TestuBanku-uEssentialsuofuMaternity,uNewborn,uanduWomen'suHealthuNursingu(4thuEdition) 1
Table of Contents
u u
TableuofuContents 1
Chapteru01:uPerspectivesuonuMaternal,uNewborn,uanduWomensuHealthuCareuC 2
hapteru02:uFamily-CentereduCommunity-BaseduCare 9
Chapteru03:uAnatomyuanduPhysiologyuofutheuReproductiveuSystemuCha 17
pteru04:uCommonuReproductiveuIssues 24
Chapteru05:uSexuallyuTransmitteduInfectionsuChapte 32
ru06:uDisordersuofutheuBreasts 40
Chapteru07:uBenignuDisordersuofutheuFemaleuReproductiveuTractuChapt 48
eru08:uCancersuofutheuFemaleuReproductiveuTract 56
Chapteru 09:u Violenceu andu Abuse 64
Chapteru10:uFetaluDevelopmentuanduGeneticsu Chapte 72
ru11:uMaternaluAdaptationuDuringuPregnancyuChapteru 79
12:uNursinguManagementuDuringuPregnancyuChapteru 87
13:uLaboruanduBirthuProcess 95
Chapteru14:uNursinguManagementuDuringuLaboruanduBirthuChapte 103
ru15:uPostpartumuAdaptations 112
Chapteru16:uNursinguManagementuDuringutheuPostpartumuPerioduChap 120
teru17:uNewbornuTransitioning 128
Chapteru 18:u Nursingu Managementu ofu theu Newborn 136
Chapteru19:uNursinguManagementuofuPregnancyuatuRisk- 145
uPregnancyuChapteru 20:u Nursingu Managementu of u theu Pregnancyu atu 153
RiskuChapteru21:uNursinguManagementuofuLaboruanduBirthuatuRisk 161
Chapteru22:uNursinguManagementuofutheuPostpartumuWomanuatuRisku 169
Chapteru23:uNursinguCareuofutheuNewbornuWithuSpecialuNeedsuChapte 177
ru24:uNursinguManagementuofutheuNewbornuatuRisk 185
,TestuBanku-uEssentialsuofuMaternity,uNewborn,uanduWomen'suHealthuNursingu(4thuEdition) 2
Chapter 01: Perspectives on Maternal, Newborn, and Womens Health Ca
u u u u u u u u u
re
1. TheuUniteduStatesuranksu50thu inutheuworlduforumaternalumortalityuandu41stuamonguindustrializedunationsuforuin
fantumortalityurate.uWhenudevelopinguprogramsutouassistuinudecreasingutheseurates,uwhichufactoruwouldu mostul
ikelyuneedutoubeuaddresseduasuhavingutheugreatestuimpact?
A) Resolvingu allu languageu andu culturalu differences
B) Assuringu earlyu andu adequateu prenatalu care
C) Providingumoreuextensiveuwomen'susheltersuD)
Encouragingualluwomenutoueatuaubalancedudiet
2. Whenu integratingu theu principlesu ofu family-centeredu care,u theu nurseu wouldu includeu whichu ofu theu following?
A) Childbirthu isu viewedu asu au proceduralu event
B) Familiesu areu unableu tou makeu informedu choices
C) Childbirthu resultsu inu changesu inu relationships
D) Familiesu requireu littleu informationu tou makeu appropriateu decisions
3. Whenupreparinguauteachinguplanuforuaugroupuofufirst-
timeupregnantuwomen,utheunurseuexpectsutoureviewuhowu maternityucareuhasuchangeduoverutheuyears.uWhichuofuth
eufollowinguwouldutheunurseuincludeuwhenudiscussingu eventsuofutheu20thucentury?
A) Epidemicsu ofu puerperalu fever
B) Performanceu ofu theu firstu cesareanu birth
C) Developmentu ofu theu x-rayu tou assessu pelvicu size
D) Creationu ofu free-standingu birthu centers
4. Afteruteachinguaugroupuofustudentsuaboutupregnancy-
relatedumortality,utheuinstructorudeterminesuthatuadditionaluteachinguisuneededuwhenutheustudentsuidenti
fyuwhichuconditionuasuauleadingucause?
