispensed or used by unlicensed people. Complementary therapies integrated with standard
medical treatment may increase the self-healing ability of the body.
PTS:
REF:
LOC:
KEY:

1
DIF: Cognitive Level: ComprehensionCognitive Level: Knowledge
Page 12
OBJ: 17
Complementary and Alternative Therapies
Nursing Process Step: N/A
MSC: NCLEX: Physiological Integrity

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Full file at />SHORT ANSWER

NIC, NOC, and NANDA diagnoses aid in the critical thinking aspect of patient care. To
understand how each relates to patient care, it is necessary to understand what each
component means. Define each of the following terms.
22. NIC (Nursing Intervention Classification): ____________________
ANS:
NIC: set of actions or interventions in nursing care.
NIC, NOC, and NANDA diagnoses serve to standardize the language regarding patient status
and nursing activities that enable nurses to work in the managed care environment, promote
research, and develop a reimbursement system for nursing services rendered.
PTS:
REF:
TOP:
MSC:

1
DIF: Cognitive Level: Comprehension
8, Nursing Care Plan 1-1, Appendix F
OBJ: 12
NIC, NOC, and NANDA
KEY: Nursing Process Step: N/A
NCLEX: N/A

23. NOC (Nursing Outcome Criteria): ____________________
ANS:
NOC: outcomes expressed in a measurable continuum that reflects the patient’s response to
the interventions.
NIC, NOC, and NANDA diagnoses serve to standardize the language regarding patient status
and nursing activities that enable nurses to work in the managed care environment, promote
research, and develop a reimbursement system for nursing services rendered.
PTS:

REF:
TOP:
MSC:

1
DIF: Cognitive Level: Comprehension
8, Nursing Care Plan 1-1, Appendix F
OBJ: 12
NIC, NOC, and NANDA
KEY: Nursing Process Step: N/A
NCLEX: N/A

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Full file at />24. NANDA diagnoses: ____________________
ANS:
NANDA diagnoses: nursing diagnoses approved by NANDA International (formerly North
American Nursing Diagnosis Association).
NIC, NOC, and NANDA diagnoses serve to standardize the language regarding patient status
and nursing activities that enable nurses to work in the managed care environment, promote
research, and develop a reimbursement system for nursing services rendered.
PTS:
REF:
TOP:
MSC:

1
DIF: Cognitive Level: Comprehension
8, Nursing Care Plan 1-1, Appendix F

OBJ: 12
NIC, NOC, and NANDA
KEY: Nursing Process Step: N/A
NCLEX: N/A

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