,Contents
Chapter d s 1- d s Perspectives d s on d s Maternal, d s Newborn, d s and d s Women’s d s Health d s Care ........................ 4
Chapter d s 2- d s Family-Centered Community-Based Care ....................................................................................... 9
d s d s
Chapter d s 3- d s Anatomy and d s d s Physiology of d s d s the d s Reproductive d s System ............................................. 14
Chapter d s 4- d s Common d s Reproductive Issues .................................................................................................... 19
d s
Chapter d s 5- d s Sexually Transmitted d s d s Infections ................................................................................................ 24
Chapter d s 6- d s Disorders d s of d s the d s Breasts ......................................................................................................... 29
Chapter d s 7- d s Benign d s Disorders d s of d s the d s Female d s Reproductive d s Tract .................................................... 34
Chapter d s 8- d s Cancers d s of d s the Female d s d s Reproductive d s Tract........................................................................ 39
Chapter d s 9- d s Violence d s and d s Abuse ................................................................................................................... 44
Chapter d s 10- d s Fetal d s Development d s and d s Genetics ....................................................................................... 49
Chapter d s 11- d s Maternal d s Adaptation d s During d s Pregnancy ............................................................................ 54
Chapter d s 12- d s Nursing d s Management d s During d s Pregnancy ............................................................................ 60
Chapter d s 13- d s Labor d s and d s Birth d s Process ...................................................................................................... 66
Chapter d s 14- d s Nursing d s Management d s During d s Labor d s and d s Birth ......................................................... 72
Chapter d s 15- d s Postpartum d s Adaptations............................................................................................................... 78
Chapter d s 16- d s Nursing d s Management d s During d s the d s Postpartum Period .................................................. 84
d s
Chapter d s 17- d s Newborn d s Transitioning ............................................................................................................... 90
Chapter d s 18- d s Nursing d s Management d s of d s the d s Newborn .......................................................................... 96
Chapter d s 19- d s Nursing d s Management d s of d s Pregnancy at d s d s d s Risk- d s Pregnancy ...................................... 102
Chapter d s 20- d s Nursing d s Management d s of d s the d s Pregnancy d s at d s Risk................................................. 108
Chapter d s 21- d s Nursing d s Management d s of d s Labor d s and d s Birth d s at d s Risk ............................................... 114
Chapter d s 22- d s Nursing d s Management d s of d s the d s Postpartum Woman d s d s at d s Risk............................... 120
Chapter d s 23- d s Nursing d s Care d s of d s the d s Newborn d s With d s Special d s Needs ............................................ 126
Chapter d s 24- d s Nursing d s Management d s of d s the d s Newborn d s at d s Risk .......................................................... 132
Chapter d s 25- d s Growth d s and d s Development d s of d s the d s Newborn d s and d s Infant .......................................... 138
Chapter d s 26- d s Growth d s and d s Development d s of d s the d s Toddler..................................................................... 144
Chapter d s 27- d s Growth d s and d s Development d s of d s the d s Preschooler ............................................................. 150
Chapter d s 28- d s Growth d s and d s Development d s of d s the d s School-Age d s Child ......................................... 157
Chapter d s 29- d s Growth d s and d s Development d s of d s the d s Adolescent .............................................................. 164
Chapter d s 30- d s Atraumatic d s Care d s of d s Children d s and d s Families.................................................................. 171
Chapter d s 31- d s Health d s Supervision ...................................................................................................................... 176
Chapter d s 32- d s Health d s Assessment d s of d s Children ............................................................................................ 183
Chapter d s 33- d s Caring d s for d s Children d s in d s Diverse d s Settings ..................................................................... 190
Chapter d s 34- d s Caring d s for d s the d s Special d s Needs d s Child .......................................................................... 197
