,Table of Content
aE Ae
ChapteraE01: aE21st CenturyaEMaternityaENursing ....................................................................................4
(i
ChapteraE02: aECommunityaECare: aEThe aEFamilyaEand aECulture ............................................................... 16
MATCHING .................................................................................................................................... 25
Chapter aE05: aEInfertility, aEContraception, aEand aEAbortion ................................................................... 27
MATCHING .................................................................................................................................... 43
COMPLETION ................................................................................................................................ 44
ChapteraE06: aEGenetics, aEConception, aEand aEFetal aEDevelopment.......................................................... 44
ChapteraE09: aEMaternal aEand aEFetal aENutrition ...................................................................................... 69
ChapteraE25: aEThe aEHigh aERisk aENewborn ............................................................................................ 94
MATCHING ...................................................................................................................................132
ChapteraE27: aEFamily, aESocial, aECultural, aEand aEReligious aEInfluences aEonaEChild aEHealth aEPromotion ....136
ChapteraE28: aEDevelopmental aEandaEGenetic aEInfluences aEon aEChild aEHealth aEPromotion ......................149
MATCHING ...................................................................................................................................170
ChapteraE29: aECommunication, aEHistory, aEand aEPhysical aEAssessment .................................................172
MATCHING ...................................................................................................................................201
ChapteraE30: aEPain aEAssessment aEand aEManagement aEin aEChildren .......................................................203
COMPLETION ...............................................................................................................................214
MATCHING ...................................................................................................................................215
ChapteraE31: aEThe aEInfant aEand aEFamily...............................................................................................217
MATCHING ...................................................................................................................................254
ChapteraE32: aEThe aEToddler aEand aEFamily ...........................................................................................256
ChapteraE33: aEThe aEPreschooleraEand Family ......................................................................................285
(i
ChapteraE34: aEThe aESchool-AgeaEChild aEand aEFamily...........................................................................308
MATCHING ...................................................................................................................................336
MULTIPLE aECHOICE .....................................................................................................................338
MATCHING ...................................................................................................................................383
Chapter aE36: aEChronic aE Illness, aEDisability, aEand aEEnd-of-Life aECare .................................................385
ChapteraE37: aEImpact aEof aECognitive aEoraESensoryaEImpairment aEon aEtheaEChild aEand aEFamily..................417
ChapteraE38: aEFamily-Centered aECare aEof aEtheaEChild aEDuring aEIllness aEand aEHospitalization .................451
ChapteraE39: aEPediatric aEVariations aEof aENursing aEInterventions ..........................................................470
COMPLETION ...............................................................................................................................507
MATCHING ...................................................................................................................................507
ChapteraE40: aERespiratoryaEDysfunction ............................................................................................509
ChapteraE41: aEGastrointestinal aEDysfunction ......................................................................................540
,MATCHING ...................................................................................................................................576
ChapteraE42: aECardiovascular aEDysfunction .......................................................................................576
MATCHING ...................................................................................................................................613
ChapteraE43: aEHematologic aEand aEImmunologic aEDysfunction ............................................................615
MATCHING ...................................................................................................................................654
Chapter aE44: aEGenitourinary aEDysfunction .......................................................................................655
MULTIPLE aECHOICE .....................................................................................................................682
MATCHING ...................................................................................................................................715
ChapteraE46: aEEndocrine aEDysfunction...............................................................................................717
ChapteraE47: aEIntegumentaryaEDysfunction ........................................................................................742
ChapteraE48: aEMusculoskeletal aEor aEArticular aEDysfunction ................................................................780
ChapteraE49: aENeuromuscularaEor aEMuscular aEDysfunction .................................................................806
,ChapteraE01: aE21st aECentury aEMaternity aENursing
1. When aEproviding careaEfor aEaaEpregnant aEwoman, aEthe aEnurseaEshouldaEbe aEawareaEthat aEone aEof aEthe
(i
aEmost aEfr equently aEreported aEmaternal aEmedical aErisk aEfactors aEis:
a. Diabetes aEmellitus. c. aEChronicaEhypertension.
b. Mitral aEvalve aEprolapse aE(MVP). d. aEAnemia.
ANS: aEA
2. To aEensure aEoptimal aEoutcomes aEfor aEthe aEpatient, aEthe aEcontemporary aEmaternity aEnurse aEmust
aEincorporate both aEteamwork and communication with clinicians aEinto her aEcare delivery, aEThe
(i (i (i (i
aESBAR technique of aEcommunication aEis aEan aEeasy-to-remember aEmechanism for aEcommunication.
