,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
ne ne ne
Chapter 16- Nursing Management During the Postpartum Period ..................................................................... 84
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Chapter 17- Newborn Transitioning ........................................................................................................................ 90
ne ne ne
Chapter 18- Nursing Management of the Newborn ........................................................................................... 96
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Chapter 19- Nursing Management of Pregnancy at Risk- Pregnancy ............................................................ 102
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Chapter 20- Nursing Management of the Pregnancy at Risk ........................................................................ 108
ne n e ne ne ne n e ne n e
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
ne ne ne ne ne n e ne ne n e
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 School-Age Child.................................................................. 157
ne ne ne n e ne ne n e ne
Chapter 29- Growth and Development of the Adolescent ................................................................................ 164
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Chapter 30- Atraumatic Care of Children and Families .................................................................................... 171
ne ne ne ne ne ne ne
Chapter 31- Health Supervision.............................................................................................................................. 176
ne ne ne
Chapter 32- Health Assessment of Children ........................................................................................................ 183
ne ne ne ne ne
Chapter 33- Caring for Children in Diverse Settings ....................................................................................... 190
ne ne ne n e ne ne ne
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
ne n e ne ne n e
Chapter 37- Nursing Care of the Child With an Infectious or Communicable Disorder .......................... 217
ne ne ne ne ne n e ne ne ne ne n e n e
Chapter 38- Nursing Care of the Child With an Alteration in Intracranial Regulation / Neurologic Disorder
ne ne ne ne ne ne ne ne ne ne ne n e ne ne ne 224
,Chapter 39- Nursing Care of the Child With an Alteration in Sensory Perception / Disorder of the Eyes or
ne n e ne ne ne n e n e ne n e ne n e n e ne n e ne ne ne ne
Ears
n e 231
Chapter 40- Nursing Care of the Child With an Alteration in Gas Exchange / Respiratory Disorder. 238
ne ne ne ne n e n e ne ne n e ne n e ne ne n e ne
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 250
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Chapter 43- Nursing Care of the Child With an Alteration in Urinary Elimination / Genitourinary Disorder 257
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Chapter 44- Nursing Care of the Child With an Alteration in Mobility / Neuromuscular or Musculoskeletal
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Disorder
ne
................................................................................................................................................................................. 264
Extra Questions: Musculoskeletal Disorder ...................................................................................................... 270
n e n e ne
Chapter 45- Nursing Care of the Child With an Alteration in Tissue Integrity / Integumentary Disorder 277
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Chapter 46- Nursing Care of the Child With an Alteration in Cellular Regulation /
n e n e n e n e n e n e n e n e n e n e n e n e n e
Hematologic or Neoplastic Disorder .............................................................................................................. 283
n e n e n e n e
Extra Questions: Neoplastic Disorder ................................................................................................................ 290
ne ne ne
Chapter 47- Nursing Care of the Child With an Alteration in Immunity or Immunologic Disorder .......... 296
ne ne ne ne ne ne ne ne ne ne ne ne ne ne
Chapter 48- Nursing Care of the Child With an Alteration in Metabolism / Endocrine Disorder ......... 303
ne n e ne ne ne n e ne ne n e ne n e ne n e ne
Chapter 49- Nursing Care of the Child With an Alteration in Genetics ................................................... 310
ne n e ne ne ne n e ne ne n e ne n e
Chapter 50- Nursing Care of the Child With an Alteration in Behavior, Cognition, or Development ..... 317
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Chapter 51- Nursing Care During a Pediatric Emergency .............................................................................. 324
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, Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health
ne ne ne ne ne ne ne ne
Care
ne
1. The United States ranks 50th in the world for maternal mortality and 41st
n e n e n e n e n e n e n e n e n e n e n e n e
among industrialized nations for infant mortality rate. When developing programs to assist
n e ne ne ne ne ne ne ne ne ne ne ne
in decreasing these rates, which factor would most likely need to be addressed as
ne ne n e n e n e n e n e n e n e ne n e n e n e n e
having the greatest impact?