Chapter d s 35- d s Key d s Pediatric d s Nursing d s Interventions ................................................................................. 203
Chapter d s 36- d s Pain d s Management d s in d s Children ............................................................................................. 210
Chapter d s 37- d s Nursing d s Care of d s d s the d s Child d s With d s an d s Infectious d s or d s Communicable d s Disorder217
Chapter d s 38- d s Nursing d s Care d s of d s the d s Child d s With d s an d s Alteration d s in d s Intracranial d s Regulation d s /
,d s Neurologic Disorder d s
................................................................................................................................................................................... 224
Chapter 39- Nursing Care of the
d s d s Child With an Alteration in d s Sensory Perception / d s d s d s d s d s d s d s d s d s d s
Disorder of the Eyes or
d s d s Ears d s d s ds d s
. ................................................................................................................................................................................. 231
Chapter d s 40- d s Nursing Care d s d s of d s the d s Child d s With d s an d s Alteration d s in d s Gas d s Exchange d s /
d s Respiratory Disorder.238 Chapter d s ds d s 41- d s Nursing d s Care of d s d s the d s Child d s With d s an d s Alteration d s in
d s Perfusion d s / d s Cardiovascular d s Disorder .......................................................................................................... 244
Chapter 42- d s d s Nursing Care d s d s of d s the d s Child d s With d s an d s Alteration in d s d s Bowel d s Elimination / d s
d s Gastrointestinal Disorder. 250 Chapter 43- d s ds d s d s d s Nursing d s Care of d s d s the d s Child d s With d s an
d s Alteration in d s d s Urinary d s Elimination / d s d s Genitourinary Disorder. 257 ds ds
Chapter 44- Nursing Care of the Child With an Alteration in Mobility / Neuromuscular or
d s d s d s ds ds ds d s d s d s d s d s ds d s d s
Musculoskeletal Disorder
d s ds
................................................................................................................................................................................. 264
Extra d s Questions: d s Musculoskeletal Disorder ............................................................................................... 270
d s
Chapter 45- Nursing Care of the Child With
d s d s d s d s d s d s d s d s an d s Alteration d s in Tissue Integrity /
d s d s d s
d s Integumentary Disorder277 Chapter ds ds d s 46- d s Nursing d s Care d s of d s the d s Child d s With d s an
d s Alteration in d s d s Cellular Regulation / Hematologic
d s d s d s
or Neoplastic
d s d s Disorder ................................................................................................................................. 283
Extra d s Questions: d s Neoplastic d s Disorder ........................................................................................................ 290
Chapter 47- Nursing Care of the Child With an Alteration in Immunity or
d s d s d s Immunologic
d s d s d s d s d s d s d s d s d s d s
Disorder .................................................................................................................................................................. 296
d s
Chapter 48- Nursing Care of the Child With an
d s d s Alteration in Metabolism / Endocrine
d s d s d s d s d s d s d s d s d s d s d s
Disorder .................................................................................................................................................................. 303
d s
Chapter d s 49- d s Nursing d s Care d s of d s the d s Child d s With d s an d s Alteration d s in d s Genetics ................... 310
Chapter 50- Nursing Care of the Child With an Alteration in Behavior,
d s d s d s Cognition, or
d s d s d s d s d s d s d s d s d s d s
d Development .......................................................................................................................................................... 317
s
Chapter d s 51- d s Nursing d s Care d s During d s a d s Pediatric d s Emergency ......................................................... 324
, Chapter1-PerspectivesonMaternal,Newborn,andWomen’s d
s d
s d
s d
s d
s d
s d
s
Health Care
ds ds
1. The United States ranks 50th in the world for maternal
d s d s d s d s d s d s d s d s d s
mortality and 41st among industrialized nations for infant mortality rate.
d s d s d s ds ds d s ds ds d s ds
When developing programs to
d s ds ds ds
assist in decreasing these rates, which factor would most likely need
d s ds d s d s d s d s d s d s d s ds d s to
be addressed as having the greatest impact?
d s d s ds d s d s ds d s
A) Resolving all language and cultural differences d s d s d s d s d s
B) Assuring early and adequate prenatal care d s d s d s d s d s
C) Providing more extensive women’s shelters d s d s d s d s
D) Encouraging all women to eat a balanced diet d s d s d s d s d s d s d s
2. When integrating the principles of family-centered care, the nurse would
d s ds d s d s d s ds d s d s d s
d include which of the following?
