,Contents
Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care ........................................... 4
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Chapter 2- Family-Centered Community-Based Care ............................................................................................. 9
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Chapter 3- Anatomy and Physiology of the Reproductive System ............................................................. 14
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Chapter 4- Common 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- Violence and Abuse ........................................................................................................................... 44
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Chapter 10- Fetal Development 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
vv vv vv vv vv vv v v Risk- Pregnancy ....................................................... 102
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Chapter 20- Nursing Management of the Pregnancy at
vv vv vv vv vv v v vv v v Risk ................................................................... 108
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 of the 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 Development of the
vv vv vv vv vv vv v v 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
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,................................................................................................................................................................................... 224
Chapter 39- Nursing Care of the Child With an Alteration in Sensory Perception / Disorder of the Eyes
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vvor Earsvv 231
Chapter 40- Nursing Care of the Child With an Alteration in Gas Exchange / Respiratory Disorder
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv 238
Chapter 41- Nursing Care of the Child With an Alteration in Perfusion / Cardiovascular Disorder.. 244
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Chapter 42- Nursing Care of the Child With an Alteration in Bowel Elimination / Gastrointestinal Disorder
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................................................................................................................................................................................... 250
Chapter 43- Nursing Care of the Child With an Alteration in Urinary Elimination / Genitourinary Disorder
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................................................................................................................................................................................... 257
Chapter 44- Nursing Care of the Child With an Alteration in Mobility / Neuromuscular or Musculoskeletal
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Disorder
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................................................................................................................................................................................. 264
Extra v v Questions: Musculoskeletal Disorder .................................................................................................... 270
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Chapter 45- Nursing Care of the Child With an Alteration in Tissue Integrity / Integumentary Disorder
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Chapter 46- Nursing Care of the Child With an Alteration in Cellular Regulation /
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Hematologic or Neoplastic Disorder............................................................................................................ 283
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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, or Development
vv vv vv vv vv vv vv vv vv vv vv vv vv vv 317
Chapter 51- Nursing Care During a Pediatric Emergency .......................................................................... 324
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, Chapter 1- Perspectives on Maternal, Newborn, and Women’s
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Health Care
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1. The United States ranks 50th in the world for maternal mortality and
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v v41st among industrialized nations for infant mortality rate. When developing
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programs to assist in decreasing these rates, which factor would most likely need
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vvto be addressed as having the greatest impact?
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A) Resolving all language and cultural differences
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B) Assuring early and adequate prenatal care
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C) Providing more extensive women’s shelters
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D) Encouraging all women to eat a balanced diet vv vv vv vv vv vv vv
2. When integrating the principles of family-centered care, the nurse would include which
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of the following?
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A) Childbirth is viewed as a procedural event vv vv vv vv vv v v
B) Families are unable to make informed choices
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C) Childbirth results in changes in relationships
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D) Families require little information to make appropriate decisions
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3. When preparing a teaching plan for a group of first-time pregnant women, the nurse
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expects to review how maternity care has changed over the years. Which of
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vvthe following would the nurse include when discussing events of the 20th
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v vcentury?
A) Epidemics of puerperal fever vv vv vv
B) Performance of the first cesarean birth vv vv vv vv vv
C) Development of the x-ray to assess pelvic size vv vv vv vv vv vv vv
D) Creation of free-standing birth centers
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4. After teaching a group of students about pregnancy-related mortality, the instructor
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determines that additional teaching is needed when the students identify which
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vvcondition as a leading cause? vv vv vv vv
A) Hemorrhage
B) Embolism
C) Obstructed labor vv
D) Infection
5. The nurse is working with a group of community health members to develop
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a plan to address the special health needs of women. Which of the
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vvfollowing conditions would the group address as the major problem?
