,Contents
Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care.................................................. 4
c s cs cs cs cs c s c s cs cs
Chapter 2- Family-Centered Community-Based Care ................................................................................................ 9
cs cs cs cs
Chapter 3- Anatomy and Physiology of the Reproductive System ................................................................... 14
cs c s cs c s cs c s c s cs
Chapter 4- Common Reproductive Issues ............................................................................................................... 19
cs cs cs cs
Chapter 5- Sexually Transmitted Infections ........................................................................................................... 24
cs cs cs cs
Chapter 6- Disorders of the Breasts ....................................................................................................................... 29
cs cs cs cs cs
Chapter 7- Benign Disorders of the Female Reproductive Tract ......................................................................... 34
cs cs cs cs cs cs cs cs
Chapter 8- Cancers of the Female Reproductive Tract ......................................................................................... 39
cs cs cs cs cs cs cs
Chapter 9- Violence and Abuse .............................................................................................................................. 44
cs cs cs c s
Chapter 10- Fetal Development and Genetics ......................................................................................................... 49
cs cs cs cs cs
Chapter 11- Maternal Adaptation During Pregnancy............................................................................................ 54
cs cs cs cs cs
Chapter 12- Nursing Management During Pregnancy ........................................................................................... 60
cs cs cs cs cs
Chapter 13- Labor and Birth Process ..................................................................................................................... 66
cs cs cs cs cs
Chapter 14- Nursing Management During Labor and Birth .............................................................................. 72
cs cs cs cs cs cs c s
Chapter 15- Postpartum Adaptations........................................................................................................................ 78
cs cs cs
Chapter 16- Nursing Management During the Postpartum Period ...................................................................... 84
cs cs cs cs cs c s cs
Chapter 17- Newborn Transitioning ........................................................................................................................ 90
cs cs cs
Chapter 18- Nursing Management of the Newborn ............................................................................................ 96
cs cs cs cs cs c s
Chapter 19- Nursing Management of Pregnancy at Risk- Pregnancy ............................................................. 102
cs cs cs cs cs cs c s cs
Chapter 20- Nursing Management of the Pregnancy at Risk ......................................................................... 108
cs cs cs cs cs c s cs c s
Chapter 21- Nursing Management of Labor and Birth at Risk ........................................................................ 114
cs cs cs cs cs cs cs cs cs
Chapter 22- Nursing Management of the Postpartum Woman at Risk ......................................................... 120
cs cs cs cs cs c s cs cs c s
Chapter 23- Nursing Care of the Newborn With Special Needs ..................................................................... 126
cs cs cs cs cs c s cs cs cs
Chapter 24- Nursing Management of the Newborn at Risk ............................................................................... 132
cs cs cs cs cs cs cs cs
Chapter 25- Growth and Development of the Newborn and Infant .................................................................. 138
cs cs cs cs cs cs cs cs cs
Chapter 26- Growth and Development of the Toddler ....................................................................................... 144
cs cs cs cs cs cs cs
Chapter 27- Growth and Development of the Preschooler................................................................................. 150
cs cs cs cs cs cs cs
Chapter 28- Growth and Development of the School-Age Child................................................................... 157
cs cs cs c s cs cs c s cs
Chapter 29- Growth and Development of the Adolescent ................................................................................. 164
cs cs cs cs cs cs c s
Chapter 30- Atraumatic Care of Children and Families ..................................................................................... 171
cs cs cs cs cs cs cs
