Table of Contents Chapter 01: Maternity and Women’s Health Care Today ................................ ................................ ......... 3 Chapter 02: Social, Ethical, and Legal Issues ................................ ................................ .......................... 16 Chapter 03: Reproductive Anatomy and Physiology ................................ ................................ .............. 35 Chapter 04: Hereditary and Environmental Influences on Childbearing ................................ ............. 45 Chapter 05: Conception and Prenatal Development ................................ ................................ .............. 57 Chapter 06: Maternal Adaptations to Pregnancy ................................ ................................ ..................... 68 Chapter 07: Antepartum Assessment, Care, and Education ................................ ................................ . 85 Chapter 08: Nutrition for Childbearing ................................ ................................ ................................ .... 102 Chapter 09: Assessing the Fetus ................................ ................................ ................................ ............ 120 Chapter 10: Complications of Pregnancy ................................ ................................ ............................... 135 Chapter 11: The Childbearing Family with Special Needs ................................ ................................ ... 163 Chapter 12: Processes of Birth ................................ ................................ ................................ ................ 173 Chapter 13: Pain Management During Childbirth ................................ ................................ ................. 191 Chapter 15: Nursing Care During Labor and Birth ................................ ................................ ................. 212 Chapter 16: Intrapartum Complications ................................ ................................ ................................ ... 238 Chapter 17: Postpartum Adaptations and Nursing Care ................................ ................................ ...... 258 Chapter 18: Postpartum Maternal Complications ................................ ................................ ................. 282 Chapter 19: Normal Newborn: Processes of Adaptation ................................ ................................ ..... 300 Chapter 20: Assessment of the Normal Newborn ................................ ................................ ................. 313 Chapter 21: Care of the Normal Newborn ................................ ................................ .............................. 325 Chapter 22: Infant Feeding ................................ ................................ ................................ ....................... 346 Chapter 23: High-Risk Newborn: Complications Associated with Gestational Age and Development ............................................................................................................................. ................
......362 Chapter 24: High -Risk Newborn: Acquired and Congenital Conditions ................................ ............ 374 Chapter 25: Family Planning ................................ ................................ ................................ .................... 385 Chapter 26: Infertility ................................ ................................ ................................ ................................ 398 Chapter 27: Women’s Health ................................ ................................ ................................ ................... 405 Chapter 01: Maternity and Women’s Health Care Today Foundations of Maternal -Newborn & Women’s Health Nursing, 7th Edition MULTIPLE CHOICE 1. A nurse educator is teaching a group of nursing students about the history of family - centered maternity care. Which statement should the nurse include in the teaching session? a. The Sheppard -Towner Act of 1921 promoted family -centered care. b. Changes in pharmacologic management of labor prompted family -centered care. c. Demands by physicians for family involvement in childbirth increased the practice of family - centered care. d. Parental requests that infants be allowed to remain with them rather than in a nursery initiated the practice of family -centered care. ANS: D 2. Expectant parents ask a prenatal nurse educator, “Which setting for childbirth limits the amount of parent –infant interaction?” Which answer should the nurse provide for these parents in order to assist them in choosing an appropriate birth setting? a. Birth center b. Home birth c. Traditional hospital birth d. Labor, birth, and recovery room ANS: C In the traditional hospital setting, the mother may see the infant for only short feeding periods, and the infant is cared for in a separate nursery. Birth centers are set up to allow an increase in parent –infant contact. Home births allow the greatest amount of parent –infant contact. The labor, birth, recovery, and postpartum room setting allows for increased parent –infant contact. DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Planning MSC: Patient Needs: Health Promotion and Maintenance 3. Which statement best describes the advantage of a labor, birth, recovery, and postpartum (LDRP) room? a. The family is in a familiar environment. b. They are less expensive than traditional hospital