(i (i (i
Which of aEthe aEfollowing aEcorrectly aEdefines aEthis aEacrony aEm?
aE (i
a. Situation, aEbaselineaEassessment, aEresponse
b. Situation, aEbackground, aEassessment, aErecommendation
c. SubjectiveaEbackground, aEassessment, aErecommendation
d. Situation, aEbackground, aE anticipated aErecommendation
ANS: aEB
3. TheaErole aEof aEtheaEprofessional aEnurse aEcaring for aEchildbearingaEfamilies aEhas aEevolved aEto aEemphasize:
(i
a. ProvidingaEcare aEto aEpatients aEdirectlyaEat aEthe aEbedside.
b. PrimarilyaEhospital aEcare aEof aEmaternityaEpatients.
c. Practice aEusing an aEevidence-based aE approach.
(i
,d. PlanningaEpatient aEcare aEto aEcover aElonger aEhospital aEstays.
ANS: aEC
4. A aE23-year-old aEAfrican-American aEwomanaEisaEpregnantaEwithaEheraEfirstaEchild. aEBased onaEthe aEstatistics aEfor
(i
infant aEmortality, aEwhich aEplan aEis aEmost aEimportant aEfor aEthe aEnurse aEto aEimplement?
aE
a. Perform aEaaEnutrition aEassessment.
b. Refer aEthe aEwoman aEto aEa aEsocial aEworker.
c. AdviseaEthe aEwoman aEto aEsee aEan obstetrician, aEnot aEa aEmidwife.
(i
d. Explain aEto the aEwoman aEtheaEimportance aEof aEkeepingaEher aEprenatal aEcare aEappointments.
(i
ANS: aED
5. During aprenatal aEintakeinterview,aEthenurseisintheprocessofobtaining aEan aEinitialassessment aEof
(i
aEa aE21-year-old aEHispanic aEpatient aEwith aElimited aEEnglish aEproficiency. aE It aEis aEimportant aEfor aEthe
aEnurse aEto:
a. Use aEmaternityjargon aEin aEorder aEfor aEthe aEpatient aEto aEbecome aEfamiliar aEwith these aEterms.
(i
aEb aESpeak aEq uickly aEand aEefficiently aEto aEexpedite aEthe aEvisit.
.
c. aEProvideaEthe aEpatient aEwith aEhandouts.
d aEAssess aEwhether aEthe aEpatient aEunderstands aEthe aEdiscussion.
ANS: aED
6. When aEmanagingaEhealth aEcareaEforaEpregnant aEwomen aEat aEaaEprenatal aEclinic, aEtheaEnurse
aEshould aEre aEcognize aEthat aEthe aEmost aEsignificant aEbarrier aEto aEaccess aEto care aEis aEthe
(i
aEpregnant aEwoman‘s:
a. Age. c. aEEducational aElevel.
,b. Minoritystatus. d. aEInabilityaEto aEpay.
ANS: aED
7. What aEis aEthe aEprimaryaErole aEof aEpracticing nurses aEin aEthe aEresearch aEprocess?
(i
a. Designing aEresearch aEstudies
b. Collecting data aEfor aEother aEresearchers
(i
c. Identifying aEresearchable aE problems
d. Seeking aEfunding to aEsupport aEresearch aEstudies
(i
ANS: aEC
8. When aEthe aEnurse is unsure aEabout how aEto aEperform aEa aEpatient aEcareaEprocedure, aEthe aEbest
(i (i (i (
aEaction aEw ould be aEto:
,a. AskaEanother aEnurse.
b. Discuss aEthe aEprocedure aEwith aEthe aEpatient‘s aEphysician.
c. Look aEup aEthe aEprocedure aEin aEa aEnursingaEtextbook.
d. Consult aEthe aEagencyaEprocedureaEmanual aEand aEfollow aEthe aEguidelines aEfor aEthe aEprocedure.
ANS: aED
9. From aEthe aEnurse‘s perspective, aEwhat aEmeasure aEshould aEbe aEthe aEfocus aEof aEthe aEhealth
(i
aEcare system aEto aEreduce aEthe aErate aEof aEinfant aEmortality aEfurther?