A) Hemorrhage
B) Embolism
C) Obstructedu labor
,TestuBanku-uEssentialsuofuMaternity,uNewborn,uanduWomen'suHealthuNursingu(4thuEdition) 3
D) Infection
5. Theunurseuisuworkinguwithuaugroupuofucommunityuhealthumembersutoudevelopuauplanutouaddressutheuspecialuheal
thu needsu ofu women.u Whichu ofu theu followingu conditionsu wouldu theu groupu addressu asu theu majoru problem?
A) Smoking
B) Heartu disease
C) Diabetes
uD)Cancer
6. Whenuassessinguaufamilyuforupossibleubarriersutouhealthucare,utheunurseuwoulduconsideruwhichufactorutoubeum
ostuimportant?
A) Language
B) Healthu careu workersu attitudes
C) Transportationu
D)Finances
7. Afteruteachinguaugroupuofunursingustudentsuaboututheuissueuofuinformeduconsent.uWhichuofutheufollowing,uifu id
entifiedubyutheustudent,uwoulduindicateuanuunderstandinguofuauviolationuofuinformeduconsent?
A) Performingu au procedureu onu au 15-year-oldu withoutu consent
B) Servingu asu au witnessu tou theu signatureu process
C) Askingu whetheru theu clientu understandsu whatu sheu isu signing
D) Gettingu verbalu consentu overu theu phoneu foru emergencyu procedures
8. Theunurseuisutryingutougetuconsentutoucareuforuanu11-year-
olduboyuwithudiabeticuketoacidosis.uHisuparentsuareu outu ofu townu onu vacation,u andu theu childu isu stayingu withu au
neighbor.u Whichu actionu wouldu beu theu priority?
A) Gettingu telephoneu consentu withu twou peopleu listeningu tou theu verbalu consent
B) Providingu emergencyu careu withoutu parentalu consent
C) ContactingutheuchildsuauntuoruuncleutouobtainutheiruconsentuD)Ad
vocatinguforuterminationuofuparentalurightsuforuthisusituation
, TestuBanku-uEssentialsuofuMaternity,uNewborn,uanduWomen'suHealthuNursingu(4thuEdition) 4
9. Afteruteachingunursingustudentsuaboututheubasicuconceptsuofufamily-
centereducare,utheuinstructorudeterminesuthatutheuteachinguwasusuccessfuluwhenutheustudentsustateuwhichuofutheu
following?
A) Childbirthu affectsu theu entireu family,u andu relationshipsu willu change.
B) Familiesu areu notu capableu ofumakingu healthu careu decisionsu foru themselves.
C) Mothersu areu theu familyu membersu affectedu byu childbirth.
D) Childbirthu isu au medicalu procedure.
10. Aunursinguinstructoruisupreparinguauclassudiscussionuonutheutrendsuinuhealthucareuanduhealthucareudeliveryuov
erutheupastuseveralucenturies.uWhenudiscussingutheuchangesuduringutheupastucentury,uwhichuofutheufollowing
uwouldutheuinstructorubeuleastulikelyutouinclude?
A) Diseaseu prevention
B) Healthu promotion
C) Wellness
D) Analysisu ofu morbidityu andu mortality
11. AunurseuisuassignedutoucareuforuanuAsianuAmericanuclient.uTheunurseudevelopsuauplanuofucareuwithutheuunderst
andinguthatubaseduonuthisuclientsuculturalubackground,utheuclientumostulikelyuviewsuillnessuasuwhichu ofutheufol
lowing?
A) Causedu byu supernaturalu forces.
B) Au punishmentu foru sins.
C) Dueu tou spiritsu oru demons.
D) Fromu anu imbalanceu ofu yinu andu yang
12. Aunurseuisudevelopinguauplanuofucareuforuauwomanutouensureucontinuityuofucareuduringupregnancy,ulabor,uandu ch
ildbirth.u Whichu ofu theu followingu wouldu beu mostu importantu foru theu nurseu tou incorporateu intou thatu plan?
A) Adheringu tou strict,u specificu routines
B) Involvingu au pediatricu physician
C) Educatingu theu clientu aboutu theu importanceu ofu au supportu person
D) Assigningu severalu nursesu asu au supportu team
13. Aunursinguinstructoruisupreparinguauclassudiscussionuonucaseumanagementuinumaternaluandunewbornuhealthuca
re.uWhichuofutheufollowinguwouldutheuinstructoruincludeuasuaukeyucomponent?uSelectualluthatuapply.
