INTRODUCTIONGTOGMATERNITYGANDGPEDIATRICGNURSING
[Document subtitle]
, 1
Table of Contents
g g
Tableg ofg Contents 1
Chapterg 01:gThegPast,g Present,gandg Future 2
Chapterg 02:g Humang Reproductiveg Anatomyg andg Physiologyg Chapte 12
rg 03:g Fetalg Development 22
Chapterg 04:g PrenatalgCareg andg Adaptationsg tog Pregnancy 31
Chapterg 05:g Nursingg Careg ofgWomeng withg Complicationsg Duringg Pregnancyg C 40
hapterg06:gNursinggCaregofgMothergandgInfantgDuringgLaborg andgBirthg Chapterg 50
07:gNursingg ManagementgofgPaing DuringgLaborg andg Birth 60
Chapterg 08:gNursingg CaregofgWomeng withgComplicationsg Duringg Laborg andgBirthg 70
Chapterg 09:gTheg FamilygAftergBirth 79
Chapterg 10:gNursingg Careg ofgWomeng withg Complicationsg Afterg Birthg Chapte 88
rg11:gTheg Nursesg Roleg ingWomensgHealthgCare 97
Chapterg 12:gTheg TermgNewborn 106
Chapterg 13:g Pretermg andg Posttermg Newborns 116
Chapterg 14:gTheg Newborng withg ag PerinatalgInjuryg org Congenitalg Malformationg Cha 125
pterg 15:g Ang Overviewg ofgGrowth,g Development,gandg Nutrition 135
Chapterg 16:gTheg Infantg Chapte 145
rg 17:g Theg Toddler 155
Chapterg 18:g Theg Preschoolg Childg Chapte 164
rg 19:g Theg School- 173
Ageg Childg Chapterg 20:g Theg Adolescent 182
Chapterg 21:g Theg Childsg Experienceg ofg Hospitalization 191
Chapterg 22:gHealthg Careg Adaptationsgforgtheg ChildgandgFamilyg Cha 200
pterg23:gThegChildg withg ag Sensoryg org NeurologicalgConditiong Chapte 209
rg 24:gTheg Childg withg ag Musculoskeletalg Condition 219
Chapterg 25:gThegChildg withg agRespiratoryg Disorderg Chapte 229
rg 26:gTheg Childg withg ag Cardiovascularg Disorder 238
Chapterg 27:gTheg Childg withg agConditiongofgtheg Blood,gBlood-Formingg Organs,gorg Lymphatic
System 246
Chapterg 28:gTheg Childg withg ag Gastrointestinalg Conditiong 256
Chapterg 29:gTheg Childg withg ag Genitourinaryg Conditiong C 267
hapterg30:gThegChildg withgagSkingCondition 276
Chapterg 31:gTheg Childg withg ag MetabolicgCondition 286
Chapterg 32:g Childhoodg Communicableg Diseases,g Bioterrorism,g Naturalg Disastersg andg the
Maternal-Childg Patient 296
Chapterg 33:gTheg Childg withg ang Emotionalgorg BehavioralgCondition 305
Chapterg 34:g Complementaryg andg Alternativeg Therapiesg ing Maternityg andg Pediatricg Nursing
315
, 2
Chapter 01: The Past, Present, and Future
g g g g g g
MULTIPLEg CHOICE
1. Ag patientg choosesg tog haveg theg certifiedg nurseg midwifeg (CNM)g provideg careg duringg herg pregnancy.g Whatg doesg
theg CNMsg scopeg ofg practiceg include?
a. Practiceg independentg fromg medicalg supervision
b. Comprehensiveg prenatalg care
c. Attendanceg atg allg deliveries
d. Cesareang sections
ANS:g B
Theg CNMg providesg comprehensiveg prenatalg andg postnatalg care,g attendsg uncomplicatedg deliveries,g andg ensuresg t
hatg ag backupg physiciang isg availableg ing caseg ofg unforeseeng problems.
