Y EssentialsY ofY MaternityY NewbornY andY Women’sY HealthY NursingY 6thY EditionY SusanY Ricci
Contents
ChapterY1-YPerspectivesYonYMaternal,YNewborn,YandYWomen’sYHealthYCare .............................................................. 4
ChapterY2-YFamily-CenteredYCommunity-BasedYCare .................................................................................................. 9
ChapterY3-YAnatomyYandYPhysiologyYofYtheYReproductiveYSystem ............................................................................ 14
ChapterY4-YCommonYReproductiveYIssues .................................................................................................................. 19
ChapterY5-YSexuallyYTransmittedYInfections ............................................................................................................... 24
ChapterY6-YDisordersYofYtheYBreasts ............................................................................................................................ 29
ChapterY7-YBenignYDisordersYofYtheYFemaleYReproductiveYTract............................................................................... 34
ChapterY8-YCancersYofYtheYFemaleYReproductiveYTract .............................................................................................. 39
ChapterY9-YViolenceYandY Abuse .................................................................................................................................. 44
ChapterY10-YFetalYDevelopmentYandYGenetics ............................................................................................................ 49
ChapterY11-YMaternalYAdaptationYDuringYPregnancy ................................................................................................. 54
ChapterY12-YNursingYManagementYDuringYPregnancy ................................................................................................ 60
ChapterY13-YLaborYandYBirthYProcess ......................................................................................................................... 66
ChapterY14-YNursingYManagementYDuringYLaborYandYBirth ...................................................................................... 72
ChapterY15-YPostpartumYAdaptations .......................................................................................................................... 78
ChapterY16-YNursingYManagementYDuringYtheYPostpartumYPeriod ............................................................................. 84
ChapterY17-YNewbornYTransitioning ........................................................................................................................... 90
ChapterY18-YNursingYManagementYofYtheYNewborn ................................................................................................... 96
ChapterY19-YNursingYManagementYofYPregnancyYatYRisk-YPregnancy ...................................................................... 102
ChapterY20-YNursingYManagementYofYtheYPregnancyYatYRisk ................................................................................... 108
ChapterY21-YNursingYManagementYofYLaborYandYBirthYatYRisk ................................................................................ 114
ChapterY22-YNursingYManagementYofYtheYPostpartumYWomanYatYRisk .................................................................... 120
ChapterY23-YNursingYCareYofYtheYNewbornYWithYSpecialYNeeds ............................................................................. 126
ChapterY24-YNursingYManagementYofYtheYNewbornYatYRisk ..................................................................................... 132
ChapterY25-YGrowthYandYDevelopmentYofYtheYNewbornYandYInfant ......................................................................... 138
ChapterY26-YGrowthYandYDevelopmentYofYtheYToddler............................................................................................. 144
ChapterY27-YGrowthYandYDevelopmentYofYtheYPreschooler ...................................................................................... 150
ChapterY28-YGrowthYandYDevelopmentYofYtheYSchool-AgeYChild ............................................................................ 157
ChapterY29-YGrowthYandYDevelopmentYofYtheY Adolescent ....................................................................................... 164
ChapterY30-YAtraumaticYCareYofYChildrenYandYFamilies .......................................................................................... 171
ChapterY31-YHealthYSupervision ................................................................................................................................ 176
ChapterY32-YHealthYAssessmentYofYChildren ............................................................................................................ 183
ChapterY33-YCaringYforYChildrenYinYDiverseYSettings ............................................................................................... 190
