mEssentialsmofmMaternity,mNewborn,mandmWomen'smHealthmNursingm(4thmEdition)
Table of Contents
m m
Tablem ofm Contents 1
Chapterm 01:m Perspectivesm onm Maternal,m Newborn,m andm Womensm Healthm Car 2
emChapterm02:mFamily-CenteredmCommunity-Basedm Care 9
Chapterm 03:m Anatomym andm Physiologym ofm them Reproductivem Systemm 17
Chapterm04:mCommonmReproductivemIssues 24
Chapterm 05:m Sexuallym Transmittedm InfectionsmChapt 32
erm 06:m Disordersm ofmthem Breasts 40
Chapterm 07:m Benignm Disordersm ofm them Femalem Reproductivem TractmC 48
hapterm 08:m Cancersm ofmthem Femalem Reproductivem Tract 56
Chapterm 09:m Violencem andm Abuse 64
Chapterm 10:m Fetalm Developmentm andm GeneticsmChapt 72
erm 11:m Maternalm Adaptationm Duringm PregnancymChapt 79
erm 12:m Nursingm Managementm Duringm PregnancymCha 87
pterm13:mLabormandmBirthm Process 95
Chapterm 14:m Nursingm Managementm Duringm Laborm andm BirthmChapt 103
erm15:mPostpartummAdaptations 112
Chapterm 16:m Nursingm Managementm Duringm them Postpartumm PeriodmC 120
hapterm17:mNewbornmTransitioning 128
Chapterm 18:m Nursingm Managementm ofm them Newborn 136
Chapterm 19:m Nursingm Managementm ofm Pregnancym atm Risk- 145
m Pregnancym Chapterm20:mNursingmManagementmofm them Pregnancym at 153
m RiskmChapterm 21:m Nursingm Managementm ofm Laborm andm Birthm atm Risk 161
Chapterm 22:m Nursingm Managementm ofm them Postpartumm Womanm atm Ris 169
kmChapterm 23:m Nursingm Carem ofm them Newbornm Withm Specialm NeedsmCh 177
apterm 24:m Nursingm Managementm ofmthem Newbornm atm Risk 185
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mEssentialsmofmMaternity,mNewborn,mandmWomen'smHealthmNursingm(4thmEdition)
Chapter 01: Perspectives on Maternal, Newborn, and Womens Health C
m m m m m m m m m
are
1. ThemUnitedmStatesmranksm50thminmthemworldmformmaternalmmortalitymandm41stmamongmindustrializedmnation
smforminfantmmortalitymrate.mWhenmdevelopingmprogramsmtomassistminmdecreasingmthesemrates,mwhichmfact
ormwouldmmostmlikelymneedmtombemaddressedmasmhavingmthemgreatestmimpact?
A) Resolvingmallmlanguagemandmculturalmdifferences
B) Assuringmearlymandmadequatemprenatalmcare
C) Providingmmoremextensivemwomen'smshelters
D) Encouragingmallmwomenmtomeatmambalancedmdiet
2. Whenmintegratingmthemprinciplesmofmfamily-centeredmcare,mthemnursemwouldmincludemwhichmofmthemfollowing?
A) Childbirthmismviewedmasmamproceduralmevent
B) Familiesmaremunablemtommakeminformedmchoices
C) Childbirthmresultsminmchangesminmrelationships
D) Familiesmrequiremlittleminformationmtommakemappropriatemdecisions
3. Whenmpreparingmamteachingmplanmformamgroupmofmfirst-
timempregnantmwomen,mthemnursemexpectsmtomreviewmhowmmaternitymcaremhasmchangedmovermthemyears.mWhi
chmofmthemfollowingmwouldmthemnursemincludemwhenmdiscussingmeventsmofmthem20thm century?
A) Epidemicsmofmpuerperalmfever
B) Performancemofmthemfirstmcesareanmbirth
C) Developmentmofmthemx-raymtomassessmpelvicmsize
D) Creationmofmfree-standingmbirthmcenters
4. Aftermteachingmamgroupmofmstudentsmaboutmpregnancy-
relatedmmortality,mtheminstructormdeterminesmthatmadditionalmteachingmismneededmwhenmthemstudents
midentify mwhichmconditionmasmamleadingmcause?
