Study Guide for Foundations of Maternal-Newborn and Women's Health Nursing, 6e PDF
Preview Study Guide for Foundations of Maternal-Newborn and Women's Health Nursing, 6e
Study Guide for Foundations of Maternal-Newborn and Women’s Health Nursing Sixth Edition Sharon Smith Murray, MSN Professor Emerita, Health Professions Golden West College Huntington Beach, California Emily Slone McKinney, MSN, RN, C Nurse Educator and Consultant Dallas, Texas Study Guide for Foundations of Maternal-Newborn and Women’s Health Nursing, Sixth Edition ISBN: 978-1-4557-3748-2 Copyright © 2014, 2010, 2006, 2002, 1998, 1994 by Saunders, an imprint of Elsevier Inc. All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Notices Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary. Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such informa- tion or methods, they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility. With respect to any drug or pharmaceutical products identified, readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions. To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any liability for any injury and/or damage to persons or property as a matter of products liability, negli- gence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein. Content Manager: Laurie K. Gower Senior Content Development Specialist: Heather Bays Publishing Services Manager: Hemamalini Rajendrababu Project Manager: Nisha Selvaraj Printed in the United States of America Last digit is the print number: 9 8 7 6 5 4 3 2 1 Preface The Study Guide for Foundations of Maternal-Newborn These activities give you specific directions for comparing and Women’s Health Nursing, 6th edition, has been writ- and using information that you study in class and in your ten to help you grasp the important content in each chap- textbook. ter of the main text. Each chapter in this Study Guide Case Studies give you a chance to “try out” your corresponds to the text chapter, having the same number nursing care with a simulated client. The case studies and title. Specific activities vary in each chapter accord- encourage you to use critical thinking to interpret infor- ing to its content. mation given in the situation and select appropriate nurs- We have included Learning Activities, which provide ing actions. The case studies can be used by an individual a variety of approaches to facilitate learning. The exer- or in a small group. If used in a small group, each mem- cises include activities such as matching terms, listing ber can benefit from the thinking skills of others in the important signs and symptoms, describing medical ther- group as they choose and defend their nursing care. In apy and nursing measures and their rationales, and label- addition, you may often incorporate items such as facility ing illustrations. protocols in the simulated client care. Check Yourself questions give you an opportunity to As appropriate to the exercise, we have written the answer multiple-choice items that are similar to those answers at the end of each chapter in the Study Guide. In you may encounter on a test at school or on the NCLEX® some cases, we give page references in the text so you exam. The questions are a mixture of factual items and can locate the answer. higher level questions that require application of that We wish you well as you pursue your career in nurs- factual knowledge. ing. It is a wonderful profession that has brought us much Nursing requires more than textbook knowledge, how- joy. Good luck! ever. Our Developing Insight feature guides you to expand Sharon Smith Murray your knowledge as you have your clinical experiences. Emily Slone McKinney iii Copyright © 2014, 2010, 2006, 2002, 1998, 1994 by Saunders, an imprint of Elsevier Inc. This page intentionally left blank Contents Part I Foundations for Nursing Care of Part V Families at Risk During the Childbearing Childbearing Families Period 1. Maternity and Women’s Health Care Today, 1 24. The Childbearing Family with Special Needs, 166 2. The Nurse’s Role in Maternity and Women’s Health 25. Complications of Pregnancy, 173 Care, 6 26. Concurrent Disorders During Pregnancy, 182 3. Ethical, Social, and Legal Issues, 11 27. Intrapartum Complications, 191 4. Reproductive Anatomy and Physiology, 15 28. Postpartum Maternal Complications, 200 5. Hereditary and Environmental Influences on 29. High-Risk Newborn: Complications Associated Childbearing, 23 with Gestational Age and Development, 206 30. High-Risk Newborn: Acquired and Congenital Part II The Family Before Birth Conditions, 212 6. Conception and Prenatal Development, 29 Part VI Women’s Health Care 7. Physiologic Adaptations to Pregnancy, 37 8. Psychosocial Adaptations to Pregnancy, 48 31. Family Planning, 220 9. Nutrition for Childbearing, 54 32. Infertility, 227 10. Antepartum Fetal Assessment, 65 33. Preventive Care for Women, 232 11. Perinatal Education, 73 34. Women’s Health Problems, 235 Part III The Family During Birth Answers to Selected Questions, 243 12. Processes of Birth, 78 13. Nursing Care During Labor and Birth, 87 14. Intrapartum Fetal Surveillance, 96 15. Pain Management During Childbirth, 104 16. Nursing Care During Obstetric Procedures, 111 Part IV The Family Following Birth 17. Postpartum Physiologic Adaptations, 121 18. Postpartum Psychosocial Adaptations, 130 19. Normal Newborn: Processes of Adaptation, 134 20. Assessment of the Normal Newborn, 141 21. Care of the Normal Newborn, 148 22. Infant Feeding, 154 23. Home Care of the Infant, 161 v Copyright © 2014, 2010, 2006, 2002, 1998, 1994 by Saunders, an imprint of Elsevier Inc. This page intentionally left blank Part I Foundations for Nursing Care of Childbearing Families Maternity and Women’s Health Care 1 Today LEARNING ACTIVITIES 1. Match each term with its definition (a-h). ___ Association of Women’s Health, Obstetric and a. Group of health care providers that provides cost- Neonatal Nurses (AWHONN) discounted services to a specific group of clients ___ Capitated care b. National organization that sets standards for perinatal nurses ___ Clinical pathway c. Federal government plan to pay a fixed amount of ___ Diagnosis-related group (DRG) money for a specific diagnosis ___ Evidence-based practice d. Organization that provides comprehensive health services for a fixed fee ___ Health maintenance organization (HMO) e. Team-oriented plan to define expected client out- ___ Managed care comes, length of stay, and expected interventions ___ Preferred provider organization (PPO) f. Payer of health care pays contracted amount to providers of care for specific group of clients g. Health care plan that uses specific agreements and authorizations to control costs h. Care based on use of reliable research findings to determine best nursing practice to achieve desired outcomes 2. List five major factors that recommended moving the place of birth from home to hospital. a. b. c. d. e. 1 Copyright © 2014, 2010, 2006, 2002, 1998, 1994 by Saunders, an imprint of Elsevier Inc. 2 Chapter 1 Maternity and Women’s Health Care Today 3. Describe each of the following settings for childbirth. a. Traditional hospital setting b. Labor, delivery, and recovery (LDR) rooms c. Labor, delivery, recovery, and postpartum (LDRP) rooms d. Birth centers e. Home births 4. Explain how each of the following factors led to the development of family-centered maternity care. a. Consumer demands for involvement in their care b. Childbirth education to control labor pain c. Research about early parent-newborn contact 5. Describe nursing care that may be encountered in each of these areas of community-based perinatal nursing. a. Antepartum high-risk women b. Postpartum women c. Normal newborns d. High-risk newborns Copyright © 2014, 2010, 2006, 2002, 1998, 1994 by Saunders, an imprint of Elsevier Inc. Chapter 1 Maternity and Women’s Health Care Today 3 CAM Questions 6. Describe the types of problems that each type of nontraditional family may encounter. a. Single-parent family b. Blended family c. Extended family d. Same sex family e. Adoptive family f. High-risk family 7. Explain how communication characteristics of these cultural groups affect nursing communication. a. Southeast Asians Voice tone Eye contact Specially respected groups Acceptance of medical therapy b. Hispanics Conversational methods Head of household Copyright © 2014, 2010, 2006, 2002, 1998, 1994 by Saunders, an imprint of Elsevier Inc.
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