DIF:g Cognitiveg Level:g Comprehensiong REF:g Pageg 6g OBJ:g 12
TOP:g Advanceg Practiceg Nursingg Rolesg KEY:g Nursingg Processg Step:g Implementation
MSC:g NCLEX:g Healthg Promotiong andg Maintenance:g Preventiong andg Earlyg Detectiong ofg Disease
2. Whichg medicalg pioneerg discoveredg theg relationshipg betweeng theg incidenceg ofg puerperalg feverg andg unwashedg
hands?
a. Karlg Cred
b. Ignazg Semmelweis
c. Louisg Pasteur
d. Josephg Lister
ANS:g B
Ignazg Semmelweisg deducedg thatg puerperalg feverg wasg septic,g contagious,g andg transmittedg byg theg unwashedg han
dsg ofg physiciansg andg medicalg students.
DIF:g Cognitiveg Level:g Knowledgeg REF:g Pageg 2g OBJ:g 1g TO
P:g Theg Pastg KEY:g Nursingg Processg Step:g N/A
MSC:g NCLEX:g Safe,g Effectiveg Careg Environment:g Safetyg andg Infectiong Control
3. Ag pregnantg womang whog hasg recentlyg immigratedg tog theg Unitedg Statesg commentsg tog theg nurse,g Ig amg afraidg ofg
childbirth.g Itg isg sog dangerous.g Ig amg afraidg Ig willg die.g Whatg isg theg bestg nursingg responseg reflectingg culturalg sensiti
vity?
a. Maternalg mortalityg ing theg Unitedg Statesg isg extremelyg low.
b. Anesthesiag isg availableg tog relieveg paing duringg laborg andg childbirth.
c. Tellg meg whyg youg areg afraidg ofg childbirth.
d. Yourg conditiong willg beg monitoredg duringg laborg andg delivery.
ANS:g C
Askingg theg patientg aboutg herg concernsg helpsg promoteg understandingg andg individualizesg patientg care.
DIF:g Cognitiveg Level:g Applicationg REF:g Pageg 7-8g OBJ:g 8
TOP:g Cross-
Culturalg Careg KEY:g Nursingg Processg Step:g Implementationg MSC:g NCL
EX:g Psychosocialg Integrity:g Psychologicalg Adaptation
4. Ang urbang areag hasg beeng reportedg tog haveg ag highg perinatalg mortalityg rate.g Whatg informationg doesg thisg provide?
a. Maternalg andg infantg deathsg perg 100,000g liveg birthsg perg year
b. Deathsg ofg fetusesg weighingg moreg thang 500g gg perg 10,000g birthsg perg year
c. Deathsgofg infantsg upg tog 1g yearg ofg ageg perg 1000g liveg birthsg perg year
d. Fetalg andg neonatalg deathsg perg 1000g liveg birthsg perg year
ANS:g D
Theg perinatalg mortalityg rateg includesg fetalg andg neonatalg deathsg perg 1000g liveg birthsg perg year.
g DIF:g Cognitiveg Level:g Comprehensiong REF:g Pageg 12,g Boxg 1-6
, 3
OBJ:g 9g TOP:g Theg Present-Childg Care
KEY:g Nursingg Processg Step:g Implementation
MSC:g NCLEX:g Safe,g Effectiveg Careg Environment:g Coordinatedg Care
5. Whatg isg theg focusg ofg currentg maternityg practice?
a. Hospitalg birthsg forg theg majorityg ofg women
b. Theg traditionalg familyg unit
c. Separationg ofg laborg roomsg fromg deliveryg rooms
d. Ag qualityg familyg experienceg forg eachg patient
ANS:g D
Currentg maternityg practiceg focusesg ong ag high-qualityg familyg experienceg forg allg families,g traditionalg org otherwise.
DIF:g Cognitiveg Level:g Comprehensiong REF:g Pageg 6g OBJ:g 7
TOP:g Theg Present-
Maternityg Careg KEY:g Nursingg Processg Step:g N/Ag MSC:g NCLEX:g Healt
hg Promotiong andg Maintenance
6. Whog advocatedg theg establishmentg ofg theg Childrensg Bureau?
a. Lilliang Wald
b. Florenceg Nightingale
c. Florenceg Kelly
d. Clarag Barton
ANS:g A
Lilliang Waldg isg creditedg withg suggestingg theg establishmentg ofg ag federalg Childrensg Bureau.