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A) Smoking
B) Heart disease vv
C) Diabetes
D) Cancer
6. When assessing a family for possible barriers to health care, the nurse would
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consider which factor 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-Centered Community-Based Care ............................................................................................. 9
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Chapter 3- Anatomy and Physiology of the Reproductive System ............................................................. 14
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Chapter 4- Common 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- Violence and Abuse ........................................................................................................................... 44
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Chapter 10- Fetal Development 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
vv vv vv vv vv vv v v Risk- Pregnancy ....................................................... 102
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Chapter 20- Nursing Management of the Pregnancy at
vv vv vv vv vv v v vv v v Risk ................................................................... 108
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 of the 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 Development of the
vv vv vv vv vv vv v v 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
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,................................................................................................................................................................................... 224
Chapter 39- Nursing Care of the Child With an Alteration in Sensory Perception / Disorder of the Eyes
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vvor Earsvv 231
Chapter 40- Nursing Care of the Child With an Alteration in Gas Exchange / Respiratory Disorder
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv 238
Chapter 41- Nursing Care of the Child With an Alteration in Perfusion / Cardiovascular Disorder.. 244
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Chapter 42- Nursing Care of the Child With an Alteration in Bowel Elimination / Gastrointestinal Disorder
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................................................................................................................................................................................... 250
Chapter 43- Nursing Care of the Child With an Alteration in Urinary Elimination / Genitourinary Disorder
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................................................................................................................................................................................... 257
Chapter 44- Nursing Care of the Child With an Alteration in Mobility / Neuromuscular or Musculoskeletal
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
Disorder
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................................................................................................................................................................................. 264
Extra v v Questions: Musculoskeletal Disorder .................................................................................................... 270
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Chapter 45- Nursing Care of the Child With an Alteration in Tissue Integrity / Integumentary Disorder
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv 277
Chapter 46- Nursing Care of the Child With an Alteration in Cellular Regulation /
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Hematologic or Neoplastic Disorder............................................................................................................ 283
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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, or Development
vv vv vv vv vv vv vv vv vv vv vv vv vv vv 317
Chapter 51- Nursing Care During a Pediatric Emergency .......................................................................... 324
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, Chapter 1- Perspectives on Maternal, Newborn, and Women’s
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Health Care
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1. The United States ranks 50th in the world for maternal mortality and
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v v41st among industrialized nations for infant mortality rate. When developing
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programs to assist in decreasing these rates, which factor would most likely need
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vvto be addressed as having the greatest impact?
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A) Resolving all language and cultural differences
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B) Assuring early and adequate prenatal care
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C) Providing more extensive women’s shelters
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D) Encouraging all women to eat a balanced diet vv vv vv vv vv vv vv
2. When integrating the principles of family-centered care, the nurse would include which
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of the following?
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A) Childbirth is viewed as a procedural event vv vv vv vv vv v v
B) Families are unable to make informed choices
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C) Childbirth results in changes in relationships
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D) Families require little information to make appropriate decisions
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3. When preparing a teaching plan for a group of first-time pregnant women, the nurse
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expects to review how maternity care has changed over the years. Which of
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vvthe following would the nurse include when discussing events of the 20th
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v vcentury?
A) Epidemics of puerperal fever vv vv vv
B) Performance of the first cesarean birth vv vv vv vv vv
C) Development of the x-ray to assess pelvic size vv vv vv vv vv vv vv
D) Creation of free-standing birth centers
vv vv vv vv
4. After teaching a group of students about pregnancy-related mortality, the instructor
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determines that additional teaching is needed when the students identify which
vv vv vv vv vv vv vv vv vv vv vv
vvcondition as a leading cause? vv vv vv vv
A) Hemorrhage
B) Embolism
C) Obstructed labor vv
D) Infection
5. The nurse is working with a group of community health members to develop
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a plan to address the special health needs of women. Which of the
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vvfollowing conditions would the group address as the major problem?
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A) Smoking
B) Heart disease vv
C) Diabetes
D) Cancer
6. When assessing a family for possible barriers to health care, the nurse would
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consider which factor to be most important?
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A) Language