, 1
Table of Contents
1
Chapter 01: Perspectives on Maternal, Newborn, and Womens Health Care 2
Chapter 02: Family-Centered Community-Based Care 9
Chapter 03: Anatomy and Physiology of the Reproductive System 17
Chapter 04: Common Reproductive Issues 24
Chapter 05: Sexually Transmitted Infections 32
Chapter 06: Disorders of the Brepter 07: Benign 40
Disorders of the Female Reproductive Tract 48
Chapter 08: Cancers of the Female Reproductive 56
Tract 64
Chapter 09: Violence and Abuse 72
Chapter 10: Fetal Development and Genetics 79
Chapter 11: Maternal Adaptation During Pregnancy 87
Chapter 12: Nursing Management During Pregnancy 95
Chapter 13: Labor and Birth Process 103
Chapter 14: Nursing Management During Labor and Birth 112
Chapter 15: Postpartum Adaptations 120
Chapter 16: Nursing Management During the Postpartum Period 128
Chapter 17: Newborn Transitioning 136
Chapter 18: Nursing Management of the Newborn 145
Chapter 19: Nursing Management of Pregnancy at Risk- Pregnancy 153
Chapter 20: Nursing Management of the Pregnancy at Risk 161
Chapter 21: Nursing Management of Labor and Birth at Risk 169
Chapter 22: Nursing Management of the Postpartum Woman at Risk 177
Chapter 23: Nursing Care of the Newborn With Special Needs 185
Chapter 24: Nursing Management of the Newborn at Risk
, 1
Chapter 01: Perspectives on Maternal, Newborn, and Womens
Health Care
1.
The United States ranks poorly in maternal and infant mortality compared to other
developed nations. Which single intervention has the greatest potential impact on
reducing both rates?
A) Encouraging balanced diet during pregnancy
B) Ensuring early and adequate prenatal care
C) Expanding women’s shelters
D) Resolving language and cultural differences
Answer: B
Rationale: Early and consistent prenatal care allows timely identification and
management of pregnancy complications, nutritional issues, and comorbidities, directly
lowering maternal and infant mortality. While cultural, dietary, and shelter interventions
help, they do not yield as dramatic a reduction.
2.
A nursing instructor emphasizes that family-centered maternity care is built on which
principle?
A) Childbirth is a strictly medical procedure.
B) Families require little information to make choices.
C) Childbirth affects relationships and family dynamics.
D) Only mothers are affected by childbirth.
Answer: C
Rationale: Family-centered care recognizes childbirth as a family event, affecting
roles, responsibilities, and relationships. Families are partners in decision-making, not
passive recipients.
3.
Which 20th-century development most reshaped modern maternity care?
A) First cesarean section
B) X-ray for pelvic measurement
C) Creation of freestanding birth centers
D) Epidemics of puerperal fever
Answer: C
Rationale: The rise of freestanding birth centers represented a major shift from
physician-dominated hospital births to accessible, family-centered, and midwife-
supported options, reflecting the consumer movement.
, 2
4.
A student states, “Hemorrhage, embolism, obstructed labor, and infection are the
leading causes of pregnancy-related mortality.” Which part indicates
misunderstanding?
A) Hemorrhage
B) Embolism
C) Obstructed labor
D) Infection
Answer: C
Rationale: Obstructed labor is a global issue but not a leading cause of maternal
mortality in the United States. Hemorrhage, embolism, and infection remain the major
contributors.
5.
Which health issue is the leading cause of death in women in the United States?
A) Smoking
B) Heart disease
C) Diabetes
D) Cancer
Answer: B
Rationale: Cardiovascular disease is the #1 killer of women, surpassing all cancers
combined. This highlights the need for preventive strategies tailored to women.
6.
When evaluating barriers to care, which factor most strongly limits access to maternal
services?
A) Language differences
B) Health-care worker attitudes
C) Transportation
D) Finances
Answer: D
Rationale: Although language and transportation matter, financial barriers remain the
most significant obstacle in accessing prenatal and women’s health services.
7.
