ESSENTIALS OF PEDIATRIC NURSING
4TH EDITION CARMAN TEST BANK-
UPDATED 2023
,Contents
Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care ................................................................4
Chapter 2- Family-Centered Community-Based Care ....................................................................................................9
Chapter 3- Anatomy and Physiology of the Reproductive System ............................................................................... 14
Chapter 4- Common Reproductive Issues .................................................................................................................... 19
Chapter 5- Sexually Transmitted Infections ................................................................................................................. 24
Chapter 6- Disorders of the Breasts.............................................................................................................................. 29
Chapter 7- Benign Disorders of the Female Reproductive Tract .................................................................................. 34
Chapter 8- Cancers of the Female Reproductive Tract ................................................................................................. 39
Chapter 9- Violence and Abuse ................................................................................................................................... 44
Chapter 10- Fetal Development and Genetics .............................................................................................................. 49
Chapter 11- Maternal Adaptation During Pregnancy ................................................................................................... 54
Chapter 12- Nursing Management During Pregnancy.................................................................................................. 60
Chapter 13- Labor and Birth Process ........................................................................................................................... 66
Chapter 14- Nursing Management During Labor and Birth ......................................................................................... 72
Chapter 15- Postpartum Adaptations ........................................................................................................................... 78
Chapter 16- Nursing Management During the Postpartum Period ............................................................................... 84
Chapter 17- Newborn Transitioning ............................................................................................................................ 90
Chapter 18- Nursing Management of the Newborn...................................................................................................... 96
Chapter 19- Nursing Management of Pregnancy at Risk- Pregnancy ......................................................................... 102
Chapter 20- Nursing Management of the Pregnancy at Risk ...................................................................................... 108
Chapter 21- Nursing Management of Labor and Birth at Risk ................................................................................... 114
Chapter 22- Nursing Management of the Postpartum Woman at Risk ....................................................................... 120
Chapter 23- Nursing Care of the Newborn With Special Needs ................................................................................. 126
Chapter 24- Nursing Management of the Newborn at Risk ........................................................................................ 132
Chapter 25- Growth and Development of the Newborn and Infant ............................................................................ 138
Chapter 26- Growth and Development of the Toddler ............................................................................................... 144
Chapter 27- Growth and Development of the Preschooler ......................................................................................... 150
Chapter 28- Growth and Development of the School-Age Child ............................................................................... 157
Chapter 29- Growth and Development of the Adolescent .......................................................................................... 164
Chapter 30- Atraumatic Care of Children and Families ............................................................................................. 171
Chapter 31- Health Supervision ................................................................................................................................. 176
,Chapter 32- Health Assessment of Children .............................................................................................................. 183
Chapter 33- Caring for Children in Diverse Settings.................................................................................................. 190
Chapter 34- Caring for the Special Needs Child ........................................................................................................ 197
Chapter 35- Key Pediatric Nursing Interventions....................................................................................................... 203
Chapter 36- Pain Management in Children ................................................................................................................ 210
Chapter 37- Nursing Care of the Child With an Infectious or Communicable Disorder ............................................ 217
Chapter 38- Nursing Care of the Child With an Alteration in Intracranial Regulation / Neurologic Disorder ................ 224
Chapter 39- Nursing Care of the Child With an Alteration in Sensory Perception / Disorder of the Eyes or Ears ....... 231
Chapter 40- Nursing Care of the Child With an Alteration in Gas Exchange / Respiratory Disorder ............................ 238
Chapter 41- Nursing Care of the Child With an Alteration in Perfusion / Cardiovascular Disorder............................ 244
Chapter 42- Nursing Care of the Child With an Alteration in Bowel Elimination / Gastrointestinal Disorder .............. 250
Chapter 43- Nursing Care of the Child With an Alteration in Urinary Elimination / Genitourinary Disorder............... 257
Chapter 44- Nursing Care of the Child With an Alteration in Mobility / Neuromuscular or Musculoskeletal Disorder
...................................................................................................................................................................................264
Extra Questions: Musculoskeletal Disorder .................................................................................................................. 270
Chapter 45- Nursing Care of the Child With an Alteration in Tissue Integrity / Integumentary Disorder ..................... 277
Chapter 46- Nursing Care of the Child With an Alteration in Cellular Regulation / Hematologic or Neoplastic
Disorder ..................................................................................................................................................................... 283
Extra Questions: Neoplastic Disorder .................................................................................................................... 290
Chapter 47- Nursing Care of the Child With an Alteration in Immunity or Immunologic Disorder............................ 296
Chapter 48- Nursing Care of the Child With an Alteration in Metabolism / Endocrine Disorder .................................. 303
Chapter 49- Nursing Care of the Child With an Alteration in Genetics .......................................................................... 310
Chapter 50- Nursing Care of the Child With an Alteration in Behavior, Cognition, or Development......................... 317
Chapter 51- Nursing Care During a Pediatric Emergency................................................................................................ 324
, 1 CHAPTER 1- PERSPECTIVES ON MATERNAL, NEWBORN, AND
WOMEN’SHEALTH 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
decreasingthese 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
2. When integrating the principles of family-centered care, the nurse would include which of
thefollowing?
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
3. When preparing a teaching plan for a group of first-time pregnant women, the nurse expects
toreview 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
D) Creation of free-standing birth centers
4. After teaching a group of students about pregnancy-related mortality, the instructor
determinesthat additional teaching is needed when the students identify which condition as a
leading cause?
A) Hemorrhage
B) Embolism
C) Obstructed labor
D) Infection
5. The nurse is working with a group of community health members to develop a plan to
addressthe special health needs of women. Which of the following conditions would the group
address as the major problem?
