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,Contents
Chapter vI1- Perspectives vIon Maternal, vINewborn, vIand vIWomen’s vIHealth vICare ................................................................ 4
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Chapter v I 2- Family-Centered Community-Based Care ................................................................................................... 9
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Chapter vI3- vI Anatomyand vIPhysiologyof vIthe vI ReproductivevISystem ............................................................................ 14
Chapter vI4- vI Common vIReproductive Issues ................................................................................................................... 19
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Chapter vI5- vISexuallyvITransmitted vIInfections ................................................................................................................ 24
Chapter6-Disorders of v I the Breasts .............................................................................................................................. 29
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Chapter7-Benign Disorders ofvIthe vIFemale ReproductiveTract ...................................................................................... 34
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Chapter8-Cancersofthe Female vIReproductiveTract .................................................................................................... 39
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Chapter9-Violence vIand vIAbuse .................................................................................................................................... 44
Chapter10-FetalDevelopmentandGenetics ................................................................................................................... 49
Chapter vI11- vI Maternal vI Adaptation During vIPregnancy................................................................................................. 54
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Chapter vI12- vINursing vIManagement vIDuring Pregnancy................................................................................................. 60
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Chapter13-vILaborvIand vIBirth Process ............................................................................................................................. 66
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Chapter vI14- vINursing Management During vI Labor vIand vIBirth ...................................................................................... 72
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Chapter vI15- vIPostpartum Adaptations ........................................................................................................................... 78
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Chapter vI16- vINursing vIManagement vIDuring the PostpartumPeriod ................................................................................ 84
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Chapter vI17- vINewborn vITransitioning ............................................................................................................................ 90
Chapter vI18- vINursing ManagementvIof vIthe v I Newborn ................................................................................................... 96
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Chapter vI19- vINursing Management of vIPregnancyvIat v I Risk- Pregnancy....................................................................... 102
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Chapter vI20- vINursing Management of vIthe Pregnancy vIat v I Risk ................................................................................... 108
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Chapter21-NursingManagementofLabor vIand vIBirthat vI Risk .................................................................................... 114
Chapter vI22- vINursing Management of vI the Postpartum Woman vIat v I Risk..................................................................... 120
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Chapter23-NursingCareofthe vINewborn With SpecialvINeeds .................................................................................... 126
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Chapter24-NursingManagementofthe Newborn vIatRisk ............................................................................................ 132
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Chapter25-GrowthandDevelopmentoftheNewbornand vIInfant ................................................................................ 138
Chapter26-Growth and Development ofvIthe vIToddler................................................................................................... 144
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Chapter27-GrowthandDevelopmentofthe Preschooler................................................................................................ 150
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Chapter vI28- vIGrowth vIand vIDevelopmentvIof vIthe vISchool-Age Child.............................................................................. 157 lj
Chapter29-GrowthandDevelopmentofthe Adolescent ................................................................................................ 164
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Chapter30-AtraumaticCareofChildrenand Families .................................................................................................... 171
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Chapter31-Health Supervision ................................................................................................................................... 176
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Chapter32-Health Assessment vIof vIChildren ............................................................................................................... 183
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Chapter33-Caringfor v I Children in Diverse vISettings .................................................................................................. 190
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Chapter34-Caringfor vIthe vISpecial vINeedsChild ......................................................................................................... 197