Chapter 31- Health Supervision .............................................................................................................................. 176
cs cs cs
Chapter 32- Health Assessment of Children ........................................................................................................ 183
cs cs cs cs cs
Chapter 33- Caring for Children in Diverse Settings ........................................................................................ 190
cs cs cs c s cs cs cs
Chapter 34- Caring for the Special Needs Child............................................................................................... 197
cs cs cs c s cs cs cs
Chapter 35- Key Pediatric Nursing Interventions ............................................................................................... 203
cs c s cs cs cs
Chapter 36- Pain Management in Children ........................................................................................................ 210
cs cs cs cs c s
Chapter 37- Nursing Care of the Child With an Infectious or Communicable Disorder ............................ 217
cs cs cs cs cs c s cs cs cs cs c s c s
Chapter 38- Nursing Care of the Child With an Alteration in Intracranial Regulation / Neurologic Disorder224
cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs
,Chapter 39- Nursing Care of the Child With an Alteration in Sensory Perception / Disorder of the Eyes or
cs cs cs cs cs c s cs cs c s cs c s cs cs cs cs cs cs cs
Ears
c s 231
Chapter 40- Nursing Care of the Child With an Alteration in Gas Exchange / Respiratory Disorder... 238
cs cs cs cs c s cs cs cs cs cs cs cs cs c s cs
Chapter 41- Nursing Care of the Child With an Alteration in Perfusion / Cardiovascular Disorder ........... 244
cs cs cs cs cs cs cs cs cs cs cs cs cs cs
Chapter 42- Nursing Care of the Child With an Alteration in Bowel Elimination / Gastrointestinal Disorder
cs cs cs cs cs cs cs cs cs cs c s cs cs cs cs 250
Chapter 43- Nursing Care of the Child With an Alteration in Urinary Elimination / Genitourinary Disorder
cs cs cs cs cs cs cs cs c s cs cs cs cs cs cs 257
Chapter 44- Nursing Care of the Child With an Alteration in Mobility / Neuromuscular or Musculoskeletal Disorder
cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs
................................................................................................................................................................................. 264
Extra Questions: Musculoskeletal Disorder ...................................................................................................... 270
c s c s cs
Chapter 45- Nursing Care of the Child With an Alteration in Tissue Integrity / Integumentary Disorder .. 277
cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs
Chapter 46- Nursing Care of the Child With an Alteration in Cellular Regulation /
c s c s c s c s c s c s c s c s c s c s c s c s c s
Hematologic or Neoplastic Disorder .............................................................................................................. 283
c s c s c s c s
Extra Questions: Neoplastic Disorder ................................................................................................................ 290
cs cs cs
Chapter 47- Nursing Care of the Child With an Alteration in Immunity or Immunologic Disorder ............ 296
cs cs cs cs cs cs cs cs cs cs cs cs cs cs
Chapter 48- Nursing Care of the Child With an Alteration in Metabolism / Endocrine Disorder ........... 303
cs cs cs cs cs cs cs cs cs cs c s cs cs cs
Chapter 49- Nursing Care of the Child With an Alteration in Genetics .................................................... 310
cs cs cs cs cs c s cs cs c s cs c s
Chapter 50- Nursing Care of the Child With an Alteration in Behavior, Cognition, or Development ....... 317
cs cs cs cs cs cs cs cs cs cs cs cs cs cs
Chapter 51- Nursing Care During a Pediatric Emergency ............................................................................... 324
cs cs cs cs cs c s cs
, Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health
cs cs cs cs cs cs cs cs
Care
cs
1. The United States ranks 50th in the world for maternal mortality and 41st
c s c s c s c s c s c s c s c s c s c s c s c s
among industrialized nations for infant mortality rate. When developing programs to assist
c s cs cs cs cs cs cs cs cs cs cs cs
in decreasing these rates, which factor would most likely need to be addressed as
cs cs c s c s c s c s c s c s c s cs c s c s c s c s
having the greatest impact?
c s c s cs cs
A) Resolving all language and cultural differences cs c s cs c s cs
B) Assuring early and adequate prenatal care cs cs c s c s c s
C) Providing more extensive women’s shelters cs cs cs cs
D) Encouraging all women to eat a balanced diet cs c s cs cs c s cs c s
2. When integrating the principles of family-centered care, the nurse would include which of
cs cs cs cs cs cs cs cs cs cs cs cs
c the following?
