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INTRODUCTION TO MATERNITY AND PAEDIATRIC NURSING 9TH EDITION BY GLORIA LEIFER
CHAPTER 1-34
,TABLE OF CONTENTS
CHAPTER 01: THE PAST, PRESENT, AND FUTURE...................................................................................... 4
CHAPTER 02: HUMAN REPRODUCTIVE ANATOMY AND PHYSIOLOGY ................................................... 15
CHAPTER 03: FETAL DEVELOPMENT ....................................................................................................... 29
CHAPTER 04: PRENATAL CARE AND ADAPTATIONS TO PREGNANCY ..................................................... 40
CHAPTER 05: NURSING CARE OF WOMEN WITH COMPLICATIONS DURING PREGNANCY .................... 54
CHAPTER 06: NURSING CARE OF MOTHER AND INFANT DURING LABOUR AND BIRTH ........................ 68
CHAPTER 07: NURSING MANAGEMENT OF PAIN DURING LABOUR AND BIRTH .................................... 83
CHAPTER 08: NURSING CARE OF WOMEN WITH COMPLICATIONS DURING LABOR AND BIRTH .......... 97
CHAPTER 09: THE FAMILY AFTER BIRTH ............................................................................................... 111
CHAPTER 10: NURSING CARE OF WOMEN WITH COMPLICATIONS AFTER BIRTH................................ 124
CHAPTER 11: THE NURSE’S ROLE IN WOMEN’S HEALTH CARE............................................................. 137
CHAPTER 12: THE TERM NEWBORN ..................................................................................................... 149
CHAPTER 13: PRETERM AND POST TERM NEWBORNS......................................................................... 162
CHAPTER 14: THE NEWBORN WITH A PERINATAL INJURY OR CONGENITAL MALFORMATION........... 175
CHAPTER 15: AN OVERVIEW OF GROWTH, DEVELOPMENT, AND NUTRITION .................................... 189
CHAPTER 16: THE INFANT ..................................................................................................................... 203
CHAPTER 17: THE TODDLER .................................................................................................................. 216
CHAPTER 18: THE PRESCHOOL CHILD ................................................................................................... 228
CHAPTER 19: THE SCHOOL-AGE CHILD ................................................................................................. 240
CHAPTER 20: THE ADOLESCENT ............................................................................................................ 252
CHAPTER 21: THE CHILD’S EXPERIENCE OF HOSPITALIZATION ............................................................ 265
CHAPTER 22: HEALTH CARE ADAPTATIONS FOR THE CHILD AND FAMILY ........................................... 278
CHAPTER 23: THE CHILD WITH A SENSORY OR NEUROLOGICAL CONDITION ...................................... 292
CHAPTER 24: THE CHILD WITH A MUSCULOSKELETAL CONDITION ..................................................... 306
CHAPTER 25: THE CHILD WITH A RESPIRATORY DISORDER .................................................................. 319
CHAPTER 26: THE CHILD WITH A CARDIOVASCULAR DISORDER .......................................................... 332
CHAPTER 27: THE CHILD WITH A CONDITION OF THE BLOOD, BLOOD-FORMING ORGANS, OR
LYMPHATIC SYSTEM .............................................................................................................................. 343
CHAPTER 28: THE CHILD WITH A GASTROINTESTINAL CONDITION ..................................................... 357
CHAPTER 29: THE CHILD WITH A GENITOURINARY CONDITION .......................................................... 373
CHAPTER 30: THE CHILD WITH A SKIN CONDITION .............................................................................. 386
CHAPTER 31: THE CHILD WITH A METABOLIC CONDITION .................................................................. 401
,CHAPTER 32: CHILDHOOD COMMUNICABLE DISEASES, BIOTERRORISM, NATURAL DISASTERS, AND
THE MATERNAL– CHILD PATIENT.......................................................................................................... 416
CHAPTER 33: THE CHILD WITH AN EMOTIONAL OR BEHAVIORAL CONDITION ................................... 428
CHAPTER 34: COMPLEMENTARY AND ALTERNATIVE THERAPIES IN MATERNITY AND PAEDIATRIC
NURSING ............................................................................................................................................... 441
,CHAPTER 01: THE PAST, PRESENT, AND FUTURE
MULTIPLE CHOICE
1. A PATIENT CHOOSES TO HAVE THE CERTIFIED NURSE-MIDWIFE (CNM) PROVIDE CARE DURING
HER PREGNANCY. WHAT DOES THE CNM‘S SCOPE OF PRACTICE INCLUDE?