(i
a. ImplementingaEprograms aEto aEensureaEwomen‘s aEearlyaEparticipation aEin aEongoing aEprenatal aEcare
b. IncreasingaEthe aElength aEof aEstayaEin aEa aEhospital aEafter aEvaginal aEbirth aEfrom aE2 aEto aE3 aEdays
c. Expanding the aEnumber aEof aEneonatal aEintensive aEcare aEunits aE(NICUs)
(i
d. Mandating that aEall aEpregnant aEwomen aEreceive aEcare aEfrom aEan aEobstetrician
(i
ANS: aEA
10. Alternative aEand aEcomplementaryaEtherapies:
a. ReplaceaEconventional aEWestern aEmodalities aEof aEtreatment.
, b. Are aEused aEbyaEonlyaEa aEsmall aEnumber aEof aEAmerican aEadults.
c. RecognizeaEthe aEvalue aEof aEclients‘ aEinput aEinto theiraEhealth aEcare.
(i
d. Focus aEprimarilyaEon aEthe aEdisease aEan aEindividual aEis aEexperiencing.
ANS: aEC
11. A aE38-year-old aEHispanic aEwoman aEdelivered a aE9-pound, aE6-ounce aEgirlaEvaginallyaEafteraEbeingaEin
(i
labor aEfor aE43 aEhours. aEThe aEbabyaEdied aE3 aEdays aElater aEfrom aEsepsis. aEOn aEwhat grounds aEwould aEthe aEwoman
aE (i
aEpotentially aEhave aEa aElegitimate aElegal aEcase aEfor aEnegligence?
a. She aEis aEHispanic. c. aETheaEstandards aEof aEcare aEwere aEnot aEmet.
b. SheaEdelivered aEa aEgirl. d. aEShe aErefused aEfetal aEmonitoring.
ANS: aEC
12. A aEnewly aEgraduated aEnurse aEis aEattempting aEto aEunderstand aEthe aEreason aEfor aEincreasing aEhealth
aEcare aEs aEpending aEin aEthe aEUnited aEStates. aEHer aEresearch aEfinds aEthat aEthese aEcosts aEare aEmuch aEhigher
aEcompared aEwith aEot aEher aEdeveloped aEcountries aEas aEa aEresult aEof:
a. A aEhigher aErate aEof aEobesityaEamongaEpregnant aEwomen.
b. Limited access aEto aEtechnology.
(i
c. Increased aEusageaEof aEhealth aEcare aEservices aEalongaEwith aElower aEprices.
d. HomogeneityaEof aEthe aEpopulation.
aE Ae
ChapteraE01: aE21st CenturyaEMaternityaENursing ....................................................................................4
(i
ChapteraE02: aECommunityaECare: aEThe aEFamilyaEand aECulture ............................................................... 16
MATCHING .................................................................................................................................... 25
Chapter aE05: aEInfertility, aEContraception, aEand aEAbortion ................................................................... 27
MATCHING .................................................................................................................................... 43
COMPLETION ................................................................................................................................ 44
ChapteraE06: aEGenetics, aEConception, aEand aEFetal aEDevelopment.......................................................... 44
ChapteraE09: aEMaternal aEand aEFetal aENutrition ...................................................................................... 69
ChapteraE25: aEThe aEHigh aERisk aENewborn ............................................................................................ 94
MATCHING ...................................................................................................................................132
ChapteraE27: aEFamily, aESocial, aECultural, aEand aEReligious aEInfluences aEonaEChild aEHealth aEPromotion ....136
ChapteraE28: aEDevelopmental aEandaEGenetic aEInfluences aEon aEChild aEHealth aEPromotion ......................149
MATCHING ...................................................................................................................................170
ChapteraE29: aECommunication, aEHistory, aEand aEPhysical aEAssessment .................................................172
MATCHING ...................................................................................................................................201
ChapteraE30: aEPain aEAssessment aEand aEManagement aEin aEChildren .......................................................203
COMPLETION ...............................................................................................................................214
MATCHING ...................................................................................................................................215
ChapteraE31: aEThe aEInfant aEand aEFamily...............................................................................................217
MATCHING ...................................................................................................................................254
ChapteraE32: aEThe aEToddler aEand aEFamily ...........................................................................................256
ChapteraE33: aEThe aEPreschooleraEand Family ......................................................................................285
(i
ChapteraE34: aEThe aESchool-AgeaEChild aEand aEFamily...........................................................................308
MATCHING ...................................................................................................................................336
MULTIPLE aECHOICE .....................................................................................................................338
