,Contents
Chapterx1- Perspectives on Maternal, Newborn, andxWomen’s Health Care ........................................................................................................................... 4
Chapter 2-x Family-Centered Community-BasedxCare............................................................................................................................................................... 9
Chapterx3- Anatomy and Physiology of the Reproductive System.......................................................................................................................................... 14
Chapterx4- Common Reproductive Issues............................................................................................................................................................................... 19
Chapter 5- Sexually Transmitted Infections ........................................................................................................................................................................... 24
Chapterx6- Disorders of the Breasts ........................................................................................................................................................................................ 29
Chapterx7- Benign Disorders of the Female Reproductive Tract............................................................................................................................................. 34
Chapterx8- Cancers of the FemalexReproductive Tract ............................................................................................................................................................ 39
Chapter 9- Violence and Abuse.............................................................................................................................................................................................. 44
Chapter 10- Fetal Development andxGenetics......................................................................................................................................................................... 49
Chapterx11- 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 andxBirth ................................................................................................................................................... 72
Chapter 15- Postpartum Adaptations ...................................................................................................................................................................................... 78
Chapter 16- Nursing Management During the PostpartumxPeriod .......................................................................................................................................... 84
Chapter 17- Newborn Transitioning ....................................................................................................................................................................................... 90
Chapter 18- Nursing Management of the Newborn ................................................................................................................................................................ 96
Chapterx19- NursingxManagement of Pregnancy at Risk- Pregnancy ................................................................................................................................... 102
Chapterx20- NursingxManagement of thexPregnancy at Risk ................................................................................................................................................ 108
Chapterx21- Nursing Management of Labor and Birth atxRisk ............................................................................................................................................. 114
Chapterx22- Nursing Management of the Postpartum Woman at Risk.................................................................................................................................. 120
Chapterx23- Nursing Care of thexNewborn With Special Needs ........................................................................................................................................... 126
Chapterx24- Nursing Management of the Newborn at Risk .................................................................................................................................................. 132
Chapterx25- Growth and Development of the Newborn and Infant ....................................................................................................................................... 138
Chapterx26- Growth andxDevelopment of the Toddler .......................................................................................................................................................... 144
Chapterx27- Growth and Development of the Preschooler.................................................................................................................................................... 150
,Chapterx28- Growth andxDevelopment of the School-Age Child .......................................................................................................................................... 157
Chapter 29- Growth andxDevelopment of the Adolescent..................................................................................................................................................... 164
Chapter 30- Atraumatic Care of ChildrenxandxFamilies........................................................................................................................................................ 171
Chapter 31- Health Supervision............................................................................................................................................................................................ 176
Chapter 32- Health Assessmentxof Children ......................................................................................................................................................................... 183
Chapter 33- Caring for Children in Diverse Settings ............................................................................................................................................................ 190
Chapter 34- Caring for the Special Needs Child................................................................................................................................................................... 197
Chapterx35- Key Pediatric Nursing Interventions ................................................................................................................................................................. 203
Chapterx36- Pain Management inxChildren .......................................................................................................................................................................... 210
Chapterx37- 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 Disorder224
Chapter 39- NursingxCarexof 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
Chapterx41- NursingxCare of the Child With an Alteration inxPerfusionx/ Cardiovascular Disorder ....................................................................................... 244
Chapter 42- Nursing Care of the Child With anxAlteration in Bowel Elimination / Gastrointestinal Disorder
. ............................................................................................................................................................................................................................................. 250
Chapter 43- NursingxCarexof the Child With anxAlteration inxUrinary Elimination / Genitourinary Disorder
. ............................................................................................................................................................................................................................................ 257
Chapter 44- Nursing Care of thexChild With an Alteration in Mobility / Neuromuscular or Musculoskeletal Disorder ExtraxQuestions: Musculoskeletal Disorder
270
Chapterx45- NursingxCare of thexChild With an Alteration in Tissue Integrity / Integumentary Disorder . 277
Chapterx46- Nursing Care of thexChildxWith an Alteration in Cellular Regulation / Hematologic or Neoplastic Disorder
. ......................................................................................................................................................................................................................................... 28
3
Extra Questions: Neoplastic Disorder .............................................................................................................................................................................. 290
Chapter 47- Nursing Carexof the Child With anxAlteration inxImmunity or Immunologic Disorder ....................................................................................... 296
Chapter 48- Nursing Care of the ChildxWith an Alteration in Metabolism / Endocrine Disorder ............................................................................................. 303
Chapter 49- Nursing Care of the ChildxWith an Alterationxin Genetics ...................................................................................................................................310
Chapter 50- Nursing Care of the Child With an Alteration in Behavior, Cognition, or Development................................................................................... 317
Chapter 51- NursingxCare During a Pediatric Emergency ..................................................................................................................................................... 324
, Chapter 1- Perspectives on Maternal, Newborn, and Women’sHealth Care
1. The United States ranks 50thxinxthe world for maternalxmortality and 41st amongxin dustrializedxnations for infant
mortality rate. When developing programs to assist in de creasingthese rates, which factor would most likely need to be
addressed as having thex greatest impact?