A. PRACTICE INDEPENDENT FROM MEDICAL SUPERVISION
B. COMPREHENSIVE PRENATAL CARE
C. ATTENDANCE AT ALL DELIVERIES
D. CESAREAN SECTIONS
ANSWER:B
THE CNM PROVIDES COMPREHENSIVE PRENATAL AND POSTNATAL CARE, ATTENDS UNCOMPLICATED
DELIVERIES, AND ENSURES THAT A BACKUP PHYSICIAN IS AVAILABLE IN CASE OF UNFORESEEN
PROBLEMS.
2. WHICH MEDICAL PIONEER DISCOVERED THE RELATIONSHIP BETWEEN THE INCIDENCE OF
PUERPERAL FEVER AND UNWASHED HANDS?
A. KARL CREDÉ
B. IGNAZ SEMMELWEIS
C. LOUIS PASTEUR
D. JOSEPH LISTER
ANSWER:B
IGNAZ SEMMELWEIS DEDUCED THAT PUERPERAL FEVER WAS SEPTIC, CONTAGIOUS, AND TRANSMITTED
BY THE UNWASHED HANDS OF PHYSICIANS AND MEDICAL STUDENTS.
3. A PREGNANT WOMAN WHO HAS RECENTLY IMMIGRATED TO THE UNITED STATES COMMENTS
TO THE NURSE, “I AM AFRAID OF CHILDBIRTH. IT IS SO DANGEROUS. I AM AFRAID I WILL DIE.” WHAT IS
THE BEST NURSING RESPONSE REFLECTING CULTURAL SENSITIVITY?
A. “MATERNAL MORTALITY IN THE UNITED STATES IS EXTREMELY LOW.”
B. “ANESTHESIA IS AVAILABLE TO RELIEVE PAIN DURING LABOR AND CHILDBIRTH.”
C. “TELL ME WHY YOU ARE AFRAID OF CHILDBIRTH.”
D. “YOUR CONDITION WILL BE MONITORED DURING LABOR AND DELIVERY.”
,ANSWER:C
ASKING THE PATIENT ABOUT HER CONCERNS HELPS PROMOTE UNDERSTANDING AND INDIVIDUALIZES
PATIENT CARE.
4. AN URBAN AREA HAS BEEN REPORTED TO HAVE A HIGH PERINATAL MORTALITY RATE. WHAT
INFORMATION DOES THIS PROVIDE?
A. MATERNAL AND INFANT DEATHS PER 100,000 LIVE BIRTHS PER YEAR
B. DEATHS OF FETUSES WEIGHING MORE THAN 500 G PER 10,000 BIRTHS PER YEAR
C. DEATHS OF INFANTS UP TO 1 YEAR OF AGE PER 1000 LIVE BIRTHS PER YEAR
D. FETAL AND NEONATAL DEATHS PER 1000 LIVE BIRTHS PER YEAR
ANSWER:D
THE PERINATAL MORTALITY RATE INCLUDES FETAL AND NEONATAL DEATHS PER 1000 LIVE BIRTHS PER
YEAR.
5. WHAT IS THE FOCUS OF CURRENT MATERNITY PRACTICE?
A. HOSPITAL BIRTHS FOR THE MAJORITY OF WOMEN
B. THE TRADITIONAL FAMILY UNIT
C. SEPARATION OF LABOR ROOMS FROM DELIVERY ROOMS
D. A QUALITY FAMILY EXPERIENCE FOR EACH PATIENT
ANSWER:D
CURRENT MATERNITY PRACTICE FOCUSES ON A HIGH-QUALITY FAMILY EXPERIENCE FOR ALL FAMILIES,
TRADITIONAL OR OTHERWISE.
6. WHO ADVOCATED THE ESTABLISHMENT OF THE CHILDREN‘S BUREAU?
A. LILLIAN WALD
B. FLORENCE NIGHTINGALE
C. FLORENCE KELLY
D. CLARA BARTON
ANSWER:A
LILLIAN WALD IS CREDITED WITH SUGGESTING THE ESTABLISHMENT OF A FEDERAL CHILDREN‘S
BUREAU.
, 7. WHAT WAS THE RESULT OF RESEARCH DONE IN THE 1930S BY THE CHILDREN‘S BUREAU?