s d s ds ds d s
A) Childbirth is viewed as a procedural event d s d s d s d s d s d s
B) Families are unable to make informed choices d s d s d s d s d s d s
C) Childbirth results in changes in relationships d s d s d s d s d s
D) Families require little information to make appropriate decisionsd s d s d s d s d s d s d s
3. When preparing a teaching plan for a group of first-time pregnant
d s ds d s d s d s d s d s d s ds d s
d women, the nurse expects to review how maternity care has changed
s d s ds ds d s d s d s d s d s d s d s
d over the years. Which of the following would the nurse include
s d s d s d s d s ds d s ds d s d s d s
d when discussing events of the 20th century?
s d s d s d s d s d s d s
A) Epidemics of puerperal fever d s d s d s
B) Performance of the first cesarean birth d s d s d s d s d s
C) Development of the x-ray to assess pelvic size d s d s d s d s d s d s d s
D) Creation of free-standing birth centers d s d s d s d s
4. After teaching a group of students about pregnancy-related mortality, the instructor
ds ds ds ds ds ds ds ds d s ds
determines that additional teaching is needed when the students identify which
ds ds ds ds ds ds ds ds ds ds ds
condition as a leading cause?
ds d s ds ds d s
A) Hemorrhage
B) Embolism
C) Obstructed labor d s
D) Infection
5. The nurse is working with a group of community health members
d s d s d s d s d s d s d s d s ds d s
to develop a plan to address the special health needs of women.
d s d s d s ds d s ds d s d s d s d s d s d s
Which of the following conditions would the group address as the
d s d s d s d s ds d s d s ds d s d s d s
major problem?
d s d s
A) Smoking
B) Heart disease d s
C) Diabetes
D) Cancer
6. When assessing a family for possible barriers to health care, the nurse would
ds ds ds ds ds ds ds ds ds ds ds ds
consider which factor to be most important?
ds ds d s d s d s d s d s
A) Language
Chapter d s 1- d s Perspectives d s on d s Maternal, d s Newborn, d s and d s Women’s d s Health d s Care ........................ 4
Chapter d s 2- d s Family-Centered Community-Based Care ....................................................................................... 9
d s d s
Chapter d s 3- d s Anatomy and d s d s Physiology of d s d s the d s Reproductive d s System ............................................. 14
Chapter d s 4- d s Common d s Reproductive Issues .................................................................................................... 19
d s
Chapter d s 5- d s Sexually Transmitted d s d s Infections ................................................................................................ 24
Chapter d s 6- d s Disorders d s of d s the d s Breasts ......................................................................................................... 29
Chapter d s 7- d s Benign d s Disorders d s of d s the d s Female d s Reproductive d s Tract .................................................... 34
Chapter d s 8- d s Cancers d s of d s the Female d s d s Reproductive d s Tract........................................................................ 39
Chapter d s 9- d s Violence d s and d s Abuse ................................................................................................................... 44
Chapter d s 10- d s Fetal d s Development d s and d s Genetics ....................................................................................... 49
Chapter d s 11- d s Maternal d s Adaptation d s During d s Pregnancy ............................................................................ 54
Chapter d s 12- d s Nursing d s Management d s During d s Pregnancy ............................................................................ 60
Chapter d s 13- d s Labor d s and d s Birth d s Process ...................................................................................................... 66
Chapter d s 14- d s Nursing d s Management d s During d s Labor d s and d s Birth ......................................................... 72
Chapter d s 15- d s Postpartum d s Adaptations............................................................................................................... 78
Chapter d s 16- d s Nursing d s Management d s During d s the d s Postpartum Period .................................................. 84
d s
Chapter d s 17- d s Newborn d s Transitioning ............................................................................................................... 90
Chapter d s 18- d s Nursing d s Management d s of d s the d s Newborn .......................................................................... 96
Chapter d s 19- d s Nursing d s Management d s of d s Pregnancy at d s d s d s Risk- d s Pregnancy ...................................... 102
