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