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Table of Contents
Table of Contents 1
Chapter 01: 21st Century Maternity Nursing 3
Chapter 02: Community Care: The Family and Culture 17
Chapter 03: Assessment and Health Promotion 27
Chapter 04: Reproductive System Concerns 44
Chapter 05: Infertility, Contraception, and Abortion 65
Chapter 06: Genetics, Conception, and Fetal Development 83
Chapter 07: Anatomy and Physiology of Pregnancy 99
Chapter 08: Nursing Care of the Family During Pregnancy 114
Chapter 09: Maternal and Fetal Nutrition 131
Chapter 10: Assessment of High Risk Pregnancy 148
Chapter 11: High Risk Perinatal Care: Preexisting Conditions 162
Chapter 12: High Risk Perinatal Care: Gestational Conditions 182
Chapter 13: Labor and Birth Processes 204
Chapter 14: Pain Management 217
Chapter 15: Fetal Assessment During Labor 234
Chapter 16: Nursing Care of the Family During Labor and Birth 252
Chapter 17: Labor and Birth Complications 276
Chapter 18: Maternal Physiologic Changes 293
Chapter 19: Nursing Care of the Family During the Postpartum Period 307
Chapter 20: Transition to Parenthood 321
Chapter 21: Postpartum Complications 336
Chapter 22: Physiologic and Behavioral Adaptations of the Newborn 354
Chapter 23: Nursing Care of the Newborn and Family 373
Chapter 24: Newborn Nutrition and Feeding 385
Chapter 25: The High Risk Newborn 402
Chapter 26: 21st Century Pediatric Nursing 426
Chapter 27: Family, Social, Cultural, and Religious Influences on Child Health Promotion
433
Chapter 28: Developmental and Genetic Influences on Child Health Promotion 441
Chapter 29: Communication, History, and Physical Assessment 456
Chapter 30: Pain Assessment and Management in Children 476
Chapter 31: The Infant and Family 487
Chapter 32: The Toddler and Family 509
Chapter 33: The Preschooler and Family 527
Chapter 34: The School-Age Child and Family 541
Chapter 35: The Adolescent and Family 557
Chapter 36: Impact of Chronic Illness, Disability, and End-of-Life Care for the Child and
Family 578
Chapter 37: Impact of Cognitive or Sensory Impairment on the Child and Family 595
Chapter 38: Family-Centered Care of the Child During Illness and Hospitalization 614
Chapter 39: Pediatric Variations of Nursing Interventions 626
Chapter 40: Respiratory Dysfunction 648
Chapter 41: Gastrointestinal Dysfunction 666
Chapter 42: Cardiovascular Dysfunction 688
Chapter 43: Hematologic and Immunologic Dysfunction 713
Chapter 44: Cancer 736
Chapter 45: Genitourinary Dysfunction 758
Chapter 46: Cerebral Dysfunction 774
Chapter 47: Endocrine Dysfunction 795
Chapter 48: Musculoskeletal or Articular Dysfunction 811
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Chapter 49: Neuromuscular or Muscular Dysfunction 827
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Chapter 01: 21st Century Maternity Nursing
m m m m m
MULTIPLE m CHOICE
1. When mproviding mcare mfor ma mpregnant mwoman, mthe mnurse mshould mbe maware mthat mone mof mthe mmost
mfrequentlymreported mmaternal mmedical mrisk mfactors mis:
a. Diabetes mmellitus. c. Chronic mhypertension.
b. Mitral mvalve mprolapse m(MVP). d. Anemia.
ANS: mA
The mmost mfrequently mreported mmaternal mmedical mrisk mfactors mare mdiabetes mand mhypertension massociated
mwith m pregnancy. mBoth m of m these m conditions m are massociated m with m maternal m obesity. mThere m are m no m studies
m that mindicate m MVP m is mamong mthe m most mfrequently m reported m maternal mrisk m factors. m Hypertension
m associated m with m pregnancy, mnot m chronic m hypertension, mis m one m of m the m most m frequently m reported m maternal
m medical mrisk mfactors. m Although m anemia mis ma mconcern min mpregnancy, mit mis mnot mone mof mthe mmost mfrequently
mreported mmaternal mmedical mrisk mfactors minmpregnancy.
PTS: m1 mDIF: mCognitive mLevel: mKnowledge mREF: m6
OBJ: mNursing mProcess: mAssessment mMSC: mClient mNeeds: mPhysiologic mIntegrity
2. To mensure moptimal moutcomes mfor mthe mpatient, mthe mcontemporary mmaternity mnurse mmust mincorporate
m both mteamwork mand mcommunication mwith mclinicians minto mher mcare mdelivery, mThe mSBAR mtechnique mof
mcommunication misman measy-to-remember mmechanism mfor mcommunication. mWhich mof mthe mfollowing mcorrectly
mdefines mthis macronym?
a. Situation, mbaseline massessment, mresponse
b. Situation, m background, m assessment, m recommendation
c. Subjective m background, m assessment, m recommendation
d. Situation, m background, m anticipated
m recommendationmANS: mB
The msituation, mbackground, massessment, mrecommendation m(SBAR) mtechnique mprovides ma mspecific mframework
mfor mcommunication mamong mhealth mcare mproviders. mFailure mto mcommunicate mis mone mof mthe mmajor mreasons
mfor merrors min m health mcare. mThe mSBAR mtechnique mhas mthe mpotential mto mserve mas ma mmeans mto mreduce
merrors.
