case study on maternity questions

Chapter One


1.      Create a timeline that depicts the development of maternal, newborn, and women’s health nursing


2.      Write a report on how the definition of health has changed through the years, incorporating information about Healthy People 2020.


3.      Write a brief (1-page) essay on the legal and ethical issues related to providing care to women, children and their families


4.      Explain the difference between discipline and punishment. Discuss 3 strategies for effective discipline


Chapter 2


1.      Write a list of that need to be addressed to improve a client’s learning.


2.       Select a cultural group and identify the major health beliefs of that group related to maternal and child health using Chapter 1 as a reference. Create a chart that lists the beliefs and propose appropriate nursing interventions for each belief that would demonstrate cultural competence.


3.      Develop a checklist that a pregnant woman can use to decide about the setting for her labor and birth experience


Chapter 3


1.      Create a flow chart depicting the roles that hormones play during the reproductive cycle

2.      Select five of the key terms listed at the beginning of the chapter and write an essay using them.


Chapter 4

1.      From the list of key terms at the beginning of the chapter, select three terms. Write a one-page summary describing what the terms have in common.

2.       Write a report about the types of abortion

3.       Create a client teaching pamphlet about endometriosis


Chapter 5

1.      Develop a teaching handout for a woman with bacterial vaginosis who is receiving metronidazole

2.      Create an outline for a class presentation to a local group of adolescents about preventing STIs

3.      .Select two conditions from the list of key terms at the beginning of the chapter. Write a report comparing and contrasting them.


Chapter 6

1.      Select at least five key terms listed at the beginning of the chapter and write an essay using them.

2.       Create a client education poster depicting key prevention measures for breast cancer


Chapter 7

1.      Create a chart that compares and contrasts endometrial polyps and fibroids.

2.      Select five key terms from the list at the beginning of the chapter and use them in an essay describing the common benign conditions of the female reproductive tract.

Chapter 8

1.      Develop a written handout that describes ways a woman can reduce her risk for cancers of the reproductive tract.

2.       Create a matching exercise that lists each of the key terms in Column 1 and their definitions in Column 2. Give the exercise to a classmate to complete and then score the responses

Chapter 9

1.      Select three or four key terms listed at the beginning of the chapter and write an essay about violence and women that incorporates them.

2.      2. Create a poster that depicts the cycle of violence and the characteristics of each phase.

Chapter 10

1.      Create a flowchart that depicts the flow of blood through the fetus.

2.      Write a report that describes the process of fertilization through implantation.

Chapter 11

1.      Write an essay that describes the physiologic changes that occur in the reproductive system with pregnancy. Correlate the signs and symptoms of pregnancy with these changes

2.      2. For each of the key terms listed at the beginning of the chapter, create a vocabulary card that gives the term on one side and the definition on the other side.


Chapter 12

1.      Develop a client teaching handout for a client who is to have an amniocentesis.

2.      Write an essay about essential aspects of prenatal care, incorporating at least three of the key terms listed at the beginning of the chapter.

Chapter 13

1.      Create a chart that lists the stages (and phases of each stage) of labor. Identify the key physiologic and psychological changes that occur in each.

2.       Develop a written checklist that can be used by pregnant women to help them determine if they are in labor


1.      Create an outline that traces the progression of labor from the time a pregnant woman is admitted to the perinatal unit until birth. Include appropriate nursing assessments and interventions.

2.      Review the list of key terms at the beginning of the chapter. Select at least three terms and write a paragraph relating


Create drug cards for the following pharmacologic agents, addressing the drug’s effect on maternal and fetal status:

·    Morphine

·    Meperidine

·    Fentanyl

·    Diazepam


1.      Choose a body system that undergoes changes after childbirth. Develop a chart that compares the changes that occur in the system during pregnancy and then after birth.

2.      Review the list of key terms at the beginning of the chapter. Select one of these terms and write an essay integrating this term with the topic of the chapter.

Chapter 16

1.      Prepare review cards for the key terms listed at the beginning of the chapter. On the cards, define each key term and use it in a sentence.

2.      Create a poster using drawings, illustrations, and photos to depict positive bonding and attachment behaviors

Chapter 17

1.      Using the terms at the beginning of the chapter, write a report that describes the events associated with newborn adaptation

2.      Create a flowchart or diagram that outlines the changes occurring with the transition from fetal to newborn circulation.