A) Hemorrhage
B) Embolism
C) Obstructedmlabor
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mEssentialsmofmMaternity,mNewborn,mandmWomen'smHealthmNursingm(4thmEdition)
D) Infection
5. Themnursemismworkingmwithmamgroupmofmcommunitymhealthmmembersmtomdevelopmamplanmtomaddressmthemsp
ecialmhealthmneedsmofmwomen.mWhichmofmthemfollowingmconditionsmwouldmthemgroupmaddressmasmthemmajor
mproblem?
A) Smoking
B) Heartmdisease
C) Diabetes
D) Cancer
6. Whenmassessingmamfamilymformpossiblembarriersmtomhealthmcare,mthemnursemwouldmconsidermwhichmfactorm
tombemmostmimportant?
A) Language
B) Healthmcaremworkersmattitudes
C) Transportation
D) Finances
7. Aftermteachingmamgroupmofmnursingmstudentsmaboutmthemissuemofminformedmconsent.mWhichmofmthemfollowi
ng,mifmidentifiedmbymthemstudent,mwouldmindicatemanmunderstandingmofmamviolationmofminformedmconsent?
A) Performingmamproceduremonmam15-year-oldmwithoutmconsent
B) Servingmasmamwitnessmtomthemsignaturemprocess
C) Askingmwhethermthemclientmunderstandsmwhatmshemismsigning
D) Gettingmverbalmconsentmovermthemphonemformemergencymprocedures
8. Themnursemismtryingmtomgetmconsentmtomcaremformanm11-year-
oldmboymwithmdiabeticmketoacidosis.mHismparentsmaremoutmofmtownmonmvacation,mandmthemchildmismstayingmw
ithmamneighbor.mWhichmactionmwouldmbemthempriority?
A) Gettingmtelephonemconsentmwithmtwompeoplemlisteningmtomthemverbalmconsent
B) Providingmemergencymcaremwithoutmparentalmconsent
C) Contactingmthemchildsmauntmormunclemtomobtainmtheirmconsent
D) Advocatingmformterminationmofmparentalmrightsmformthismsituation
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mEssentialsmofmMaternity,mNewborn,mandmWomen'smHealthmNursingm(4thmEdition)
9. Aftermteachingmnursingmstudentsmaboutmthembasicmconceptsmofmfamily-
centeredmcare,mtheminstructormdeterminesmthatmthemteachingmwasmsuccessfulmwhenmthemstudentsmstatemwhic
hmofmthemfollowing?
A) Childbirthmaffectsmthementiremfamily,mandmrelationshipsmwillmchange.
B) Familiesmaremnotmcapablemofmmakingmhealthmcaremdecisionsmformthemselves.
C) Mothersmaremthemfamilymmembersmaffectedmbymchildbirth.
D) Childbirthmismammedicalmprocedure.
10.Amnursingminstructormismpreparingmamclassmdiscussionmonmthemtrendsminmhealthmcaremandmhealthmcaremdeliver
ymovermthempastmseveralmcenturies.mWhenmdiscussingmthemchangesmduringmthempastmcentury,mwhichmofmthe
m followingmwouldmtheminstructor mbemleastmlikelymtominclude?
A) Diseasemprevention
B) Healthmpromotion
C) Wellness
D) Analysismofmmorbiditymandmmortality
11.AmnursemismassignedmtomcaremformanmAsianmAmericanmclient.mThemnursemdevelopsmamplanmofmcaremwithmth
emunderstandingmthatmbasedmonmthismclientsmculturalmbackground,mthemclientmmostmlikelymviewsmillnessmasm
whichmofmthemfollowing?
A) Causedmbymsupernaturalmforces.
B) Ampunishmentmformsins.
C) Duemtomspiritsmormdemons.
D) Frommanmimbalancemofmyinmandmyang
12.Amnursemismdevelopingmamplanmofmcaremformamwomanmtomensuremcontinuitymofmcaremduringmpregnancy,mlabor,m
andmchildbirth.mWhichmofmthemfollowingmwouldmbemmostmimportantmformthemnursemtomincorporatemintomthatmpl
an?
A) Adheringmtomstrict,mspecificmroutines
B) Involvingmampediatricmphysician
C) Educatingmthemclientmaboutmthemimportancemofmamsupportmperson
D) Assigningmseveralmnursesmasmamsupportmteam
13.Amnursingminstructormismpreparingmamclassmdiscussionmonmcasemmanagementminmmaternalmandmnewbornmhea
lthmcare.mWhichmofmthemfollowingmwouldmtheminstructormincludemasmamkeymcomponent?mSelectmallmthatmappl
y.