Updated 1
Table of Contents
Table of Contents 1
Chapter 01: Perspectives on Maternal, Newborn, and Womens Health
Care 2
Chapter 02: Family-Centered Community-Based Care 12
Chapter 03: Anatomy and Physiology of the Reproductive System 23
Chapter 04: Common Reproductive Issues 33
Chapter 05: Sexually Transmitted Infections 44
Chapter 06: Disorders of the Breasts 55
Chapter 07: Benign Disorders of the Female Reproductive Tract 66
Chapter 08: Cancers of the Female Reproductive Tract 77
Chapter 09: Violence and Abuse 88
Chapter 10: Fetal Development and Genetics 99
Chapter 11: Maternal Adaptation During Pregnancy 109
Chapter 12: Nursing Management During Pregnancy 120
Chapter 13: Labor and Birth Process 131
Chapter 14: Nursing Management During Labor and Birth 143
Chapter 15: Postpartum Adaptations 156
Chapter 16: Nursing Management During the Postpartum Period 168
Chapter 17: Newborn Transitioning 179
Chapter 18: Nursing Management of the Newborn 191
Chapter 19: Nursing Management of Pregnancy at Risk- Pregnancy 204
Chapter 20: Nursing Management of the Pregnancy at Risk 216
Chapter 21: Nursing Management of Labor and Birth at Risk 228
Chapter 22: Nursing Management of the Postpartum Woman at Risk 240
Chapter 23: Nursing Care of the Newborn With Special Needs 252
Chapter 24: Nursing Management of the Newborn at Risk 263
,Updated 2
Chapter 01: Perspectives on Maternal, Newborn, and
Womens Health Care
1. The United States ranks 50th in the world for maternal mortality and 41st among
industrialized nations for infant mortality rate. When developing programs to assist
in decreasing these rates, which factor would most likely need to be addressed as
having the greatest impact?
A) Resolving all language and cultural differences
B) Assuring early and adequate prenatal care
C) Providing more 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 the following?
A) Childbirth is viewed as a procedural event
B) Families are unable to make informed choices
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 to review how maternity care has changed over the years. Which of
the following would the nurse include when discussing events of the 20th century?
A) Epidemics of puerperal fever
,Updated 3
B) Performance of the first cesarean birth
C) Development of the x-ray to assess pelvic size
D) Creation of free-standing birth centers
4. After teaching a group of students about pregnancy-related mortality, the
instructor determines that additional teaching is needed when the students identify
which condition as a leading cause?
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 address the special health needs of women. Which of the following conditions
would the group address as the major problem?
A) Smoking
B) Heart disease
C) Diabetes
D) Cancer
6. When assessing a family for possible barriers to health care, the nurse would
consider which factor to be most important?
A) Language
, Updated 4
B) Health care workers attitudes
C) Transportation
D) Finances
7. After teaching a group of nursing students about the issue of informed consent.
Which of the following, if identified by the student, would indicate an
understanding of a violation of informed consent?
A) Performing a procedure on a 15-year-old without consent
B) Serving as a witness to the signature process
C) Asking whether the client understands what she is signing
D) Getting verbal consent over the phone for emergency procedures
8. The nurse is trying to get consent to care for an 11-year-old boy with diabetic
ketoacidosis. His parents are out of town on vacation, and the child is staying with
a neighbor. Which action would be the priority?
A) Getting telephone consent with two people listening to the verbal consent
B) Providing emergency care without parental consent
C) Contacting the childs aunt or uncle to obtain their consent
D) Advocating for termination of parental rights for this situation
9. After teaching nursing students about the basic concepts of family-centered care,
the instructor determines that the teaching was successful when the students state
which of the following?
Table of Contents
Table of Contents 1
Chapter 01: Perspectives on Maternal, Newborn, and Womens Health
Care 2
Chapter 02: Family-Centered Community-Based Care 12
Chapter 03: Anatomy and Physiology of the Reproductive System 23
Chapter 04: Common Reproductive Issues 33
Chapter 05: Sexually Transmitted Infections 44
Chapter 06: Disorders of the Breasts 55
Chapter 07: Benign Disorders of the Female Reproductive Tract 66
Chapter 08: Cancers of the Female Reproductive Tract 77
Chapter 09: Violence and Abuse 88
Chapter 10: Fetal Development and Genetics 99
Chapter 11: Maternal Adaptation During Pregnancy 109
Chapter 12: Nursing Management During Pregnancy 120
Chapter 13: Labor and Birth Process 131
Chapter 14: Nursing Management During Labor and Birth 143
Chapter 15: Postpartum Adaptations 156
Chapter 16: Nursing Management During the Postpartum Period 168
Chapter 17: Newborn Transitioning 179
Chapter 18: Nursing Management of the Newborn 191
Chapter 19: Nursing Management of Pregnancy at Risk- Pregnancy 204
Chapter 20: Nursing Management of the Pregnancy at Risk 216
Chapter 21: Nursing Management of Labor and Birth at Risk 228
Chapter 22: Nursing Management of the Postpartum Woman at Risk 240
Chapter 23: Nursing Care of the Newborn With Special Needs 252
Chapter 24: Nursing Management of the Newborn at Risk 263
,Updated 2
Chapter 01: Perspectives on Maternal, Newborn, and
Womens Health Care
1. The United States ranks 50th in the world for maternal mortality and 41st among
industrialized nations for infant mortality rate. When developing programs to assist
in decreasing these rates, which factor would most likely need to be addressed as
having the greatest impact?
A) Resolving all language and cultural differences
B) Assuring early and adequate prenatal care
C) Providing more 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 the following?
A) Childbirth is viewed as a procedural event
B) Families are unable to make informed choices
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 to review how maternity care has changed over the years. Which of
the following would the nurse include when discussing events of the 20th century?
A) Epidemics of puerperal fever
,Updated 3
B) Performance of the first cesarean birth
C) Development of the x-ray to assess pelvic size
D) Creation of free-standing birth centers
4. After teaching a group of students about pregnancy-related mortality, the
instructor determines that additional teaching is needed when the students identify
which condition as a leading cause?
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 address the special health needs of women. Which of the following conditions
would the group address as the major problem?
A) Smoking
B) Heart disease
C) Diabetes
D) Cancer
6. When assessing a family for possible barriers to health care, the nurse would
consider which factor to be most important?
A) Language
, Updated 4
B) Health care workers attitudes
C) Transportation
D) Finances
7. After teaching a group of nursing students about the issue of informed consent.
Which of the following, if identified by the student, would indicate an
understanding of a violation of informed consent?
A) Performing a procedure on a 15-year-old without consent
B) Serving as a witness to the signature process
C) Asking whether the client understands what she is signing
D) Getting verbal consent over the phone for emergency procedures
8. The nurse is trying to get consent to care for an 11-year-old boy with diabetic
ketoacidosis. His parents are out of town on vacation, and the child is staying with
a neighbor. Which action would be the priority?
A) Getting telephone consent with two people listening to the verbal consent
B) Providing emergency care without parental consent
C) Contacting the childs aunt or uncle to obtain their consent
D) Advocating for termination of parental rights for this situation
9. After teaching nursing students about the basic concepts of family-centered care,
the instructor determines that the teaching was successful when the students state
which of the following?
