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Maternity and Pediatric Nursing
3rd Edition
By Susan Ricci,Theresa Kyle,and Susan Carman
,Contents
Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care............................................................. 4
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Chapter 2- Family -Centered Co mmun ity-Based Care............................................................................................................. 9
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Chapter 3- Anatomy and Physiology of the Reproductive System...............................................................................14
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Chapter 4- Co mmon Reproductive Issues ..............................................................................................................................19
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Chapter 5- Sexually Transmitted Infections...........................................................................................................................24
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Chapter 6- Disorders of the Breasts ........................................................................................................................................29
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Chapter 7- Benign Disorders of the Female Reproductive Tract.....................................................................................34
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Chapter 8- Cancers of the Female Reproductive Tract ......................................................................................................39
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Chapter 9- Vio lence and Abuse................................................................................................................................................44
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Chapter 10- Fetal Develop ment and 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 Postpartum Period .................................................................................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 Pregnancy at Risk- Pregnancy ........................................................................102
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Chapter 20- Nursing Management of the Pregnancy at 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 Postpartum Woman 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 Newborn at Risk............................................................................................132
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Chapter 25- Growth and Development oftnthe Newborn and Infant ..............................................................................138
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Chapter 26- Growth and Development of the Toddler.....................................................................................................144
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Chapter 27- Growth and Development of the Preschooler..............................................................................................150
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Chapter 28- Growth and Develop ment 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- Atraumat ic 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 fo r 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 Co mmunicable Disorder .................................... 217
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Chapter 38- Nursing Care of the Child With an Alteration in Intracranial Regulation / Neurologic Disorder224
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Chapter 39- Nursing Care of the Child With an Alteration in Sensory Perception / Disorder of the Eyes or Ears
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. ....................................................................................................................................................................................................... 231
Chapter 40- Nu rsing Care of the Child With an Alteration in Gas Exchange / Respiratory Disorder ........ 238
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Chapter 41- Nursing Care of the Child With an Alteration in Perfusion / CardiovasculartnDisorder ................ 244
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Chapter 42- Nursing Care of the Child With an Alteration in Bowel Elimination / Gastrointestinal Disorder250
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Chapter 43- Nu rsing Care of the Child With an Alteration in Urinary Elimination / Genitourinary tnDisorder257
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Chapter 44- Nursing Care of the Child With an Alteration in Mobility / Neuromusculartnor 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 tnDisorder...... 277
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Chapter 46- v b
Nursing Care of the Child With an Alteration in Cellular Regulation / Hematologic or Neoplastic Disorder
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. ....................................................................................................................................................................................................... 283
Extra Questions: Neoplastic Disorder ............................................................................................................................... 290
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Chapter 47- Nursing Care of the Child With an Alteration in Immunity or 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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Chapter 50- Nursing Care of the Child With an Alteration in Behavior, Cognition, ortnDevelopment............. 317
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Chapter 51- Nursing Care During a Ped iatric Emergency ........................................................................................... 324
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, Chapter 1- vb
Perspectives on Maternal, Newborn, and Women’s Health Care vb vb vb vb vb vb vb
1. The United States ranks 50th in the world for maternal mortality and 41st among industri aliz
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ed nations for infant mortality rate. When developing programs to assist in decreasing the s
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e rates, which factor would most likely need to be addressed as having the greatest im
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pact
?
A) Resolving all language and cultural differences vb v b v b v b v b
B) Assuring early and adequate prenatal care v b vb v b v b v b
C) Providing more extensive women’s shelters vb v b v b vb
D) Encouraging all women to eat a balanced diet vb v b v b v b v b v b v b
2. When integrating the principles of family-
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centered care, the nurse would include which of the following?
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A) Childbirth is viewed as a procedural event v b v b v b v b v b v b
B) Families are unable to make informed choices
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C) Childbirth results in changes in relationships vb v b v b v b v 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
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thet years. Which of the following would the nurse include when discussing events of
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bthe 20th century?
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A) Epidemics of puerperal fever v b v b v b
B) Performance of the first cesarean birth v b v b v b v b v b
C) Development of the x-ray to assess pelvic size v b v b v b vb v b v b v b
D) Creation of free-standing birth centers v b v b v b v b
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 stude
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nts identify which condition as a leading cause?
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A) Hemorrhage
B) Embolism
C) Obstructed labor vb
D) Infection
5. The nurse is working with a group of community health members to develop a plan to
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bad dress the special health needs of women. Which of the following conditions would t
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he grou p address as the major problem?