n e n e ne ne
A) Resolving all language and cultural differences ne n e ne n e ne
B) Assuring early and adequate prenatal carene ne n e n e n e
C) Providing more extensive women’s shelters ne ne n e ne
D) Encouraging all women to eat a balanced diet ne n e n e n e n e ne n e
2. When integrating the principles of family-centered care, the nurse would include which of
ne ne ne ne ne ne ne ne ne ne ne ne
n the following?
e ne
A) Childbirth is viewed as a procedural event n e n e n e n e ne n e
B) Families are unable to make informed choices
n e ne n e n e ne n e
C) Childbirth results in changes in relationships ne n e ne ne n e
D) Families require little information to make appropriate decisions
ne ne n e n e n e ne n e
3. When preparing a teaching plan for a group of first-time pregnant women, the nurse
ne ne ne ne ne ne ne ne ne ne n e n e ne
expects to review how maternity care has changed over the years. Which of the
ne n e n e n e n e n e n e n e n e n e n e n e n e n e
following would the nurse include when discussing events of the 20th
n e ne n e n e n e n e n e n e n e n e n e
century?
n e
A) Epidemics of puerperal fever ne n e n e
B) Performance of the first cesarean birth ne n e n e n e n e
C) Development of the x-ray to assess pelvic size n e n e n e ne n e n e ne
D) Creation of free-standing birth centers n e n e n e n e
4. After teaching a group of students about pregnancy-related mortality, the instructor
ne ne ne ne ne ne ne ne ne ne
determines that additional teaching is needed when the students identify which
ne n e n e n e ne n e n e n e n e n e ne
condition as a leading cause?
n e n e ne ne ne
A) Hemorrhage
B) Embolism
C) Obstructed labor ne
D) Infection
5. The nurse is working with a group of community health members to develop a
ne ne n e ne n e n e n e ne ne n e n e n e n e
plan to address the special health needs of women. Which of the following
n e n e ne n e n e n e n e n e n e n e n e n e n e
conditions would the group address as the major problem?
n e n e n e ne ne ne ne ne ne
A) Smoking
B) Heart disease ne
C) Diabetes
D) Cancer
6. When assessing a family for possible barriers to health care, the nurse would consider
ne ne ne ne ne ne ne ne ne ne ne ne ne
n which factor to be most important?
e ne ne ne ne ne
A) Language
Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care ................................................ 4
n e ne ne n e n e n e n e ne n e
Chapter 2- Family-Centered Community-Based Care................................................................................................ 9
ne ne ne ne
Chapter 3- Anatomy and Physiology of the Reproductive System .................................................................. 14
ne n e ne n e ne n e n e ne
Chapter 4- Common Reproductive Issues............................................................................................................... 19
ne n e ne ne
Chapter 5- Sexually Transmitted Infections ........................................................................................................... 24
ne ne ne ne
Chapter 6- Disorders of the Breasts ...................................................................................................................... 29
ne ne ne ne n e
Chapter 7- Benign Disorders of the Female Reproductive Tract ........................................................................ 34
ne ne ne ne ne ne ne ne
Chapter 8- Cancers of the Female Reproductive Tract ........................................................................................ 39
ne ne ne ne ne ne ne
Chapter 9- Violence and Abuse.............................................................................................................................. 44
ne ne ne n e
Chapter 10- Fetal Development and Genetics ........................................................................................................ 49
ne ne ne ne ne
Chapter 11- Maternal Adaptation During Pregnancy ........................................................................................... 54
ne n e ne ne ne
Chapter 12- Nursing Management During Pregnancy .......................................................................................... 60
ne ne ne ne ne
Chapter 13- Labor and Birth Process .................................................................................................................... 66
ne ne ne ne ne
Chapter 14- Nursing Management During Labor and Birth.............................................................................. 72
ne ne ne ne n e ne n e
