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Table of Contents

Table of Contents

Chapter 01: 21st Century Maternity Nursing

Chapter 02: Community Care: The Family and Culture

Chapter 03: Assessment and Health Promotion

Chapter 04: Reproductive System Concerns

Chapter 05: Infertility, Contraception, and Abortion

Chapter 06: Genetics, Conception, and Fetal Development

Chapter 07: Anatomy and Physiology of Pregnancy

Chapter 08: Nursing Care of the Family During Pregnancy

Chapter 09: Maternal and Fetal Nutrition

Chapter 10: Assessment of High Risk Pregnancy

Chapter 11: High Risk Perinatal Care: Preexisting Conditions

Chapter 12: High Risk Perinatal Care: Gestational Conditions

Chapter 13: Labor and Birth Processes

Chapter 14: Pain Management

Chapter 15: Fetal Assessment During Labor

Chapter 16: Nursing Care of the Family During Labor and Birth

Chapter 17: Labor and Birth Complications

Chapter 18: Maternal Physiologic Changes

Chapter 19: Nursing Care of the Family During the Postpartum Period

Chapter 20: Transition to Parenthood

Chapter 21: Postpartum Complications

Chapter 22: Physiologic and Behavioral Adaptations of the Newborn

Chapter 23: Nursing Care of the Newborn and Family

Chapter 24: Newborn Nutrition and Feeding

Chapter 25: The High Risk Newborn

Chapter 26: 21st Century Pediatric Nursing

Chapter 27: Family, Social, Cultural, and Religious Influences on Child Health Promotion

Chapter 28: Developmental and Genetic Influences on Child Health Promotion

Chapter 29: Communication, History, and Physical Assessment

Chapter 30: Pain Assessment and Management in Children

Chapter 31: The Infant and Family

Chapter 32: The Toddler and Family

Chapter 33: The Preschooler and Family

Chapter 34: The School-Age Child and Family

Chapter 35: The Adolescent and Family

Chapter 36: Impact of Chronic Illness, Disability, and End-of-Life Care for the Child and

Family

Chapter 37: Impact of Cognitive or Sensory Impairment on the Child and Family

Chapter 38: Family-Centered Care of the Child During Illness and Hospitalization

Chapter 39: Pediatric Variations of Nursing Interventions

Chapter 40: Respiratory Dysfunction

Chapter 41: Gastrointestinal Dysfunction

Chapter 42: Cardiovascular Dysfunction

Chapter 43: Hematologic and Immunologic Dysfunction

Chapter 44: Cancer

Chapter 45: Genitourinary Dysfunction

Chapter 46: Cerebral Dysfunction

Chapter 47: Endocrine Dysfunction

Chapter 48: Musculoskeletal or Articular Dysfunction

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Chapter 49: Neuromuscular or Muscular Dysfunction 827

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Chapter 01: 21st Century Maternity Nursing

MULTIPLE CHOICE

1. When providing care for a pregnant woman, the nurse should be aware that one of the most frequently

reported maternal medical risk factors is:

a. Diabetes mellitus. c. Chronic hypertension.

b. Mitral valve prolapse (MVP). d. Anemia.

ANS: A

The most frequently reported maternal medical risk factors are diabetes and hypertension associated with

pregnancy. Both of these conditions are associated with maternal obesity. There are no studies that indicate

MVP is among the most frequently reported maternal risk factors. Hypertension associated with pregnancy, not chronic hypertension, is one of the most frequently reported maternal medical risk factors. Although

anemia is a concern in pregnancy, it is not one of the most frequently reported maternal medical risk factors in

pregnancy.

PTS: 1 DIF: Cognitive Level: Knowledge REF: 6

OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity

2. To ensure optimal outcomes for the patient, the contemporary maternity nurse must incorporate both

teamwork and communication with clinicians into her care delivery, The SBAR technique of communication is

an easy-to-remember mechanism for communication. Which of the following correctly defines this acronym?

a. Situation, baseline assessment, response

b. Situation, background, assessment, recommendation

c. Subjective background, assessment, recommendation

d. Situation, background, anticipated recommendation

ANS: B

The situation, background, assessment, recommendation (SBAR) technique provides a specific framework for

communication among health care providers. Failure to communicate is one of the major reasons for errors in

health care. The SBAR technique has the potential to serve as a means to reduce errors.

PTS: 1 DIF: Cognitive Level: Comprehension REF: 14

OBJ: Nursing Process: Assessment, Planning

MSC: Client Needs: Safe and Effective Care Environment

3. The role of the professional nurse caring for childbearing families has evolved to emphasize:

a. Providing care to patients directly at the bedside.

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b. Primarily hospital care of maternity patients.

c. Practice using an evidence-based approach.

d. Planning patient care to cover longer hospital stays.

ANS: C

Professional nurses are part of the team of health care providers who collaboratively care for patients

throughout the childbearing cycle. Providing care to patients directly at the bedside is one of the nurses tasks;

however, it does not encompass the concept of the evolved professional nurse. Throughout the prenatal period, nurses care for women in clinics and physicians offices and teach classes to help families prepare for

childbirth. Nurses also care for childbearing families in birthing centers and in the home. Nurses have been

critically important in developing strategies to improve the well-being of women and their infants and have led

the efforts to implement clinical practice guidelines using an evidence-based approach. Maternity patients have

experienced a decreased, rather than an increased, length of stay over the past 2 decades.

PTS: 1 DIF: Cognitive Level: Comprehension REF: 1

OBJ: Nursing Process: Implementation

MSC: Client Needs: Safe and Effective Care Environment

4. A 23-year-old African-American woman is pregnant with her first child. Based on the statistics for infant

mortality, which plan is most important for the nurse to implement?

a. Perform a nutrition assessment.

b. Refer the woman to a social worker.

c. Advise the woman to see an obstetrician, not a midwife.

d. Explain to the woman the importance of keeping her prenatal care appointments.

ANS: D

Consistent prenatal care is the best method of preventing or controlling risk factors associated with infant

mortality. Nutritional status is an important modifiable risk factor, but a nutrition assessment is not the most

important action a nurse should take in this situation. The patient may need assistance from a social worker at

some time during her pregnancy, but a referral to a social worker is not the most important aspect the nurse

should address at this time. If the woman has identifiable high-risk problems, her health care may need to be

provided by a physician. However, it cannot be assumed that all African-American women have high-risk

issues. In addition, advising the woman to see an obstetrician is not the most important aspect on which the

nurse should focus at this time, and it is not appropriate for a nurse to advise or manage the type of care a

patient is to receive.

PTS: 1 DIF: Cognitive Level: Comprehension REF: 6

OBJ: Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance

5. During a prenatal intake interview, the nurse is in the process of obtaining an initial assessment of a 21-year- old Hispanic patient with limited English proficiency. It is important for the nurse to:

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