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,Contents
Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care ............................................................ 4
@ @ @ @ @ @ @ @ @
Chapter 2- Family-Centered Community-Based Care ................................................................................................... 9
@ @ @ fi @
Chapter 3- Anatomy and Physiologyof the Reproductive System .............................................................................. 14
@ @ @ @ @ fi @
Chapter 4- Common Reproductive Issues ................................................................................................................... 19
@ @ @ @
Chapter 5- SexuallyTransmitted Infections ................................................................................................................ 24
@ @ fi @
Chapter 6- Disordersof the Breasts ............................................................................................................................. 29
@ @ @ @
Chapter 7- Benign Disorders of the Female Reproductive Tract ............................................................................... 34
@ @ @ fi @ @ @ @ @
Chapter 8- Cancers of the Female Reproductive Tract ............................................................................................... 39
@ @ fi @ @ @ fi @
Chapter 9- Violence and Abuse .................................................................................................................................. 44
@ @ @ @
Chapter 10- Fetal Developmentand Genetics ............................................................................................................. 49
@ @ @ @
Chapter 11- Maternal Adaptation During Pregnancy ................................................................................................. 54
@ @ @ fi @ @
Chapter 12- Nursing Management During Pregnancy ................................................................................................ 60
@ @ @ @ @
Chapter 13- Labor and Birth Process .......................................................................................................................... 66
@ @ @ @ @
Chapter 14- Nursing Management During Labor and Birth ....................................................................................... 72
@ @ fi @ fi @ @ @
Chapter 15- Postpartum Adaptations .......................................................................................................................... 78
@ @ fi @
Chapter 16- Nursing Management During the PostpartumPeriod ............................................................................... 84
@ @ fi @ fi @ @
Chapter 17- Newborn Transitioning ........................................................................................................................... 90
@ @ fi @
Chapter 18- Nursing Management of the Newborn .................................................................................................... 96
@ @ fi @ @ fi @
Chapter 19- Nursing Management of Pregnancy at Risk- Pregnancy ........................................................................ 102
@ @ fi @ @ @ fi @
Chapter 20- Nursing Management of the Pregnancy at Risk .................................................................................... 108
@ @ fi @ @ @ @ @
Chapter 21- Nursing Management of Labor and Birth at Risk ................................................................................. 114
@ @ fi @ @ @ @ fi @ @
Chapter 22- Nursing Management of the PostpartumWoman at Risk ..................................................................... 120
@ @ fi @ @ @ @ @ @
Chapter 23- Nursing Care of the Newborn With Special Needs .............................................................................. 126
@ @ fi @ @ @ @ fi @ @
Chapter 24- Nursing Management of the Newborn at Risk ...................................................................................... 132
@ @ fi @ @ @ @ @
Chapter 25- Growth and Development of the Newborn and Infant .......................................................................... 138
@ @ @ fi @ @ @ fi @ @
Chapter 26- Growth and Developmentof the Toddler .............................................................................................. 144
@ @ @ @ @ @
Chapter 27- Growth and Development of the Preschooler ....................................................................................... 150
@ @ @ fi @ @ @ @
Chapter 28- Growth and Development of the School-Age Child ............................................................................. 157
@ @ @ @ @ @ @ @
Chapter 29- Growth and Development of the Adolescent ........................................................................................ 164
@ @ @ fi @ @ @ @
Chapter 30- Atraumatic Care of Children and Families ........................................................................................... 171
@ @ @ fi @ @ @ @
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,Chapter 31- Health Supervision ................................................................................................................................ 176
@ @ @
Chapter 32- Health Assessment of Children ............................................................................................................. 183
@ @ @ @ @
Chapter 33- Caring for Children in Diverse Settings ................................................................................................ 190
@ @ fi @ @ fi fi @
Chapter 34- Caring for the Special Needs Child ...................................................................................................... 197
@ @ @ @ @ @ @
Chapter 35- Key Pediatric Nursing Interventions ..................................................................................................... 203