rooms. c. The infant is removed to the nursery to allow the mother to rest. d. The woman’s support system is encouraged to stay until discharge. ANS: D Sleeping equipment is provided in a private room. A hospital setting is never a familiar environment to new parents. An LDRP room is not less expensive than a traditional hospital room. The baby remains with the mother at all times and is not removed to the nursery for routine care or testing. The father or other designated members of the mother’s support system are encouraged to stay at all times. DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment MSC: Patient Needs: Health Promotion and Maintenance 4. Which nursing intervention is an independent function of the professional nurse? a. Administering oral analgesics b. Requesting diagnostic studies c. Teaching the patient perineal care d. Providing wound care to a surgical incision ANS: C Nurses are now responsible for various independent functions, including teaching, counseling, and intervening in nonmedical problems. Interventions initiated by the physician and carried out by the nurse are called dependent functions. Administrating oral analgesics is a dependent function; it is initiated by a physician and carried out by a nurse. Requesting diagnostic studies is a dependent function. Providing wound care is a dependent function; however, the physician prescribes the type of wound care through direct orders or protocol. DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment MSC: Patient Needs: Safe and Effective Care Environment
......362 Chapter 24: High -Risk Newborn: Acquired and Congenital Conditions ................................ ............ 374 Chapter 25: Family Planning ................................ ................................ ................................ .................... 385 Chapter 26: Infertility ................................ ................................ ................................ ................................ 398 Chapter 27: Women’s Health ................................ ................................ ................................ ................... 405 Chapter 01: Maternity and Women’s Health Care Today Foundations of Maternal -Newborn & Women’s Health Nursing, 7th Edition MULTIPLE CHOICE 1. A nurse educator is teaching a group of nursing students about the history of family - centered maternity care. Which statement should the nurse include in the teaching session? a. The Sheppard -Towner Act of 1921 promoted family -centered care. b. Changes in pharmacologic management of labor prompted family -centered care. c. Demands by physicians for family involvement in childbirth increased the practice of family - centered care. d. Parental requests that infants be allowed to remain with them rather than in a nursery initiated the practice of family -centered care. ANS: D 2. Expectant parents ask a prenatal nurse educator, “Which setting for childbirth limits the amount of parent –infant interaction?” Which answer should the nurse provide for these parents in order to assist them in choosing an appropriate birth setting? a. Birth center b. Home birth c. Traditional hospital birth d. Labor, birth, and recovery room ANS: C In the traditional hospital setting, the mother may see the infant for only short feeding periods, and the infant is cared for in a separate nursery. Birth centers are set up to allow an increase in parent –infant contact. Home births allow the greatest amount of parent –infant contact. The labor, birth, recovery, and postpartum room setting allows for increased parent –infant contact. DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Planning MSC: Patient Needs: Health Promotion and Maintenance 3. Which statement best describes the advantage of a labor, birth, recovery, and postpartum (LDRP) room? a. The family is in a familiar environment. b. They are less expensive than traditional hospital rooms. c. The infant is removed to the nursery to allow the mother to rest. d. The woman’s support system is encouraged to stay until discharge. ANS: D Sleeping equipment is provided in a private room. A hospital setting is never a familiar environment to new parents. An LDRP room is not less expensive than a traditional hospital room. The baby remains with the mother at all times and is not removed to the nursery for routine care or testing. The father or other designated members of the mother’s support system are encouraged to stay at all times. DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment MSC: Patient Needs: Health Promotion and Maintenance 4. Which nursing intervention is an independent function of the professional nurse? a. Administering oral analgesics b. Requesting diagnostic studies c. Teaching the patient perineal care d. Providing wound care to a surgical incision ANS: C Nurses are now responsible for various independent functions, including teaching, counseling, and intervening in nonmedical problems. Interventions initiated by the physician and carried out by the nurse are called dependent functions. Administrating oral analgesics is a dependent function; it is initiated by a physician and carried out by a nurse. Requesting diagnostic studies is a dependent function. Providing wound care is a dependent function; however, the physician prescribes the type of wound care through direct orders or protocol. DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment MSC: Patient Needs: Safe and Effective Care Environment
