MATERNITY AND PEDIATRI H H
C NURSING
H
3RD EDITION
H
BY SUSAN RICCI, THERESA KY
H H H H
LE, AND SUSAN CARMAN
H H H
, TesthBankh-hMaternityhandhPediatrichNursingh(3rdhEdition)hbyhRicci,hKyle,handhCarmanhhhhh 1
Contents
Chapterh1-hPerspectiveshonhMaternal,hNewborn,handhWomen’shHealthhCare .............................................................4
Chapterh2-hFamily-CenteredhCommunity-BasedhCare ..................................................................................................9
Chapterh3-hAnatomyhandhPhysiologyhofhthehReproductivehSystem ............................................................................ 14
Chapterh4-hCommonhReproductivehIssues .................................................................................................................. 19
Chapterh5-hSexuallyhTransmittedhInfections ............................................................................................................... 24
Chapterh6-hDisordershofhthehBreasts ........................................................................................................................... 29
Chapterh7-hBenignhDisordershofhthehFemalehReproductivehTract ............................................................................... 34
Chapterh8-hCancershofhthehFemalehReproductivehTract .............................................................................................. 39
Chapterh9-hViolencehandhAbuse .................................................................................................................................. 44
Chapterh10-hFetalhDevelopmenthandhGenetics ............................................................................................................ 49
Chapterh11-hMaternalhAdaptationhDuringhPregnancy ................................................................................................. 54
Chapterh12-hNursinghManagementhDuringhPregnancy................................................................................................ 60
Chapterh13-hLaborhandhBirthhProcess ......................................................................................................................... 66
Chapterh14-hNursinghManagementhDuringhLaborhandhBirth ...................................................................................... 72
Chapterh15-hPostpartumhAdaptations .......................................................................................................................... 78
Chapterh16-hNursinghManagementhDuringhthehPostpartumhPeriod............................................................................. 84
Chapterh17-hNewbornhTransitioning ........................................................................................................................... 90
Chapterh18-hNursinghManagementhofhthehNewborn ................................................................................................... 96
Chapterh19-hNursinghManagementhofhPregnancyhathRisk-hPregnancy...................................................................... 102
Chapterh20-hNursinghManagementhofhthehPregnancyhathRisk................................................................................... 108
Chapterh21-hNursinghManagementhofhLaborhandhBirthhathRisk................................................................................ 114
Chapterh22-hNursinghManagementhofhthehPostpartumhWomanhathRisk.................................................................... 120
Chapterh23-hNursinghCarehofhthehNewbornhWithhSpecialhNeeds ............................................................................. 126
Chapterh24-hNursinghManagementhofhthehNewbornhathRisk..................................................................................... 132
Chapterh25-hGrowthhandhDevelopmenthofhthehNewbornhandhInfant......................................................................... 138
Chapterh26-hGrowthhandhDevelopmenthofhthehToddler ............................................................................................ 144
Chapterh27-hGrowthhandhDevelopmenthofhthehPreschooler ...................................................................................... 150
Chapterh28-hGrowthhandhDevelopmenthofhthehSchool-AgehChild ............................................................................ 157
Chapterh29-hGrowthhandhDevelopmenthofhthehAdolescent ....................................................................................... 164
Chapterh30-hAtraumatichCarehofhChildrenhandhFamilies .......................................................................................... 171
Chapterh31-hHealthhSupervision ................................................................................................................................ 176
Chapterh32-hHealthhAssessmenthofhChildren ............................................................................................................ 183
