,• NCLEX Prep
Maternal and
Newborn Success
A Q&A Review Applying Critical Thinking
to Test Taking
,1 Introduction ........................................................................ 1
USE THIS BOOK AS ONE EDUCATIONAL STRATEGY ................................................. 1
LEARN THE MATERIAL............................................................................................ 1
READ YOUR ASSIGNMENTS ..................................................................................... 2
DISCUSS THE INFORMATION .................................................................................. 2
ORGANIZE THE INFORMATION ................................................................................ 2
Understand the Problem ...................................................................................... 2
Determine the Significance of the Pathophysiology................................................. 3
Identify Signs and Symptoms............................................................................... 3
USE THE NURSING PROCESS ................................................................................. 3
Assess ............................................................................................................... 4
Formulate Nursing Diagnoses............................................................................... 4
Develop a Plan of Care ........................................................................................ 4
Implement the Care ............................................................................................ 6
Evaluate the Care ............................................................................................... 6
TYPES OF QUESTIONS ............................................................................................ 6
Multiple-Choice Questions ................................................................................... 6
Fill-in-the-Blank Questions .................................................................................. 7
Drag-and-Drop Questions...................................................................................... 7
Multiple-Response Questions ............................................................................... 8
Hot Spot Items .................................................................................................. 8
Items for Interpretation ....................................................................................... 8
KNOW HOW TO APPROACH EXAM QUESTIONS ......................................................... 9
2 Sexuality, Fertility, and Genetics .............................................. 11
KEYWORDS .......................................................................................................... 11
QUESTIONS.......................................................................................................... 12
Sexuality.......................................................................................................... 12
Infertility ......................................................................................................... 15
Genetics .......................................................................................................... 20
ANSWERS AND RATIONALES................................................................................. 30
Sexuality.......................................................................................................... 30
Infertility ......................................................................................................... 33
Genetics .......................................................................................................... 40
3 Women’s Health Issues .......................................................... 51
KEYWORDS .......................................................................................................... 51
QUESTIONS.......................................................................................................... 52
ANSWERS AND RATIONALES................................................................................. 67
4 Antepartum ........................................................................87
KEYWORDS .......................................................................................................... 87
QUESTIONS.......................................................................................................... 88
ANSWERS AND RATIONALES............................................................................... 104
xiii
, xiv CONTENTS
5 Intrapartum ................................................................... 127
KEYWORDS ..................................................................................................... 127
QUESTIONS ..................................................................................................... 128
ANSWERS AND RATIONALES ............................................................................ 143
6 Normal Newborn .............................................................. 161
KEYWORDS ..................................................................................................... 161
QUESTIONS ..................................................................................................... 162
ANSWERS AND RATIONALES ............................................................................ 180
7 Normal Postpartum ........................................................... 205
KEYWORDS ..................................................................................................... 205
QUESTIONS ..................................................................................................... 206
ANSWERS AND RATIONALES ............................................................................ 219
8 High-Risk Antepartum ........................................................ 237
KEYWORDS ..................................................................................................... 237
QUESTIONS ..................................................................................................... 238
ANSWERS AND RATIONALES ............................................................................ 254
9 High-Risk Intrapartum ........................................................ 279
KEYWORDS ..................................................................................................... 279
QUESTIONS ..................................................................................................... 280
ANSWERS AND RATIONALES ............................................................................ 297
10 High-Risk Newborn ............................................................ 319
KEYWORDS ..................................................................................................... 319
QUESTIONS ..................................................................................................... 320
ANSWERS AND RATIONALES ............................................................................ 338
11 High-Risk Postpartum ......................................................... 363
KEYWORDS ..................................................................................................... 363
QUESTIONS ..................................................................................................... 364
ANSWERS AND RATIONALES ............................................................................ 377
12 Comprehensive Examination .............................................. 393
COMPREHENSIVE EXAMINATION ANSWERS AND RATIONALES ........................... 409
References ..................................................................... 427
Index .............................................................................. 429