A) Resolvingxall language and cultural differences
B) Assuring early andxadequatexprenatal care
C) Providing more extensive women’s shelters
D) Encouraging all women to eat a balanced diet
2. When integrating the principles of family-
centered care, the nurse would include which of thefollowing?
A) Childbirth is viewed as a proceduralxevent
B) Families arexunable toxmake informedxchoices
C) Childbirth results inxchanges in relationships
D) Families requirexlittle information to make appropriate decisions
3. When preparing a teachingxplanxfor a group of first-
time pregnant women, the nurse expects toreview how maternity care has changed over t he years. Which of the following
would the nurse include whenxdiscussing events of the 2 0th century?
A) Epidemics of puerperal fever
B) Performance of the first cesarean birth
C) Development of the x-ray toxassess pelvic size
D) Creation of free-standing birth centers
4. After teaching axgroup of students about pregnancy-
related mortality, the instructor determinesthat additional teaching is needed when th e students identify which conditionxas
a leading cause?
A) Hemorrhage
B) Embolism
Chapterx1- Perspectives on Maternal, Newborn, andxWomen’s Health Care ........................................................................................................................... 4
Chapter 2-x Family-Centered Community-BasedxCare............................................................................................................................................................... 9
Chapterx3- Anatomy and Physiology of the Reproductive System.......................................................................................................................................... 14
Chapterx4- Common Reproductive Issues............................................................................................................................................................................... 19
Chapter 5- Sexually Transmitted Infections ........................................................................................................................................................................... 24
Chapterx6- Disorders of the Breasts ........................................................................................................................................................................................ 29
Chapterx7- Benign Disorders of the Female Reproductive Tract............................................................................................................................................. 34
Chapterx8- Cancers of the FemalexReproductive Tract ............................................................................................................................................................ 39
Chapter 9- Violence and Abuse.............................................................................................................................................................................................. 44
Chapter 10- Fetal Development andxGenetics......................................................................................................................................................................... 49
Chapterx11- 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 andxBirth ................................................................................................................................................... 72
Chapter 15- Postpartum Adaptations ...................................................................................................................................................................................... 78
Chapter 16- Nursing Management During the PostpartumxPeriod .......................................................................................................................................... 84
Chapter 17- Newborn Transitioning ....................................................................................................................................................................................... 90
Chapter 18- Nursing Management of the Newborn ................................................................................................................................................................ 96
Chapterx19- NursingxManagement of Pregnancy at Risk- Pregnancy ................................................................................................................................... 102
Chapterx20- NursingxManagement of thexPregnancy at Risk ................................................................................................................................................ 108
Chapterx21- Nursing Management of Labor and Birth atxRisk ............................................................................................................................................. 114
Chapterx22- Nursing Management of the Postpartum Woman at Risk.................................................................................................................................. 120
Chapterx23- Nursing Care of thexNewborn With Special Needs ........................................................................................................................................... 126
Chapterx24- Nursing Management of the Newborn at Risk .................................................................................................................................................. 132
Chapterx25- Growth and Development of the Newborn and Infant ....................................................................................................................................... 138
Chapterx26- Growth andxDevelopment of the Toddler .......................................................................................................................................................... 144
Chapterx27- Growth and Development of the Preschooler.................................................................................................................................................... 150