A. CHILDREN WITH HEART PROBLEMS ARE NOW CARED FOR BY PEDIATRIC CARDIOLOGISTS.
B. THE CHILD ABUSE AND PREVENTION ACT WAS PASSED.
C. HOT LUNCH PROGRAMS WERE ESTABLISHED IN MANY SCHOOLS.
D. CHILDREN‘S ASYLUMS WERE FOUNDED.
ANSWER:C
SCHOOL HOT LUNCH PROGRAMS WERE DEVELOPED AS A RESULT OF RESEARCH BY THE CHILDREN‘S
BUREAU ON THE EFFECTS OF ECONOMIC DEPRESSION ON CHILDREN.
8. WHAT GOVERNMENT PROGRAM WAS IMPLEMENTED TO INCREASE THE EDUCATIONAL
EXPOSURE OF PRESCHOOL CHILDREN?
A. WIC
B. TITLE XIX OF MEDICAID
C. THE CHILDREN‘S CHARTER
D. HEAD START
ANSWER:D
HEAD START PROGRAMS WERE ESTABLISHED TO INCREASE EDUCATIONAL EXPOSURE OF PRESCHOOL
CHILDREN.
9. WHAT GUIDELINES DEFINE MULTIDISCIPLINARY PATIENT CARE IN TERMS OF EXPECTED
OUTCOME AND TIMEFRAME FROM DIFFERENT AREAS OF CARE PROVISION?
A. CLINICAL PATHWAYS
B. NURSING OUTCOME CRITERIA
C. STANDARDS OF CARE
D. NURSING CARE PLAN
ANSWER:A
CLINICAL PATHWAYS, ALSO KNOWN AS CRITICAL PATHWAYS OR CARE MAPS, ARE COLLABORATIVE
GUIDELINES THAT DEFINE PATIENT CARE ACROSS DISCIPLINES. EXPECTED PROGRESS WITHIN A
SPECIFIED TIMELINE IS IDENTIFIED.
DIF: COGNITIVE LEVEL: KNOWLEDGE REF: P. 13 OBJ: 10 TOP: HEALTH CARE DELIVERY SYSTEMS
KEY: NURSING PROCESS STEP: N/A MSC: NCLEX: SAFE, EFFECTIVE CARE ENVIRONMENT:
COORDINATED CARE
INTRODUCTION TO MATERNITY AND PAEDIATRIC NURSING 9TH EDITION BY GLORIA LEIFER
CHAPTER 1-34
,TABLE OF CONTENTS
CHAPTER 01: THE PAST, PRESENT, AND FUTURE...................................................................................... 4
CHAPTER 02: HUMAN REPRODUCTIVE ANATOMY AND PHYSIOLOGY ................................................... 15
CHAPTER 03: FETAL DEVELOPMENT ....................................................................................................... 29
CHAPTER 04: PRENATAL CARE AND ADAPTATIONS TO PREGNANCY ..................................................... 40
CHAPTER 05: NURSING CARE OF WOMEN WITH COMPLICATIONS DURING PREGNANCY .................... 54
CHAPTER 06: NURSING CARE OF MOTHER AND INFANT DURING LABOUR AND BIRTH ........................ 68
CHAPTER 07: NURSING MANAGEMENT OF PAIN DURING LABOUR AND BIRTH .................................... 83
CHAPTER 08: NURSING CARE OF WOMEN WITH COMPLICATIONS DURING LABOR AND BIRTH .......... 97
CHAPTER 09: THE FAMILY AFTER BIRTH ............................................................................................... 111
CHAPTER 10: NURSING CARE OF WOMEN WITH COMPLICATIONS AFTER BIRTH................................ 124
CHAPTER 11: THE NURSE’S ROLE IN WOMEN’S HEALTH CARE............................................................. 137
CHAPTER 12: THE TERM NEWBORN ..................................................................................................... 149
CHAPTER 13: PRETERM AND POST TERM NEWBORNS......................................................................... 162
CHAPTER 14: THE NEWBORN WITH A PERINATAL INJURY OR CONGENITAL MALFORMATION........... 175
CHAPTER 15: AN OVERVIEW OF GROWTH, DEVELOPMENT, AND NUTRITION .................................... 189
CHAPTER 16: THE INFANT ..................................................................................................................... 203
CHAPTER 17: THE TODDLER .................................................................................................................. 216
CHAPTER 18: THE PRESCHOOL CHILD ................................................................................................... 228
CHAPTER 19: THE SCHOOL-AGE CHILD ................................................................................................. 240