@ @ @ @ @
Chapter 36- Pain Management in Children ............................................................................................................... 210
@ @ @ @ @
Chapter 37- Nursing Care of the Child With an Infectious or Communicable Disorder .......................................... 217
@ @ fi @ @ @ @ fi fi @ @ @ @
Chapter 38- Nursing Care of the Child With an Alteration in Intracranial Regulation / Neurologic Disorder ........ 224
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @
Chapter 39- Nursing Care of the Child With an Alteration in Sensory Perception / Disorder of the Eyes or Ears231
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @
Chapter 40- Nursing Care of the Child With an Alteration in Gas Exchange / Respiratory Disorder............. 238
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @
Chapter 41- Nursing Care of the Child With an Alteration in Perfusion / Cardiovascular Disorder ......................... 244
@ @ fi fi @ @ @ fi fi @ @ @ @ @ @
Chapter 42- Nursing Care of the Child With an Alteration in Bowel Elimination / Gastrointestinal Disorder .... 250
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @
Chapter 43- Nursing Care of the Child With an Alteration in Urinary Elimination / Genitourinary Disorder . 257
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @
Chapter 44- Nursing Care of the Child With an Alteration in Mobility/ Neuromuscular or Musculoskeletal Disorder
@ @ fi @ @ @ @ fi @ fi @ @ @ fi
...................................................................................................................................................................................264
Extra Questions: Musculoskeletal Disorder ....................................................................................................... 270
@ @ @
Chapter 45- Nursing Care of the Child With an Alteration in Tissue Integrity / Integumentary Disorder ........... 277
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @
Chapter 46- @
Nursing Care of the Child With an Alteration in Cellular Regulation / Hematologic or Neoplastic Disorder .... 283
@ @ @ @ @ fi fi @ fi @ fi @ @ @ @ @
Extra Questions: Neoplastic Disorder ................................................................................................................... 290
@ @ @
Chapter 47- Nursing Care of the Child With an Alteration in Immunity or Immunologic Disorder .......................... 296
@ @ fi fi @ @ @ fi fi @ @ @ fi @
Chapter 48- Nursing Care of the Child With an Alteration in Metabolism / Endocrine Disorder ................... 303
@ @ @ @ @ @ @ @ @ @ @ @ @ @
Chapter 49- Nursing Care of the Child With an Alteration in Genetics ........................................................... 310
@ @ @ @ @ @ @ @ @ @ @
Chapter 50- Nursing Care of the Child With an Alteration in Behavior, Cognition, or Development ..................... 317
@ @ fi fi @ fi @ @ @ @ @ @ @ @ @
Chapter 51- Nursing Care During a Pediatric Emergency .................................................................................. 324
@ @ @ @ @ @ @
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, Chapter 1- @
Perspectives on Maternal, Newborn, and Women’sHealth Care @ @ @ @ @ @
1. The United States ranks 50th in the world for maternal mortality and 41st among industrialize
@ fi @ @ @ @ @ @ @ @ @ @ @ @
d nations for infant mortalityrate. When developing programs to assist in decreasingthese rates,
@ @ @ @ @ @ @ @ @ @ @ @ @
whi ch factor would most likelyneed to be addressed as having the greatest impact?
@ @ @ fi @ fi @ @ fi @ @ @ @
A) Resolving all language and cultural differences
@ @ @ @ @
B) Assuring early and adequate prenatal care
@ @ @ @ @
C) Providingmore extensive women’s shelters @ @ @
D) Encouraging all women to eat a balanced diet @ @ @ @ @ @ @
2. When integrating the principles of family-
@ @ @ @ @
centered care, the nurse would include which of thefollowing?
fi @ @ @ @ @ @ @ fi
A) Childbirth is viewed as a procedural event@ @ @ @ @ @
B) Families are unable to make informed choices
@ @ @ fi @ @
C) Childbirth results in changes in relationships
@ @ @ @ @
D) Families require little information to make appropriate decisions
@ @ @ @ @ @ @
3. When preparing a teaching plan for a group of first-
@ @ @ @ @ @ @ @ @
time pregnant women, the nurse expects toreview how maternity care has changed over the years
@ @ @ @ @ @ if @ @ @ @ @ @ @ @
. Which of the following would the nurse include when discussing events of the 20th century?
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @
A) Epidemics of puerperal fever @ @ @
B) Performance of the first cesarean birth @ @ @ fi @
C) Development of the x-ray to assess pelvic size fi @ @ @ @ @ @
D) Creation of free-standing birth centers
@ @ fi @
4. After teaching a group of students about pregnancy-
@ fi fi @ @ @ @
related mortality, the instructor determinesthat additional teaching is needed when the students id
@ @ @ @ if @ @ @ @ @ fi @ @
e ntifywhich condition as a leading cause?
@ @ @ @ @ fi
A) Hemorrhage
B) Embolism
C) Obstructed labor @
D) Infection
5. The nurse is working with a group of community health members to develop a plan to addres
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @
sth e special health needs of women. Which of the following conditions would the group addres
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @
s as t he major problem?
@ @ @ @ @
A) Smoking
B) Heart disease fi
C) Diabetes
D) Cancer
6. When assessing a familyfor possible barriers to health care, the nurse would consider which
@ @ @ @ @ @ @ @ @ @ @ @ @
fa ctor to be most important?
@ @ @ @ @
A) Language
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m 6
Distribution@of@this@document@is@illegal extra@per@year?