Chapter vI35- vI Key vIPediatric vINursing Interventions ...................................................................................................... 203
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Chapter vI36- vIPain Management vIin vI Children .............................................................................................................. 210
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Chapter37-NursingCareofthe vIChild vIWith anvIInfectiousor vICommunicable vIDisorder ............................................... 217
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Chapter vI38- vINursing vICare vIof vIthe vIChild vIWith an vIAlterationvIin vIIntracranial vI Regulation / vINeurologicvIDisorder .......... 224
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,Chapter vI39- vINursingvICare vIof vIthe vI Child With vIan vI AlterationvIin vISensory vIPerception / vIDisordervIof vIthe Eyes or vI Ears231
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ChaptervI40- Nursing vICare vIof vIthe vI Child With vIan AlterationvIin vI Gas Exchange vI/ vI RespiratoryDisorder ....................... 238
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Chapter41-NursingCareofthe vIChildWith an vIAlteration in Perfusion / v I CardiovascularDisorder ............................... 244
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ChaptervI42-vINursing Care vIof vIthe vI Child vIWith an Alteration in vI Bowel vIElimination / vIGastrointestinalDisorder ........... 250
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ChaptervI43- vINursing vICare vIof vIthe Child vIWith vIan Alteration in Urinary vI Elimination / vI GenitourinaryDisorder ........... 257
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Chapter44-NursingCareofthe vI Child With an vIAlteration in Mobility/ vINeuromuscularorMusculoskeletalDisorder
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................................................................................................................................................................................. 264
Extra vI Questions: vI Musculoskeletal vIDisorder .......................................................................................................... 270
Chapter45-NursingCareofthe v I ChildWith an vIAlteration in Tissue Integrity/ v I IntegumentaryDisorder....................... 277
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Chapter vI46-
Nursing Care of vIthe Child vIWith vIan vIAlteration vIin vICellular vIRegulation vI/ vIHematologic vIor vINeoplastic Disorder ..... 283
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Extra Questions: vI Neoplastic Disorder .................................................................................................................... 290
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Chapter47-NursingCareofthe vIChild With an vIAlteration in Immunity vIorImmunologicDisorder ................................. 296
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ChaptervI48- vINursing Care of vIthe Child vIWith vIan vI AlterationvIin vI Metabolism/ vI Endocrine Disorder ............................ 303
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ChaptervI49- vINursing vICare vIof vIthe vI Child With vIan AlterationvIin vI Genetics .................................................................. 310
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Chapter50-NursingCareofthe vIChildWithanAlterationin vIBehavior, vICognition,orDevelopment ................................ 317
Chapter vI51- vI Nursing Care During a v I Pediatric vIEmergency ........................................................................................ 324
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,Chapter1-
PerspectivesonMaternal,Newborn,andWomen’s Health Care vI vI
1. The vIUnited States vIranks vI50th vIin vIthe vIworld vIfor vImaternal vImortality vIand vI41st vIamong
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vIindustrialized vInationsvIforvIinfant vImortalityrate. vIWhen vIdeveloping programs vIto vIassist vIinvIdecreasing
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vIthese vIrates, vIwhic vIh vIfactor vIwould vImost vIlikelyneed to vIbe vIaddressed vIas vIhaving vIthe vIgreatest
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vIimpact?
A) Resolvingall vIlanguagevIand vIcultural vIdifferences
B) Assuring vIearlyand vIadequate vIprenatal vIcare
C) ProvidingmorevIextensive vIwomen’svIshelters
D) Encouragingall vIwomen vIto vIeat vIavIbalanced vIdiet
2. When vIintegrating the vIprinciples vIof vIfamily-
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centered care, vIthe vInurse vIwould vIinclude vIwhich vIof vIthe vIfollowing?
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A) Childbirth vIis vIviewed vIas vIa vIprocedural vIevent
B) Families vIarevIunable to vImakevIinformed vIchoices
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C) ChildbirthvIresults vIin vIchanges vIin vIrelationships
D) FamiliesvIrequire littlevIinformation vIto vImakeappropriate vIdecisions
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3. WhenvIpreparing avIteaching planvIfor vIa vIgroupvIofvIfirst-
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timevIpregnant vIwomen, vIthevInursevIexpects vIto vIreview vIhow vImaternityvIcare vIhas vIchanged vIover vIthe
vIyears. vIWhich vIof vIthe vIfollowing vIwould vIthe vInurse vIinclude vIwhen vIdiscussing vIevents vIof vIthe vI20th
vIcentury?
A) Epidemics vIof vIpuerperal vIfever
B) PerformancevIof vIthe vIfirst vIcesarean vIbirth
C) Development vIof vIthe x-rayvIto vIassess vIpelvic vIsize
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D) Creation vIof vIfree-standing birth vIcenters lj
4. Afterteachinga vIgroup vIof vIstudents vIabout vIpregnancy-
related mortality, vIthe vIinstructor vIdetermines vIthat vIadditional vIteaching is vIneeded when vIthe vIstudents
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vIide vIntifywhich vIcondition vIas vIa vIleading cause? lj
A) Hemorrhage
B) Embolism
C) Obstructed vIlabor
D) Infection
5. The nurse vIis working with vIa vIgroup vIof vIcommunityhealth vImembers vIto vIdevelop vIa vIplan vIto vIaddress
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vIthe vIspecial vIhealth vIneeds vIof vIwomen. vIWhich vIof vIthe vIfollowing conditions vIwould vIthe vIgroup
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vIaddress vIas the vImajor vIproblem?