Chapter 18

1.      Select five or six key terms listed at the beginning of this chapter and use them in

2.      Write a step-by-step procedure for administering eye prophylaxis in a newborn.

Chapter 19

1.      Create a chart that compares and contrasts polyhydramnios and oligohydramnios.

2.      Write an essay that describes a high-risk pregnancy

3.      Develop an assessment checklist that could be used to assess a woman with premature rupture of membranes.

Chapter 20

1.      Create a written handout for pregnant women that addresses the effects of substance use and abuse during pregnancy

2.      Develop a poster that illustrates the effects of diabetes on the mother and her fetus and neonate.

3.      Write a report on how the cardiovascular changes that occur during pregnancy can affect a pregnant woman with heart disease and her fetus.

Chapter 21

1.      Develop a chart that summarizes the four obstetric emergency situations.

2.      Write an essay that describes dystocia and the underlying events that can lead to it.

Create drug cards for the following tocolytic agents:

·  Terbutaline

·  Nifedipine

·  Indomethacin

3.      Magnesium sulfate

Chapter 22

1.      Develop a written set of guidelines for use by a postpartum woman who has developed a wound infection.

2.      Create a chart that compares and contrasts postpartum hemorrhage due to uterine atony and due to retained placental fragments.

Prepare drug cards on the following:

  • Heparin


Chapter 23

1.      Select one of the common problems that can affect a newborn with special needs. Prepare a report that outlines the condition.

2.      Write an essay that addresses one of the factors that could place a newborn at risk, explaining how nurses can intervene to reduce this risk.

Chapter 24

1.      Create a checklist that highlights the key nursing interventions to be used when providing care to a newborn of a substance-abusing mother.

2.      Research Erb’s palsy as a type of brachial plexus injury that can occur in a newborn with birth trauma. Develop an outline that describes this condition.

3.      Prepare a written assessment guide that can be used to assess a newborn at risk for infection.

4.      Develop a flowchart that illustrates the underlying pathophysiologic mechanisms that impact the fetus when a woman has diabetes.

Chapter 25

1.      Explain language development in the first year of life.

Chapter 26

1.      According to Piaget, what significant cognitive development allows toddlers to engage in imitative play?

2.      Describe the gross motor progression of walking in a toddler

3.      Write a telegraphic phrase you might hear from a 3-year-old who wants cookies and milk.

4.      Explain what about a toddler’s sensory development puts him or her at risk for accidental ingestion. Name 3 of the most dangerous potential poisons a toddler may ingest

5.      Write suggestions for parents of a difficult 2-year-old about how they might avoid tantrums in their toddler.

6.      Discuss an action that parents might take when a temper tantrum occurs.

7.      Explain why allowing children to “graze” on carbohydrate-rich foods throughout the day may contribute to poor dental health.

Chapter 27

1.      Explain why a nurse might engage in prayer rituals with a hospitalized child.

2.      Explain, from a language and comprehension perspective, why a divorcing couple should not discuss their relationship in front of their 3-year-old.

3.      Discuss normal psychosocial changes occurring in the preschool-age child.

4.      Explain the difference between nightmares and night terrors. What can a parent of a child with night terrors do to help stop the situation from recurring?

5.      Explain the disciplinary practice of time-out. How does it work?

Chapter 28

1. Identify the developmental milestones of the school-age child.

2. State the scope of the problem of obesity in school-age children. List the teaching guidelines for dealing with this problem.

Chapter 29

1. Briefly discuss each of the five developmental concerns of adolescence covered in this chapter.

2. Describe how the nurse can help children cope with each of those five developmental concerns of adolescence.

Chapter 30

1. Discuss the major principles and concepts of atraumatic care.

2. How do the child’s age, developmental level, family situation, community, and state of health affect the way the nurse conducts a health history?

3. Explain the steps of child and family communication.

Chapter 31

1. Discuss the principles of immunization and common barriers to pediatric immunization.

2. Discuss the principles of health supervision and its three components

3. Describe how a health surveillance visit would be conducted differently with an infant, toddler, a child in grade school, and an adolescent.

4. Discuss the key components of health promotion, including key strategies for health promotion; means of disseminating information; and ways to solve health promotion problems.

Chapter 32

1.      List the items that should be included in the functional history and provide an example where appropriate.

2.      What are the key considerations for addressing sensitive health issues (sexuality, substance use, depression, suicide) with an adolescent while taking the health history?

3.      It is important for the nurse to observe the parent–child interactions during the focused conversations of the health interview and throughout the physical examination. Provide some examples of nonverbal, behavioral cues exhibited by infants, toddlers, school-age children, and adolescents and their parents.