MATCHING ...................................................................................................................................383
Chapter aE36: aEChronic aE Illness, aEDisability, aEand aEEnd-of-Life aECare .................................................385
ChapteraE37: aEImpact aEof aECognitive aEoraESensoryaEImpairment aEon aEtheaEChild aEand aEFamily..................417
ChapteraE38: aEFamily-Centered aECare aEof aEtheaEChild aEDuring aEIllness aEand aEHospitalization .................451
ChapteraE39: aEPediatric aEVariations aEof aENursing aEInterventions ..........................................................470
COMPLETION ...............................................................................................................................507
MATCHING ...................................................................................................................................507
ChapteraE40: aERespiratoryaEDysfunction ............................................................................................509
ChapteraE41: aEGastrointestinal aEDysfunction ......................................................................................540
,MATCHING ...................................................................................................................................576
ChapteraE42: aECardiovascular aEDysfunction .......................................................................................576
MATCHING ...................................................................................................................................613
ChapteraE43: aEHematologic aEand aEImmunologic aEDysfunction ............................................................615
MATCHING ...................................................................................................................................654
Chapter aE44: aEGenitourinary aEDysfunction .......................................................................................655
MULTIPLE aECHOICE .....................................................................................................................682
MATCHING ...................................................................................................................................715
ChapteraE46: aEEndocrine aEDysfunction...............................................................................................717
ChapteraE47: aEIntegumentaryaEDysfunction ........................................................................................742
ChapteraE48: aEMusculoskeletal aEor aEArticular aEDysfunction ................................................................780
ChapteraE49: aENeuromuscularaEor aEMuscular aEDysfunction .................................................................806
,ChapteraE01: aE21st aECentury aEMaternity aENursing
1. When aEproviding careaEfor aEaaEpregnant aEwoman, aEthe aEnurseaEshouldaEbe aEawareaEthat aEone aEof aEthe
(i
aEmost aEfr equently aEreported aEmaternal aEmedical aErisk aEfactors aEis:
a. Diabetes aEmellitus. c. aEChronicaEhypertension.
b. Mitral aEvalve aEprolapse aE(MVP). d. aEAnemia.
ANS: aEA
2. To aEensure aEoptimal aEoutcomes aEfor aEthe aEpatient, aEthe aEcontemporary aEmaternity aEnurse aEmust
aEincorporate both aEteamwork and communication with clinicians aEinto her aEcare delivery, aEThe
(i (i (i (i
aESBAR technique of aEcommunication aEis aEan aEeasy-to-remember aEmechanism for aEcommunication.
(i (i (i
Which of aEthe aEfollowing aEcorrectly aEdefines aEthis aEacrony aEm?
aE (i
a. Situation, aEbaselineaEassessment, aEresponse
b. Situation, aEbackground, aEassessment, aErecommendation
c. SubjectiveaEbackground, aEassessment, aErecommendation
d. Situation, aEbackground, aE anticipated aErecommendation
ANS: aEB
3. TheaErole aEof aEtheaEprofessional aEnurse aEcaring for aEchildbearingaEfamilies aEhas aEevolved aEto aEemphasize:
(i
a. ProvidingaEcare aEto aEpatients aEdirectlyaEat aEthe aEbedside.
b. PrimarilyaEhospital aEcare aEof aEmaternityaEpatients.
c. Practice aEusing an aEevidence-based aE approach.
(i
,d. PlanningaEpatient aEcare aEto aEcover aElonger aEhospital aEstays.
ANS: aEC
4. A aE23-year-old aEAfrican-American aEwomanaEisaEpregnantaEwithaEheraEfirstaEchild. aEBased onaEthe aEstatistics aEfor
(i
infant aEmortality, aEwhich aEplan aEis aEmost aEimportant aEfor aEthe aEnurse aEto aEimplement?
aE
a. Perform aEaaEnutrition aEassessment.
b. Refer aEthe aEwoman aEto aEa aEsocial aEworker.
c. AdviseaEthe aEwoman aEto aEsee aEan obstetrician, aEnot aEa aEmidwife.
(i
d. Explain aEto the aEwoman aEtheaEimportance aEof aEkeepingaEher aEprenatal aEcare aEappointments.
(i
ANS: aED
5. During aprenatal aEintakeinterview,aEthenurseisintheprocessofobtaining aEan aEinitialassessment aEof
(i
aEa aE21-year-old aEHispanic aEpatient aEwith aElimited aEEnglish aEproficiency. aE It aEis aEimportant aEfor aEthe
aEnurse aEto:
a. Use aEmaternityjargon aEin aEorder aEfor aEthe aEpatient aEto aEbecome aEfamiliar aEwith these aEterms.
(i
aEb aESpeak aEq uickly aEand aEefficiently aEto aEexpedite aEthe aEvisit.