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A) Smoking
B) Heart disease
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C) Diabetes
D) Cancer
6. WhenvIassessingavIfamilyforvIpossiblevIbarriersvIto vIhealth vIcare, vIthevInursevIwould vIconsidervIwhich
vIfa vIctor vIto vIbe vImost vIimportant?
A) Language
, B) Health vIcare workers’ vIattitudes
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C) Transportation
D) Finances
7. After vIteaching a vIgroup vIof vInursing students vIabout vIthe vIissue vIof vIinformed vIconsent. vIWhich vIof vIthe
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vIfol vIlowing, vIif vIidentified vIby vIthe vIstudent, vIwould vIindicate vIan vIunderstanding vIof vIa vIviolation vIof
vIinformed vIc vIonsent?
A) PerformingavIprocedure vIon vIa vI15-year-old vIwithout vIconsent
B) ServingvIas vIa vIwitness vIto vIthe vIsignature vIprocess
C) Asking whethervIthe vIclient vIunderstands vIwhat vIshe vIis vIsigning
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D) Getting verbal vIconsent vIover vIthe vIphonevIfor vIemergencyprocedures
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8. The vInurse vIis vItrying vIto get vIconsent vIto vIcare vIfor vIan vI11-year-
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old boyvIwith vIdiabetic vIketoacidosis. vIHisvIparentsvIarevIoutvIofvItownvIonvIvacation,vIandvIthevIchildvIis
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vIstayin vIgwith vIa vIneighbor. vIWhich vIaction vIwould vIbe vIthe vIpriority?
A) Getting telephone vIconsent vIwith vItwo vIpeople vIlisteningvIto vIthe vIverbal vIconsent
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B) Providingemergencycare vIwithout vIparental vIconsent
C) Contacting the vIchild’s vIaunt vIor vIuncle vIto vIobtain their vIconsent
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D) Advocating for vItermination vIof vIparental vIrights vIforvIthis vIsituation
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9. AftervIteachingvInursing students vIabout vIthe vIbasic vIconcepts vIof vIfamily-
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centered vIcare,vIthevIinstructor vIdetermines vIthat vIthe vIteaching vIwas vIsuccessful vIwhen vIthe vIstudents vIstate
vIwh vIich vIof vIthe vIfollowing?
A) ―ChildbirthvIaffects vIthe vIentirevIfamily, vIand vIrelationships vIwill vIchange.‖
B) ―Families vIarevInot vIcapable vIofvImakingvIhealth vIcare vIdecisions vIforvIthemselves.‖
C) ―MothersvIarevIthevIfamilyvImembersvIaffected vIbychildbirth.‖
D) ―Childbirth vIis vIa vImedical vI procedure.‖
10. A vInursing instructor vIis vIpreparing vIa vIclass vIdiscussion vIon vIthe vItrends vIin vIhealth vIcare vIand
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vIhealth vIca vIre vIdelivery vIover vIthe vIpast vIseveral vIcenturies. vIWhen vIdiscussing vIthe vIchanges vIduring
vIthe vIpast centur vIy, vIwhich of vIthe vIfollowing would vIthe vIinstructor vIbe vIleast vIlikely vIto
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vIinclude?
A) Diseaseprevention
B) HealthvIpromotion
C) Wellness
D) Analysis vIof vImorbidityvIand vImortality
11. A vInurse vIis vIassigned to vIcare vIfor vIan vIAsian American vI client. vIThe vInursedevelops vIa vIplan vIof
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vIcare vIwit vIh vIthe vIunderstanding vIthat vIbased vIon vIthis vIclient’s vIcultural vIbackground, vIthe vIclient
vImost likely vIviews vIil vIlness vIas vIwhich vIof vIthe vIfollowing?
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A) Caused vIbysupernatural vIforces.
B) AvIpunishment vIforvIsins.
C) DuevIto vIspirits vIorvIdemons.
D) FromvIanvIimbalancevIof vIyin vIand vIyang
12. A vInurse vIis vIdeveloping vIa vIplan vIof vIcare vIfor vIa vIwoman vIto vIensure vIcontinuity vIof vIcare vIduring
vIpregnanc vIy, vIlabor, vIand vIchildbirth. vIWhich vIof vIthe vIfollowing would vIbe vImost important vIfor
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vIthe nurse vIto vIincorpor vIate vIinto vIthat vIplan?
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A) Adheringto vIstrict, vIspecific vIroutines