,Contents
Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care ............................................................ 4
Chapter 2- Family-Centered Community-Based Care .................................................................................................. 9
Chapter 3- Anatomy and Physiology of the Reproductive System .......................................................................... 14
Chapter 4- Common Reproductive Issues .................................................................................................................. 19
Chapter 5- Sexually Transmitted Infections ............................................................................................................... 24
Chapter 6- Disorders of the Breasts ........................................................................................................................... 29
Chapter 7- Benign Disorders of the Female Reproductive Tract ............................................................................... 34
Chapter 8- Cancers of the Female Reproductive Tract .............................................................................................. 39
Chapter 9- Violence and Abuse .................................................................................................................................. 44
Chapter 10- Fetal Development and Genetics ........................................................................................................... 49
Chapter 11- Maternal Adaptation During Pregnancy ................................................................................................ 54
Chapter 12- Nursing Management During Pregnancy ............................................................................................... 60
Chapter 13- Labor and Birth Process ......................................................................................................................... 66
Chapter 14- Nursing Management During Labor and Birth ..................................................................................... 72
Chapter 15- Postpartum Adaptations .......................................................................................................................... 78
Chapter 16- Nursing Management During the Postpartum Period ............................................................................ 84
Chapter 17- Newborn Transitioning ........................................................................................................................... 90
Chapter 18- Nursing Management of the Newborn .................................................................................................. 96
Chapter 19- Nursing Management of Pregnancy at Risk- Pregnancy .................................................................... 102
Chapter 20- Nursing Management of the Pregnancy at Risk ................................................................................. 108
Chapter 21- Nursing Management of Labor and Birth at Risk ............................................................................... 114
Chapter 22- Nursing Management of the Postpartum Woman at Risk .................................................................. 120
Chapter 23- Nursing Care of the Newborn With Special Needs............................................................................. 126
Chapter 24- Nursing Management of the Newborn at Risk ..................................................................................... 132
Chapter 25- Growth and Development oftnthe Newborn and Infant ........................................................................ 138
Chapter 26- Growth and Development of the Toddler ............................................................................................ 144
Chapter 27- Growth and Development of the Preschooler ...................................................................................... 150
Chapter 28- Growth and Development of the School-Age Child .......................................................................... 157
Chapter 29- Growth and Development of the Adolescent ....................................................................................... 164
Chapter 30- Atraumatic Care of Children and Families .......................................................................................... 171
Chapter 31- Health Supervision ................................................................................................................................ 176
Chapter 32- Health Assessment of Children ............................................................................................................ 183
,Chapter 33- Caring for Children in Diverse Settings .............................................................................................. 190
Chapter 34- Caring for the Special Needs Child ..................................................................................................... 197
Chapter 35- Key Pediatric Nursing Interventions .................................................................................................... 203
Chapter 36- Pain Management in Children .............................................................................................................. 210
Chapter 37- Nursing Care of the Child With an Infectious or Communicable Disorder ....................................... 217
Chapter 38- Nursing Care of the Child With an Alteration in Intracranial Regulation / Neurologic Disorder ..... 224
Chapter 39- Nursing Care of the Child With an Alteration in Sensory Perception / Disorder of the Eyes or Ears
................................................................................................................................................................................... 231
Chapter 40- Nursing Care of the Child With an Alteration in Gas Exchange / Respiratory Disorder ................. 238
Chapter 41- Nursing Care of the Child With an Alteration in Perfusion / CardiovasculartnDisorder ..................... 244
Chapter 42- Nursing Care of the Child With an Alteration in Bowel Elimination / Gastrointestinal Disorder.... 250
Chapter 43- Nursing Care of the Child With an Alteration in Urinary Elimination / GenitourinarytnDisorder.... 257
Chapter 44- Nursing Care of the Child With an Alteration in Mobility / Neuromusculartnor Musculoskeletal Disorder
................................................................................................................................................................................. 264
Extra Questions: Musculoskeletal Disorder .......................................................................................................... 270
Chapter 45- Nursing Care of the Child With an Alteration in Tissue Integrity / IntegumentarytnDisorder ............ 277
Chapter 46-
Nursing Care of the Child With an Alteration in Cellular Regulation / Hematologic or Neoplastic Disorder
................................................................................................................................................................................... 283
Extra Questions: Neoplastic Disorder ................................................................................................................... 290
Chapter 47- Nursing Care of the Child With an Alteration in Immunity or Immunologic Disorder ..................... 296
Chapter 48- Nursing Care of the Child With an Alteration in Metabolism / Endocrine Disorder ....................... 303
Chapter 49- Nursing Care of the Child With an Alteration in Genetics ............................................................... 310
Chapter 50- Nursing Care of the Child With an Alteration in Behavior, Cognition, ortnDevelopment .................. 317
Chapter 51- Nursing Care During a Pediatric Emergency ...................................................................................... 324
, Chapter 1-
Perspectives on Maternal, Newborn, and Women’s Health Care
Q1.