s cs
A) Childbirth is viewed as a procedural event c s cs cs c s cs c s
B) Families are unable to make informed choices cs cs cs c s cs c s
C) Childbirth results in changes in relationships cs cs cs cs c s
D) Families require little information to make appropriate decisions
cs cs cs cs c s cs c s
3. When preparing a teaching plan for a group of first-time pregnant women, the nurse
cs cs cs cs cs cs cs cs cs cs c s c s cs
expects to review how maternity care has changed over the years. Which of the
cs cs c s c s c s c s c s c s c s c s c s c s c s c s
following would the nurse include when discussing events of the 20th century?
c s cs c s c s c s c s c s c s c s c s c s c s
A) Epidemics of puerperal fever cs cs c s
B) Performance of the first cesarean birth cs cs cs cs c s
C) Development of the x-ray to assess pelvic size c s c s c s cs c s c s cs
D) Creation of free-standing birth centers cs c s cs c s
4. After teaching a group of students about pregnancy-related mortality, the instructor
cs cs cs cs cs cs cs cs cs cs
determines that additional teaching is needed when the students identify which
cs c s c s c s cs c s c s c s c s c s cs
condition as a leading cause?
c s c s cs cs cs
A) Hemorrhage
B) Embolism
C) Obstructed labor cs
D) Infection
5. The nurse is working with a group of community health members to develop a
cs cs c s cs c s c s c s cs cs c s c s c s c s
plan to address the special health needs of women. Which of the following
c s c s cs c s c s c s c s c s c s c s c s c s c s
conditions would the group address as the major problem?
c s c s cs cs cs cs cs cs cs
A) Smoking
B) Heart disease cs
C) Diabetes
D) Cancer
6. When assessing a family for possible barriers to health care, the nurse would consider
cs cs cs cs cs cs cs cs cs cs cs cs cs
c which factor to be most important?
s cs cs cs cs cs
A) Language
Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care.................................................. 4
c s cs cs cs cs c s c s cs cs
Chapter 2- Family-Centered Community-Based Care ................................................................................................ 9
cs cs cs cs
Chapter 3- Anatomy and Physiology of the Reproductive System ................................................................... 14
cs c s cs c s cs c s c s cs
Chapter 4- Common Reproductive Issues ............................................................................................................... 19
cs cs cs cs
Chapter 5- Sexually Transmitted Infections ........................................................................................................... 24
cs cs cs cs
Chapter 6- Disorders of the Breasts ....................................................................................................................... 29
cs cs cs cs cs
Chapter 7- Benign Disorders of the Female Reproductive Tract ......................................................................... 34
cs cs cs cs cs cs cs cs
Chapter 8- Cancers of the Female Reproductive Tract ......................................................................................... 39
cs cs cs cs cs cs cs
Chapter 9- Violence and Abuse .............................................................................................................................. 44
cs cs cs c s
Chapter 10- Fetal Development and Genetics ......................................................................................................... 49
cs cs cs cs cs
Chapter 11- Maternal Adaptation During Pregnancy............................................................................................ 54
cs cs cs cs cs
Chapter 12- Nursing Management During Pregnancy ........................................................................................... 60
cs cs cs cs cs
Chapter 13- Labor and Birth Process ..................................................................................................................... 66
cs cs cs cs cs
Chapter 14- Nursing Management During Labor and Birth .............................................................................. 72
cs cs cs cs cs cs c s
Chapter 15- Postpartum Adaptations........................................................................................................................ 78
cs cs cs
Chapter 16- Nursing Management During the Postpartum Period ...................................................................... 84
cs cs cs cs cs c s cs
