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Contents
Chapter1-PerspectivesonMaternal,Newborn,andWomen’sHealthCare ........................................................................... 4
Chapter2-Family-CenteredCommunity-BasedCare ........................................................................................................ 9
Chapter3-AnatomyandPhysiologyoftheReproductiveSystem ....................................................................................... 14
Chapter4-CommonReproductiveIssues ........................................................................................................................ 19
Chapter5-SexuallyTransmittedInfections ..................................................................................................................... 24
Chapter6-DisordersoftheBreasts ................................................................................................................................... 29
Chapter7-BenignDisordersoftheFemaleReproductiveTract .......................................................................................... 34
Chapter8-CancersoftheFemaleReproductiveTract ........................................................................................................ 39
Chapter9-ViolenceandAbuse........................................................................................................................................ 44
Chapter10-FetalDevelopmentandGenetics ................................................................................................................... 49
Chapter11-MaternalAdaptationDuringPregnancy ........................................................................................................ 54
Chapter12-NursingManagementDuringPregnancy ....................................................................................................... 60
Chapter13-LaborandBirthProcess ................................................................................................................................ 66
Chapter14-NursingManagementDuringLaborandBirth ................................................................................................ 72
Chapter15-PostpartumAdaptations ............................................................................................................................... 78
Chapter16-NursingManagementDuringthePostpartumPeriod ....................................................................................... 84
Chapter17-NewbornTransitioning ................................................................................................................................ 90
Chapter18-NursingManagementoftheNewborn ............................................................................................................ 96
Chapter19-NursingManagementofPregnancyatRisk-Pregnancy................................................................................ 102
Chapter20-NursingManagementofthePregnancyatRisk .............................................................................................. 108
Chapter21-NursingManagementofLaborandBirthatRisk ............................................................................................ 114
Chapter22-NursingManagementofthePostpartumWomanatRisk ................................................................................ 120
Chapter23-NursingCareoftheNewbornWithSpecialNeeds .......................................................................................... 126
Chapter24-NursingManagementoftheNewbornatRisk ................................................................................................ 132
Chapter25-GrowthandDevelopmentoftheNewbornandInfant ..................................................................................... 138
Chapter26-GrowthandDevelopmentoftheToddler ...................................................................................................... 144
Chapter27-GrowthandDevelopmentofthePreschooler ................................................................................................ 150
Chapter28-GrowthandDevelopmentoftheSchool-AgeChild ...................................................................................... 157
Chapter29-GrowthandDevelopmentofthe Adolescent............................................................................................... 164
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Chapter30-AtraumaticCareofChildrenandFamilies..................................................................................................... 171
Chapter31-HealthSupervision .................................................................................................................................... 176
Chapter32-HealthAssessmentofChildren.................................................................................................................... 183
Chapter33-CaringforChildreninDiverseSettings ......................................................................................................... 190
Chapter34-CaringfortheSpecialNeedsChild................................................................................................................ 197
Chapter35-KeyPediatricNursingInterventions ............................................................................................................ 203
Chapter36-PainManagementinChildren ..................................................................................................................... 210
Chapter37-NursingCareofthe ChildWithanInfectiousorCommunicableDisorder ....................................................... 217
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Chapter 38- Nursing Care of the Child With an Alteration in Intracranial Regulation/ NeurologicDisorder .......................... 224
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Chapter 39- NursingCare of the Child With an Alteration in Sensory Perception / Disorder of the Eyes or Ears ................. 231
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Chapter 40- Nursing Care of the Child With an Alteration in Gas Exchange / Respiratory Disorder ................................... 238
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Chapter41-NursingCareofthe ChildWithanAlterationin Perfusion/ CardiovascularDisorder ...................................... 244
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Chapter 42- Nursing Care of the Child With an Alteration in Bowel Elimination / GastrointestinalDisorder........................ 250
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Chapter 43- Nursing Care of the Child With an Alteration in Urinary Elimination / Genitourinary Disorder...................... 257
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Chapter44-NursingCareofthe ChildWithanAlterationin Mobility/NeuromuscularorMusculoskeletalDisorder
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................................................................................................................................................................................. 264
Extra Questions: Musculoskeletal Disorder .............................................................................................................. 270
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Chapter 45- Nursing Care of the Child With an Alteration in Tissue Integrity / IntegumentaryDisorder .............................. 277
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Chapter46-NursingCareoftheChildWithanAlterationinCellularRegulation/HematologicorNeoplastic Disorder 283 v v
v ExtraQuestions:NeoplasticDisorder...................................................................................................................... 290
Chapter47-NursingCareofthe ChildWithanAlterationin ImmunityorImmunologicDisorder ....................................... 296
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Chapter 48- Nursing Care of the Child With an Alteration in Metabolism/ Endocrine Disorder........................................ 303
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Chapter 49- Nursing Care of the Child With an Alteration in Genetics .............................................................................. 310
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Chapter50-NursingCareoftheChildWithan Alterationin Behavior,Cognition,orDevelopment .................................... 317
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Chapter 51- Nursing Care During a Pediatric Emergency ................................................................................................ 324
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Chapter1-PerspectivesonMaternal,Newborn,andWomen’s
HealthCare
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1. TheUnitedStatesranks 50thintheworldformaternalmortalityand41stamongindustrialized
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nationsforinfantmortalityrate.Whendevelopingprogramstoassistindecreasingtheserates,which
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vfactorwouldmostlikelyneedtobeaddressedashavingthegreatestimpact?
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A) Resolvingalllanguageandculturaldifferences
B) Assuringearlyandadequateprenatalcare
C) Providingmoreextensivewomen’sshelters
D) Encouragingallwomentoeatabalanceddiet
2. Whenintegratingtheprinciplesoffamily-centeredcare,thenursewouldincludewhichofthe v
vfollowing?
A) Childbirthisviewedasaproceduralevent
B) Familiesareunabletomakeinformedchoices
C) Childbirthresultsinchangesinrelationships
D) Familiesrequirelittleinformationtomakeappropriatedecisions
3. Whenpreparingateachingplanforagroupoffirst-timepregnantwomen,thenurseexpectsto
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vreviewhowmaternitycarehaschangedovertheyears.Whichofthefollowingwouldthenurseinclude v
v whendiscussingeventsofthe20thcentury?
A) Epidemicsofpuerperalfever
B) Performanceofthefirstcesareanbirth
C) Developmentofthex-raytoassesspelvicsize
D) Creationoffree-standingbirthcenters
4. Afterteachingagroupofstudentsaboutpregnancy-relatedmortality,theinstructordeterminesthat v
vadditionalteachingisneededwhenthestudentsidentifywhichconditionasaleadingcause?
A) Hemorrhage
B) Embolism
C) Obstructedlabor
D) Infection
5. Thenurseisworkingwithagroupofcommunityhealthmemberstodevelopaplantoaddressthe v
vspecialhealthneedsofwomen.Whichofthefollowingconditionswouldthegroupaddressasthe v
vmajorproblem?
A) Smoking
B) Heartdisease
C) Diabetes
D) Cancer
6. Whenassessingafamilyforpossiblebarrierstohealthcare,thenursewouldconsiderwhichfactor
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tobemostimportant?
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A) Language