Maternal and
Newborn Success
A Q&A Review Applying Critical Thinking
to Test Taking
,1 Introduction ........................................................................ 1
USE THIS BOOK AS ONE EDUCATIONAL STRATEGY ................................................. 1
LEARN THE MATERIAL............................................................................................ 1
READ YOUR ASSIGNMENTS ..................................................................................... 2
DISCUSS THE INFORMATION .................................................................................. 2
ORGANIZE THE INFORMATION ................................................................................ 2
Understand the Problem ...................................................................................... 2
Determine the Significance of the Pathophysiology................................................. 3
Identify Signs and Symptoms............................................................................... 3
USE THE NURSING PROCESS ................................................................................. 3
Assess ............................................................................................................... 4
Formulate Nursing Diagnoses............................................................................... 4
Develop a Plan of Care ........................................................................................ 4
Implement the Care ............................................................................................ 6
Evaluate the Care ............................................................................................... 6
TYPES OF QUESTIONS ............................................................................................ 6
Multiple-Choice Questions ................................................................................... 6
Fill-in-the-Blank Questions .................................................................................. 7
Drag-and-Drop Questions...................................................................................... 7
Multiple-Response Questions ............................................................................... 8
Hot Spot Items .................................................................................................. 8
Items for Interpretation ....................................................................................... 8
KNOW HOW TO APPROACH EXAM QUESTIONS ......................................................... 9
2 Sexuality, Fertility, and Genetics .............................................. 11
KEYWORDS .......................................................................................................... 11
QUESTIONS.......................................................................................................... 12
Sexuality.......................................................................................................... 12
Infertility ......................................................................................................... 15
Genetics .......................................................................................................... 20
ANSWERS AND RATIONALES................................................................................. 30
Sexuality.......................................................................................................... 30
Infertility ......................................................................................................... 33
Genetics .......................................................................................................... 40
3 Women’s Health Issues .......................................................... 51
KEYWORDS .......................................................................................................... 51
QUESTIONS.......................................................................................................... 52
ANSWERS AND RATIONALES................................................................................. 67
4 Antepartum ........................................................................87
KEYWORDS .......................................................................................................... 87
QUESTIONS.......................................................................................................... 88
ANSWERS AND RATIONALES............................................................................... 104
xiii
, xiv CONTENTS
5 Intrapartum ................................................................... 127
KEYWORDS ..................................................................................................... 127
QUESTIONS ..................................................................................................... 128
ANSWERS AND RATIONALES ............................................................................ 143
6 Normal Newborn .............................................................. 161
KEYWORDS ..................................................................................................... 161
QUESTIONS ..................................................................................................... 162
ANSWERS AND RATIONALES ............................................................................ 180
7 Normal Postpartum ........................................................... 205
KEYWORDS ..................................................................................................... 205
QUESTIONS ..................................................................................................... 206
ANSWERS AND RATIONALES ............................................................................ 219
8 High-Risk Antepartum ........................................................ 237
KEYWORDS ..................................................................................................... 237
QUESTIONS ..................................................................................................... 238
ANSWERS AND RATIONALES ............................................................................ 254
9 High-Risk Intrapartum ........................................................ 279
KEYWORDS ..................................................................................................... 279
QUESTIONS ..................................................................................................... 280
ANSWERS AND RATIONALES ............................................................................ 297
10 High-Risk Newborn ............................................................ 319
KEYWORDS ..................................................................................................... 319
QUESTIONS ..................................................................................................... 320
ANSWERS AND RATIONALES ............................................................................ 338
11 High-Risk Postpartum ......................................................... 363
KEYWORDS ..................................................................................................... 363
QUESTIONS ..................................................................................................... 364
ANSWERS AND RATIONALES ............................................................................ 377
12 Comprehensive Examination .............................................. 393
COMPREHENSIVE EXAMINATION ANSWERS AND RATIONALES ........................... 409
References ..................................................................... 427
Index .............................................................................. 429