CHAPTER 20: THE ADOLESCENT ............................................................................................................ 252
CHAPTER 21: THE CHILD’S EXPERIENCE OF HOSPITALIZATION ............................................................ 265
CHAPTER 22: HEALTH CARE ADAPTATIONS FOR THE CHILD AND FAMILY ........................................... 278
CHAPTER 23: THE CHILD WITH A SENSORY OR NEUROLOGICAL CONDITION ...................................... 292
CHAPTER 24: THE CHILD WITH A MUSCULOSKELETAL CONDITION ..................................................... 306
CHAPTER 25: THE CHILD WITH A RESPIRATORY DISORDER .................................................................. 319
CHAPTER 26: THE CHILD WITH A CARDIOVASCULAR DISORDER .......................................................... 332
CHAPTER 27: THE CHILD WITH A CONDITION OF THE BLOOD, BLOOD-FORMING ORGANS, OR
LYMPHATIC SYSTEM .............................................................................................................................. 343
CHAPTER 28: THE CHILD WITH A GASTROINTESTINAL CONDITION ..................................................... 357
CHAPTER 29: THE CHILD WITH A GENITOURINARY CONDITION .......................................................... 373
CHAPTER 30: THE CHILD WITH A SKIN CONDITION .............................................................................. 386
CHAPTER 31: THE CHILD WITH A METABOLIC CONDITION .................................................................. 401
,CHAPTER 32: CHILDHOOD COMMUNICABLE DISEASES, BIOTERRORISM, NATURAL DISASTERS, AND
THE MATERNAL– CHILD PATIENT.......................................................................................................... 416
CHAPTER 33: THE CHILD WITH AN EMOTIONAL OR BEHAVIORAL CONDITION ................................... 428
CHAPTER 34: COMPLEMENTARY AND ALTERNATIVE THERAPIES IN MATERNITY AND PAEDIATRIC
NURSING ............................................................................................................................................... 441
,CHAPTER 01: THE PAST, PRESENT, AND FUTURE
MULTIPLE CHOICE
1. A PATIENT CHOOSES TO HAVE THE CERTIFIED NURSE-MIDWIFE (CNM) PROVIDE CARE DURING
HER PREGNANCY. WHAT DOES THE CNM‘S SCOPE OF PRACTICE INCLUDE?
A. PRACTICE INDEPENDENT FROM MEDICAL SUPERVISION
B. COMPREHENSIVE PRENATAL CARE
C. ATTENDANCE AT ALL DELIVERIES
D. CESAREAN SECTIONS
ANSWER:B
THE CNM PROVIDES COMPREHENSIVE PRENATAL AND POSTNATAL CARE, ATTENDS UNCOMPLICATED
DELIVERIES, AND ENSURES THAT A BACKUP PHYSICIAN IS AVAILABLE IN CASE OF UNFORESEEN
PROBLEMS.
2. WHICH MEDICAL PIONEER DISCOVERED THE RELATIONSHIP BETWEEN THE INCIDENCE OF
PUERPERAL FEVER AND UNWASHED HANDS?
A. KARL CREDÉ
B. IGNAZ SEMMELWEIS
C. LOUIS PASTEUR
D. JOSEPH LISTER
ANSWER:B
IGNAZ SEMMELWEIS DEDUCED THAT PUERPERAL FEVER WAS SEPTIC, CONTAGIOUS, AND TRANSMITTED
BY THE UNWASHED HANDS OF PHYSICIANS AND MEDICAL STUDENTS.
3. A PREGNANT WOMAN WHO HAS RECENTLY IMMIGRATED TO THE UNITED STATES COMMENTS
TO THE NURSE, “I AM AFRAID OF CHILDBIRTH. IT IS SO DANGEROUS. I AM AFRAID I WILL DIE.” WHAT IS
THE BEST NURSING RESPONSE REFLECTING CULTURAL SENSITIVITY?
A. “MATERNAL MORTALITY IN THE UNITED STATES IS EXTREMELY LOW.”
B. “ANESTHESIA IS AVAILABLE TO RELIEVE PAIN DURING LABOR AND CHILDBIRTH.”
C. “TELL ME WHY YOU ARE AFRAID OF CHILDBIRTH.”
D. “YOUR CONDITION WILL BE MONITORED DURING LABOR AND DELIVERY.”
,ANSWER:C
ASKING THE PATIENT ABOUT HER CONCERNS HELPS PROMOTE UNDERSTANDING AND INDIVIDUALIZES
PATIENT CARE.