,Contents
Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care ............................................................ 4
@ @ @ @ @ @ @ @ @
Chapter 2- Family-Centered Community-Based Care ................................................................................................... 9
@ @ @ fi @
Chapter 3- Anatomy and Physiologyof the Reproductive System .............................................................................. 14
@ @ @ @ @ fi @
Chapter 4- Common Reproductive Issues ................................................................................................................... 19
@ @ @ @
Chapter 5- SexuallyTransmitted Infections ................................................................................................................ 24
@ @ fi @
Chapter 6- Disordersof the Breasts ............................................................................................................................. 29
@ @ @ @
Chapter 7- Benign Disorders of the Female Reproductive Tract ............................................................................... 34
@ @ @ fi @ @ @ @ @
Chapter 8- Cancers of the Female Reproductive Tract ............................................................................................... 39
@ @ fi @ @ @ fi @
Chapter 9- Violence and Abuse .................................................................................................................................. 44
@ @ @ @
Chapter 10- Fetal Developmentand Genetics ............................................................................................................. 49
@ @ @ @
Chapter 11- Maternal Adaptation During Pregnancy ................................................................................................. 54
@ @ @ fi @ @
Chapter 12- Nursing Management During Pregnancy ................................................................................................ 60
@ @ @ @ @
Chapter 13- Labor and Birth Process .......................................................................................................................... 66
@ @ @ @ @
Chapter 14- Nursing Management During Labor and Birth ....................................................................................... 72
@ @ fi @ fi @ @ @
Chapter 15- Postpartum Adaptations .......................................................................................................................... 78
@ @ fi @
Chapter 16- Nursing Management During the PostpartumPeriod ............................................................................... 84
@ @ fi @ fi @ @
Chapter 17- Newborn Transitioning ........................................................................................................................... 90
@ @ fi @
Chapter 18- Nursing Management of the Newborn .................................................................................................... 96
@ @ fi @ @ fi @
Chapter 19- Nursing Management of Pregnancy at Risk- Pregnancy ........................................................................ 102
@ @ fi @ @ @ fi @
Chapter 20- Nursing Management of the Pregnancy at Risk .................................................................................... 108
@ @ fi @ @ @ @ @
Chapter 21- Nursing Management of Labor and Birth at Risk ................................................................................. 114
@ @ fi @ @ @ @ fi @ @
Chapter 22- Nursing Management of the PostpartumWoman at Risk ..................................................................... 120
@ @ fi @ @ @ @ @ @
Chapter 23- Nursing Care of the Newborn With Special Needs .............................................................................. 126
@ @ fi @ @ @ @ fi @ @
Chapter 24- Nursing Management of the Newborn at Risk ...................................................................................... 132
@ @ fi @ @ @ @ @
Chapter 25- Growth and Development of the Newborn and Infant .......................................................................... 138
@ @ @ fi @ @ @ fi @ @
Chapter 26- Growth and Developmentof the Toddler .............................................................................................. 144
@ @ @ @ @ @
Chapter 27- Growth and Development of the Preschooler ....................................................................................... 150
@ @ @ fi @ @ @ @
Chapter 28- Growth and Development of the School-Age Child ............................................................................. 157
@ @ @ @ @ @ @ @
Chapter 29- Growth and Development of the Adolescent ........................................................................................ 164
@ @ @ fi @ @ @ @
Chapter 30- Atraumatic Care of Children and Families ........................................................................................... 171
@ @ @ fi @ @ @ @
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,Chapter 31- Health Supervision ................................................................................................................................ 176
@ @ @
Chapter 32- Health Assessment of Children ............................................................................................................. 183
@ @ @ @ @
Chapter 33- Caring for Children in Diverse Settings ................................................................................................ 190
@ @ fi @ @ fi fi @
Chapter 34- Caring for the Special Needs Child ...................................................................................................... 197
@ @ @ @ @ @ @
Chapter 35- Key Pediatric Nursing Interventions ..................................................................................................... 203
@ @ @ @ @