DIF:g Cognitiveg Level:g Knowledgeg REF:g Pageg 4g OBJ:g 1g |g 2g T
OP:g Theg Pastg KEY:g Nursingg Processg Step:g Implementation
MSC:g NCLEX:g Healthg Promotiong andg Maintenance:g Growthg andg Development
7. Whatg wasg theg resultg ofg researchg doneg ing theg 1930sg byg theg Childrensg Bureau?
a. Childreng withg heartg problemsg areg nowg caredg forg byg pediatricg cardiologists.
b. Theg Childg Abuseg andg Preventiong Actg wasg passed.
c. Hotg lunchg programsg wereg establishedg ing manyg schools.
d. Childrensg asylumsg wereg founded.
ANS:g C
Schoolg hotg lunchg programsg wereg developedg asg ag resultg ofg researchg byg theg Childrensg Bureaug ong theg effectsg ofg ec
onomicg depressiong ong children.
DIF:g Cognitiveg Level:g Knowledgeg REF:g Pageg 4g OBJ:g 2g |g 3g T
OP:g Theg Pastg KEY:g Nursingg Processg Step:g N/A
MSC:g NCLEX:g Healthg Promotiong andg Maintenance:g Coordinatedg Care
8. Whatg governmentg programg wasg implementedg tog increaseg theg educationalg exposureg ofg preschoolg children?
a. WIC
b. Titleg XIXg ofg Medicaid
c. Theg Childrensg Charter
d. Headg Start
ANS:g D
Headg Startg programsg wereg establishedg tog increaseg educationalg exposureg ofg preschoolg children.
DIF:g Cognitiveg Level:g Knowledgeg REF:g Pageg 3g OBJ:g 5
TOP:g Governmentg Influencesg ing Maternityg andg Pediatricg Careg KEY:g Nursingg Processg Step:g N/Ag MS
C:g NCLEX:g Healthg Promotiong andg Maintenance:g Growthg andg Development
9. Whatg guidelinesg defineg multidisciplinaryg patientg careg ing termsg ofg expectedg outcomeg andg timeframeg from
g differentg areasg ofg careg provision?
[Document subtitle]
, 1
Table of Contents
g g
Tableg ofg Contents 1
Chapterg 01:gThegPast,g Present,gandg Future 2
Chapterg 02:g Humang Reproductiveg Anatomyg andg Physiologyg Chapte 12
rg 03:g Fetalg Development 22
Chapterg 04:g PrenatalgCareg andg Adaptationsg tog Pregnancy 31
Chapterg 05:g Nursingg Careg ofgWomeng withg Complicationsg Duringg Pregnancyg C 40
hapterg06:gNursinggCaregofgMothergandgInfantgDuringgLaborg andgBirthg Chapterg 50
07:gNursingg ManagementgofgPaing DuringgLaborg andg Birth 60
Chapterg 08:gNursingg CaregofgWomeng withgComplicationsg Duringg Laborg andgBirthg 70
Chapterg 09:gTheg FamilygAftergBirth 79
Chapterg 10:gNursingg Careg ofgWomeng withg Complicationsg Afterg Birthg Chapte 88
rg11:gTheg Nursesg Roleg ingWomensgHealthgCare 97
Chapterg 12:gTheg TermgNewborn 106
Chapterg 13:g Pretermg andg Posttermg Newborns 116
Chapterg 14:gTheg Newborng withg ag PerinatalgInjuryg org Congenitalg Malformationg Cha 125
pterg 15:g Ang Overviewg ofgGrowth,g Development,gandg Nutrition 135
Chapterg 16:gTheg Infantg Chapte 145
rg 17:g Theg Toddler 155
Chapterg 18:g Theg Preschoolg Childg Chapte 164
rg 19:g Theg School- 173
Ageg Childg Chapterg 20:g Theg Adolescent 182
Chapterg 21:g Theg Childsg Experienceg ofg Hospitalization 191
Chapterg 22:gHealthg Careg Adaptationsgforgtheg ChildgandgFamilyg Cha 200