Chapterh33-hCaringhforhChildrenhinhDiversehSettings ............................................................................................... 190
Chapterh34-hCaringhforhthehSpecialhNeedshChild ..................................................................................................... 197
Chapterh35-hKeyhPediatrichNursinghInterventions..................................................................................................... 203
Chapterh36-hPainhManagementhinhChildren .............................................................................................................. 210
Chapterh37-hNursinghCarehofhthehChildhWithhanhInfectioushorhCommunicablehDisorder ....................................... 217
Chapterh 38-h Nursingh Careh ofh theh Childh Withh anh Alterationhinh Intracranialh Regulationh/h NeurologichDisorder .......... 224
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Chapterh 39-h Nursingh Careh ofh theh Childh Withh anh Alterationhinh Sensoryh Perceptionh /h Disorderh ofh theh Eyesh orh Ears 231
Chapterh 40-h Nursingh Careh ofh theh Childh Withh anh Alterationh inh Gash Exchangeh /h RespiratoryhDisorder ..................... 238
Chapterh41-hNursinghCarehofhthehChildhWithhanhAlterationhinhPerfusionh/hCardiovascularhDisorder...................... 244
Chapterh 42-h Nursingh Careh ofh theh Childh Withh anh Alterationh inh Bowelh Eliminationh /h GastrointestinalhDisorder ....... 250
Chapterh 43-h Nursingh Careh ofh theh Childh Withh anh Alterationh inh Urinaryh Eliminationh /h GenitourinaryhDisorder ........ 257
Chapterh44-hNursinghCarehofhthehChildhWithhanhAlterationhinhMobilityh/hNeuromuscularhorhMusculoskeletalhDisorder
...................................................................................................................................................................................264
Extrah Questions:h Musculoskeletalh Disorder................................................................................................................. 270
Chapterh45-hNursinghCarehofhthehChildhWithhanhAlterationhinhTissuehIntegrityh/hIntegumentaryhDisorder ............ 277
Chapterh46-
hNursinghCarehofhthehChildhWithhanhAlterationhinhCellularhRegulationh/hHematologichorhNeoplastichDisorder ... 283
ExtrahQuestions:hNeoplastichDisorder................................................................................................................... 290
Chapterh47-hNursinghCarehofhthehChildhWithhanhAlterationhinhImmunityhorhImmunologichDisorder...................... 296
Chapterh 48-h Nursingh Careh ofh theh Childh Withh anh Alterationh inh Metabolismh/h Endocrineh Disorder ............................ 303
Chapterh 49-h Nursingh Careh ofh theh Childh Withh anh Alterationhinh Genetics...................................................................... 310
Chapterh50-hNursinghCarehofhthehChildhWithhanhAlterationhinhBehavior,hCognition,horhDevelopment................... 317
Chapterh51-hNursinghCarehDuringhahPediatrichEmergency ....................................................................................... 324
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Chapterh1-
hPerspectiveshonhMaternal,hNewborn,handhWomen’sh
HealthhCare
1. ThehUnitedhStateshranksh50thhinhthehworldhforhmaternalhmortalityhandh41sthamonghindustrializ
edhnationshforhinfanthmortalityhrate.hWhenhdevelopinghprogramshtohassisthinhdecreasinghthesehrate
s,hwhichhfactorhwouldhmosthlikelyhneedhtohbehaddressedhashhavinghthehgreatesthimpact?
A) Resolvinghallhlanguagehandhculturalhdifferences
B) Assuringhearlyhandhadequatehprenatalhcare
C) Providinghmorehextensivehwomen’shshelters
D) Encouraginghallhwomenhtoheathahbalancedhdiet
2. Whenhintegratinghthehprincipleshofhfamily-
centeredhcare,hthehnursehwouldhincludehwhichhofhthehfollowing?
A) Childbirthhishviewedhashahproceduralhevent
B) Familiesharehunablehtohmakehinformedhchoices
C) Childbirthhresultshinhchangeshinhrelationships
D) Familieshrequirehlittlehinformationhtohmakehappropriatehdecisions
3. Whenhpreparinghahteachinghplanhforhahgrouphofhfirst-
timehpregnanthwomen,hthehnursehexpectshtohreviewhhowhmaternityhcarehhashchangedhoverhthehyea
rs.hWhichhofhthehfollowinghwouldhthehnursehincludehwhenhdiscussingheventshofhtheh20thhcentury
?
A) Epidemicshofhpuerperalhfever
B) Performancehofhthehfirsthcesareanhbirth
C) Developmenthofhthehx-rayhtohassesshpelvichsize
D) Creationhofhfree-standinghbirthhcenters
4. Afterhteachinghahgrouphofhstudentshabouthpregnancy-
relatedhmortality,hthehinstructorhdetermineshthathadditionalhteachinghishneededhwhenhthehstudentshi
dentifyhwhichhconditionhashahleadinghcause?
A) Hemorrhage
B) Embolism
C) Obstructedhlabor
D) Infection
5. Thehnursehishworkinghwithhahgrouphofhcommunityhhealthhmembershtohdevelophahplanhtohaddre
sshthehspecialhhealthhneedshofhwomen.hWhichhofhthehfollowinghconditionshwouldhthehgrouphaddr
esshashthehmajorhproblem?
A) Smoking
B) Hearthdisease
C) Diabetes
D) Cancer
6. Whenhassessinghahfamilyhforhpossiblehbarriershtohhealthhcare,hthehnursehwouldhconsiderhwhi
chhfactorhtohbehmosthimportant?
A) Language