Table of Contents
u u
TableuofuContents 1
Chapteru01:uPerspectivesuonuMaternal,uNewborn,uanduWomensuHealthuCareuC 2
hapteru02:uFamily-CentereduCommunity-BaseduCare 9
Chapteru03:uAnatomyuanduPhysiologyuofutheuReproductiveuSystemuCha 17
pteru04:uCommonuReproductiveuIssues 24
Chapteru05:uSexuallyuTransmitteduInfectionsuChapte 32
ru06:uDisordersuofutheuBreasts 40
Chapteru07:uBenignuDisordersuofutheuFemaleuReproductiveuTractuChapt 48
eru08:uCancersuofutheuFemaleuReproductiveuTract 56
Chapteru 09:u Violenceu andu Abuse 64
Chapteru10:uFetaluDevelopmentuanduGeneticsu Chapte 72
ru11:uMaternaluAdaptationuDuringuPregnancyuChapteru 79
12:uNursinguManagementuDuringuPregnancyuChapteru 87
13:uLaboruanduBirthuProcess 95
Chapteru14:uNursinguManagementuDuringuLaboruanduBirthuChapte 103
ru15:uPostpartumuAdaptations 112
Chapteru16:uNursinguManagementuDuringutheuPostpartumuPerioduChap 120
teru17:uNewbornuTransitioning 128
Chapteru 18:u Nursingu Managementu ofu theu Newborn 136
Chapteru19:uNursinguManagementuofuPregnancyuatuRisk- 145
uPregnancyuChapteru 20:u Nursingu Managementu of u theu Pregnancyu atu 153
RiskuChapteru21:uNursinguManagementuofuLaboruanduBirthuatuRisk 161
Chapteru22:uNursinguManagementuofutheuPostpartumuWomanuatuRisku 169
Chapteru23:uNursinguCareuofutheuNewbornuWithuSpecialuNeedsuChapte 177
ru24:uNursinguManagementuofutheuNewbornuatuRisk 185
,TestuBanku-uEssentialsuofuMaternity,uNewborn,uanduWomen'suHealthuNursingu(4thuEdition) 2
Chapter 01: Perspectives on Maternal, Newborn, and Womens Health Ca
u u u u u u u u u
re
1. TheuUniteduStatesuranksu50thu inutheuworlduforumaternalumortalityuandu41stuamonguindustrializedunationsuforuin
fantumortalityurate.uWhenudevelopinguprogramsutouassistuinudecreasingutheseurates,uwhichufactoruwouldu mostul
ikelyuneedutoubeuaddresseduasuhavingutheugreatestuimpact?
A) Resolvingu allu languageu andu culturalu differences
B) Assuringu earlyu andu adequateu prenatalu care
C) Providingumoreuextensiveuwomen'susheltersuD)
Encouragingualluwomenutoueatuaubalancedudiet
2. Whenu integratingu theu principlesu ofu family-centeredu care,u theu nurseu wouldu includeu whichu ofu theu following?
A) Childbirthu isu viewedu asu au proceduralu event
B) Familiesu areu unableu tou makeu informedu choices
C) Childbirthu resultsu inu changesu inu relationships
D) Familiesu requireu littleu informationu tou makeu appropriateu decisions
3. Whenupreparinguauteachinguplanuforuaugroupuofufirst-
timeupregnantuwomen,utheunurseuexpectsutoureviewuhowu maternityucareuhasuchangeduoverutheuyears.uWhichuofuth
eufollowinguwouldutheunurseuincludeuwhenudiscussingu eventsuofutheu20thucentury?
A) Epidemicsu ofu puerperalu fever
B) Performanceu ofu theu firstu cesareanu birth
C) Developmentu ofu theu x-rayu tou assessu pelvicu size
D) Creationu ofu free-standingu birthu centers
4. Afteruteachinguaugroupuofustudentsuaboutupregnancy-
relatedumortality,utheuinstructorudeterminesuthatuadditionaluteachinguisuneededuwhenutheustudentsuidenti
fyuwhichuconditionuasuauleadingucause?