pterg23:gThegChildg withg ag Sensoryg org NeurologicalgConditiong Chapte 209
rg 24:gTheg Childg withg ag Musculoskeletalg Condition 219
Chapterg 25:gThegChildg withg agRespiratoryg Disorderg Chapte 229
rg 26:gTheg Childg withg ag Cardiovascularg Disorder 238
Chapterg 27:gTheg Childg withg agConditiongofgtheg Blood,gBlood-Formingg Organs,gorg Lymphatic
System 246
Chapterg 28:gTheg Childg withg ag Gastrointestinalg Conditiong 256
Chapterg 29:gTheg Childg withg ag Genitourinaryg Conditiong C 267
hapterg30:gThegChildg withgagSkingCondition 276
Chapterg 31:gTheg Childg withg ag MetabolicgCondition 286
Chapterg 32:g Childhoodg Communicableg Diseases,g Bioterrorism,g Naturalg Disastersg andg the
Maternal-Childg Patient 296
Chapterg 33:gTheg Childg withg ang Emotionalgorg BehavioralgCondition 305
Chapterg 34:g Complementaryg andg Alternativeg Therapiesg ing Maternityg andg Pediatricg Nursing
315
, 2
Chapter 01: The Past, Present, and Future
g g g g g g
MULTIPLEg CHOICE
1. Ag patientg choosesg tog haveg theg certifiedg nurseg midwifeg (CNM)g provideg careg duringg herg pregnancy.g Whatg doesg
theg CNMsg scopeg ofg practiceg include?
a. Practiceg independentg fromg medicalg supervision
b. Comprehensiveg prenatalg care
c. Attendanceg atg allg deliveries
d. Cesareang sections
ANS:g B
Theg CNMg providesg comprehensiveg prenatalg andg postnatalg care,g attendsg uncomplicatedg deliveries,g andg ensuresg t
hatg ag backupg physiciang isg availableg ing caseg ofg unforeseeng problems.
DIF:g Cognitiveg Level:g Comprehensiong REF:g Pageg 6g OBJ:g 12
TOP:g Advanceg Practiceg Nursingg Rolesg KEY:g Nursingg Processg Step:g Implementation
MSC:g NCLEX:g Healthg Promotiong andg Maintenance:g Preventiong andg Earlyg Detectiong ofg Disease
2. Whichg medicalg pioneerg discoveredg theg relationshipg betweeng theg incidenceg ofg puerperalg feverg andg unwashedg
hands?
a. Karlg Cred
b. Ignazg Semmelweis
c. Louisg Pasteur
d. Josephg Lister
ANS:g B
Ignazg Semmelweisg deducedg thatg puerperalg feverg wasg septic,g contagious,g andg transmittedg byg theg unwashedg han
dsg ofg physiciansg andg medicalg students.
DIF:g Cognitiveg Level:g Knowledgeg REF:g Pageg 2g OBJ:g 1g TO
P:g Theg Pastg KEY:g Nursingg Processg Step:g N/A
MSC:g NCLEX:g Safe,g Effectiveg Careg Environment:g Safetyg andg Infectiong Control
3. Ag pregnantg womang whog hasg recentlyg immigratedg tog theg Unitedg Statesg commentsg tog theg nurse,g Ig amg afraidg ofg
childbirth.g Itg isg sog dangerous.g Ig amg afraidg Ig willg die.g Whatg isg theg bestg nursingg responseg reflectingg culturalg sensiti
vity?
a. Maternalg mortalityg ing theg Unitedg Statesg isg extremelyg low.
b. Anesthesiag isg availableg tog relieveg paing duringg laborg andg childbirth.
c. Tellg meg whyg youg areg afraidg ofg childbirth.
d. Yourg conditiong willg beg monitoredg duringg laborg andg delivery.
ANS:g C
Askingg theg patientg aboutg herg concernsg helpsg promoteg understandingg andg individualizesg patientg care.