Chapter 15- Postpartum Adaptations ....................................................................................................................... 78
ne ne ne
Chapter 16- Nursing Management During the Postpartum Period ..................................................................... 84
ne ne ne ne ne n e ne
Chapter 17- Newborn Transitioning ........................................................................................................................ 90
ne ne ne
Chapter 18- Nursing Management of the Newborn ........................................................................................... 96
ne n e ne ne n e n e
Chapter 19- Nursing Management of Pregnancy at Risk- Pregnancy ............................................................ 102
ne ne ne ne ne ne n e ne
Chapter 20- Nursing Management of the Pregnancy at Risk ........................................................................ 108
ne n e ne ne ne n e ne n e
Chapter 21- Nursing Management of Labor and Birth at Risk ....................................................................... 114
ne ne ne ne ne ne ne ne ne
Chapter 22- Nursing Management of the Postpartum Woman at Risk ........................................................ 120
ne ne ne ne ne n e ne ne n e
Chapter 23- Nursing Care of the Newborn With Special Needs .................................................................... 126
ne ne ne ne ne n e ne ne ne
Chapter 24- Nursing Management of the Newborn at Risk .............................................................................. 132
ne ne ne ne ne ne ne ne
Chapter 25- Growth and Development of the Newborn and Infant................................................................. 138
ne ne ne ne ne ne ne ne ne
Chapter 26- Growth and Development of the Toddler ...................................................................................... 144
ne ne ne ne ne ne ne
Chapter 27- Growth and Development of the Preschooler................................................................................ 150
ne ne ne ne ne ne n e
Chapter 28- Growth and Development of the School-Age Child.................................................................. 157
ne ne ne n e ne ne n e ne
Chapter 29- Growth and Development of the Adolescent ................................................................................ 164
ne ne ne ne ne ne n e
Chapter 30- Atraumatic Care of Children and Families .................................................................................... 171
ne ne ne ne ne ne ne
Chapter 31- Health Supervision.............................................................................................................................. 176
ne ne ne
Chapter 32- Health Assessment of Children ........................................................................................................ 183
ne ne ne ne ne
Chapter 33- Caring for Children in Diverse Settings ....................................................................................... 190
ne ne ne n e ne ne ne
Chapter 34- Caring for the Special Needs Child.............................................................................................. 197
ne ne ne n e n e ne ne
Chapter 35- Key Pediatric Nursing Interventions ............................................................................................... 203
ne n e ne ne ne
Chapter 36- Pain Management in Children ....................................................................................................... 210
ne n e ne ne n e
Chapter 37- Nursing Care of the Child With an Infectious or Communicable Disorder .......................... 217
ne ne ne ne ne n e ne ne ne ne n e n e
Chapter 38- Nursing Care of the Child With an Alteration in Intracranial Regulation / Neurologic Disorder
ne ne ne ne ne ne ne ne ne ne ne n e ne ne ne 224
,Chapter 39- Nursing Care of the Child With an Alteration in Sensory Perception / Disorder of the Eyes or
ne n e ne ne ne n e n e ne n e ne n e n e ne n e ne ne ne ne
Ears
n e 231
Chapter 40- Nursing Care of the Child With an Alteration in Gas Exchange / Respiratory Disorder. 238
ne ne ne ne n e n e ne ne n e ne n e ne ne n e ne
Chapter 41- Nursing Care of the Child With an Alteration in Perfusion / Cardiovascular Disorder.......... 244
ne ne ne ne ne ne ne ne ne ne ne ne ne ne
Chapter 42- Nursing Care of the Child With an Alteration in Bowel Elimination / Gastrointestinal Disorder 250
ne ne ne ne ne ne ne ne n e ne n e ne ne ne ne
Chapter 43- Nursing Care of the Child With an Alteration in Urinary Elimination / Genitourinary Disorder 257
ne ne ne ne ne n e ne ne n e ne n e n e ne ne ne