Chapter d s 20- d s Nursing d s Management d s of d s the d s Pregnancy d s at d s Risk................................................. 108
Chapter d s 21- d s Nursing d s Management d s of d s Labor d s and d s Birth d s at d s Risk ............................................... 114
Chapter d s 22- d s Nursing d s Management d s of d s the d s Postpartum Woman d s d s at d s Risk............................... 120
Chapter d s 23- d s Nursing d s Care d s of d s the d s Newborn d s With d s Special d s Needs ............................................ 126
Chapter d s 24- d s Nursing d s Management d s of d s the d s Newborn d s at d s Risk .......................................................... 132
Chapter d s 25- d s Growth d s and d s Development d s of d s the d s Newborn d s and d s Infant .......................................... 138
Chapter d s 26- d s Growth d s and d s Development d s of d s the d s Toddler..................................................................... 144
Chapter d s 27- d s Growth d s and d s Development d s of d s the d s Preschooler ............................................................. 150
Chapter d s 28- d s Growth d s and d s Development d s of d s the d s School-Age d s Child ......................................... 157
Chapter d s 29- d s Growth d s and d s Development d s of d s the d s Adolescent .............................................................. 164
Chapter d s 30- d s Atraumatic d s Care d s of d s Children d s and d s Families.................................................................. 171
Chapter d s 31- d s Health d s Supervision ...................................................................................................................... 176
Chapter d s 32- d s Health d s Assessment d s of d s Children ............................................................................................ 183
Chapter d s 33- d s Caring d s for d s Children d s in d s Diverse d s Settings ..................................................................... 190
Chapter d s 34- d s Caring d s for d s the d s Special d s Needs d s Child .......................................................................... 197
Chapter d s 35- d s Key d s Pediatric d s Nursing d s Interventions ................................................................................. 203
Chapter d s 36- d s Pain d s Management d s in d s Children ............................................................................................. 210
Chapter d s 37- d s Nursing d s Care of d s d s the d s Child d s With d s an d s Infectious d s or d s Communicable d s Disorder217
Chapter d s 38- d s Nursing d s Care d s of d s the d s Child d s With d s an d s Alteration d s in d s Intracranial d s Regulation d s /
,d s Neurologic Disorder d s
................................................................................................................................................................................... 224
Chapter 39- Nursing Care of the
d s d s Child With an Alteration in d s Sensory Perception / d s d s d s d s d s d s d s d s d s d s
Disorder of the Eyes or
d s d s Ears d s d s ds d s
. ................................................................................................................................................................................. 231
Chapter d s 40- d s Nursing Care d s d s of d s the d s Child d s With d s an d s Alteration d s in d s Gas d s Exchange d s /
d s Respiratory Disorder.238 Chapter d s ds d s 41- d s Nursing d s Care of d s d s the d s Child d s With d s an d s Alteration d s in
d s Perfusion d s / d s Cardiovascular d s Disorder .......................................................................................................... 244
Chapter 42- d s d s Nursing Care d s d s of d s the d s Child d s With d s an d s Alteration in d s d s Bowel d s Elimination / d s
d s Gastrointestinal Disorder. 250 Chapter 43- d s ds d s d s d s Nursing d s Care of d s d s the d s Child d s With d s an
d s Alteration in d s d s Urinary d s Elimination / d s d s Genitourinary Disorder. 257 ds ds
Chapter 44- Nursing Care of the Child With an Alteration in Mobility / Neuromuscular or
d s d s d s ds ds ds d s d s d s d s d s ds d s d s
Musculoskeletal Disorder
d s ds
................................................................................................................................................................................. 264
Extra d s Questions: d s Musculoskeletal Disorder ............................................................................................... 270
