1
Midwifery & Women's Health Nurse Practitioner
Certification Review Guide 4th Edition
Your trusted partner for premium digital study resources. Access textbooks, test
banks, and solutions manuals to excel in your academic journey.
,2
,3
Contents vii
9 Midwifery Care of the Newborn 214 Gastrointestinal Disorders 257
Kimberly K. Trout Hematologic Disorders 266
Immunologic Disorders 269
Physiologic Transition to Extrauterine Life 214
Endocrine Disorders 275
Ongoing Extrauterine Transition 215
Musculoskeletal Disorders 281
Immediate Care and Assessment of the Healthy
Neurologic Disorders 288
Newborn 216
Dermatologic Disorders 292
Care during the First Hours after Birth 217
Psychosocial Problems 297
Plan of Care for the First Few Days of Life 218
Questions 304
Discharge Planning 219
Answers with Rationales 311
Newborn Assessment 221
Bibliography 316
Primary Care of the Newborn for the
First Six Weeks 223 11 Professional Issues 318
Common Variations from Normal Newborn Beth M. Kelsey and Kimberly K. Trout
Findings 224 Advanced Practice Registered Nurse (APRN) 318
Deviations from Normal 226 Trends and Issues 320
Questions 231 Professional Components of Advanced Practice
Answers with Rationales 235 Registered Nursing 322
Bibliography 237 Healthcare Delivery Systems 325
10 Common Health Problems Ethical and Legal Issues and Principles 326
in Primary Care 238 Evidence-Based Practice 327
Beth M. Kelsey and Jamille Nagtalon-Ramos Questions 328
Answers with Rationales 331
Cardiovascular Disorders 238
Bibliography 333
Eye, Ear, Nose, and Throat Disorders 246
Lower Respiratory Disorders 252 Index 334
, 4
Preface
A comprehensive review is essential for those preparing to take the mid- Test questions are included at the end of each chapter. These questions are
wifery (American Midwifery Certification Board [AMBC]) examination or intended to provide the reader with testtaking practice and are representa-
the women’s health nurse practitioner certification (National Certification tive of those found on the certification examinations. The correct answers
Corporation [NCC]) examination. Midwifery & Women’s Health Nurse with rationales are also provided. A bibliography is included at the end of
Practitioner Certification Review Guide, Fourth Edition was developed for each chapter for those who want to review specific content in more detail.
both of these nursing specialties because of the many commonalities they The coeditors, Beth M. Kelsey and Jamille Nagtalon-Ramos, are board-
share in providing health care for women throughout the life span. Experts certified women’s health nurse practitioners. Kimberly K. Trout, CNM,
in the field of women’s health combined their expertise to provide a valuable PhD, APRN, authored Chapter 9, “Midwifery Care of the Newborn” and
resource that will assist women’s health nurse practitioners and midwives coauthored Chapter 8, “Intrapartum and Postpartum” and Chapter 11,
in their pursuit of success on their respective certification examinations. “Professional Issues.” Dr. Trout, a board-certified midwife, is Assistant
Multiple resources have been utilized to ensure the integrity of this text Professor of Women’s Health at the University of Pennsylvania School of
so that it is representative of the content that may be encountered by both Nursing, Philadelphia, Pennsylvania.
specialties during the examination process. It is assumed that readers of this review guide have completed a course
Many nurses preparing for certification examinations find that reviewing of study in either a women’s health nurse practitioner and/or midwifery
an extensive body of scientific knowledge requires a very difficult search program. It is not intended to be a basic learning tool. Readers should be
of many sources that must be synthesized to provide a review base for the aware that practice guidelines; diagnostic criteria; and tests, treatment,
examination. The purpose of this review guide is to provide a succinct yet and management recommendations/protocols are always evolving. The
comprehensive review of the core material. information provided in this review guide was current at the time the
This guide is organized to provide the reader with test-taking and study guide went to print.
strategies first (Chapter 1, “Strategies for Studying and Test Taking”). This is Jones & Bartlett Learning and the coeditors would like to thank the
a prerequisite for success in the certification examination arena. The major following individuals for their contributions to the first two editions of
content is then provided in Chapter 2, “General Health Assessment and this review book:
Health Promotion,” Chapter 3, “Principles of Pharmacology,” Chapter 4, Penelope M. Borsage, MSN, WHNP
“Normal Gynecology and Well-Woman Care: Reproductive Years,” Chapter 5, Patricia Burkhardt, PhD, CNM
“Well-Woman Care: Menopause and Beyond,” Chapter 6, “Gynecological Mary C. Knutson, MN, WHNP
Disorders,” Chapter 7, “Prenatal Care and Fetal Assessment,” Chapter 8, Anthony A. Lathrop, PhD, CNM
“Intrapartum and Postpartum,” Chapter 9, “Midwifery Care of the Newborn,” Anne A. Moore, DNP, WHNP/ANP, FAANP
Chapter 10, “Common Health Problems in Primary Care,” and Chapter 11, Sandra K. Pfantz, PhD, ANP
“Professional Issues.” Women’s health nurse practitioners and midwives Susan P. Shannon, MS, CNM
reviewed chapters in the previous edition to provide feedback and recom-
mendations. New and revised content reflects this review.
viii
Midwifery & Women's Health Nurse Practitioner
Certification Review Guide 4th Edition
Your trusted partner for premium digital study resources. Access textbooks, test
banks, and solutions manuals to excel in your academic journey.