,Chapterx28- Growth andxDevelopment of the School-Age Child .......................................................................................................................................... 157
Chapter 29- Growth andxDevelopment of the Adolescent..................................................................................................................................................... 164
Chapter 30- Atraumatic Care of ChildrenxandxFamilies........................................................................................................................................................ 171
Chapter 31- Health Supervision............................................................................................................................................................................................ 176
Chapter 32- Health Assessmentxof Children ......................................................................................................................................................................... 183
Chapter 33- Caring for Children in Diverse Settings ............................................................................................................................................................ 190
Chapter 34- Caring for the Special Needs Child................................................................................................................................................................... 197
Chapterx35- Key Pediatric Nursing Interventions ................................................................................................................................................................. 203
Chapterx36- Pain Management inxChildren .......................................................................................................................................................................... 210
Chapterx37- 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 Disorder224
Chapter 39- NursingxCarexof 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
Chapterx41- NursingxCare of the Child With an Alteration inxPerfusionx/ Cardiovascular Disorder ....................................................................................... 244
Chapter 42- Nursing Care of the Child With anxAlteration in Bowel Elimination / Gastrointestinal Disorder
. ............................................................................................................................................................................................................................................. 250
Chapter 43- NursingxCarexof the Child With anxAlteration inxUrinary Elimination / Genitourinary Disorder
. ............................................................................................................................................................................................................................................ 257
Chapter 44- Nursing Care of thexChild With an Alteration in Mobility / Neuromuscular or Musculoskeletal Disorder ExtraxQuestions: Musculoskeletal Disorder
270
Chapterx45- NursingxCare of thexChild With an Alteration in Tissue Integrity / Integumentary Disorder . 277
Chapterx46- Nursing Care of thexChildxWith an Alteration in Cellular Regulation / Hematologic or Neoplastic Disorder
. ......................................................................................................................................................................................................................................... 28
3
Extra Questions: Neoplastic Disorder .............................................................................................................................................................................. 290
Chapter 47- Nursing Carexof the Child With anxAlteration inxImmunity or Immunologic Disorder ....................................................................................... 296
Chapter 48- Nursing Care of the ChildxWith an Alteration in Metabolism / Endocrine Disorder ............................................................................................. 303
Chapter 49- Nursing Care of the ChildxWith an Alterationxin Genetics ...................................................................................................................................310
Chapter 50- Nursing Care of the Child With an Alteration in Behavior, Cognition, or Development................................................................................... 317
Chapter 51- NursingxCare During a Pediatric Emergency ..................................................................................................................................................... 324
, Chapter 1- Perspectives on Maternal, Newborn, and Women’sHealth Care
1. The United States ranks 50thxinxthe world for maternalxmortality and 41st amongxin dustrializedxnations for infant
mortality rate. When developing programs to assist in de creasingthese rates, which factor would most likely need to be
addressed as having thex greatest impact?
A) Resolvingxall language and cultural differences
B) Assuring early andxadequatexprenatal care
C) Providing more extensive women’s shelters
D) Encouraging all women to eat a balanced diet
2. When integrating the principles of family-
centered care, the nurse would include which of thefollowing?
A) Childbirth is viewed as a proceduralxevent
B) Families arexunable toxmake informedxchoices
C) Childbirth results inxchanges in relationships
D) Families requirexlittle information to make appropriate decisions
3. When preparing a teachingxplanxfor a group of first-
time pregnant women, the nurse expects toreview how maternity care has changed over t he years. Which of the following
would the nurse include whenxdiscussing events of the 2 0th century?
A) Epidemics of puerperal fever
B) Performance of the first cesarean birth
C) Development of the x-ray toxassess pelvic size
D) Creation of free-standing birth centers
4. After teaching axgroup of students about pregnancy-
related mortality, the instructor determinesthat additional teaching is needed when th e students identify which conditionxas
a leading cause?
A) Hemorrhage
B) Embolism