Which of the following best explains the primary goal of Healthy People 2030 in relation to maternal and
newborn health?
A) Increasing hospital-based births
B) Reducing health disparities among women and infants
C) Expanding tertiary care facilities for obstetric emergencies
D) Promoting elective cesarean deliveries to reduce complications
Answer: B. Reducing health disparities among women and infants
Rationale: Healthy People 2030 emphasizes prevention, equity, and reduction of health disparities across
populations. Maternal and newborn health initiatives focus on improving outcomes while addressing social
determinants of health.
Q2.
Which historical advancement most directly led to significant reductions in maternal mortality in the 20th
century?
A) Development of community midwifery
B) Widespread use of antiseptic techniques and antibiotics
C) Establishment of private birthing centers
D) Routine use of continuous fetal monitoring
Answer: B. Widespread use of antiseptic techniques and antibiotics
Rationale: Introduction of asepsis, antibiotics, and safe surgical techniques drastically reduced infection-
related maternal deaths.
Q3.
Which trend has most influenced the shift toward family-centered maternity care?
A) Increase in elective cesarean deliveries
B) Consumer demand for involvement in childbirth decisions
C) Greater reliance on technology in perinatal settings
D) Decline in the use of certified nurse-midwives
Answer: B. Consumer demand for involvement in childbirth decisions
Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care ............................................................ 4
Chapter 2- Family-Centered Community-Based Care .................................................................................................. 9
Chapter 3- Anatomy and Physiology of the Reproductive System .......................................................................... 14
Chapter 4- Common Reproductive Issues .................................................................................................................. 19
Chapter 5- Sexually Transmitted Infections ............................................................................................................... 24
Chapter 6- Disorders of the Breasts ........................................................................................................................... 29
Chapter 7- Benign Disorders of the Female Reproductive Tract ............................................................................... 34
Chapter 8- Cancers of the Female Reproductive Tract .............................................................................................. 39
Chapter 9- Violence and Abuse .................................................................................................................................. 44
Chapter 10- Fetal Development and Genetics ........................................................................................................... 49
Chapter 11- Maternal Adaptation During Pregnancy ................................................................................................ 54
Chapter 12- Nursing Management During Pregnancy ............................................................................................... 60
Chapter 13- Labor and Birth Process ......................................................................................................................... 66
Chapter 14- Nursing Management During Labor and Birth ..................................................................................... 72
Chapter 15- Postpartum Adaptations .......................................................................................................................... 78
Chapter 16- Nursing Management During the Postpartum Period ............................................................................ 84
Chapter 17- Newborn Transitioning ........................................................................................................................... 90
Chapter 18- Nursing Management of the Newborn .................................................................................................. 96
Chapter 19- Nursing Management of Pregnancy at Risk- Pregnancy .................................................................... 102
Chapter 20- Nursing Management of the Pregnancy at Risk ................................................................................. 108
Chapter 21- Nursing Management of Labor and Birth at Risk ............................................................................... 114
Chapter 22- Nursing Management of the Postpartum Woman at Risk .................................................................. 120
Chapter 23- Nursing Care of the Newborn With Special Needs............................................................................. 126
Chapter 24- Nursing Management of the Newborn at Risk ..................................................................................... 132
Chapter 25- Growth and Development oftnthe Newborn and Infant ........................................................................ 138
Chapter 26- Growth and Development of the Toddler ............................................................................................ 144
Chapter 27- Growth and Development of the Preschooler ...................................................................................... 150
