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Maternity and Pediatric Nursing
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Maternity and Pediatric Nursing t t t
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Contents
Chaptert1-tPerspectivestontMaternal,tNewborn,tandtWomen’stHealthtCare ..................................................................... 4
Chaptert2-t Family-CenteredtCommunity-BasedtCare....................................................................................................... 9
Chaptert3-t AnatomytandtPhysiologytoftthetReproductivetSystem ................................................................................... 14
Chaptert4-tCommontReproductivetIssues....................................................................................................................... 19
Chaptert5-tSexuallytTransmittedtInfections.................................................................................................................... 24
Chaptert6-tDisorderstoftthetBreasts ................................................................................................................................ 29
Chaptert7-tBenigntDisorderstoftthetFemaletReproductivetTract....................................................................................... 34
Chaptert8-tCancerstoftthetFemaletReproductivetTract ..................................................................................................... 39
Chaptert9-tViolencetandtAbuse ...................................................................................................................................... 44
Chaptert10-tFetaltDevelopmenttandtGenetics ................................................................................................................. 49
Chaptert11-tMaternaltAdaptationtDuringtPregnancy ...................................................................................................... 54
Chaptert12-tNursingtManagementtDuringtPregnancy ..................................................................................................... 60
Chaptert13-tLabortandtBirthtProcess .............................................................................................................................. 66
Chaptert14-tNursingtManagementtDuringtLabortandtBirth ............................................................................................. 72
Chaptert15-tPostpartumtAdaptations.............................................................................................................................. 78
Chaptert16-tNursingtManagementtDuringtthet PostpartumtPeriod.................................................................................... 84
Chaptert17-tNewborntTransitioning............................................................................................................................... 90
Chaptert18-tNursingtManagementtoftthetNewborn ......................................................................................................... 96
Chaptert19-tNursingtManagementtoftPregnancytatt Risk-tPregnancy ............................................................................. 102
Chaptert20-tNursingtManagementtoftthetPregnancytattRisk .......................................................................................... 108
Chaptert21-tNursingtManagementtoftLabortandtBirthtattRisk ........................................................................................ 114
Chaptert22-tNursingtManagementtoftthetPostpartumtWomantattRisk ............................................................................ 120
Chaptert23-tNursingtCaretoftthetNewborntWithtSpecialtNeeds ...................................................................................... 126
Chaptert24-tNursingtManagementtoftthetNewborntattRisk ............................................................................................ 132
Chaptert25-tGrowthtandtDevelopmenttoftthetNewborntandtInfant ................................................................................. 138
Chaptert26-tGrowthtandtDevelopmenttoftthetToddler ................................................................................................... 144
Chaptert27-tGrowthtandtDevelopmenttoftthetPreschooler ............................................................................................. 150
Chaptert28-tGrowthtandtDevelopmenttoftthet School-AgetChild .................................................................................... 157
Chaptert29-tGrowthtandtDevelopmenttoftthetAdolescent .............................................................................................. 164
Chaptert30-tAtraumatictCaretoftChildrentandtFamilies ................................................................................................. 171
Chaptert31-tHealthtSupervision ................................................................................................................................... 176
Chaptert32-tHealthtAssessmenttoftChildren ................................................................................................................. 183
Chaptert33-tCaringtfortChildrentintDiversetSettings...................................................................................................... 190