Chapter 44- Nursing Care of the Child With an Alteration in Mobility / Neuromuscular or Musculoskeletal
ne ne ne ne ne ne ne ne ne ne ne ne ne ne ne
Disorder
ne
................................................................................................................................................................................. 264
Extra Questions: Musculoskeletal Disorder ...................................................................................................... 270
n e n e ne
Chapter 45- Nursing Care of the Child With an Alteration in Tissue Integrity / Integumentary Disorder 277
ne ne ne ne ne ne ne ne ne ne ne ne ne ne ne
Chapter 46- Nursing Care of the Child With an Alteration in Cellular Regulation /
n e n e n e n e n e n e n e n e n e n e n e n e n e
Hematologic or Neoplastic Disorder .............................................................................................................. 283
n e n e n e n e
Extra Questions: Neoplastic Disorder ................................................................................................................ 290
ne ne ne
Chapter 47- Nursing Care of the Child With an Alteration in Immunity or Immunologic Disorder .......... 296
ne ne ne ne ne ne ne ne ne ne ne ne ne ne
Chapter 48- Nursing Care of the Child With an Alteration in Metabolism / Endocrine Disorder ......... 303
ne n e ne ne ne n e ne ne n e ne n e ne n e ne
Chapter 49- Nursing Care of the Child With an Alteration in Genetics ................................................... 310
ne n e ne ne ne n e ne ne n e ne n e
Chapter 50- Nursing Care of the Child With an Alteration in Behavior, Cognition, or Development ..... 317
ne ne ne ne ne ne ne ne ne ne n e n e ne ne
Chapter 51- Nursing Care During a Pediatric Emergency .............................................................................. 324
ne n e ne ne ne n e ne
, Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health
ne ne ne ne ne ne ne ne
Care
ne
1. The United States ranks 50th in the world for maternal mortality and 41st
n e n e n e n e n e n e n e n e n e n e n e n e
among industrialized nations for infant mortality rate. When developing programs to assist
n e ne ne ne ne ne ne ne ne ne ne ne
in decreasing these rates, which factor would most likely need to be addressed as
ne ne n e n e n e n e n e n e n e ne n e n e n e n e
having the greatest impact?
n e n e ne ne
A) Resolving all language and cultural differences ne n e ne n e ne
B) Assuring early and adequate prenatal carene ne n e n e n e
C) Providing more extensive women’s shelters ne ne n e ne
D) Encouraging all women to eat a balanced diet ne n e n e n e n e ne n e
2. When integrating the principles of family-centered care, the nurse would include which of
ne ne ne ne ne ne ne ne ne ne ne ne
n the following?
e ne
A) Childbirth is viewed as a procedural event n e n e n e n e ne n e
B) Families are unable to make informed choices
n e ne n e n e ne n e
C) Childbirth results in changes in relationships ne n e ne ne n e
D) Families require little information to make appropriate decisions
ne ne n e n e n e ne n e
3. When preparing a teaching plan for a group of first-time pregnant women, the nurse
ne ne ne ne ne ne ne ne ne ne n e n e ne
expects to review how maternity care has changed over the years. Which of the
ne n e n e n e n e n e n e n e n e n e n e n e n e n e
following would the nurse include when discussing events of the 20th
n e ne n e n e n e n e n e n e n e n e n e
century?
n e
A) Epidemics of puerperal fever ne n e n e
B) Performance of the first cesarean birth ne n e n e n e n e
C) Development of the x-ray to assess pelvic size n e n e n e ne n e n e ne
D) Creation of free-standing birth centers n e n e n e n e
4. After teaching a group of students about pregnancy-related mortality, the instructor
ne ne ne ne ne ne ne ne ne ne
determines that additional teaching is needed when the students identify which
ne n e n e n e ne n e n e n e n e n e ne
condition as a leading cause?
n e n e ne ne ne
A) Hemorrhage
B) Embolism
C) Obstructed labor ne
D) Infection
5. The nurse is working with a group of community health members to develop a
ne ne n e ne n e n e n e ne ne n e n e n e n e
plan to address the special health needs of women. Which of the following
n e n e ne n e n e n e n e n e n e n e n e n e n e
conditions would the group address as the major problem?
n e n e n e ne ne ne ne ne ne
A) Smoking
B) Heart disease ne
C) Diabetes
D) Cancer
6. When assessing a family for possible barriers to health care, the nurse would consider
ne ne ne ne ne ne ne ne ne ne ne ne ne
n which factor to be most important?
e ne ne ne ne ne
A) Language