4TH EDITION CARMAN TEST BANK-
UPDATED 2023
,Contents
Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care ................................................................4
Chapter 2- Family-Centered Community-Based Care ....................................................................................................9
Chapter 3- Anatomy and Physiology of the Reproductive System ............................................................................... 14
Chapter 4- Common Reproductive Issues .................................................................................................................... 19
Chapter 5- Sexually Transmitted Infections ................................................................................................................. 24
Chapter 6- Disorders of the Breasts.............................................................................................................................. 29
Chapter 7- Benign Disorders of the Female Reproductive Tract .................................................................................. 34
Chapter 8- Cancers of the Female Reproductive Tract ................................................................................................. 39
Chapter 9- Violence and Abuse ................................................................................................................................... 44
Chapter 10- Fetal Development and Genetics .............................................................................................................. 49
Chapter 11- Maternal Adaptation During Pregnancy ................................................................................................... 54
Chapter 12- Nursing Management During Pregnancy.................................................................................................. 60
Chapter 13- Labor and Birth Process ........................................................................................................................... 66
Chapter 14- Nursing Management During Labor and Birth ......................................................................................... 72
Chapter 15- Postpartum Adaptations ........................................................................................................................... 78
Chapter 16- Nursing Management During the Postpartum Period ............................................................................... 84
Chapter 17- Newborn Transitioning ............................................................................................................................ 90
Chapter 18- Nursing Management of the Newborn...................................................................................................... 96
Chapter 19- Nursing Management of Pregnancy at Risk- Pregnancy ......................................................................... 102
Chapter 20- Nursing Management of the Pregnancy at Risk ...................................................................................... 108
Chapter 21- Nursing Management of Labor and Birth at Risk ................................................................................... 114
Chapter 22- Nursing Management of the Postpartum Woman at Risk ....................................................................... 120
Chapter 23- Nursing Care of the Newborn With Special Needs ................................................................................. 126
Chapter 24- Nursing Management of the Newborn at Risk ........................................................................................ 132
Chapter 25- Growth and Development of the Newborn and Infant ............................................................................ 138
Chapter 26- Growth and Development of the Toddler ............................................................................................... 144
Chapter 27- Growth and Development of the Preschooler ......................................................................................... 150
Chapter 28- Growth and Development of the School-Age Child ............................................................................... 157
Chapter 29- Growth and Development of the Adolescent .......................................................................................... 164
Chapter 30- Atraumatic Care of Children and Families ............................................................................................. 171
Chapter 31- Health Supervision ................................................................................................................................. 176
,Chapter 32- Health Assessment of Children .............................................................................................................. 183
Chapter 33- Caring for Children in Diverse Settings.................................................................................................. 190
Chapter 34- Caring for the Special Needs Child ........................................................................................................ 197
Chapter 35- Key Pediatric Nursing Interventions....................................................................................................... 203
Chapter 36- Pain Management in Children ................................................................................................................ 210
Chapter 37- Nursing Care of the Child With an Infectious or Communicable Disorder ............................................ 217
Chapter 38- Nursing Care of the Child With an Alteration in Intracranial Regulation / Neurologic Disorder ................ 224
Chapter 39- Nursing Care of the Child With an Alteration in Sensory Perception / Disorder of the Eyes or Ears ....... 231
Chapter 40- Nursing Care of the Child With an Alteration in Gas Exchange / Respiratory Disorder ............................ 238
Chapter 41- Nursing Care of the Child With an Alteration in Perfusion / Cardiovascular Disorder............................ 244
Chapter 42- Nursing Care of the Child With an Alteration in Bowel Elimination / Gastrointestinal Disorder .............. 250
Chapter 43- Nursing Care of the Child With an Alteration in Urinary Elimination / Genitourinary Disorder............... 257
Chapter 44- Nursing Care of the Child With an Alteration in Mobility / Neuromuscular or Musculoskeletal Disorder
...................................................................................................................................................................................264
Extra Questions: Musculoskeletal Disorder .................................................................................................................. 270
Chapter 45- Nursing Care of the Child With an Alteration in Tissue Integrity / Integumentary Disorder ..................... 277
Chapter 46- Nursing Care of the Child With an Alteration in Cellular Regulation / Hematologic or Neoplastic
Disorder ..................................................................................................................................................................... 283
Extra Questions: Neoplastic Disorder .................................................................................................................... 290
Chapter 47- Nursing Care of the Child With an Alteration in Immunity or Immunologic Disorder............................ 296
Chapter 48- Nursing Care of the Child With an Alteration in Metabolism / Endocrine Disorder .................................. 303
Chapter 49- Nursing Care of the Child With an Alteration in Genetics .......................................................................... 310
Chapter 50- Nursing Care of the Child With an Alteration in Behavior, Cognition, or Development......................... 317
Chapter 51- Nursing Care During a Pediatric Emergency................................................................................................ 324
, 1 CHAPTER 1- PERSPECTIVES ON MATERNAL, NEWBORN, AND
WOMEN’SHEALTH 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
decreasingthese 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
2. When integrating the principles of family-centered care, the nurse would include which of
thefollowing?
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
3. When preparing a teaching plan for a group of first-time pregnant women, the nurse expects
toreview 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
D) Creation of free-standing birth centers
4. After teaching a group of students about pregnancy-related mortality, the instructor
determinesthat additional teaching is needed when the students identify which condition as a
leading cause?
A) Hemorrhage
B) Embolism
C) Obstructed labor
D) Infection
5. The nurse is working with a group of community health members to develop a plan to
addressthe special health needs of women. Which of the following conditions would the group
address as the major problem?