DIF:g Cognitiveg Level:g Applicationg REF:g Pageg 7-8g OBJ:g 8
TOP:g Cross-
Culturalg Careg KEY:g Nursingg Processg Step:g Implementationg MSC:g NCL
EX:g Psychosocialg Integrity:g Psychologicalg Adaptation
4. Ang urbang areag hasg beeng reportedg tog haveg ag highg perinatalg mortalityg rate.g Whatg informationg doesg thisg provide?
a. Maternalg andg infantg deathsg perg 100,000g liveg birthsg perg year
b. Deathsg ofg fetusesg weighingg moreg thang 500g gg perg 10,000g birthsg perg year
c. Deathsgofg infantsg upg tog 1g yearg ofg ageg perg 1000g liveg birthsg perg year
d. Fetalg andg neonatalg deathsg perg 1000g liveg birthsg perg year
ANS:g D
Theg perinatalg mortalityg rateg includesg fetalg andg neonatalg deathsg perg 1000g liveg birthsg perg year.
g DIF:g Cognitiveg Level:g Comprehensiong REF:g Pageg 12,g Boxg 1-6
, 3
OBJ:g 9g TOP:g Theg Present-Childg Care
KEY:g Nursingg Processg Step:g Implementation
MSC:g NCLEX:g Safe,g Effectiveg Careg Environment:g Coordinatedg Care
5. Whatg isg theg focusg ofg currentg maternityg practice?
a. Hospitalg birthsg forg theg majorityg ofg women
b. Theg traditionalg familyg unit
c. Separationg ofg laborg roomsg fromg deliveryg rooms
d. Ag qualityg familyg experienceg forg eachg patient
ANS:g D
Currentg maternityg practiceg focusesg ong ag high-qualityg familyg experienceg forg allg families,g traditionalg org otherwise.
DIF:g Cognitiveg Level:g Comprehensiong REF:g Pageg 6g OBJ:g 7
TOP:g Theg Present-
Maternityg Careg KEY:g Nursingg Processg Step:g N/Ag MSC:g NCLEX:g Healt
hg Promotiong andg Maintenance
6. Whog advocatedg theg establishmentg ofg theg Childrensg Bureau?
a. Lilliang Wald
b. Florenceg Nightingale
c. Florenceg Kelly
d. Clarag Barton
ANS:g A
Lilliang Waldg isg creditedg withg suggestingg theg establishmentg ofg ag federalg Childrensg Bureau.
DIF:g Cognitiveg Level:g Knowledgeg REF:g Pageg 4g OBJ:g 1g |g 2g T
OP:g Theg Pastg KEY:g Nursingg Processg Step:g Implementation
MSC:g NCLEX:g Healthg Promotiong andg Maintenance:g Growthg andg Development
7. Whatg wasg theg resultg ofg researchg doneg ing theg 1930sg byg theg Childrensg Bureau?
a. Childreng withg heartg problemsg areg nowg caredg forg byg pediatricg cardiologists.
b. Theg Childg Abuseg andg Preventiong Actg wasg passed.
c. Hotg lunchg programsg wereg establishedg ing manyg schools.
d. Childrensg asylumsg wereg founded.
ANS:g C
Schoolg hotg lunchg programsg wereg developedg asg ag resultg ofg researchg byg theg Childrensg Bureaug ong theg effectsg ofg ec
onomicg depressiong ong children.
DIF:g Cognitiveg Level:g Knowledgeg REF:g Pageg 4g OBJ:g 2g |g 3g T
OP:g Theg Pastg KEY:g Nursingg Processg Step:g N/A
MSC:g NCLEX:g Healthg Promotiong andg Maintenance:g Coordinatedg Care
8. Whatg governmentg programg wasg implementedg tog increaseg theg educationalg exposureg ofg preschoolg children?
a. WIC
b. Titleg XIXg ofg Medicaid
c. Theg Childrensg Charter
d. Headg Start
ANS:g D
Headg Startg programsg wereg establishedg tog increaseg educationalg exposureg ofg preschoolg children.
DIF:g Cognitiveg Level:g Knowledgeg REF:g Pageg 3g OBJ:g 5
TOP:g Governmentg Influencesg ing Maternityg andg Pediatricg Careg KEY:g Nursingg Processg Step:g N/Ag MS
C:g NCLEX:g Healthg Promotiong andg Maintenance:g Growthg andg Development
9. Whatg guidelinesg defineg multidisciplinaryg patientg careg ing termsg ofg expectedg outcomeg andg timeframeg from
g differentg areasg ofg careg provision?
