,Contents
Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care .................................................................. 4
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Chapter 2- Family-CenteredCommunity-Based Care .................................................................................................... 9
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Chapter 3- Anatomyand Physiologyof the Reproductive System .................................................................................. 14
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Chapter 4- Common Reproductive Issues ...................................................................................................................... 19
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Chapter 5- SexuallyTransmitted Infections ................................................................................................................... 24
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Chapter 6- Disordersof the Breasts ............................................................................................................................... 29
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Chapter 7- Benign Disorders of the Female ReproductiveTract..................................................................................... 34
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Chapter 8- Cancers of the Female ReproductiveTract .................................................................................................... 39
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Chapter 9- Violence and Abuse .................................................................................................................................... 44
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Chapter 10- Fetal Developmentand Genetics ................................................................................................................ 49
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Chapter 11- Maternal Adaptation During Pregnancy ..................................................................................................... 54
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Chapter 12- Nursing Management During Pregnancy .................................................................................................... 60
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Chapter 13- Labor and Birth Process ............................................................................................................................. 66
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Chapter 14- Nursing Management During Labor and Birth ............................................................................................ 72
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Chapter 15- Postpartum Adaptations ............................................................................................................................. 78
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Chapter 16- Nursing Management During the PostpartumPeriod ................................................................................... 84
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Chapter 17- Newborn Transitioning .............................................................................................................................. 90
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Chapter 18- Nursing Management of the Newborn ........................................................................................................ 96
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Chapter 19- Nursing Management of Pregnancyat Risk-Pregnancy ........................................................................... 102
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Chapter 20- Nursing Management of the Pregnancyat Risk ........................................................................................ 108
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Chapter 21- Nursing Management of Labor and Birth at Risk ...................................................................................... 114
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Chapter 22- Nursing Management of the PostpartumWoman at Risk .......................................................................... 120
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Chapter 23- Nursing Care of the Newborn With Special Needs ................................................................................... 126
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Chapter 24- Nursing Management of the Newbornat Risk .......................................................................................... 132
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Chapter 25- Growth and Development of the Newborn and Infant ............................................................................... 138
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Chapter 26- Growth and Developmentof the Toddler ................................................................................................. 144
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Chapter 27- Growth and Development of the Preschooler ........................................................................................... 150
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Chapter 28- Growth and Development of the School-Age Child.................................................................................. 157
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Chapter 29- Growth and Development of the Adolescent ............................................................................................ 164
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Chapter 30- Atraumatic Care of Children and Families ............................................................................................... 171
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,Chapter 31- Health Supervision .................................................................................................................................. 176
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Chapter 32- Health Assessment of Children ................................................................................................................ 183
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Chapter 33- Caring for Children in Diverse Settings ................................................................................................... 190
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Chapter 34- Caring for the Special Needs Child.......................................................................................................... 197
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Chapter 35- Key Pediatric Nursing Interventions ......................................................................................................... 203
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Chapter 36- Pain Management in Children .................................................................................................................. 210
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Chapter 37- Nursing Care of the Child With an Infectious or Communicable Disorder ............................................... 217
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Chapter 38- Nursing Care of the Child With an Alteration in Intracranial Regulation / Neurologic Disorder ............ 224
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Chapter 39- Nursing Care of the Child With an Alteration in Sensory Perception / Disorder of the Eyes or Ears231
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Chapter 40- Nursing Care of the Child With an Alteration in Gas Exchange / Respiratory Disorder .................... 238
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Chapter41- Nursing Care of the Child With an Alteration in Perfusion / CardiovascularDisorder ............................... 244
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Chapter 42- Nursing Care of the Child With an Alteration in Bowel Elimination / Gastrointestinal Disorder ...... 250
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Chapter 43- Nursing Care of the Child With an Alteration in Urinary Elimination / Genitourinary Disorder....... 257
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Chapter44- Nursing Care of the Child With an Alteration in Mobility/ Neuromuscularor Musculoskeletal Disorder
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................................................................................................................................................................................. 264
Extra Questions: Musculoskeletal Disorder .......................................................................................................... 270
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Chapter 45- Nursing Care of the Child With an Alteration in Tissue Integrity / Integumentary Disorder ............ 277
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Chapter 46- b
Nursing Care of the Child With an Alteration in Cellular Regulation / Hematologic or Neoplastic Disorder .......... 283
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Extra Questions: Neoplastic Disorder .................................................................................................................... 290
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Chapter47- Nursing Care of the Child With an Alteration in Immunityor Immunologic Disorder ............................... 296
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Chapter 48- Nursing Care of the Child With an Alteration in Metabolism / Endocrine Disorder .......................... 303
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Chapter 49- Nursing Care of the Child With an Alteration in Genetics .................................................................. 310
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Chapter50- Nursing Care of the Child With an Alteration in Behavior, Cognition, or Development ........................... 317
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Chapter 51- Nursing Care During a Pediatric Emergency ....................................................................................... 324
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, Chapter1- b
PerspectivesonMaternal,Newborn,andWomen’sHealthCare b b b b b b
1. The United States ranks 50th in the world for maternal mortality and 41st among industrialized
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nations for infant mortalityrate. When developing programs to assist in decreasing these rates, whi
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ch factor would most likelyneed to be addressed as having the greatest impact?
