,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 Risk- Pregnancy ........................................................... 102
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Chapter 20- Nursing Management of the Pregnancy at Risk ....................................................................... 108
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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 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 224
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,Chapter 39- Nursing Care of the Child With an Alteration in Sensory Perception / Disorder of the Eyes or
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Ears
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Chapter 40- Nursing Care of the Child With an Alteration in Gas Exchange / Respiratory Disorder
mj mj mj mj m j m j mj mj m j mj m j mj mj m j mj 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 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
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................................................................................................................................................................................. 264
Extra Questions: Musculoskeletal Disorder...................................................................................................... 270
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Chapter 45- Nursing Care of the Child With an Alteration in Tissue Integrity / Integumentary Disorder
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj 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 ... 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
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Care
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1. The United States ranks 50th in the world for maternal mortality and 41st
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among industrialized nations for infant mortality rate. When developing programs to
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assist in decreasing these rates, which factor would most likely need to be
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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 mj mj m j mj
D) Encouraging all women to eat a balanced diet mj m j m j m j m j mj m j
2. When integrating the principles of family-centered care, the nurse would include which of
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A) Childbirth is viewed as a procedural event m j m j m j m j mj m j
B) Families are unable to make informed choices
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C) Childbirth results in changes in relationshipsmj m j mj mj m j
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 the
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following would the nurse include when discussing events of the 20th
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century?
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A) Epidemics of puerperal fever mj mj m j
B) Performance of the first cesarean birth mj m j m j m j m j
C) Development of the x-ray to assess pelvic size m j m j m j mj m j m j mj
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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condition as a leading cause?
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A) Hemorrhage
B) Embolism
C) Obstructed labor mj
D) Infection
5. The nurse is working with a group of community health members to develop a
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plan to address the special health needs of women. Which of the following
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conditions would the group address as the major problem?
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A) Smoking
B) Heart disease mj
C) Diabetes
D) Cancer
6. When assessing a family for possible barriers to health care, the nurse would consider
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m 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 Risk- Pregnancy ........................................................... 102
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Chapter 20- Nursing Management of the Pregnancy at Risk ....................................................................... 108
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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 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 224
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,Chapter 39- Nursing Care of the Child With an Alteration in Sensory Perception / Disorder of the Eyes or
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Ears
m j 231
Chapter 40- Nursing Care of the Child With an Alteration in Gas Exchange / Respiratory Disorder
mj mj mj mj m j m j mj mj m j mj m j mj mj m j mj 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 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
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................................................................................................................................................................................. 264
Extra Questions: Musculoskeletal Disorder...................................................................................................... 270
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Chapter 45- Nursing Care of the Child With an Alteration in Tissue Integrity / Integumentary Disorder
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj 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 ... 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
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Care
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1. The United States ranks 50th in the world for maternal mortality and 41st
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among industrialized nations for infant mortality rate. When developing programs to
m j mj mj mj mj mj mj mj mj mj mj
assist in decreasing these rates, which factor would most likely need to be
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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 mj mj m j mj
D) Encouraging all women to eat a balanced diet mj m j m j m j m j mj m j
2. When integrating the principles of family-centered care, the nurse would include which of
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m the following?
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A) Childbirth is viewed as a procedural event m j m j m j m j mj m j
B) Families are unable to make informed choices
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C) Childbirth results in changes in relationshipsmj m j mj mj m j
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 the
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following would the nurse include when discussing events of the 20th
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century?
m j
A) Epidemics of puerperal fever mj mj m j
B) Performance of the first cesarean birth mj m j m j m j m j
C) Development of the x-ray to assess pelvic size m j m j m j mj m j m j mj
D) Creation of free-standing birth centers
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4. After teaching a group of students about pregnancy-related mortality, the instructor
mj mj mj mj mj mj mj mj mj mj
determines that additional teaching is needed when the students identify which
mj m j m j m j mj m j m j m j m j m j mj
condition as a leading cause?
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A) Hemorrhage
B) Embolism
C) Obstructed labor mj
D) Infection
5. The nurse is working with a group of community health members to develop a
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plan to address the special health needs of women. Which of the following
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conditions would the group address as the major problem?
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A) Smoking
B) Heart disease mj
C) Diabetes
D) Cancer
6. When assessing a family for possible barriers to health care, the nurse would consider
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m which factor to be most important?
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A) Language