Chapter 17- Newborn Transitioning ........................................................................................................................ 90
cs cs cs
Chapter 18- Nursing Management of the Newborn ............................................................................................ 96
cs cs cs cs cs c s
Chapter 19- Nursing Management of Pregnancy at Risk- Pregnancy ............................................................. 102
cs cs cs cs cs cs c s cs
Chapter 20- Nursing Management of the Pregnancy at Risk ......................................................................... 108
cs cs cs cs cs c s cs c s
Chapter 21- Nursing Management of Labor and Birth at Risk ........................................................................ 114
cs cs cs cs cs cs cs cs cs
Chapter 22- Nursing Management of the Postpartum Woman at Risk ......................................................... 120
cs cs cs cs cs c s cs cs c s
Chapter 23- Nursing Care of the Newborn With Special Needs ..................................................................... 126
cs cs cs cs cs c s cs cs cs
Chapter 24- Nursing Management of the Newborn at Risk ............................................................................... 132
cs cs cs cs cs cs cs cs
Chapter 25- Growth and Development of the Newborn and Infant .................................................................. 138
cs cs cs cs cs cs cs cs cs
Chapter 26- Growth and Development of the Toddler ....................................................................................... 144
cs cs cs cs cs cs cs
Chapter 27- Growth and Development of the Preschooler................................................................................. 150
cs cs cs cs cs cs cs
Chapter 28- Growth and Development of the School-Age Child................................................................... 157
cs cs cs c s cs cs c s cs
Chapter 29- Growth and Development of the Adolescent ................................................................................. 164
cs cs cs cs cs cs c s
Chapter 30- Atraumatic Care of Children and Families ..................................................................................... 171
cs cs cs cs cs cs cs
Chapter 31- Health Supervision .............................................................................................................................. 176
cs cs cs
Chapter 32- Health Assessment of Children ........................................................................................................ 183
cs cs cs cs cs
Chapter 33- Caring for Children in Diverse Settings ........................................................................................ 190
cs cs cs c s cs cs cs
Chapter 34- Caring for the Special Needs Child............................................................................................... 197
cs cs cs c s cs cs cs
Chapter 35- Key Pediatric Nursing Interventions ............................................................................................... 203
cs c s cs cs cs
Chapter 36- Pain Management in Children ........................................................................................................ 210
cs cs cs cs c s
Chapter 37- Nursing Care of the Child With an Infectious or Communicable Disorder ............................ 217
cs cs cs cs cs c s cs cs cs cs c s c s
Chapter 38- Nursing Care of the Child With an Alteration in Intracranial Regulation / Neurologic Disorder224
cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs
,Chapter 39- Nursing Care of the Child With an Alteration in Sensory Perception / Disorder of the Eyes or
cs cs cs cs cs c s cs cs c s cs c s cs cs cs cs cs cs cs
Ears
c s 231
Chapter 40- Nursing Care of the Child With an Alteration in Gas Exchange / Respiratory Disorder... 238
cs cs cs cs c s cs cs cs cs cs cs cs cs c s cs
Chapter 41- Nursing Care of the Child With an Alteration in Perfusion / Cardiovascular Disorder ........... 244
cs cs cs cs cs cs cs cs cs cs cs cs cs cs
Chapter 42- Nursing Care of the Child With an Alteration in Bowel Elimination / Gastrointestinal Disorder
cs cs cs cs cs cs cs cs cs cs c s cs cs cs cs 250
Chapter 43- Nursing Care of the Child With an Alteration in Urinary Elimination / Genitourinary Disorder
cs cs cs cs cs cs cs cs c s cs cs cs cs cs cs 257
Chapter 44- Nursing Care of the Child With an Alteration in Mobility / Neuromuscular or Musculoskeletal Disorder
cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs