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A) Resolving all language and cultural differences b b b b b
B) Assuring early and adequate prenatal care b b fi b b
C) Providingmore extensive women’s shelters b b b
D) Encouraging all women to eat a balanced diet b b b b b b b
2. When integrating the principles of family-
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centered care, the nurse would include which of thefollowing?
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A) Childbirth is viewed as a procedural event b b b b b b
B) Families are unable to make informed choices
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C) Childbirth results in changes in relationships b b b b b
D) Families require little information to make appropriate decisions
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3. When preparing a teaching plan for a group of first-
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time pregnant women, the nurse expects to review how maternity care has changed over the years.
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bWhich of the following would the nurse include when discussing events of the 20th century?
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A) Epidemics of puerperal fever b b b
B) Performance of the first cesarean birth b b b b b
C) Development of the x-ray to assess pelvic size b b b b b b b
D) Creation of free-standing birth centers b b b fi
4. After teaching a group of students about pregnancy-
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related mortality, the instructor determines that additional teaching is needed when the students ide
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bntifywhich condition as a leading cause?b b b b fi
A) Hemorrhage
B) Embolism
C) Obstructed labor b
D) Infection
5. The nurse is working with a group of community health members to develop a plan to address th e
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special health needs of women. Which of the following conditions would the group address as t he
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major problem?
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A) Smoking
B) Heart disease fi
C) Diabetes
D) Cancer
6. When assessing a familyfor possible barriers to health care, the nurse would consider whichfa
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ctor to be most important?
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A) Language
Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care .................................................................. 4
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Chapter 2- Family-CenteredCommunity-Based Care .................................................................................................... 9
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Chapter 3- Anatomyand Physiologyof the Reproductive System .................................................................................. 14
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Chapter 4- Common Reproductive Issues ...................................................................................................................... 19
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Chapter 5- SexuallyTransmitted Infections ................................................................................................................... 24
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Chapter 6- Disordersof the Breasts ............................................................................................................................... 29
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Chapter 7- Benign Disorders of the Female ReproductiveTract..................................................................................... 34
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Chapter 8- Cancers of the Female ReproductiveTract .................................................................................................... 39
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Chapter 9- Violence and Abuse .................................................................................................................................... 44
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Chapter 10- Fetal Developmentand Genetics ................................................................................................................ 49
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Chapter 11- Maternal Adaptation During Pregnancy ..................................................................................................... 54
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Chapter 12- Nursing Management During Pregnancy .................................................................................................... 60
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Chapter 13- Labor and Birth Process ............................................................................................................................. 66
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Chapter 14- Nursing Management During Labor and Birth ............................................................................................ 72
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Chapter 15- Postpartum Adaptations ............................................................................................................................. 78
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Chapter 16- Nursing Management During the PostpartumPeriod ................................................................................... 84
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Chapter 17- Newborn Transitioning .............................................................................................................................. 90
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Chapter 18- Nursing Management of the Newborn ........................................................................................................ 96
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Chapter 19- Nursing Management of Pregnancyat Risk-Pregnancy ........................................................................... 102
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Chapter 20- Nursing Management of the Pregnancyat Risk ........................................................................................ 108
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Chapter 21- Nursing Management of Labor and Birth at Risk ...................................................................................... 114
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Chapter 22- Nursing Management of the PostpartumWoman at Risk .......................................................................... 120
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Chapter 23- Nursing Care of the Newborn With Special Needs ................................................................................... 126
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Chapter 24- Nursing Management of the Newbornat Risk .......................................................................................... 132
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Chapter 25- Growth and Development of the Newborn and Infant ............................................................................... 138
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Chapter 26- Growth and Developmentof the Toddler ................................................................................................. 144
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Chapter 27- Growth and Development of the Preschooler ........................................................................................... 150