4. AN URBAN AREA HAS BEEN REPORTED TO HAVE A HIGH PERINATAL MORTALITY RATE. WHAT
INFORMATION DOES THIS PROVIDE?
A. MATERNAL AND INFANT DEATHS PER 100,000 LIVE BIRTHS PER YEAR
B. DEATHS OF FETUSES WEIGHING MORE THAN 500 G PER 10,000 BIRTHS PER YEAR
C. DEATHS OF INFANTS UP TO 1 YEAR OF AGE PER 1000 LIVE BIRTHS PER YEAR
D. FETAL AND NEONATAL DEATHS PER 1000 LIVE BIRTHS PER YEAR
ANSWER:D
THE PERINATAL MORTALITY RATE INCLUDES FETAL AND NEONATAL DEATHS PER 1000 LIVE BIRTHS PER
YEAR.
5. WHAT IS THE FOCUS OF CURRENT MATERNITY PRACTICE?
A. HOSPITAL BIRTHS FOR THE MAJORITY OF WOMEN
B. THE TRADITIONAL FAMILY UNIT
C. SEPARATION OF LABOR ROOMS FROM DELIVERY ROOMS
D. A QUALITY FAMILY EXPERIENCE FOR EACH PATIENT
ANSWER:D
CURRENT MATERNITY PRACTICE FOCUSES ON A HIGH-QUALITY FAMILY EXPERIENCE FOR ALL FAMILIES,
TRADITIONAL OR OTHERWISE.
6. WHO ADVOCATED THE ESTABLISHMENT OF THE CHILDREN‘S BUREAU?
A. LILLIAN WALD
B. FLORENCE NIGHTINGALE
C. FLORENCE KELLY
D. CLARA BARTON
ANSWER:A
LILLIAN WALD IS CREDITED WITH SUGGESTING THE ESTABLISHMENT OF A FEDERAL CHILDREN‘S
BUREAU.
, 7. WHAT WAS THE RESULT OF RESEARCH DONE IN THE 1930S BY THE CHILDREN‘S BUREAU?
A. CHILDREN WITH HEART PROBLEMS ARE NOW CARED FOR BY PEDIATRIC CARDIOLOGISTS.
B. THE CHILD ABUSE AND PREVENTION ACT WAS PASSED.
C. HOT LUNCH PROGRAMS WERE ESTABLISHED IN MANY SCHOOLS.
D. CHILDREN‘S ASYLUMS WERE FOUNDED.
ANSWER:C
SCHOOL HOT LUNCH PROGRAMS WERE DEVELOPED AS A RESULT OF RESEARCH BY THE CHILDREN‘S
BUREAU ON THE EFFECTS OF ECONOMIC DEPRESSION ON CHILDREN.
8. WHAT GOVERNMENT PROGRAM WAS IMPLEMENTED TO INCREASE THE EDUCATIONAL
EXPOSURE OF PRESCHOOL CHILDREN?
A. WIC
B. TITLE XIX OF MEDICAID
C. THE CHILDREN‘S CHARTER
D. HEAD START
ANSWER:D
HEAD START PROGRAMS WERE ESTABLISHED TO INCREASE EDUCATIONAL EXPOSURE OF PRESCHOOL
CHILDREN.
9. WHAT GUIDELINES DEFINE MULTIDISCIPLINARY PATIENT CARE IN TERMS OF EXPECTED
OUTCOME AND TIMEFRAME FROM DIFFERENT AREAS OF CARE PROVISION?
A. CLINICAL PATHWAYS
B. NURSING OUTCOME CRITERIA
C. STANDARDS OF CARE
D. NURSING CARE PLAN
ANSWER:A
CLINICAL PATHWAYS, ALSO KNOWN AS CRITICAL PATHWAYS OR CARE MAPS, ARE COLLABORATIVE
GUIDELINES THAT DEFINE PATIENT CARE ACROSS DISCIPLINES. EXPECTED PROGRESS WITHIN A
SPECIFIED TIMELINE IS IDENTIFIED.
DIF: COGNITIVE LEVEL: KNOWLEDGE REF: P. 13 OBJ: 10 TOP: HEALTH CARE DELIVERY SYSTEMS
KEY: NURSING PROCESS STEP: N/A MSC: NCLEX: SAFE, EFFECTIVE CARE ENVIRONMENT:
COORDINATED CARE
