,Contents
Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care ................................................................... 4
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Chapter 2- Family-CenteredCommunity-Based Care ..................................................................................................... 9
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Chapter 3- Anatomyand Physiologyof the Reproductive System ................................................................................... 14
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Chapter 4- Common Reproductive Issues ...................................................................................................................... 19
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Chapter 5- SexuallyTransmitted Infections .................................................................................................................... 24
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Chapter 6- Disordersof the Breasts ................................................................................................................................ 29
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Chapter 7- Benign Disorders of the Female ReproductiveTract ...................................................................................... 34
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Chapter 8- Cancers of the Female ReproductiveTract..................................................................................................... 39
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Chapter 9- Violence and Abuse ..................................................................................................................................... 44
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Chapter 10- Fetal Developmentand 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- PostpartumAdaptations.............................................................................................................................. 78
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Chapter 16- Nursing Management During the PostpartumPeriod ................................................................................... 84
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Chapter 17- Newborn Transitioning .............................................................................................................................. 90
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Chapter 18- Nursing Managementof the Newborn ......................................................................................................... 96
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Chapter 19- Nursing Management of Pregnancyat Risk-Pregnancy ............................................................................ 102
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Chapter 20- Nursing Management of the Pregnancyat Risk ......................................................................................... 108
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Chapter 21- Nursing Managementof Labor and Birth at Risk ....................................................................................... 114
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Chapter 22- Nursing Managementof the PostpartumWoman 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 Newbornat 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 Developmentof 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 Ears... 231
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Chapter 40- Nursing Care of the Child With an Alteration in Gas Exchange / Respiratory Disorder ....................... 238
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Chapter41- Nursing Care of the Child With an Alterationin Perfusion / CardiovascularDisorder ................................. 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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Chapter44- Nursing Care of the Child With an Alteration in Mobility/ Neuromuscularor Musculoskeletal 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 ............... 277
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Chapter 46- df
Nursing Care of the Child With an Alteration in Cellular Regulation / Hematologic or Neoplastic Disorder ............. 283
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Extra Questions: Neoplastic Disorder ..................................................................................................................... 290
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Chapter47- Nursing Care of the Child With an Alterationin Immunityor 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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Chapter50- Nursing Care of the Child Withan Alterationin Behavior, Cognition, or Development ............................. 317
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Chapter 51- Nursing Care During a Pediatric Emergency ......................................................................................... 324
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, Chapter1- d
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PerspectivesonMaternal,Newborn,andWomen’sHealthCare d
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1. The United States ranks 50th in the world for maternal mortality and 41st among industrialized nat
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ions for infant mortalityrate. When developing programs to assist in decreasing these rates, whi ch fa
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ctor would most likelyneed to be addressed as having the greatest impact?
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A) Resolving all language and cultural differences df df df df df
B) Assuring earlyand adequate prenatal care df df fi df df
C) Providingmore extensive women’s shelters df df df
D) Encouragingall women to eat a balanced diet df df df df df df df
2. When integrating the principles of family-
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centered care, the nurse would include which of thefollowing?
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A) Childbirth is viewed as a procedural event df df df df df df
B) Families are unable to make informed choices df df df df df df
C) Childbirthresults in changes in relationships df df df df df
D) Families require little information to make appropriate decisions
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3. When preparinga teaching plan for a group of first-
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time pregnant women, the nurse expects to review how maternity care has changed over the years. W
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hich of the following would the nurse include when discussing events of the 20th century?
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A) Epidemics of puerperal fever df df df
B) Performanceof the first cesarean birth df df df df df
C) Development of the x-rayto assess pelvic size df df df df df df df
D) Creation of free-standing birth centers df df df fi
4. Afterteaching a group of students about pregnancy-
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related mortality, the instructor determines that additional teachingis needed when the students ide nti
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fywhich condition as a leading cause? df df df df fi
A) Hemorrhage
B) Embolism
C) Obstructed labor df
D) Infection
5. The nurse is working with a group of communityhealth members to develop a plan to address th e s
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pecial health needs of women. Which of the following conditions would the group address as t he m
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ajor problem?