ChapterY34-YCaringYforYtheYSpecialYNeedsYChild ..................................................................................................... 197
ChapterY35-YKeyYPediatricYNursingYInterventions ..................................................................................................... 203
ChapterY36-YPainYManagementYinYChildren .............................................................................................................. 210
ChapterY37-YNursingYCareYofYtheYChildYWithYanYInfectiousYorY CommunicableY Disorder .................................................. 217
ChapterY38-YNursingYCareYofYtheYChildYWithYanYAlterationYinYIntracranialY RegulationY/YNeurologicYDisorder ............... 224
, TestY Bank-
ChapterY39-YNursingYCareYofYtheYChild Y WithY anY AlterationYinYSensoryYPerceptionY/Y Disorder YofY theYEyesY orY Ears ..... 231
Y EssentialsY ofY MaternityY NewbornY andY Women’sY HealthY NursingY 6thY EditionY SusanY Ricci
ChapterY40-YNursingYCareYofYtheYChildY WithYanYAlterationYinYGasYExchangeY /Y RespiratoryYDisorder ...........................238
ChapterY41-YNursingYCareYofYtheYChildY WithYanY AlterationYinY PerfusionY/Y CardiovascularYDisorder .............................244
ChapterY42-YNursingYCareYofYtheYChildY WithYanY AlterationYinYBowelY EliminationY/Y GastrointestinalYDisorder ............250
ChapterY43-YNursingYCareYofYtheYChildY WithYanYAlterationYinYUrinaryYEliminationY/YGenitourinaryYDisorder .............257
ChapterY44-YNursingYCareYofYtheYChildY WithYanY AlterationYinY MobilityY/Y NeuromuscularYorY MusculoskeletalYDisorder
.................................................................................................................................................................................Y Y Y 264
ExtraYQuestions:YMusculoskeletalYDisorder ........................................................................................................................270
ChapterY45-YNursingYCareYofYtheYChildYWithYanY AlterationYinY TissueYIntegrityY/YIntegumentaryYDisorder ....................277
ChapterY46-
YNursingYCareYofYtheYChildYWithYanYAlterationYinYCellularYRegulationY/YHematologicYorYNeoplasticYDisorder .. 283
ExtraYQuestions:YNeoplasticYDisorder.................................................................................................................... 290
ChapterY47-YNursingYCareYofYtheYChildYWithYanYAlterationYinYImmunityYorYImmunologicYDisorder .......................... 296
ChapterY48-YNursingYCareYofYtheYChildYWithYanYAlterationYinYMetabolismY/Y EndocrineYDisorder ..................................303
ChapterY49-YNursingYCareYofYtheYChildYWithYanY AlterationYinYGenetics .............................................................................310
ChapterY50-YNursingYCareYofYtheYChildY WithYanY AlterationYinY Behavior,Y Cognition,Y orY Development ..........................317
ChapterY51-YNursingYCareYDuringYaYPediatricYEmergency .............................................................................................. 324
, TestY Bank-
Y EssentialsY ofY MaternityY NewbornY andY Women’sY HealthY NursingY 6thY EditionY SusanY Ricci
Chapter 1- Y
Perspectives on Maternal, Newborn, and Women’sHealth Care
Y Y Y Y Y Y Y Y
1. TheYUnitedYStatesYranksY50thYinYtheYworldYforYmaternalYmortalityYandY41stYamongYindustriali
zedYnationsYforYinfantYmortalityYrate.YWhenYdevelopingYprogramsYtoYassistYinYdecreasingYtheseYrat
es,YwhichYfactorYwouldYmostYlikelyYneedYtoYbeYaddressedYasYhavingYtheYgreatestYimpact?
A) ResolvingYallYlanguageYandYculturalYdifferences
B) AssuringYearlyYandYadequateYprenatalYcare
C) ProvidingYmoreYextensiveYwomen’sYshelters
D) EncouragingYallYwomenYtoYeatYaYbalancedYdiet
2. WhenYintegratingYtheYprinciplesYofYfamily-
centeredYcare,YtheYnurseYwouldYincludeYwhichYofYtheYfollowing?
A) ChildbirthYisYviewedYasYaYproceduralYevent
B) FamiliesYareYunableYtoYmakeYinformedYchoices
C) ChildbirthYresultsYinYchangesYinYrelationships
D) FamiliesYrequireYlittleYinformationYtoYmakeYappropriateYdecisions
3. WhenYpreparingYaYteachingYplanYforYaYgroupYofYfirst-
timeYpregnantYwomen,YtheYnurseYexpectsYtoYreviewYhowYmaternityYcareYhasYchangedYoverYtheYye
ars.YWhichYofYtheYfollowingYwouldYtheYnurseYincludeYwhenYdiscussingYeventsYofYtheY20thYcentur
y?
A) EpidemicsYofYpuerperalYfever
B) PerformanceYofYtheYfirstYcesareanYbirth
C) DevelopmentYofYtheYx-rayYtoYassessYpelvicYsize
D) CreationYofYfree-standingYbirthYcenters
4. AfterYteachingYaYgroupYofYstudentsYaboutYpregnancy-
relatedYmortality,YtheYinstructorYdeterminesYthatYadditionalYteachingYisYneededYwhenYtheYstudents
YidentifyYwhichYconditionYasYaYleadingYcause?
A) Hemorrhage
B) Embolism
C) ObstructedYlabor
D) Infection
5. TheYnurseYisYworkingYwithYaYgroupYofYcommunityYhealthYmembersYtoYdevelopYaYplanYtoYaddre
ssYtheYspecialYhealthYneedsYofYwomen.YWhichYofYtheYfollowingYconditionsYwouldYtheYgroupYadd
ressYasYtheYmajorYproblem?
A) Smoking
B) HeartYdisease
C) Diabetes
D) Cancer
6. WhenYassessingYaYfamilyYforYpossibleYbarriersYtoYhealthYcare,YtheYnurseYwouldYconsiderYwhi
chYfactorYtoYbeYmostYimportant?
A) Language