,2
,3
Contents vii
9 Midwifery Care of the Newborn 214 Gastrointestinal Disorders 257
Kimberly K. Trout Hematologic Disorders 266
Immunologic Disorders 269
Physiologic Transition to Extrauterine Life 214
Endocrine Disorders 275
Ongoing Extrauterine Transition 215
Musculoskeletal Disorders 281
Immediate Care and Assessment of the Healthy
Neurologic Disorders 288
Newborn 216
Dermatologic Disorders 292
Care during the First Hours after Birth 217
Psychosocial Problems 297
Plan of Care for the First Few Days of Life 218
Questions 304
Discharge Planning 219
Answers with Rationales 311
Newborn Assessment 221
Bibliography 316
Primary Care of the Newborn for the
First Six Weeks 223 11 Professional Issues 318
Common Variations from Normal Newborn Beth M. Kelsey and Kimberly K. Trout
Findings 224 Advanced Practice Registered Nurse (APRN) 318
Deviations from Normal 226 Trends and Issues 320
Questions 231 Professional Components of Advanced Practice
Answers with Rationales 235 Registered Nursing 322
Bibliography 237 Healthcare Delivery Systems 325
10 Common Health Problems Ethical and Legal Issues and Principles 326
in Primary Care 238 Evidence-Based Practice 327
Beth M. Kelsey and Jamille Nagtalon-Ramos Questions 328
Answers with Rationales 331
Cardiovascular Disorders 238
Bibliography 333
Eye, Ear, Nose, and Throat Disorders 246
Lower Respiratory Disorders 252 Index 334
, 4
Preface
A comprehensive review is essential for those preparing to take the mid- Test questions are included at the end of each chapter. These questions are
wifery (American Midwifery Certification Board [AMBC]) examination or intended to provide the reader with testtaking practice and are representa-
the women’s health nurse practitioner certification (National Certification tive of those found on the certification examinations. The correct answers
Corporation [NCC]) examination. Midwifery & Women’s Health Nurse with rationales are also provided. A bibliography is included at the end of
Practitioner Certification Review Guide, Fourth Edition was developed for each chapter for those who want to review specific content in more detail.
both of these nursing specialties because of the many commonalities they The coeditors, Beth M. Kelsey and Jamille Nagtalon-Ramos, are board-
share in providing health care for women throughout the life span. Experts certified women’s health nurse practitioners. Kimberly K. Trout, CNM,
in the field of women’s health combined their expertise to provide a valuable PhD, APRN, authored Chapter 9, “Midwifery Care of the Newborn” and
resource that will assist women’s health nurse practitioners and midwives coauthored Chapter 8, “Intrapartum and Postpartum” and Chapter 11,
in their pursuit of success on their respective certification examinations. “Professional Issues.” Dr. Trout, a board-certified midwife, is Assistant
Multiple resources have been utilized to ensure the integrity of this text Professor of Women’s Health at the University of Pennsylvania School of
so that it is representative of the content that may be encountered by both Nursing, Philadelphia, Pennsylvania.
specialties during the examination process. It is assumed that readers of this review guide have completed a course
Many nurses preparing for certification examinations find that reviewing of study in either a women’s health nurse practitioner and/or midwifery
an extensive body of scientific knowledge requires a very difficult search program. It is not intended to be a basic learning tool. Readers should be
of many sources that must be synthesized to provide a review base for the aware that practice guidelines; diagnostic criteria; and tests, treatment,
examination. The purpose of this review guide is to provide a succinct yet and management recommendations/protocols are always evolving. The
comprehensive review of the core material. information provided in this review guide was current at the time the
This guide is organized to provide the reader with test-taking and study guide went to print.
strategies first (Chapter 1, “Strategies for Studying and Test Taking”). This is Jones & Bartlett Learning and the coeditors would like to thank the
a prerequisite for success in the certification examination arena. The major following individuals for their contributions to the first two editions of
content is then provided in Chapter 2, “General Health Assessment and this review book:
Health Promotion,” Chapter 3, “Principles of Pharmacology,” Chapter 4, Penelope M. Borsage, MSN, WHNP
“Normal Gynecology and Well-Woman Care: Reproductive Years,” Chapter 5, Patricia Burkhardt, PhD, CNM
“Well-Woman Care: Menopause and Beyond,” Chapter 6, “Gynecological Mary C. Knutson, MN, WHNP
Disorders,” Chapter 7, “Prenatal Care and Fetal Assessment,” Chapter 8, Anthony A. Lathrop, PhD, CNM
“Intrapartum and Postpartum,” Chapter 9, “Midwifery Care of the Newborn,” Anne A. Moore, DNP, WHNP/ANP, FAANP
Chapter 10, “Common Health Problems in Primary Care,” and Chapter 11, Sandra K. Pfantz, PhD, ANP
“Professional Issues.” Women’s health nurse practitioners and midwives Susan P. Shannon, MS, CNM
reviewed chapters in the previous edition to provide feedback and recom-
mendations. New and revised content reflects this review.
viii