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Chapter 28- Growth and Development of the School-Age Child.................................................................................. 157
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Chapter 29- Growth and Development of the Adolescent ............................................................................................ 164
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Chapter 30- Atraumatic Care of Children and Families ............................................................................................... 171
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,Chapter 31- Health Supervision .................................................................................................................................. 176
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Chapter 32- Health Assessment of Children ................................................................................................................ 183
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Chapter 33- Caring for Children in Diverse Settings ................................................................................................... 190
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Chapter 34- Caring for the Special Needs Child.......................................................................................................... 197
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Chapter 35- Key Pediatric Nursing Interventions ......................................................................................................... 203
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Chapter 36- Pain Management in Children .................................................................................................................. 210
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Chapter 37- Nursing Care of the Child With an Infectious or Communicable Disorder ............................................... 217
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Chapter 38- Nursing Care of the Child With an Alteration in Intracranial Regulation / Neurologic Disorder ............ 224
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Chapter 39- Nursing Care of the Child With an Alteration in Sensory Perception / Disorder of the Eyes or Ears231
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Chapter 40- Nursing Care of the Child With an Alteration in Gas Exchange / Respiratory Disorder .................... 238
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Chapter41- Nursing Care of the Child With an Alteration in Perfusion / CardiovascularDisorder ............................... 244
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Chapter 42- Nursing Care of the Child With an Alteration in Bowel Elimination / Gastrointestinal Disorder ...... 250
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Chapter 43- Nursing Care of the Child With an Alteration in Urinary Elimination / Genitourinary Disorder....... 257
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Chapter44- Nursing Care of the Child With an Alteration in Mobility/ Neuromuscularor Musculoskeletal Disorder
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................................................................................................................................................................................. 264
Extra Questions: Musculoskeletal Disorder .......................................................................................................... 270
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Chapter 45- Nursing Care of the Child With an Alteration in Tissue Integrity / Integumentary Disorder ............ 277
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Chapter 46- b
Nursing Care of the Child With an Alteration in Cellular Regulation / Hematologic or Neoplastic Disorder .......... 283
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Extra Questions: Neoplastic Disorder .................................................................................................................... 290
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Chapter47- Nursing Care of the Child With an Alteration in Immunityor Immunologic Disorder ............................... 296
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Chapter 48- Nursing Care of the Child With an Alteration in Metabolism / Endocrine Disorder .......................... 303
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Chapter 49- Nursing Care of the Child With an Alteration in Genetics .................................................................. 310
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Chapter50- Nursing Care of the Child With an Alteration in Behavior, Cognition, or Development ........................... 317
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Chapter 51- Nursing Care During a Pediatric Emergency ....................................................................................... 324
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, Chapter1- b
PerspectivesonMaternal,Newborn,andWomen’sHealthCare b b b b b b
1. The United States ranks 50th in the world for maternal mortality and 41st among industrialized
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nations for infant mortalityrate. When developing programs to assist in decreasing these rates, whi
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ch factor would most likelyneed to be addressed as having the greatest impact?
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A) Resolving all language and cultural differences b b b b b
B) Assuring early and adequate prenatal care b b fi b b
C) Providingmore extensive women’s shelters b b b
D) Encouraging all women to eat a balanced diet b b b b b b b
2. When integrating the principles of family-
b b b b b
centered care, the nurse would include which of thefollowing?
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A) Childbirth is viewed as a procedural event b b b b b b
B) Families are unable to make informed choices
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C) Childbirth results in changes in relationships b b b b b
D) Families require little information to make appropriate decisions
b b b b b b b
3. When preparing a teaching plan for a group of first-
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time pregnant women, the nurse expects to review how maternity care has changed over the years.
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bWhich of the following would the nurse include when discussing events of the 20th century?
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A) Epidemics of puerperal fever b b b
B) Performance of the first cesarean birth b b b b b
C) Development of the x-ray to assess pelvic size b b b b b b b
D) Creation of free-standing birth centers b b b fi
4. After teaching a group of students about pregnancy-
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related mortality, the instructor determines that additional teaching is needed when the students ide
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bntifywhich condition as a leading cause?b b b b fi
A) Hemorrhage
B) Embolism
C) Obstructed labor b
D) Infection
5. The nurse is working with a group of community health members to develop a plan to address th e
b b b b b b b b b b b b b b b b fi b
special health needs of women. Which of the following conditions would the group address as t he
b b b b b b b b b b b b b b b b b
major problem?
b b
A) Smoking
B) Heart disease fi
C) Diabetes
D) Cancer
6. When assessing a familyfor possible barriers to health care, the nurse would consider whichfa
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ctor to be most important?
b b b b b
A) Language