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A) Smoking
B) Heart disease v b
C) Diabetes
tn
Maternity and Pediatric Nursing
3rd Edition
By Susan Ricci,Theresa Kyle,and Susan Carman
,Contents
Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care............................................................. 4
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Chapter 2- Family -Centered Co mmun ity-Based Care............................................................................................................. 9
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Chapter 3- Anatomy and Physiology of the Reproductive System...............................................................................14
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Chapter 4- Co mmon Reproductive Issues ..............................................................................................................................19
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Chapter 5- Sexually Transmitted Infections...........................................................................................................................24
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Chapter 6- Disorders of the Breasts ........................................................................................................................................29
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Chapter 7- Benign Disorders of the Female Reproductive Tract.....................................................................................34
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Chapter 8- Cancers of the Female Reproductive Tract ......................................................................................................39
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Chapter 9- Vio lence and Abuse................................................................................................................................................44
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Chapter 10- Fetal Develop ment and 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 Postpartum Period .................................................................................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 Pregnancy at Risk- Pregnancy ........................................................................102
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Chapter 20- Nursing Management of the Pregnancy at 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 Postpartum Woman 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 Newborn at Risk............................................................................................132
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Chapter 25- Growth and Development oftnthe Newborn and Infant ..............................................................................138
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Chapter 26- Growth and Development of the Toddler.....................................................................................................144
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Chapter 27- Growth and Development of the Preschooler..............................................................................................150
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Chapter 28- Growth and Develop ment 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- Atraumat ic 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 fo r 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 Co mmunicable Disorder .................................... 217
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Chapter 38- Nursing Care of the Child With an Alteration in Intracranial Regulation / Neurologic Disorder224
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Chapter 39- Nursing Care of the Child With an Alteration in Sensory Perception / Disorder of the Eyes or Ears
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. ....................................................................................................................................................................................................... 231
Chapter 40- Nu rsing Care of the Child With an Alteration in Gas Exchange / Respiratory Disorder ........ 238
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Chapter 41- Nursing Care of the Child With an Alteration in Perfusion / CardiovasculartnDisorder ................ 244
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Chapter 42- Nursing Care of the Child With an Alteration in Bowel Elimination / Gastrointestinal Disorder250
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Chapter 43- Nu rsing Care of the Child With an Alteration in Urinary Elimination / Genitourinary tnDisorder257
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Chapter 44- Nursing Care of the Child With an Alteration in Mobility / Neuromusculartnor 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 tnDisorder...... 277
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Chapter 46- v b
Nursing Care of the Child With an Alteration in Cellular Regulation / Hematologic or Neoplastic Disorder
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. ....................................................................................................................................................................................................... 283
Extra Questions: Neoplastic Disorder ............................................................................................................................... 290
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Chapter 47- Nursing Care of the Child With an Alteration in Immunity or 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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Chapter 50- Nursing Care of the Child With an Alteration in Behavior, Cognition, ortnDevelopment............. 317
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Chapter 51- Nursing Care During a Ped iatric Emergency ........................................................................................... 324
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, Chapter 1- vb
Perspectives on Maternal, Newborn, and Women’s Health Care vb vb vb vb vb vb vb
1. The United States ranks 50th in the world for maternal mortality and 41st among industri aliz
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ed nations for infant mortality rate. When developing programs to assist in decreasing the s
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e rates, which factor would most likely need to be addressed as having the greatest im
v b v b v b v b v b v b vb v b v b v b v b v b v b v b v b
pact
?
A) Resolving all language and cultural differences vb v b v b v b v b
B) Assuring early and adequate prenatal care v b vb v b v b v b
C) Providing more extensive women’s shelters vb v b v b vb
D) Encouraging all women to eat a balanced diet vb v b v b v b v b v b v b
2. When integrating the principles of family-
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centered care, the nurse would include which of the following?
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A) Childbirth is viewed as a procedural event v b v b v b v b v b v b
B) Families are unable to make informed choices
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C) Childbirth results in changes in relationships vb v b v b v b v 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
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thet years. Which of the following would the nurse include when discussing events of
v b v b v b v b v b v b v b v b v b v b v b v b v b v
bthe 20th century?
v b vb
A) Epidemics of puerperal fever v b v b v b
B) Performance of the first cesarean birth v b v b v b v b v b
C) Development of the x-ray to assess pelvic size v b v b v b vb v b v b v b
D) Creation of free-standing birth centers v b v b v b v b
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 stude
vb vb vb vb v b v b v b vb v b v b v b v b v
nts identify which condition as a leading cause?
b v b vb v b v b v b vb vb
A) Hemorrhage
B) Embolism
C) Obstructed labor vb
D) Infection
5. The nurse is working with a group of community health members to develop a plan to
vb vb v b vb v b v b v b v b vb v b v b v b v b v b v b v
bad dress the special health needs of women. Which of the following conditions would t
vb v b v b v b v b v b v b v b v b v b v b v b v b v b
he grou p address as the major problem?
v b vb v b v b v b v b v b
A) Smoking
B) Heart disease v b
C) Diabetes