d s
Chapter 45- Nursing Care of the Child With
d s d s d s d s d s d s d s d s an d s Alteration d s in Tissue Integrity /
d s d s d s
d s Integumentary Disorder277 Chapter ds ds d s 46- d s Nursing d s Care d s of d s the d s Child d s With d s an
d s Alteration in d s d s Cellular Regulation / Hematologic
d s d s d s
or Neoplastic
d s d s Disorder ................................................................................................................................. 283
Extra d s Questions: d s Neoplastic d s Disorder ........................................................................................................ 290
Chapter 47- Nursing Care of the Child With an Alteration in Immunity or
d s d s d s Immunologic
d s d s d s d s d s d s d s d s d s d s
Disorder .................................................................................................................................................................. 296
d s
Chapter 48- Nursing Care of the Child With an
d s d s Alteration in Metabolism / Endocrine
d s d s d s d s d s d s d s d s d s d s d s
Disorder .................................................................................................................................................................. 303
d s
Chapter d s 49- d s Nursing d s Care d s of d s the d s Child d s With d s an d s Alteration d s in d s Genetics ................... 310
Chapter 50- Nursing Care of the Child With an Alteration in Behavior,
d s d s d s Cognition, or
d s d s d s d s d s d s d s d s d s d s
d Development .......................................................................................................................................................... 317
s
Chapter d s 51- d s Nursing d s Care d s During d s a d s Pediatric d s Emergency ......................................................... 324
, Chapter1-PerspectivesonMaternal,Newborn,andWomen’s d
s d
s d
s d
s d
s d
s d
s
Health Care
ds ds
1. The United States ranks 50th in the world for maternal
d s d s d s d s d s d s d s d s d s
mortality and 41st among industrialized nations for infant mortality rate.
d s d s d s ds ds d s ds ds d s ds
When developing programs to
d s ds ds ds
assist in decreasing these rates, which factor would most likely need
d s ds d s d s d s d s d s d s d s ds d s to
be addressed as having the greatest impact?
d s d s ds d s d s ds d s
A) Resolving all language and cultural differences d s d s d s d s d s
B) Assuring early and adequate prenatal care d s d s d s d s d s
C) Providing more extensive women’s shelters d s d s d s d s
D) Encouraging all women to eat a balanced diet d s d s d s d s d s d s d s
2. When integrating the principles of family-centered care, the nurse would
d s ds d s d s d s ds d s d s d s
d include which of the following?
s d s ds ds d s
A) Childbirth is viewed as a procedural event d s d s d s d s d s d s
B) Families are unable to make informed choices d s d s d s d s d s d s
C) Childbirth results in changes in relationships d s d s d s d s d s
D) Families require little information to make appropriate decisionsd s d s d s d s d s d s d s
3. When preparing a teaching plan for a group of first-time pregnant
d s ds d s d s d s d s d s d s ds d s
d women, the nurse expects to review how maternity care has changed
s d s ds ds d s d s d s d s d s d s d s
d over the years. Which of the following would the nurse include
s d s d s d s d s ds d s ds d s d s d s
d when discussing events of the 20th century?
s d s d s d s d s d s d s
A) Epidemics of puerperal fever d s d s d s
B) Performance of the first cesarean birth d s d s d s d s d s
C) Development of the x-ray to assess pelvic size d s d s d s d s d s d s d s
D) Creation of free-standing birth centers d s d s d s d s
4. After teaching a group of students about pregnancy-related mortality, the instructor
ds ds ds ds ds ds ds ds d s ds
determines that additional teaching is needed when the students identify which
ds ds ds ds ds ds ds ds ds ds ds
condition as a leading cause?
ds d s ds ds d s
A) Hemorrhage
B) Embolism
C) Obstructed labor d s
D) Infection
5. The nurse is working with a group of community health members
d s d s d s d s d s d s d s d s ds d s
to develop a plan to address the special health needs of women.
d s d s d s ds d s ds d s d s d s d s d s d s
Which of the following conditions would the group address as the
d s d s d s d s ds d s d s ds d s d s d s
major problem?
d s d s
A) Smoking
B) Heart disease d s
C) Diabetes
D) Cancer
6. When assessing a family for possible barriers to health care, the nurse would
ds ds ds ds ds ds ds ds ds ds ds ds
consider which factor to be most important?
ds ds d s d s d s d s d s
A) Language
