1
,TABLE OF CONTENTS
Chapter 1: Perspectives on Maternal, Newborn, and Women's Health Care
Chapter 2: Family-Centered Community-Based Care
Chapter 3: Anatomy and Physiology of the Reproductive System
Chapter 4: Common Reproductive Issues
Chapter 5: Sexually Transmitted Infections
Chapter 6: Disorders of the Breasts
Chapter 7: Benign Disorders of the Female Reproductive Tract
Chapter 8: Cancers of the Female Reproductive Tract
Chapter 9: Violence and Abuse
Chapter 10: Fetal Development and Genetics
Chapter 11: Maternal Adaptation During Pregnancy
Chapter 12: Nursing Management During Pregnancy
Chapter 13: Labor and Birth Process
Chapter 14: Nursing Management During Labor and Birth
Chapter 15: Postpartum Adaptations
Chapter 16: Nursing Management During the Postpartum Period
Chapter 17: Newborn Transitioning
Chapter 18: Nursing Management of the Newborn
Chapter 19: Nursing Management of Pregnancy at Risk - Pregnancy
Chapter 20: Nursing Management of the Pregnancy at Risk
Chapter 21: Nursing Management of Labor and Birth at Risk
Chapter 22: Nursing Management of the Postpartum Woman at Risk
Chapter 23: Nursing Care of the Newborn With Special Needs
Chapter 24: Nursing Management of the Newborn at Risk
Chapter 25: Growth and Development of the Newborn and Infant
Chapter 26: Growth and Development of the Toddler
Chapter 27: Growth and Development of the Preschooler
Chapter 28: Growth and Development of the School-Age Child
Chapter 29: Growth and Development of the Adolescent
Chapter 30: Atraumatic Care of Children and Families
Chapter 31: Health Supervision
Chapter 32: Health Assessment of Children
Chapter 33: Caring for Children in Diverse Settings
Chapter 34: Caring for the Special Needs Child
Chapter 35: Key Pediatric Nursing Interventions
Chapter 36: Pain Management in Children
Chapter 37: Nursing Care of the Child With an Infectious or Communicable Disorder
Chapter 38: Nursing Care of the Child With an Alteration in Intracranial Regulation / Neurologic
Disorder
Chapter 39: Nursing Care of the Child With an Alteration in Sensory Perception / Disorder of the Eyes
or Ears
2
,Chapter 40: Nursing Care of the Child With an Alteration in Gas Exchange / Respiratory Disorder
Chapter 41: Nursing Care of the Child With an Alteration in Perfusion / Cardiovascular Disorder
Chapter 42: Nursing Care of the Child With an Alteration in Bowel Elimination / Gastrointestinal
Disorder
Chapter 43: Nursing Care of the Child With an Alteration in Urinary Elimination / Genitourinary
Disorder
Chapter 44: Nursing Care of the Child With an Alteration in Mobility / Neuromuscular or
Musculoskeletal Disorder
Chapter 45: Nursing Care of the Child With an Alteration in Tissue Integrity / Integumentary Disorder
Chapter 46: Nursing Care of the Child With an Alteration in Cellular Regulation / Hematologic or
Neoplastic Disorder
Chapter 47: Nursing Care of the Child With an Alteration in Immunity or Immunologic Disorder
Chapter 48: Nursing Care of the Child With an Alteration in Metabolism / Endocrine Disorder
Chapter 49: Nursing Care of the Child With an Alteration in Genetics
Chapter 50: Nursing Care of the Child With an Alteration in Behavior, Cognition, or Development
Chapter 51: Nursing Care During a Pediatric Emergency
3
, CHAPTER 1: PERSPECTIVES ON MATERNAL, NEWBORN, AND
WOMEN'S HEALTH CARE
1. The United States ranks 50th in the world for maternal mortality and 41st among
industrialized nations for infant mortality rate. When developing programs to assist in
decreasing these rates, which factor would most likely need to be addressed as having the
greatest impact?
A) Resolving all language and cultural differences
B) Assuring early and adequate prenatal care
C) Providing more extensive women's shelters
D) Encouraging all women to eat a balanced diet
**Answer: B**
**Rationale:** Early and adequate prenatal care is the single most important factor in reducing
maternal and infant mortality rates. Prenatal care allows for early detection and management
of complications, education about healthy behaviors, and timely interventions. While
language/cultural differences, women's shelters, and balanced nutrition are important, they are
secondary interventions that do not have the same universal impact as ensuring access to
quality prenatal care.
2. When integrating the principles of family-centered care, the nurse would include which of
the following?
A) Childbirth is viewed as a procedural event
B) Families are unable to make informed choices
C) Childbirth results in changes in relationships
D) Families require little information to make appropriate decisions
**Answer: C**
**Rationale:** Family-centered care recognizes that childbirth affects the entire family and
results in changes in relationships. This philosophy views childbirth as a normal life event, not a
procedural event. Families are capable of making informed choices when provided with
appropriate information, and they require comprehensive information to make decisions.
3. When preparing a teaching plan for a group of first-time pregnant women, the nurse expects
to review how maternity care has changed over the years. Which of the following would the
nurse include when discussing events of the 20th century?