.
c. aEProvideaEthe aEpatient aEwith aEhandouts.
d aEAssess aEwhether aEthe aEpatient aEunderstands aEthe aEdiscussion.
ANS: aED
6. When aEmanagingaEhealth aEcareaEforaEpregnant aEwomen aEat aEaaEprenatal aEclinic, aEtheaEnurse
aEshould aEre aEcognize aEthat aEthe aEmost aEsignificant aEbarrier aEto aEaccess aEto care aEis aEthe
(i
aEpregnant aEwoman‘s:
a. Age. c. aEEducational aElevel.
,b. Minoritystatus. d. aEInabilityaEto aEpay.
ANS: aED
7. What aEis aEthe aEprimaryaErole aEof aEpracticing nurses aEin aEthe aEresearch aEprocess?
(i
a. Designing aEresearch aEstudies
b. Collecting data aEfor aEother aEresearchers
(i
c. Identifying aEresearchable aE problems
d. Seeking aEfunding to aEsupport aEresearch aEstudies
(i
ANS: aEC
8. When aEthe aEnurse is unsure aEabout how aEto aEperform aEa aEpatient aEcareaEprocedure, aEthe aEbest
(i (i (i (
aEaction aEw ould be aEto:
,a. AskaEanother aEnurse.
b. Discuss aEthe aEprocedure aEwith aEthe aEpatient‘s aEphysician.
c. Look aEup aEthe aEprocedure aEin aEa aEnursingaEtextbook.
d. Consult aEthe aEagencyaEprocedureaEmanual aEand aEfollow aEthe aEguidelines aEfor aEthe aEprocedure.
ANS: aED
9. From aEthe aEnurse‘s perspective, aEwhat aEmeasure aEshould aEbe aEthe aEfocus aEof aEthe aEhealth
(i
aEcare system aEto aEreduce aEthe aErate aEof aEinfant aEmortality aEfurther?
(i
a. ImplementingaEprograms aEto aEensureaEwomen‘s aEearlyaEparticipation aEin aEongoing aEprenatal aEcare
b. IncreasingaEthe aElength aEof aEstayaEin aEa aEhospital aEafter aEvaginal aEbirth aEfrom aE2 aEto aE3 aEdays
c. Expanding the aEnumber aEof aEneonatal aEintensive aEcare aEunits aE(NICUs)
(i
d. Mandating that aEall aEpregnant aEwomen aEreceive aEcare aEfrom aEan aEobstetrician
(i
ANS: aEA
10. Alternative aEand aEcomplementaryaEtherapies:
a. ReplaceaEconventional aEWestern aEmodalities aEof aEtreatment.
, b. Are aEused aEbyaEonlyaEa aEsmall aEnumber aEof aEAmerican aEadults.
c. RecognizeaEthe aEvalue aEof aEclients‘ aEinput aEinto theiraEhealth aEcare.
(i
d. Focus aEprimarilyaEon aEthe aEdisease aEan aEindividual aEis aEexperiencing.
ANS: aEC
11. A aE38-year-old aEHispanic aEwoman aEdelivered a aE9-pound, aE6-ounce aEgirlaEvaginallyaEafteraEbeingaEin
(i
labor aEfor aE43 aEhours. aEThe aEbabyaEdied aE3 aEdays aElater aEfrom aEsepsis. aEOn aEwhat grounds aEwould aEthe aEwoman
aE (i
aEpotentially aEhave aEa aElegitimate aElegal aEcase aEfor aEnegligence?
a. She aEis aEHispanic. c. aETheaEstandards aEof aEcare aEwere aEnot aEmet.
b. SheaEdelivered aEa aEgirl. d. aEShe aErefused aEfetal aEmonitoring.
ANS: aEC
12. A aEnewly aEgraduated aEnurse aEis aEattempting aEto aEunderstand aEthe aEreason aEfor aEincreasing aEhealth
aEcare aEs aEpending aEin aEthe aEUnited aEStates. aEHer aEresearch aEfinds aEthat aEthese aEcosts aEare aEmuch aEhigher
aEcompared aEwith aEot aEher aEdeveloped aEcountries aEas aEa aEresult aEof:
a. A aEhigher aErate aEof aEobesityaEamongaEpregnant aEwomen.
b. Limited access aEto aEtechnology.
(i
c. Increased aEusageaEof aEhealth aEcare aEservices aEalongaEwith aElower aEprices.
d. HomogeneityaEof aEthe aEpopulation.