PTS: m1 mDIF: mCognitive mLevel: mComprehension mREF:
14mOBJ: mNursing mProcess: mAssessment, mPlanning
m
MSC: mClient mNeeds: mSafe mand mEffective mCare mEnvironment
3. The mrole mof mthe mprofessional mnurse mcaring mfor mchildbearing mfamilies mhas mevolved mto memphasize:
a. Providing mcare mto mpatients mdirectly mat mthe mbedside.
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b. Primarily mhospital mcare mof mmaternity mpatients.
c. Practice musing man mevidence-based mapproach.
d. Planning mpatient mcare mto mcover mlonger mhospital mstays.
ANS: mC
Professional mnurses mare mpart mof mthe mteam mof mhealth mcare mproviders mwho mcollaboratively mcare mfor mpatients
m throughout mthe mchildbearing mcycle. mProviding mcare mto mpatients mdirectly mat mthe mbedside mis mone mof mthe mnurses
mtasks; m however, mit mdoes mnot mencompass mthe mconcept mof mthe mevolved mprofessional mnurse. mThroughout mthe
mprenatal mperiod, m nurses m care m for m women min m clinics m and m physicians m offices m and mteach mclasses mto m help
m families m prepare m for m childbirth. m Nurses malso m care m for mchildbearing mfamilies m in m birthing m centers m and m in
m the m home. m Nurses m have m been m critically mimportant min mdeveloping mstrategies mto mimprove mthe mwell-being mof
mwomen mand mtheir minfants mand mhave mled mthe mefforts mto mimplement mclinical mpractice mguidelines musing man
mevidence-based mapproach. mMaternity mpatients mhavemexperienced ma mdecreased, mrather mthan man mincreased,
mlength mof mstay mover mthe mpast m2 mdecades.
PTS: m1 mDIF: mCognitive mLevel: mComprehension
REF: m1mOBJ: mNursing mProcess: mImplementation
m
MSC: mClient mNeeds: mSafe mand mEffective mCare mEnvironment
4. A m23-year-old mAfrican-American mwoman mis mpregnant mwith mher mfirst mchild. mBased mon mthe mstatistics mfor
minfantmmortality, mwhich mplan mis mmost mimportant mfor mthe mnurse mto mimplement?
a. Perform ma mnutrition massessment.
b. Refer mthe mwoman mto ma msocial mworker.
c. Advise mthe mwoman mto msee man mobstetrician, mnot ma mmidwife.
d. Explain mto mthe mwoman mthe mimportance mof mkeeping mher mprenatal mcare mappointments.
ANS: mD
Consistent mprenatal mcare mis mthe mbest mmethod mof mpreventing mor mcontrolling mrisk mfactors massociated mwith
m infant m mortality. mNutritional mstatus mis man mimportant mmodifiable mrisk mfactor, mbut ma mnutrition massessment mis
mnot mthe mmost m important maction ma mnurse mshould mtake min mthis msituation. mThe mpatient mmay mneed massistance
mfrom ma msocial mworker matmsome m time m during m her m pregnancy, m but ma m referral mto m a m social m worker m is m not
m the m most mimportant m aspect m the m nursem should maddress mat mthis mtime. mIf mthe mwoman mhas midentifiable mhigh-
risk mproblems, mher mhealth mcare mmay mneed mto mbe mprovided mby ma mphysician. mHowever, mit mcannot mbe
m assumed m that m all mAfrican-American mwomen m have m high-risk m issues. m In maddition, m advising m the m woman
m to m see m an m obstetrician mis m not m the m most m important m aspect m on mwhich m themnurse m should m focus m at m this
m time, m and mit mis m not mappropriate m for m a m nurse mto m advise mor m manage mthe mtype m of m care m a m patient mis mto
mreceive.
PTS: m1 mDIF: mCognitive mLevel: mComprehension mREF: m6
OBJ: mNursing mProcess: mPlanning mMSC: mClient mNeeds: mHealth mPromotion mand mMaintenance
5. During ma mprenatal mintake minterview, mthe mnurse mis min mthe mprocess mof mobtaining man minitial massessment mof ma
m21-year-mold mHispanic mpatient mwith mlimited mEnglish mproficiency. mIt mis mimportant mfor mthe mnurse mto:
