Test bank Introduction to Maternity and Pediatric Nursing, 9th Edition

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

Answer: B

Rationale: The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated deliveries, and ensures that a backup physician is available in case of problems.

2. Which medical pioneer discovered the relationship between puerperal fever and unwashed hands?

• a. Karl Credé
• b. Ignaz Semmelweis
• c. Louis Pasteur
• d. Joseph Lister

Answer: B

Rationale: Ignaz Semmelweis demonstrated that puerperal fever was contagious and transmitted by the unwashed hands of physicians and medical students.

3. A pregnant woman who recently immigrated to the U.S. says, “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 U.S. is extremely low.”
• b. “Anesthesia is available to relieve pain during labor.”
• c. “Tell me why you are afraid of childbirth.”
• d. “Your condition will be monitored during delivery.”

Answer: C

Rationale: Asking the patient about her concerns helps promote understanding and individualizes culturally sensitive care.