,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 Disorder224
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,Chapter 39- Nursing Care of the Child With an Alteration in Sensory Perception / Disorder of the Eyes or Ears
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231
Chapter 40- Nursing Care of the Child With an Alteration in Gas Exchange / Respiratory Disorder......... 238
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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
ui ui ui ui ui ui ui ui ui ui ui ui ui u i ui 250
Chapter 43- Nursing Care of the Child With an Alteration in Urinary Elimination / Genitourinary Disorder
ui ui ui ui ui ui ui ui ui ui ui ui ui u i ui 257
Chapter 44- Nursing Care of the Child With an Alteration in Mobility / Neuromuscular or 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- u i
Nursing Care of the Child With an Alteration in Cellular Regulation / Hematologic or Neoplastic
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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- ui
Perspectives on Maternal, Newborn, and Women’s Health Care
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1. The United States ranks 50th in the world for maternal mortality and 41st amon
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g industrialized nations for infant mortality rate. When developing programs to assist in decr
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easing these rates, which factor would most likely need to be addressed as having the
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greatest impact? ui
A) Resolving all language and cultural differences ui ui ui ui ui
B) Assuring early and adequate prenatal care ui ui ui u i u i
C) Providing more extensive women’s shelters ui ui ui ui
D) Encouraging all women to eat a balanced diet ui ui ui ui ui ui ui
2. When integrating the principles of family-
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centered care, the nurse would include which of the following?
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A) Childbirth is viewed as a procedural event ui ui ui ui ui ui
B) Families are unable to make informed choices ui ui ui ui ui ui
C) Childbirth results in changes in relationships ui ui ui ui ui
D) Families require little information to make appropriate decisions
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3. When preparing a teaching plan for a group of first-
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time pregnant women, the nurse expects to review how maternity care has changed ove
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r the years. Which of the following would the nurse include when discussing events
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of the 20th century?
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A) Epidemics of puerperal fever ui ui ui
B) Performance of the first cesarean birth ui ui ui ui ui
C) Development of the x-ray to assess pelvic size u i ui ui ui ui u i ui
D) Creation of free-standing birth centers ui ui ui ui
4. After teaching a group of students about pregnancy-
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related mortality, the instructor determines that additional teaching is needed when the stu
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dents identify which condition as a leading cause?
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A) Hemorrhage
B) Embolism
C) Obstructed labor ui
D) Infection
5. The nurse is working with a group of community health members to develop a plan
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ito address the special health needs of women. Which of the following conditions wo
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uld the group address as the major problem?
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A) Smoking
B) Heart disease ui
C) Diabetes
D) Cancer
6. When assessing a family for possible barriers to health care, the nurse would consider
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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 Disorder224
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,Chapter 39- Nursing Care of the Child With an Alteration in Sensory Perception / Disorder of the Eyes or Ears
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231
Chapter 40- Nursing Care of the Child With an Alteration in Gas Exchange / Respiratory Disorder......... 238
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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
ui ui ui ui ui ui ui ui ui ui ui ui ui u i ui 250
Chapter 43- Nursing Care of the Child With an Alteration in Urinary Elimination / Genitourinary Disorder
ui ui ui ui ui ui ui ui ui ui ui ui ui u i ui 257
Chapter 44- Nursing Care of the Child With an Alteration in Mobility / Neuromuscular or 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- u i
Nursing Care of the Child With an Alteration in Cellular Regulation / Hematologic or Neoplastic
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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- ui
Perspectives on Maternal, Newborn, and Women’s Health Care
ui ui ui ui ui ui ui ui
1. The United States ranks 50th in the world for maternal mortality and 41st amon
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g industrialized nations for infant mortality rate. When developing programs to assist in decr
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easing these rates, which factor would most likely need to be addressed as having the
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greatest impact? ui
A) Resolving all language and cultural differences ui ui ui ui ui
B) Assuring early and adequate prenatal care ui ui ui u i u i
C) Providing more extensive women’s shelters ui ui ui ui
D) Encouraging all women to eat a balanced diet ui ui ui ui ui ui ui
2. When integrating the principles of family-
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centered care, the nurse would include which of the following?
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A) Childbirth is viewed as a procedural event ui ui ui ui ui ui
B) Families are unable to make informed choices ui ui ui ui ui ui
C) Childbirth results in changes in relationships ui ui ui ui ui
D) Families require little information to make appropriate decisions
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3. When preparing a teaching plan for a group of first-
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time pregnant women, the nurse expects to review how maternity care has changed ove
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r the years. Which of the following would the nurse include when discussing events
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of the 20th century?
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A) Epidemics of puerperal fever ui ui ui
B) Performance of the first cesarean birth ui ui ui ui ui
C) Development of the x-ray to assess pelvic size u i ui ui ui ui u i ui
D) Creation of free-standing birth centers ui ui ui ui
4. After teaching a group of students about pregnancy-
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related mortality, the instructor determines that additional teaching is needed when the stu
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dents identify which condition as a leading cause?
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A) Hemorrhage
B) Embolism
C) Obstructed labor ui
D) Infection
5. The nurse is working with a group of community health members to develop a plan
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ito address the special health needs of women. Which of the following conditions wo
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uld the group address as the major problem?
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A) Smoking
B) Heart disease ui
C) Diabetes
D) Cancer
6. When assessing a family for possible barriers to health care, the nurse would consider
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which factor to be most important?
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A) Language