Chapter 36- Pain Management in Children ............................................................................................................... 210
@ @ @ @ @
Chapter 37- Nursing Care of the Child With an Infectious or Communicable Disorder .......................................... 217
@ @ fi @ @ @ @ fi fi @ @ @ @
Chapter 38- Nursing Care of the Child With an Alteration in Intracranial Regulation / Neurologic Disorder ........ 224
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @
Chapter 39- Nursing Care of the Child With an Alteration in Sensory Perception / Disorder of the Eyes or Ears231
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @
Chapter 40- Nursing Care of the Child With an Alteration in Gas Exchange / Respiratory Disorder............. 238
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @
Chapter 41- Nursing Care of the Child With an Alteration in Perfusion / Cardiovascular Disorder ......................... 244
@ @ fi fi @ @ @ fi fi @ @ @ @ @ @
Chapter 42- Nursing Care of the Child With an Alteration in Bowel Elimination / Gastrointestinal Disorder .... 250
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @
Chapter 43- Nursing Care of the Child With an Alteration in Urinary Elimination / Genitourinary Disorder . 257
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @
Chapter 44- Nursing Care of the Child With an Alteration in Mobility/ Neuromuscular or Musculoskeletal Disorder
@ @ fi @ @ @ @ fi @ fi @ @ @ fi
...................................................................................................................................................................................264
Extra Questions: Musculoskeletal Disorder ....................................................................................................... 270
@ @ @
Chapter 45- Nursing Care of the Child With an Alteration in Tissue Integrity / Integumentary Disorder ........... 277
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @
Chapter 46- @
Nursing Care of the Child With an Alteration in Cellular Regulation / Hematologic or Neoplastic Disorder .... 283
@ @ @ @ @ fi fi @ fi @ fi @ @ @ @ @
Extra Questions: Neoplastic Disorder ................................................................................................................... 290
@ @ @
Chapter 47- Nursing Care of the Child With an Alteration in Immunity or Immunologic Disorder .......................... 296
@ @ fi fi @ @ @ fi fi @ @ @ fi @
Chapter 48- Nursing Care of the Child With an Alteration in Metabolism / Endocrine Disorder ................... 303
@ @ @ @ @ @ @ @ @ @ @ @ @ @
Chapter 49- Nursing Care of the Child With an Alteration in Genetics ........................................................... 310
@ @ @ @ @ @ @ @ @ @ @
Chapter 50- Nursing Care of the Child With an Alteration in Behavior, Cognition, or Development ..................... 317
@ @ fi fi @ fi @ @ @ @ @ @ @ @ @
Chapter 51- Nursing Care During a Pediatric Emergency .................................................................................. 324
@ @ @ @ @ @ @
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m 6
Distribution@of@this@document@is@illegal extra@per@year?
, Chapter 1- @
Perspectives on Maternal, Newborn, and Women’sHealth Care @ @ @ @ @ @
1. The United States ranks 50th in the world for maternal mortality and 41st among industrialize
@ fi @ @ @ @ @ @ @ @ @ @ @ @
d nations for infant mortalityrate. When developing programs to assist in decreasingthese rates,
@ @ @ @ @ @ @ @ @ @ @ @ @
whi ch factor would most likelyneed to be addressed as having the greatest impact?
@ @ @ fi @ fi @ @ fi @ @ @ @
A) Resolving all language and cultural differences
@ @ @ @ @
B) Assuring early and adequate prenatal care
@ @ @ @ @
C) Providingmore extensive women’s shelters @ @ @
D) Encouraging all women to eat a balanced diet @ @ @ @ @ @ @
2. When integrating the principles of family-
@ @ @ @ @
centered care, the nurse would include which of thefollowing?
fi @ @ @ @ @ @ @ fi
A) Childbirth is viewed as a procedural event@ @ @ @ @ @
B) Families are unable to make informed choices
@ @ @ fi @ @
C) Childbirth results in changes in relationships
@ @ @ @ @
D) Families require little information to make appropriate decisions
@ @ @ @ @ @ @
3. When preparing a teaching plan for a group of first-
@ @ @ @ @ @ @ @ @
time pregnant women, the nurse expects toreview how maternity care has changed over the years
@ @ @ @ @ @ if @ @ @ @ @ @ @ @
. Which of the following would the nurse include when discussing events of the 20th century?
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @
A) Epidemics of puerperal fever @ @ @
B) Performance of the first cesarean birth @ @ @ fi @
C) Development of the x-ray to assess pelvic size fi @ @ @ @ @ @
D) Creation of free-standing birth centers
@ @ fi @
4. After teaching a group of students about pregnancy-
@ fi fi @ @ @ @
related mortality, the instructor determinesthat additional teaching is needed when the students id
@ @ @ @ if @ @ @ @ @ fi @ @
e ntifywhich condition as a leading cause?
@ @ @ @ @ fi
A) Hemorrhage
B) Embolism
C) Obstructed labor @
D) Infection
5. The nurse is working with a group of community health members to develop a plan to addres
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @
sth e special health needs of women. Which of the following conditions would the group addres
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @
s as t he major problem?
@ @ @ @ @
A) Smoking
B) Heart disease fi
C) Diabetes
D) Cancer
6. When assessing a familyfor possible barriers to health care, the nurse would consider which
@ @ @ @ @ @ @ @ @ @ @ @ @
fa ctor to be most important?
@ @ @ @ @
A) Language
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m 6
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