A nurse performs a procedure on a 15-year-old girl without obtaining parental or
guardian approval. This is a violation of:
A) Informed consent
B) Beneficence
Table of Contents
1
Chapter 01: Perspectives on Maternal, Newborn, and Womens Health Care 2
Chapter 02: Family-Centered Community-Based Care 9
Chapter 03: Anatomy and Physiology of the Reproductive System 17
Chapter 04: Common Reproductive Issues 24
Chapter 05: Sexually Transmitted Infections 32
Chapter 06: Disorders of the Brepter 07: Benign 40
Disorders of the Female Reproductive Tract 48
Chapter 08: Cancers of the Female Reproductive 56
Tract 64
Chapter 09: Violence and Abuse 72
Chapter 10: Fetal Development and Genetics 79
Chapter 11: Maternal Adaptation During Pregnancy 87
Chapter 12: Nursing Management During Pregnancy 95
Chapter 13: Labor and Birth Process 103
Chapter 14: Nursing Management During Labor and Birth 112
Chapter 15: Postpartum Adaptations 120
Chapter 16: Nursing Management During the Postpartum Period 128
Chapter 17: Newborn Transitioning 136
Chapter 18: Nursing Management of the Newborn 145
Chapter 19: Nursing Management of Pregnancy at Risk- Pregnancy 153
Chapter 20: Nursing Management of the Pregnancy at Risk 161
Chapter 21: Nursing Management of Labor and Birth at Risk 169
Chapter 22: Nursing Management of the Postpartum Woman at Risk 177
Chapter 23: Nursing Care of the Newborn With Special Needs 185
Chapter 24: Nursing Management of the Newborn at Risk
, 1
Chapter 01: Perspectives on Maternal, Newborn, and Womens
Health Care
1.
The United States ranks poorly in maternal and infant mortality compared to other
developed nations. Which single intervention has the greatest potential impact on
reducing both rates?
A) Encouraging balanced diet during pregnancy
B) Ensuring early and adequate prenatal care
C) Expanding women’s shelters
D) Resolving language and cultural differences
Answer: B
Rationale: Early and consistent prenatal care allows timely identification and
management of pregnancy complications, nutritional issues, and comorbidities, directly
lowering maternal and infant mortality. While cultural, dietary, and shelter interventions
help, they do not yield as dramatic a reduction.
2.
A nursing instructor emphasizes that family-centered maternity care is built on which
principle?
A) Childbirth is a strictly medical procedure.
B) Families require little information to make choices.
C) Childbirth affects relationships and family dynamics.
D) Only mothers are affected by childbirth.
Answer: C
Rationale: Family-centered care recognizes childbirth as a family event, affecting
roles, responsibilities, and relationships. Families are partners in decision-making, not
passive recipients.
3.
Which 20th-century development most reshaped modern maternity care?
A) First cesarean section
B) X-ray for pelvic measurement
C) Creation of freestanding birth centers
D) Epidemics of puerperal fever
Answer: C
Rationale: The rise of freestanding birth centers represented a major shift from
physician-dominated hospital births to accessible, family-centered, and midwife-
supported options, reflecting the consumer movement.
, 2
4.
A student states, “Hemorrhage, embolism, obstructed labor, and infection are the
leading causes of pregnancy-related mortality.” Which part indicates
misunderstanding?
A) Hemorrhage
B) Embolism
C) Obstructed labor
D) Infection
Answer: C
Rationale: Obstructed labor is a global issue but not a leading cause of maternal
mortality in the United States. Hemorrhage, embolism, and infection remain the major
contributors.
5.
Which health issue is the leading cause of death in women in the United States?
A) Smoking
B) Heart disease
C) Diabetes
D) Cancer
Answer: B
Rationale: Cardiovascular disease is the #1 killer of women, surpassing all cancers
combined. This highlights the need for preventive strategies tailored to women.
6.
When evaluating barriers to care, which factor most strongly limits access to maternal
services?
A) Language differences
B) Health-care worker attitudes
C) Transportation
D) Finances
Answer: D
Rationale: Although language and transportation matter, financial barriers remain the
most significant obstacle in accessing prenatal and women’s health services.
7.
A nurse performs a procedure on a 15-year-old girl without obtaining parental or
guardian approval. This is a violation of:
A) Informed consent
B) Beneficence
