,Table of contents
1. 21st Century Maternity and Pediatric Nursing
2. Community Care: The Family and Culture
3. The Childbearing and Child-Rearing Family
4. Genetic and Genomic Influences
5. Reproductive Anatomy and Physiology
6. Conception and Prenatal Development
7. Maternal and Fetal Nutrition
8. Assessment of the Pregnant Woman
9. Pregnancy at Risk: Preexisting Conditions
10. Pregnancy Complications
11. Nursing Care of the Family During Pregnancy
12. Labor and Birth Processes
13. Management of Discomfort in Labor
14. Fetal Assessment During Labor
15. Nursing Care of the Family During Labor and Birth
16. Labor and Birth Complications
17. Postpartum Physiologic Adaptations
18. Postpartum Psychosocial Adaptations
19. Nursing Care of the Family During the Postpartum Period
20. Transition to Parenthood
21. Physiologic Adaptations of the Newborn
22. Nursing Care of the Normal Newborn
,23. Newborn Nutrition and Feeding
24. Nursing Care of the High-Risk Newborn
25. Growth and Development of the Infant
26. Health Promotion of the Infant and Family
27. The Toddler and Family
28. The Preschooler and Family
29. The School-Age Child and Family
30. The Adolescent and Family
31. Atraumatic Care of Children and Families
32. Pediatric Assessment
33. The Child with a Chronic Condition or Terminal Illness
34. The Child with a Cognitive or Mental Health Disorder
35. The Child with a Sensory or Neurologic Condition
36. The Child with a Cardiovascular Disorder
37. The Child with Respiratory, Gastrointestinal, Genitourinary, Musculoskeletal, or
Integumentary Conditions
, Chapter 01: 21st Century Maternity Nursing
Q1. Which of the following is considered the leading cause of maternal mortality in the United
States?
A. Hemorrhage
B. Hypertensive disorders
C. Embolism
D. Infection
Answer: A
Rationale: Postpartum hemorrhage remains the leading cause of maternal death worldwide and a
major cause in the U.S. Although hypertensive disorders and embolism are significant, hemorrhage
accounts for the highest percentage.
Q2. Which public health initiative has had the greatest impact on reducing infant mortality in the
U.S. since the 20th century?
A. Expanded immunizations
B. Neonatal intensive care units
C. SIDS prevention campaigns
D. Folic acid supplementation
Answer: A
Rationale: Immunization programs drastically reduced infant deaths from infectious diseases. While
NICUs, SIDS campaigns, and folic acid improved outcomes, immunization provided the most
widespread and dramatic mortality reduction.
Q3. A nurse is explaining the concept of “family-centered care.” Which of the following best
illustrates this principle?
A. Allowing families to observe procedures from a distance
B. Incorporating families as partners in care planning and decision-making
C. Encouraging families to comply strictly with hospital rules
D. Minimizing family presence to prevent interference with nursing tasks
Answer: B
Rationale: Family-centered care recognizes the family as central to the patient’s life and includes
them in planning, decision-making, and care.
1. 21st Century Maternity and Pediatric Nursing
2. Community Care: The Family and Culture
3. The Childbearing and Child-Rearing Family
4. Genetic and Genomic Influences
5. Reproductive Anatomy and Physiology
6. Conception and Prenatal Development
7. Maternal and Fetal Nutrition
8. Assessment of the Pregnant Woman
9. Pregnancy at Risk: Preexisting Conditions
10. Pregnancy Complications
11. Nursing Care of the Family During Pregnancy
12. Labor and Birth Processes
13. Management of Discomfort in Labor
14. Fetal Assessment During Labor
15. Nursing Care of the Family During Labor and Birth
16. Labor and Birth Complications
17. Postpartum Physiologic Adaptations
18. Postpartum Psychosocial Adaptations
19. Nursing Care of the Family During the Postpartum Period
20. Transition to Parenthood
21. Physiologic Adaptations of the Newborn
22. Nursing Care of the Normal Newborn
,23. Newborn Nutrition and Feeding
24. Nursing Care of the High-Risk Newborn
25. Growth and Development of the Infant
26. Health Promotion of the Infant and Family
27. The Toddler and Family
28. The Preschooler and Family
29. The School-Age Child and Family
30. The Adolescent and Family
31. Atraumatic Care of Children and Families
32. Pediatric Assessment
33. The Child with a Chronic Condition or Terminal Illness
34. The Child with a Cognitive or Mental Health Disorder
35. The Child with a Sensory or Neurologic Condition
36. The Child with a Cardiovascular Disorder
37. The Child with Respiratory, Gastrointestinal, Genitourinary, Musculoskeletal, or
Integumentary Conditions
, Chapter 01: 21st Century Maternity Nursing
Q1. Which of the following is considered the leading cause of maternal mortality in the United
States?
A. Hemorrhage
B. Hypertensive disorders
C. Embolism
D. Infection
Answer: A
Rationale: Postpartum hemorrhage remains the leading cause of maternal death worldwide and a
major cause in the U.S. Although hypertensive disorders and embolism are significant, hemorrhage
accounts for the highest percentage.
Q2. Which public health initiative has had the greatest impact on reducing infant mortality in the
U.S. since the 20th century?
A. Expanded immunizations
B. Neonatal intensive care units
C. SIDS prevention campaigns
D. Folic acid supplementation
Answer: A
Rationale: Immunization programs drastically reduced infant deaths from infectious diseases. While
NICUs, SIDS campaigns, and folic acid improved outcomes, immunization provided the most
widespread and dramatic mortality reduction.
Q3. A nurse is explaining the concept of “family-centered care.” Which of the following best
illustrates this principle?
A. Allowing families to observe procedures from a distance
B. Incorporating families as partners in care planning and decision-making
C. Encouraging families to comply strictly with hospital rules
D. Minimizing family presence to prevent interference with nursing tasks
Answer: B
Rationale: Family-centered care recognizes the family as central to the patient’s life and includes
them in planning, decision-making, and care.
