Maternity and Pediatric Nursing
nQ nQ nQ
3rd Edition
nQ nQ
By Susan Ricci, Theresa Kyle, and
nQ nQ nQ nQ nQ
Susan Carman.
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,Contents
Chapter n Q 1- n Q Perspectives n Q on n Q Maternal, n Q Newborn, n Q and n Q Women’s n Q Health n Q Care.......................................... 4
Chapter n Q 2- n Q Family-Centered n Q Community-Based n Q Care ............................................................................................ 9
Chapter n Q 3- n Q Anatomy n Q and n Q Physiology n Q of n Q the n Q Reproductive n Q System ............................................................ 14
Chapter nQ 4- n Q Common nQ Reproductive n Q Issues .............................................................................................................. 19
Chapter n Q 5- n Q Sexually n Q Transmitted nQ Infections .............................................................................................................24
Chapter n Q 6- n Q Disorders n Q of n Q the n Q Breasts ....................................................................................................................... 29
Chapter n Q 7- n Q Benign n Q Disorders n Q of n Q the n Q Female n Q Reproductive n Q Tract ................................................................ 34
Chapter n Q 8- n Q Cancers n Q of n Q the n Q Female n Q Reproductive n Q Tract ................................................................................... 39
Chapter n Q 9- n Q Violence n Q and n Q Abuse ................................................................................................................................ 44
Chapter n Q 10- n Q Fetal n Q Development n Q and n Q Genetics ...................................................................................................... 49
Chapter n Q 11- n Q Maternal n Q Adaptation n Q During n Q Pregnancy ...........................................................................................54
Chapter n Q 12- n Q Nursing nQ Management n Q During n Q Pregnancy ........................................................................................ 60
Chapter n Q 13- n Q Labor n Q and n Q Birth n Q Process ..................................................................................................................... 66
Chapter n Q 14- n Q Nursing n Q Management n Q During n Q Labor n Q and n Q Birth.......................................................................... 72
Chapter n Q 15- n Q Postpartum n Q Adaptations .......................................................................................................................... 78
Chapter n Q 16- n Q Nursing n Q Management n Q During n Q the n Q Postpartum nQ Period ............................................................... 84
Chapter n Q 17- n Q Newborn n Q Transitioning ............................................................................................................................ 90
Chapter n Q 18- n Q Nursing n Q Management n Q of n Q the n Q Newborn .......................................................................................... 96
Chapter n Q 19- n Q Nursing n Q Management n Q of n Q Pregnancy n Q at n Q Risk- n Q Pregnancy ......................................................102
Chapter n Q 20- n Q Nursing n Q Management n Q of n Q the n Q Pregnancy n Q at n Q Risk .................................................................... 108
Chapter n Q 21- n Q Nursing n Q Management n Q of n Q Labor n Q and n Q Birth n Q at n Q Risk ............................................................... 114
Chapter n Q 22- n Q Nursing n Q Management n Q of n Q the n Q Postpartum n Q Woman n Q at n Q Risk ................................................. 120
Chapter n Q 23- n Q Nursing n Q Care n Q of n Q the n Q Newborn n Q With n Q Special n Q Needs............................................................. 126
Chapter n Q 24- n Q Nursing n Q Management n Q of n Q the n Q Newborn n Q at n Q Risk ...................................................................... 132
Chapter n Q 25- n Q Growth n Q and n Q Development n Q of n Q the n Q Newborn n Q and n Q Infant....................................................... 138
Chapter n Q 26- n Q Growth n Q and n Q Development n Q of n Q the n Q Toddler ................................................................................. 144
Chapter n Q 27- n Q Growth n Q and n Q Development n Q of n Q the n Q Preschooler ........................................................................... 150
Chapter n Q 28- n Q Growth n Q and n Q Development n Q of n Q the n Q School-Age n Q Child ............................................................ 157
Chapter n Q 29- n Q Growth n Q and n Q Development n Q of n Q the n Q Adolescent ............................................................................ 164
Chapter n Q 30- n Q Atraumatic n Q Care n Q of n Q Children n Q and n Q Families................................................................................171
Chapter n Q 31- n Q Health n Q Supervision ................................................................................................................................. 176
Chapter n Q 32- n Q Health n Q Assessment n Q of n Q Children ....................................................................................................... 183
Chapter n Q 33- n Q Caring n Q for n Q Children n Q in n Q Diverse n Q Settings.................................................................................... 190
Chapter n Q 34- n Q Caring n Q for n Q the n Q Special n Q Needs n Q Child ........................................................................................... 197
Chapter n Q 35- n Q Key n Q Pediatric n Q Nursing n Q Interventions ............................................................................................... 203
Chapter n Q 36- n Q Pain n Q Management n Q in n Q Children ........................................................................................................ 210
Chapter n Q 37- n Q Nursing n Q Care n Q of n Q the n Q Child n Q With n Q an n Q Infectious n Q or n Q Communicable n Q Disorder ............. 217
Chapter n Q 38- n Q Nursing n Q Care n Q of n Q the n Q Child n Q With n Q an n Q Alteration n Q in n Q Intracranial n Q Regulation n Q /