................................................................................................................................................................................. 264
Extra Questions: Musculoskeletal Disorder ...................................................................................................... 270
c s c s cs
Chapter 45- Nursing Care of the Child With an Alteration in Tissue Integrity / Integumentary Disorder .. 277
cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs
Chapter 46- Nursing Care of the Child With an Alteration in Cellular Regulation /
c s c s c s c s c s c s c s c s c s c s c s c s c s
Hematologic or Neoplastic Disorder .............................................................................................................. 283
c s c s c s c s
Extra Questions: Neoplastic Disorder ................................................................................................................ 290
cs cs cs
Chapter 47- Nursing Care of the Child With an Alteration in Immunity or Immunologic Disorder ............ 296
cs cs cs cs cs cs cs cs cs cs cs cs cs cs
Chapter 48- Nursing Care of the Child With an Alteration in Metabolism / Endocrine Disorder ........... 303
cs cs cs cs cs cs cs cs cs cs c s cs cs cs
Chapter 49- Nursing Care of the Child With an Alteration in Genetics .................................................... 310
cs cs cs cs cs c s cs cs c s cs c s
Chapter 50- Nursing Care of the Child With an Alteration in Behavior, Cognition, or Development ....... 317
cs cs cs cs cs cs cs cs cs cs cs cs cs cs
Chapter 51- Nursing Care During a Pediatric Emergency ............................................................................... 324
cs cs cs cs cs c s cs
, Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health
cs cs cs cs cs cs cs cs
Care
cs
1. The United States ranks 50th in the world for maternal mortality and 41st
c s c s c s c s c s c s c s c s c s c s c s c s
among industrialized nations for infant mortality rate. When developing programs to assist
c s cs cs cs cs cs cs cs cs cs cs cs
in decreasing these rates, which factor would most likely need to be addressed as
cs cs c s c s c s c s c s c s c s cs c s c s c s c s
having the greatest impact?
c s c s cs cs
A) Resolving all language and cultural differences cs c s cs c s cs
B) Assuring early and adequate prenatal care cs cs c s c s c s
C) Providing more extensive women’s shelters cs cs cs cs
D) Encouraging all women to eat a balanced diet cs c s cs cs c s cs c s
2. When integrating the principles of family-centered care, the nurse would include which of
cs cs cs cs cs cs cs cs cs cs cs cs
c the following?
s cs
A) Childbirth is viewed as a procedural event c s cs cs c s cs c s
B) Families are unable to make informed choices cs cs cs c s cs c s
C) Childbirth results in changes in relationships cs cs cs cs c s
D) Families require little information to make appropriate decisions
cs cs cs cs c s cs c s
3. When preparing a teaching plan for a group of first-time pregnant women, the nurse
cs cs cs cs cs cs cs cs cs cs c s c s cs
expects to review how maternity care has changed over the years. Which of the
cs cs c s c s c s c s c s c s c s c s c s c s c s c s
following would the nurse include when discussing events of the 20th century?
c s cs c s c s c s c s c s c s c s c s c s c s
A) Epidemics of puerperal fever cs cs c s
B) Performance of the first cesarean birth cs cs cs cs c s
C) Development of the x-ray to assess pelvic size c s c s c s cs c s c s cs
D) Creation of free-standing birth centers cs c s cs c s
4. After teaching a group of students about pregnancy-related mortality, the instructor
cs cs cs cs cs cs cs cs cs cs
determines that additional teaching is needed when the students identify which
cs c s c s c s cs c s c s c s c s c s cs
condition as a leading cause?
c s c s cs cs cs
A) Hemorrhage
B) Embolism
C) Obstructed labor cs
D) Infection
5. The nurse is working with a group of community health members to develop a
cs cs c s cs c s c s c s cs cs c s c s c s c s
plan to address the special health needs of women. Which of the following
c s c s cs c s c s c s c s c s c s c s c s c s c s
conditions would the group address as the major problem?
c s c s cs cs cs cs cs cs cs
A) Smoking
B) Heart disease cs
C) Diabetes
D) Cancer
6. When assessing a family for possible barriers to health care, the nurse would consider
cs cs cs cs cs cs cs cs cs cs cs cs cs
c which factor to be most important?
s cs cs cs cs cs
A) Language
