and Women’s Health Nursing 6th Edition
Susan Ricci
Contents
Chapter1-PerspectivesonMaternal,Newborn,andWomen’sHealthCare ........................................................................... 4
Chapter2-Family-CenteredCommunity-BasedCare .......................................................................................................... 9
Chapter3-AnatomyandPhysiologyoftheReproductiveSystem........................................................................................ 14
Chapter4-CommonReproductiveIssues......................................................................................................................... 19
Chapter5-SexuallyTransmittedInfections ...................................................................................................................... 24
Chapter6-DisordersoftheBreasts ................................................................................................................................... 29
Chapter7-BenignDisordersoftheFemaleReproductiveTract ........................................................................................... 34
Chapter8-CancersoftheFemaleReproductiveTract ........................................................................................................ 39
Chapter9-ViolenceandAbuse ........................................................................................................................................ 44
Chapter10-FetalDevelopmentandGenetics.................................................................................................................... 49
Chapter11-MaternalAdaptationDuringPregnancy ......................................................................................................... 54
Chapter12-NursingManagementDuringPregnancy ....................................................................................................... 60
Chapter13-LaborandBirthProcess ................................................................................................................................. 66
Chapter14-NursingManagementDuringLaborandBirth ................................................................................................. 72
Chapter15-PostpartumAdaptations ............................................................................................................................... 78
Chapter16-NursingManagementDuringthePostpartumPeriod ....................................................................................... 84
Chapter17-NewbornTransitioning ................................................................................................................................ 90
Chapter18-NursingManagementoftheNewborn ............................................................................................................ 96
Chapter19-NursingManagementofPregnancyatRisk-Pregnancy ................................................................................. 102
Chapter20-NursingManagementofthePregnancyatRisk .............................................................................................. 108
Chapter21-NursingManagementofLaborandBirthatRisk ............................................................................................. 114
Chapter22-NursingManagementofthePostpartumWomanatRisk ................................................................................. 120
Chapter23-NursingCareoftheNewbornWithSpecialNeeds .......................................................................................... 126
Chapter24-NursingManagementoftheNewbornatRisk ................................................................................................ 132
Chapter25-GrowthandDevelopmentoftheNewbornandInfant ...................................................................................... 138
Chapter26-GrowthandDevelopmentoftheToddler ....................................................................................................... 144
Chapter27-GrowthandDevelopmentofthePreschooler ................................................................................................. 150
Chapter28-GrowthandDevelopmentoftheSchool-AgeChild ........................................................................................ 157
Chapter29-GrowthandDevelopmentofthe Adolescent ............................................................................................... 164
Chapter30-AtraumaticCareofChildrenandFamilies ..................................................................................................... 171
Chapter31-HealthSupervision..................................................................................................................................... 176
Chapter32-HealthAssessmentofChildren .................................................................................................................... 183
Chapter33-CaringforChildreninDiverseSettings ......................................................................................................... 190
,Chapter34-CaringfortheSpecialNeedsChild ................................................................................................................ 197
Chapter35-KeyPediatricNursingInterventions ............................................................................................................ 203
Chapter36-PainManagementinChildren ...................................................................................................................... 210
Chapter37-NursingCareofthe ChildWithanInfectiousorCommunicableDisorder ....................................................... 217
Chapter 38- Nursing Care of the Child With an Alteration in Intracranial Regulation/ NeurologicDisorder ........................ 224
Chapter 39- NursingCare of the Child With an Alteration in Sensory Perception / Disorder of the Eyes or Ears ............... 231
Chapter 40- Nursing Care of the Child With an Alteration in Gas Exchange / Respiratory Disorder ................................. 238
Chapter41-NursingCareofthe ChildWithanAlterationin Perfusion/ CardiovascularDisorder ..................................... 244
Chapter 42- Nursing Care of the Child With an Alteration in Bowel Elimination / GastrointestinalDisorder ...................... 250
Chapter 43- Nursing Care of the Child With an Alteration in Urinary Elimination / Genitourinary Disorder..................... 257
Chapter44-NursingCareofthe ChildWithanAlterationin Mobility/NeuromuscularorMusculoskeletalDisorder
................................................................................................................................................................................. 264
Extra Questions: Musculoskeletal Disorder................................................................................................................ 270
Chapter 45- Nursing Care of the Child With an Alteration in Tissue Integrity / IntegumentaryDisorder............................. 277
Chapter46-
NursingCareoftheChildWithanAlterationinCellularRegulation/HematologicorNeoplastic Disorder 283 ExtraQue
stions:NeoplasticDisorder ....................................................................................................................................... 290
Chapter47-NursingCareofthe ChildWithanAlterationin ImmunityorImmunologicDisorder....................................... 296
Chapter 48- Nursing Care of the Child With an Alteration in Metabolism/ Endocrine Disorder ....................................... 303
Chapter 49- Nursing Care of the Child With an Alteration in Genetics ............................................................................ 310
Chapter50-NursingCareoftheChildWithan Alterationin Behavior,Cognition,orDevelopment .................................... 317
Chapter 51- Nursing Care During a Pediatric Emergency ............................................................................................... 324
Chapter1-
PerspectivesonMaternal,Newborn,andWomen’s HealthCare
1. TheUnitedStatesranks 50thintheworldformaternalmortalityand 41stamongindustrialized nati
onsforinfantmortalityrate.Whendevelopingprogramstoassistindecreasingtheserates,which fact
orwouldmostlikelyneedtobeaddressed ashavingthegreatestimpact?
A) Resolvingalllanguageandculturaldifferences
B) Assuringearlyandadequateprenatalcare
C) Providingmoreextensivewomen’sshelters
D) Encouragingallwomentoeatabalanceddiet
2. Whenintegratingtheprinciplesoffamily-
centeredcare,thenursewouldincludewhichofthe following?