,nQ Neurologic n Q Disorder ........................................................................................................................................................224
Chapter nQ39- nQNursing nQCare nQof nQthe nQChild nQWith nQan nQAlteration nQin nQSensory nQPerception nQ/ nQDisorder nQof nQthe
nQEyes nQor nQEars ................................................................................................................................................................... 231
Chapter nQ40- nQNursing nQCare nQof nQthe nQChild nQWith nQan nQAlteration nQin nQGas nQExchange nQ/ nQRespiratory nQDisorder
................................................................................................................................................................................................ 238
Chapter nQ41- nQNursing nQCare nQof nQthe nQChild nQWith nQan nQAlteration nQin nQPerfusion nQ/ nQCardiovascular nQDisorder ..244
Chapter nQ42- nQNursing nQCare nQof nQthe nQChild nQWith nQan nQAlteration nQin nQBowel nQElimination nQ/ nQGastrointestinal
nQDisorder .............................................................................................................................................................................. 250
Chapter nQ43- nQNursing nQCare nQof nQthe nQChild nQWith nQan nQAlteration nQin nQUrinary nQElimination nQ/ nQGenitourinary
nQDisorder ............................................................................................................................................................................... 257
Chapter nQ44- nQNursing nQCare nQof nQthe nQChild nQWith nQan nQAlteration nQin nQMobility nQ/ nQNeuromuscular nQor
nQMusculoskeletal nQDisorder
............................................................................................................................................................................................ 264
Extra nQQuestions: nQMusculoskeletal nQDisorder .............................................................................................................270
Chapter nQ45- nQNursing nQCare nQof nQthe nQChild nQWith nQan nQAlteration nQin nQTissue nQIntegrity nQ/ nQIntegumentary nQDisorder
................................................................................................................................................................................................277
Chapter nQ46- nQNursing nQCare nQof nQthe nQChild nQWith nQan nQAlteration nQin nQCellular nQRegulation nQ/ nQHematologic
nQor nQNeoplastic nQDisorder ................................................................................................................................................ 283
Extra nQQuestions: nQNeoplastic nQDisorder ..................................................................................................................... 290
Chapter nQ47- nQNursing nQCare nQof nQthe nQChild nQWith nQan nQAlteration nQin nQImmunity nQor nQImmunologic nQDisorder . 296
Chapter nQ48- nQNursing nQCare nQof nQthe nQChild nQWith nQan nQAlteration nQin nQMetabolism nQ/ nQEndocrine nQDisorder .....303
Chapter nQ49- nQNursing nQCare nQof nQthe nQChild nQWith nQan nQAlteration nQin nQGenetics ................................................... 310
Chapter nQ50- nQNursing nQCare nQof nQthe nQChild nQWith nQan nQAlteration nQin nQBehavior, nQCognition, nQor nQDevelopment
.............................................................................................................................................................................................. 317
Chapter nQ51- nQNursing nQCare nQDuring nQa nQPediatric nQEmergency ..................................................................................324
, Chapter 1- Perspectives on Maternal, Newborn, and
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Women’s Health Care
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1. The nQUnited nQStates nQranks nQ50th nQin nQthe nQworld nQfor nQmaternal nQmortality nQand nQ41st nQamong
nQindustrialized nQnations nQfor nQinfant nQmortality nQrate. nQWhen nQdeveloping nQprograms nQto nQassist nQin
nQdecreasing nQthese nQrates, nQwhich nQfactor nQwould nQmost nQlikely nQneed nQto nQbe nQaddressed nQas
nQhaving nQthe nQgreatest nQimpact?
A) Resolving nQall nQlanguage nQand nQcultural nQdifferences
B) Assuring nQearly nQand nQadequate nQprenatal nQcare
C) Providing nQmore nQextensive nQwomen’s nQshelters
D) Encouraging nQall nQwomen nQto nQeat nQa nQbalanced nQdiet
2. When nQintegrating nQthe nQprinciples nQof nQfamily-centered nQcare, nQthe nQnurse nQwould nQinclude
nQwhich nQof nQthe nQfollowing?
A) Childbirth nQis nQviewed nQas nQa nQprocedural nQevent
B) Families nQare nQunable nQto nQmake nQinformed nQchoices
C) Childbirth nQresults nQin nQchanges nQin nQrelationships
D) Families nQrequire nQlittle nQinformation nQto nQmake nQappropriate nQdecisions
3. When nQpreparing nQa nQteaching nQplan nQfor nQa nQgroup nQof nQfirst-time nQpregnant nQwomen, nQthe nQnurse
nQexpects nQto nQreview nQhow nQmaternity nQcare nQhas nQchanged nQover nQthe nQyears. nQWhich nQof nQthe
nQfollowing nQwould nQthe nQnurse nQinclude nQwhen nQdiscussing nQevents nQof nQthe nQ20th nQcentury?
A) Epidemics nQof nQpuerperal nQfever
B) Performance nQof nQthe nQfirst nQcesarean nQbirth
C) Development nQof nQthe nQx-ray nQto nQassess nQpelvic nQsize
D) Creation nQof nQfree-standing nQbirth nQcenters
4. After nQteaching nQa nQgroup nQof nQstudents nQabout nQpregnancy-related nQmortality, nQthe nQinstructor
nQdetermines nQthat nQadditional nQteaching nQis nQneeded nQwhen nQthe nQstudents nQidentify nQwhich
nQcondition nQas nQa nQleading nQcause?
A) Hemorrhage
B) Embolism
C) Obstructed nQlabor
D) Infection
5. The nQnurse nQis nQworking nQwith nQa nQgroup nQof nQcommunity nQhealth nQmembers nQto nQdevelop nQa
nQplan nQto nQaddress nQthe nQspecial nQhealth nQneeds nQof nQwomen. nQWhich nQof nQthe nQfollowing
nQconditions nQwould nQthe nQgroup nQaddress nQas nQthe nQmajor nQproblem?
A) Smoking
B) Heart nQdisease
C) Diabetes
D) Cancer
6. When nQassessing nQa nQfamily nQfor nQpossible nQbarriers nQto nQhealth nQcare, nQthe nQnurse nQwould
nQconsider nQwhich nQfactor nQto nQbe nQmost nQimportant?
A) Language