Chapter 28- Growth and Development of the School-Age Child .......................................................................... 157
Chapter 29- Growth and Development of the Adolescent ....................................................................................... 164
Chapter 30- Atraumatic Care of Children and Families .......................................................................................... 171
Chapter 31- Health Supervision ................................................................................................................................ 176
Chapter 32- Health Assessment of Children ............................................................................................................ 183
,Chapter 33- Caring for Children in Diverse Settings .............................................................................................. 190
Chapter 34- Caring for the Special Needs Child ..................................................................................................... 197
Chapter 35- Key Pediatric Nursing Interventions .................................................................................................... 203
Chapter 36- Pain Management in Children .............................................................................................................. 210
Chapter 37- Nursing Care of the Child With an Infectious or Communicable Disorder ....................................... 217
Chapter 38- Nursing Care of the Child With an Alteration in Intracranial Regulation / Neurologic Disorder ..... 224
Chapter 39- Nursing Care of the Child With an Alteration in Sensory Perception / Disorder of the Eyes or Ears
................................................................................................................................................................................... 231
Chapter 40- Nursing Care of the Child With an Alteration in Gas Exchange / Respiratory Disorder ................. 238
Chapter 41- Nursing Care of the Child With an Alteration in Perfusion / CardiovasculartnDisorder ..................... 244
Chapter 42- Nursing Care of the Child With an Alteration in Bowel Elimination / Gastrointestinal Disorder.... 250
Chapter 43- Nursing Care of the Child With an Alteration in Urinary Elimination / GenitourinarytnDisorder.... 257
Chapter 44- Nursing Care of the Child With an Alteration in Mobility / Neuromusculartnor Musculoskeletal Disorder
................................................................................................................................................................................. 264
Extra Questions: Musculoskeletal Disorder .......................................................................................................... 270
Chapter 45- Nursing Care of the Child With an Alteration in Tissue Integrity / IntegumentarytnDisorder ............ 277
Chapter 46-
Nursing Care of the Child With an Alteration in Cellular Regulation / Hematologic or Neoplastic Disorder
................................................................................................................................................................................... 283
Extra Questions: Neoplastic Disorder ................................................................................................................... 290
Chapter 47- Nursing Care of the Child With an Alteration in Immunity or Immunologic Disorder ..................... 296
Chapter 48- Nursing Care of the Child With an Alteration in Metabolism / Endocrine Disorder ....................... 303
Chapter 49- Nursing Care of the Child With an Alteration in Genetics ............................................................... 310
Chapter 50- Nursing Care of the Child With an Alteration in Behavior, Cognition, ortnDevelopment .................. 317
Chapter 51- Nursing Care During a Pediatric Emergency ...................................................................................... 324
, Chapter 1-
Perspectives on Maternal, Newborn, and Women’s Health Care
Q1.
Which of the following best explains the primary goal of Healthy People 2030 in relation to maternal and
newborn health?
A) Increasing hospital-based births
B) Reducing health disparities among women and infants
C) Expanding tertiary care facilities for obstetric emergencies
D) Promoting elective cesarean deliveries to reduce complications
Answer: B. Reducing health disparities among women and infants
Rationale: Healthy People 2030 emphasizes prevention, equity, and reduction of health disparities across
populations. Maternal and newborn health initiatives focus on improving outcomes while addressing social
determinants of health.
Q2.
Which historical advancement most directly led to significant reductions in maternal mortality in the 20th
century?
A) Development of community midwifery
B) Widespread use of antiseptic techniques and antibiotics
C) Establishment of private birthing centers
D) Routine use of continuous fetal monitoring
Answer: B. Widespread use of antiseptic techniques and antibiotics
Rationale: Introduction of asepsis, antibiotics, and safe surgical techniques drastically reduced infection-
related maternal deaths.
Q3.
Which trend has most influenced the shift toward family-centered maternity care?
A) Increase in elective cesarean deliveries
B) Consumer demand for involvement in childbirth decisions
C) Greater reliance on technology in perinatal settings
D) Decline in the use of certified nurse-midwives
Answer: B. Consumer demand for involvement in childbirth decisions