A) Childbirthisviewedasaproceduralevent
B) Familiesareunabletomakeinformedchoices
C) Childbirthresultsinchangesinrelationships
D) Familiesrequirelittleinformationtomakeappropriatedecisions
3. Whenpreparingateachingplanforagroupoffirst-
timepregnantwomen, thenurseexpectsto reviewhowmaternitycarehaschangedovertheyears.Which
ofthefollowingwouldthenurseinclude whendiscussingeventsofthe20thcentury?
A) Epidemicsofpuerperalfever
B) Performanceofthefirstcesareanbirth
C) Developmentofthex-raytoassesspelvicsize
D) Creationoffree-standingbirthcenters
,4. Afterteachingagroupofstudentsaboutpregnancy-
relatedmortality,theinstructordeterminesthat additionalteachingisneededwhenthestudentsidentify
whichconditionasaleadingcause?
A) Hemorrhage
B) Embolism
C) Obstructedlabor
D) Infection
5. Thenurseisworkingwithagroupofcommunityhealthmemberstodevelopaplantoaddressthe s
pecialhealthneedsofwomen.Whichofthefollowingconditionswouldthegroupaddress asthe ma
jorproblem?
A) Smoking
B) Heartdisease
C) Diabetes
D) Cancer
6. Whenassessingafamilyforpossiblebarrierstohealthcare, thenursewouldconsiderwhichfactor t
obemostimportant?
A) Language
B) Healthcareworkers’attitudes
C) Transportation
D) Finances
7. Afterteachingagroupofnursingstudentsabouttheissueofinformedconsent. Whichofthe foll
owing,ifidentifiedbythestudent,wouldindicate anunderstandingofaviolationofinformed cons
ent?
A) Performingaprocedureona15-year-oldwithoutconsent
B) Servingasawitnesstothe signatureprocess
C) Askingwhethertheclientunderstandswhatsheissigning
D) Gettingverbalconsentoverthephoneforemergencyprocedures
8. Thenurseistryingtogetconsenttocareforan11-year-
oldboywithdiabeticketoacidosis. His parentsareoutoftownonvacation,andthechildisstayingwi
thaneighbor.Whichactionwouldbe thepriority?
A) Gettingtelephoneconsentwithtwopeoplelisteningtotheverbalconsent
B) Providingemergencycarewithoutparentalconsent
C) Contactingthechild’s auntoruncletoobtaintheirconsent
D) Advocatingforterminationofparentalrightsforthissituation
9. Afterteachingnursingstudentsaboutthebasicconceptsoffamily-
centered care,theinstructor determinesthattheteachingwassuccessfulwhenthestudentsstatewhi
chofthefollowing?
A) ―Childbirthaffectstheentirefamily,andrelationshipswillchange.‖
B) ―Familiesarenotcapableofmakinghealthcaredecisionsforthemselves.‖
C) ―Mothersarethefamilymembers affectedbychildbirth.‖
D) ―Childbirthisamedicalprocedure.‖
10. Anursinginstructorispreparingaclassdiscussiononthetrendsinhealthcareandhealthcare d
eliveryoverthepastseveralcenturies.Whendiscussingthechangesduringthepastcentury, whic
hofthefollowingwouldtheinstructorbeleastlikelytoinclude?
, A) Diseaseprevention
B) Healthpromotion
C) Wellness
D) Analysisofmorbidityandmortality
11. Anurseisassignedtocareforan Asian Americanclient. Thenursedevelopsaplanofcarewith the
understandingthatbasedonthisclient’s culturalbackground,theclientmostlikelyviewsillness asw
hichofthefollowing?
A) Causedbysupernaturalforces.
B) Apunishmentforsins.
C) Duetospiritsordemons.
D) Fromanimbalanceof yinandyang
12. Anurseisdevelopingaplanofcareforawomantoensurecontinuityofcareduringpregnancy, labo
r,andchildbirth.Whichofthefollowingwouldbemostimportantforthenursetoincorporate intothatp
lan?
A) Adheringtostrict,specificroutines
B) Involvingapediatricphysician
C) Educatingtheclientabouttheimportanceofasupportperson
D) Assigningseveralnursesasasupportteam
13. Anursinginstructorispreparingaclassdiscussiononcasemanagementinmaternaland ne
wbornhealthcare.Whichofthefollowingwouldtheinstructorincludeasakeycomponent? Sel
ectallthatapply.
A) Advocacy
B) Coordination
C) Communication
D) Resourcemanagement
E) Eventmanagedcare
14. Afterteachingagroupofstudentsabouttheconceptofmaternalmortality, theinstructor d
eterminesthatadditionalteachingisneededwhenthestudentsstatewhichofthefollowing?
A) ―Therateincludesaccidentalcausesfordeaths.‖
B) ―Itaddressespregnancy-relatedcauses.‖
C) ―Thedurationofthepregnancyisnotaconcern.‖
D) ―Thetimeframeistypicallyforaspecified year.‖
15. Agroupofstudentsarereviewingthehistoricalaspectsaboutchildbirth.Thestudents demons
trateunderstandingoftheinformationwhentheyidentifytheuseoftwilightsleep as akey eventdur
ingwhichtimeframe?
A) 1700s
B)1800
s C)190
0s D)20
00s
16. Anurseisprovidingcaretoawomanwhohasjustdeliveredahealthynewborn. Whichaction
wouldleastlikelydemonstrateapplicationoftheconceptoffamily-centeredcare?
A) Focusingonthebirthasanormalhealthyevent forthefamily
B) Creatingopportunitiesforthefamilytomakeinformeddecisions
C) Encouragingthewomantokeepherotherchildren athome