Chaptert34-tCaringtfortthetSpecialtNeedstChild ............................................................................................................ 197
Chaptert35-tKeytPediatrictNursingtInterventions .......................................................................................................... 203
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Chaptert36-tPaintManagementtintChildren ................................................................................................................... 210
Chaptert37-tNursingtCaretoftthetChildtWithtantInfectioustortCommunicabletDisorder ................................................... 217
Chaptert38-tNursingtCaretoftthet ChildtWithtant AlterationtintIntracranialt Regulationt/tNeurologictDisorder ....................... 224
Chaptert39-tNursingtCaretoftthetChildtWithtantAlterationtintSensorytPerceptiont/tDisordertoftthetEyestortEars................. 231
Chaptert40-tNursingtCaretoftthetChildtWithtantAlterationtintGastExchanget/tRespiratorytDisorder .................................. 238
Chaptert41-tNursingtCaretoftthetChildtWithtantAlterationtintPerfusiont/tCardiovasculartDisorder ................................... 244
Chaptert42-tNursingtCaretoftthetChildtWithtantAlterationtintBoweltEliminationt/tGastrointestinaltDisorder .................... 250
Chaptert43-tNursingtCaretoftthetChildtWithtantAlterationtintUrinarytEliminationt/tGenitourinarytDisorder ..................... 257
Chaptert44-tNursingtCaretoftthetChildtWithtantAlterationtintMobilityt/tNeuromusculartortMusculoskeletaltDisorder
................................................................................................................................................................................. 264
Extrat Questions:t MusculoskeletaltDisorder .............................................................................................................. 270
Chaptert45-tNursingtCaretoftthetChildtWithtantAlterationtintTissuetIntegrityt/tIntegumentarytDisorder ........................... 277
Chaptert46-tNursingtCaretoftthetChildtWithtantAlterationtintCellulartRegulationt/tHematologictortNeoplastictDisorder
................................................................................................................................................................................... 283
ExtratQuestions:tNeoplastictDisorder ...................................................................................................................... 290
Chaptert47-tNursingtCaretoftthetChildtWithtantAlterationtintImmunitytortImmunologictDisorder ................................... 296
Chaptert48-tNursingtCaretoftthetChildtWithtantAlterationtintMetabolismt/tEndocrinetDisorder ....................................... 303
Chaptert49-tNursingtCaretoftthetChildtWithtantAlterationtintGenetics ............................................................................ 310
Chaptert50-tNursingtCaretoftthetChildtWithtantAlterationtintBehavior,tCognition,tortDevelopment ................................ 317
Chaptert51-tNursingtCaretDuringtatPediatrictEmergency .............................................................................................. 324
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Chapter 1- t
Perspectives on Maternal, Newborn, and Women’s Health Care
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1. ThetUnitedtStatestrankst50thtintthetworldtfortmaternaltmortalitytandt41sttamongtindustrializedtnati
onstfortinfanttmortalitytrate.tWhentdevelopingtprogramsttotassisttintdecreasingtthesetrates,twhichtfact
ortwouldtmosttlikelytneedttotbetaddressedtasthavingtthetgreatesttimpact?
A) Resolvingtalltlanguagetandtculturaltdifferences
B) Assuringtearlytandtadequatetprenataltcare
C) Providingtmoretextensivetwomen’stshelters
D) Encouragingtalltwomenttoteattatbalancedtdiet
2. Whentintegratingtthetprinciplestoftfamily-
centeredtcare,tthetnursetwouldtincludetwhichtoftthetfollowing?
A) Childbirthtistviewedtastatproceduraltevent
B) Familiestaretunablettotmaketinformedtchoices
C) Childbirthtresultstintchangestintrelationships
D) Familiestrequiretlittletinformationttotmaketappropriatetdecisions
3. Whentpreparingtatteachingtplantfortatgrouptoftfirst-
timetpregnanttwomen,tthetnursetexpectsttotreviewthowtmaternitytcarethastchangedtovertthetyears.tWh
ichtoftthetfollowingtwouldtthetnursetincludetwhentdiscussingteventstoftthet20thtcentury?
A) Epidemicstoftpuerperaltfever
B) Performancetoftthetfirsttcesareantbirth
C) Developmenttoftthetx-rayttotassesstpelvictsize
D) Creationtoftfree-standingtbirthtcenters
4. Aftertteachingtatgrouptoftstudentstabouttpregnancy-
relatedtmortality,tthetinstructortdeterminestthattadditionaltteachingtistneededtwhentthetstudentstidenti
fytwhichtconditiontastatleadingtcause?
A) Hemorrhage
B) Embolism
C) Obstructedtlabor
D) Infection
5. Thetnursetistworkingtwithtatgrouptoftcommunitythealthtmembersttotdeveloptatplanttotaddresstthetsp
ecialthealthtneedstoftwomen.tWhichtoftthetfollowingtconditionstwouldtthetgrouptaddresstastthetmajo
rtproblem?
A) Smoking
B) Hearttdisease
C) Diabetes
D) Cancer
6. Whentassessingtatfamilytfortpossibletbarriersttothealthtcare,tthetnursetwouldtconsidertwhichtfact
orttotbetmosttimportant?
A) Language