A) Epidemics of puerperal fever
B) Performance of the first cesarean birth
C) Development of the x-ray to assess pelvic size
4
,TABLE OF CONTENTS
Chapter 1: Perspectives on Maternal, Newborn, and Women's Health Care
Chapter 2: Family-Centered Community-Based Care
Chapter 3: Anatomy and Physiology of the Reproductive System
Chapter 4: Common Reproductive Issues
Chapter 5: Sexually Transmitted Infections
Chapter 6: Disorders of the Breasts
Chapter 7: Benign Disorders of the Female Reproductive Tract
Chapter 8: Cancers of the Female Reproductive Tract
Chapter 9: Violence and Abuse
Chapter 10: Fetal Development and Genetics
Chapter 11: Maternal Adaptation During Pregnancy
Chapter 12: Nursing Management During Pregnancy
Chapter 13: Labor and Birth Process
Chapter 14: Nursing Management During Labor and Birth
Chapter 15: Postpartum Adaptations
Chapter 16: Nursing Management During the Postpartum Period
Chapter 17: Newborn Transitioning
Chapter 18: Nursing Management of the Newborn
Chapter 19: Nursing Management of Pregnancy at Risk - Pregnancy
Chapter 20: Nursing Management of the Pregnancy at Risk
Chapter 21: Nursing Management of Labor and Birth at Risk
Chapter 22: Nursing Management of the Postpartum Woman at Risk
Chapter 23: Nursing Care of the Newborn With Special Needs
Chapter 24: Nursing Management of the Newborn at Risk
Chapter 25: Growth and Development of the Newborn and Infant
Chapter 26: Growth and Development of the Toddler
Chapter 27: Growth and Development of the Preschooler
Chapter 28: Growth and Development of the School-Age Child
Chapter 29: Growth and Development of the Adolescent
Chapter 30: Atraumatic Care of Children and Families
Chapter 31: Health Supervision
Chapter 32: Health Assessment of Children
Chapter 33: Caring for Children in Diverse Settings
Chapter 34: Caring for the Special Needs Child
Chapter 35: Key Pediatric Nursing Interventions
Chapter 36: Pain Management in Children
Chapter 37: Nursing Care of the Child With an Infectious or Communicable Disorder
Chapter 38: Nursing Care of the Child With an Alteration in Intracranial Regulation / Neurologic
Disorder
Chapter 39: Nursing Care of the Child With an Alteration in Sensory Perception / Disorder of the Eyes
or Ears
2
,Chapter 40: Nursing Care of the Child With an Alteration in Gas Exchange / Respiratory Disorder
Chapter 41: Nursing Care of the Child With an Alteration in Perfusion / Cardiovascular Disorder
Chapter 42: Nursing Care of the Child With an Alteration in Bowel Elimination / Gastrointestinal
Disorder
Chapter 43: Nursing Care of the Child With an Alteration in Urinary Elimination / Genitourinary
Disorder
Chapter 44: Nursing Care of the Child With an Alteration in Mobility / Neuromuscular or
Musculoskeletal Disorder
Chapter 45: Nursing Care of the Child With an Alteration in Tissue Integrity / Integumentary Disorder
Chapter 46: Nursing Care of the Child With an Alteration in Cellular Regulation / Hematologic or
Neoplastic Disorder
Chapter 47: Nursing Care of the Child With an Alteration in Immunity or Immunologic Disorder
Chapter 48: Nursing Care of the Child With an Alteration in Metabolism / Endocrine Disorder
Chapter 49: Nursing Care of the Child With an Alteration in Genetics
Chapter 50: Nursing Care of the Child With an Alteration in Behavior, Cognition, or Development
Chapter 51: Nursing Care During a Pediatric Emergency
3
, CHAPTER 1: PERSPECTIVES ON MATERNAL, NEWBORN, AND
WOMEN'S HEALTH CARE
1. The United States ranks 50th in the world for maternal mortality and 41st among
industrialized nations for infant mortality rate. When developing programs to assist in
decreasing these rates, which factor would most likely need to be addressed as having the
greatest impact?
A) Resolving all language and cultural differences
B) Assuring early and adequate prenatal care
C) Providing more extensive women's shelters
D) Encouraging all women to eat a balanced diet
**Answer: B**
**Rationale:** Early and adequate prenatal care is the single most important factor in reducing
maternal and infant mortality rates. Prenatal care allows for early detection and management
of complications, education about healthy behaviors, and timely interventions. While
language/cultural differences, women's shelters, and balanced nutrition are important, they are
secondary interventions that do not have the same universal impact as ensuring access to
quality prenatal care.
2. When integrating the principles of family-centered care, the nurse would include which of
the following?
A) Childbirth is viewed as a procedural event
B) Families are unable to make informed choices
C) Childbirth results in changes in relationships
D) Families require little information to make appropriate decisions
**Answer: C**
**Rationale:** Family-centered care recognizes that childbirth affects the entire family and
results in changes in relationships. This philosophy views childbirth as a normal life event, not a
procedural event. Families are capable of making informed choices when provided with
appropriate information, and they require comprehensive information to make decisions.
3. When preparing a teaching plan for a group of first-time pregnant women, the nurse expects
to review how maternity care has changed over the years. Which of the following would the
nurse include when discussing events of the 20th century?
A) Epidemics of puerperal fever
B) Performance of the first cesarean birth
C) Development of the x-ray to assess pelvic size
4