A) Hemorrhage
B) Embolism
C) Obstructedu labor
,TestuBanku-uEssentialsuofuMaternity,uNewborn,uanduWomen'suHealthuNursingu(4thuEdition) 3
D) Infection
5. Theunurseuisuworkinguwithuaugroupuofucommunityuhealthumembersutoudevelopuauplanutouaddressutheuspecialuheal
thu needsu ofu women.u Whichu ofu theu followingu conditionsu wouldu theu groupu addressu asu theu majoru problem?
A) Smoking
B) Heartu disease
C) Diabetes
uD)Cancer
6. Whenuassessinguaufamilyuforupossibleubarriersutouhealthucare,utheunurseuwoulduconsideruwhichufactorutoubeum
ostuimportant?
A) Language
B) Healthu careu workersu attitudes
C) Transportationu
D)Finances
7. Afteruteachinguaugroupuofunursingustudentsuaboututheuissueuofuinformeduconsent.uWhichuofutheufollowing,uifu id
entifiedubyutheustudent,uwoulduindicateuanuunderstandinguofuauviolationuofuinformeduconsent?
A) Performingu au procedureu onu au 15-year-oldu withoutu consent
B) Servingu asu au witnessu tou theu signatureu process
C) Askingu whetheru theu clientu understandsu whatu sheu isu signing
D) Gettingu verbalu consentu overu theu phoneu foru emergencyu procedures
8. Theunurseuisutryingutougetuconsentutoucareuforuanu11-year-
olduboyuwithudiabeticuketoacidosis.uHisuparentsuareu outu ofu townu onu vacation,u andu theu childu isu stayingu withu au
neighbor.u Whichu actionu wouldu beu theu priority?
A) Gettingu telephoneu consentu withu twou peopleu listeningu tou theu verbalu consent
B) Providingu emergencyu careu withoutu parentalu consent
C) ContactingutheuchildsuauntuoruuncleutouobtainutheiruconsentuD)Ad
vocatinguforuterminationuofuparentalurightsuforuthisusituation
, TestuBanku-uEssentialsuofuMaternity,uNewborn,uanduWomen'suHealthuNursingu(4thuEdition) 4
9. Afteruteachingunursingustudentsuaboututheubasicuconceptsuofufamily-
centereducare,utheuinstructorudeterminesuthatutheuteachinguwasusuccessfuluwhenutheustudentsustateuwhichuofutheu
following?
A) Childbirthu affectsu theu entireu family,u andu relationshipsu willu change.
B) Familiesu areu notu capableu ofumakingu healthu careu decisionsu foru themselves.
C) Mothersu areu theu familyu membersu affectedu byu childbirth.
D) Childbirthu isu au medicalu procedure.
10. Aunursinguinstructoruisupreparinguauclassudiscussionuonutheutrendsuinuhealthucareuanduhealthucareudeliveryuov
erutheupastuseveralucenturies.uWhenudiscussingutheuchangesuduringutheupastucentury,uwhichuofutheufollowing
uwouldutheuinstructorubeuleastulikelyutouinclude?
A) Diseaseu prevention
B) Healthu promotion
C) Wellness
D) Analysisu ofu morbidityu andu mortality
11. AunurseuisuassignedutoucareuforuanuAsianuAmericanuclient.uTheunurseudevelopsuauplanuofucareuwithutheuunderst
andinguthatubaseduonuthisuclientsuculturalubackground,utheuclientumostulikelyuviewsuillnessuasuwhichu ofutheufol
lowing?
A) Causedu byu supernaturalu forces.
B) Au punishmentu foru sins.
C) Dueu tou spiritsu oru demons.
D) Fromu anu imbalanceu ofu yinu andu yang
12. Aunurseuisudevelopinguauplanuofucareuforuauwomanutouensureucontinuityuofucareuduringupregnancy,ulabor,uandu ch
ildbirth.u Whichu ofu theu followingu wouldu beu mostu importantu foru theu nurseu tou incorporateu intou thatu plan?
A) Adheringu tou strict,u specificu routines
B) Involvingu au pediatricu physician
C) Educatingu theu clientu aboutu theu importanceu ofu au supportu person
D) Assigningu severalu nursesu asu au supportu team
13. Aunursinguinstructoruisupreparinguauclassudiscussionuonucaseumanagementuinumaternaluandunewbornuhealthuca
re.uWhichuofutheufollowinguwouldutheuinstructoruincludeuasuaukeyucomponent?uSelectualluthatuapply.