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A) Smoking
B) Heart disease fi
C) Diabetes
D) Cancer
6. When assessinga familyfor possible barriers to health care, the nurse would consider whichfa cto
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r 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-CenteredCommunity-Based Care ..................................................................................................... 9
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Chapter 3- Anatomyand Physiologyof the Reproductive System ................................................................................... 14
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Chapter 4- Common Reproductive Issues ...................................................................................................................... 19
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Chapter 5- SexuallyTransmitted Infections .................................................................................................................... 24
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Chapter 6- Disordersof the Breasts ................................................................................................................................ 29
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Chapter 7- Benign Disorders of the Female ReproductiveTract ...................................................................................... 34
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Chapter 8- Cancers of the Female ReproductiveTract..................................................................................................... 39
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Chapter 9- Violence and Abuse ..................................................................................................................................... 44
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Chapter 10- Fetal Developmentand 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- PostpartumAdaptations.............................................................................................................................. 78
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Chapter 16- Nursing Management During the PostpartumPeriod ................................................................................... 84
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Chapter 17- Newborn Transitioning .............................................................................................................................. 90
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Chapter 18- Nursing Managementof the Newborn ......................................................................................................... 96
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Chapter 19- Nursing Management of Pregnancyat Risk-Pregnancy ............................................................................ 102
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Chapter 20- Nursing Management of the Pregnancyat Risk ......................................................................................... 108
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Chapter 21- Nursing Managementof Labor and Birth at Risk ....................................................................................... 114
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Chapter 22- Nursing Managementof the PostpartumWoman 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 Newbornat 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 Developmentof 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 Ears... 231
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Chapter 40- Nursing Care of the Child With an Alteration in Gas Exchange / Respiratory Disorder ....................... 238
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Chapter41- Nursing Care of the Child With an Alterationin Perfusion / CardiovascularDisorder ................................. 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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Chapter44- Nursing Care of the Child With an Alteration in Mobility/ Neuromuscularor Musculoskeletal 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 ............... 277
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Chapter 46- df
Nursing Care of the Child With an Alteration in Cellular Regulation / Hematologic or Neoplastic Disorder ............. 283
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Extra Questions: Neoplastic Disorder ..................................................................................................................... 290
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Chapter47- Nursing Care of the Child With an Alterationin Immunityor 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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Chapter50- Nursing Care of the Child Withan Alterationin Behavior, Cognition, or Development ............................. 317
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Chapter 51- Nursing Care During a Pediatric Emergency ......................................................................................... 324
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, Chapter1- d
f
PerspectivesonMaternal,Newborn,andWomen’sHealthCare d
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1. The United States ranks 50th in the world for maternal mortality and 41st among industrialized nat
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ions for infant mortalityrate. When developing programs to assist in decreasing these rates, whi ch fa
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ctor would most likelyneed to be addressed as having the greatest impact?
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A) Resolving all language and cultural differences df df df df df
B) Assuring earlyand adequate prenatal care df df fi df df
C) Providingmore extensive women’s shelters df df df
D) Encouragingall women to eat a balanced diet df df df df df df df
2. When integrating the principles of family-
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centered care, the nurse would include which of thefollowing?
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A) Childbirth is viewed as a procedural event df df df df df df
B) Families are unable to make informed choices df df df df df df
C) Childbirthresults in changes in relationships df df df df df
D) Families require little information to make appropriate decisions
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3. When preparinga teaching plan for a group of first-
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time pregnant women, the nurse expects to review how maternity care has changed over the years. W
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hich of the following would the nurse include when discussing events of the 20th century?
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A) Epidemics of puerperal fever df df df
B) Performanceof the first cesarean birth df df df df df
C) Development of the x-rayto assess pelvic size df df df df df df df
D) Creation of free-standing birth centers df df df fi
4. Afterteaching a group of students about pregnancy-
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related mortality, the instructor determines that additional teachingis needed when the students ide nti
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fywhich condition as a leading cause? df df df df fi
A) Hemorrhage
B) Embolism
C) Obstructed labor df
D) Infection
5. The nurse is working with a group of communityhealth members to develop a plan to address th e s
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pecial health needs of women. Which of the following conditions would the group address as t he m
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ajor problem?
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A) Smoking
B) Heart disease fi
C) Diabetes
D) Cancer
6. When assessinga familyfor possible barriers to health care, the nurse would consider whichfa cto
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r to be most important?
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A) Language