4.      Describe the developmental considerations for examination of a preschooler.

Chapter 33

1.      List and explain the three phases of separation anxiety.

2.      Explain how the developmental level of preschoolers affects their reaction and response to hospitalization

3.      List the factors that affect a child’s response to illness and hospitalization.

4.      Outline the key nursing components of the admission process.

5.      Describe the information that should be included in discharge instructions.

Chapter 34

1.      Write three possible nursing interventions for a child who is hospitalized for failure to thrive.

2.      Define and discuss vulnerable child syndrome.

3.      Identify four situations/instances when the family of a child with special needs will likely require additional support

4.      What is an individualized education plan (IEP)? What role might a pediatric nurse play in preparing one?

Chapter 35

1.      Describe and explain the “Eight Rights” of pediatric medication administration

2.      Explain how the absorption of orally administered medications in infants and young children is different compared to those given to older children and adults.

3.      Outline the guidelines for determining the correct medication dose by body weight.

Chapter 36

1.      Describe the FACES Pain Rating Scale and how it works.

2.      Define neuromodulators and describe how they work.

3.      Explain how a child’s culture and family influence the pain response.

Chapter 37

1.      Describe how a child differs from an adult in immunologic integrity. When looking at the pediatric patient, break this down by age from infancy through adolescence.

Chapter 38

1.      Describe the anatomy and physiology of the pediatric neurologic system and discuss how it is different from that of adults.

2.      Name common risk factors for neurologic disorders.

3.      Describe nursing interventions commonly used for a child with a neurologic disorder

Chapter 39

1. Describe how an infant’s vision differs from that of an adult and the developmental benchmarks for vision.

2. Discuss the risks associated with persistent otitis media with effusion.

3. What are the factors that increase the risk of developing visual impairment?

4. What are the laboratory and diagnostic tests used to diagnose disorders of the eye and ear?

Chapter 40

1. Discuss how the child’s respiratory system can increase the severity of respiratory disorders as compared to adults. Include differences of the nose, throat, trachea, and chest.

2. List the acute noninfectious respiratory disorders in children and the factors associated with them.

3. Develop a teaching plan for the parents of a child with a tracheostomy.

4. Describe the nursing interventions used for a child with a common cold.

5. What are the risks associated with pharyngitis caused by a group A streptococcal infection?

Chapter 41

1.      What are the primary nursing implications for an arteriogram?

2.      What are the physiologic changes that occur in the cardiopulmonary system that enable the newborn to make the transition from fetal circulation to normal circulation?

3.      What is AV canal defect? What is complete AV canal defect?

4.      What are the priority nursing assessments and interventions for the child with acute rheumatic fever?

Chapter 42

1.      List the typical risk factors in a patient’s current and past medical history that commonly

2.      List the differences between the digestive tract of the pediatric patient and that of the older child or adult. Provide an example of these differences in the esophagus, stomach, intestines, and biliary system.

3.      What are the key nursing implications for a cleansing enema for fecal impaction or severe constipation?

4.      What are the most common causes of viral and parasitic acute infectious diarrhea in the United States?

5.      Is ulcerative colitis considered an acute or chronic disorder? Explain.

6.      What are the 3 key points of nursing management for the child with diarrhea?

Chapter 43

1.      Explain why the infant or toddler is at increased risk for dehydration during times of fluid loss or decreased fluid intake.

2.      The nurse is caring for a teenage girl who has had three urinary tract infections over an 18-month period. List the appropriate teaching recommendations for an adolescent

3.      What are the key nursing implications with the use of corticosteroids for nephrotic syndrome?

4.      What are four risk factors for VUR?

Chapter 44

1.      Explain the use, indications, and nursing implications for orthotics and braces.

2.      List the differences between the neurologic and musculoskeletal systems of an infant or toddler versus those of the older child or adult. Explain the potential impact of these differences.

3.      What are the key nursing implications for MRI?

4.      List four common causes associated with postnatal development of cerebral palsy.

Chapter 45

1.      What are the signs of neurovascular compromise in a casted extremity?

2.      What should be included in the teaching guidelines for home cast care?

3.      What are the key nursing implications for arthrography?

4.      What are the differences between children and adults in relation to bone healing

Chapter 46

1.      What are the primary nursing implications for a child who requires patch or skin testing? What is an erythrocyte sedimentation rate, and what are nursing implications related to this lab test?

2.      What are the anatomic and physiologic differences of the sebaceous and sweat glands in infants and children versus adults?

3.      Compare and contrast the skin findings for tinea corporis, tinea capitis, and tinea versicolor.

4.      . Emergency evaluation of the burned child includes a primary survey followed by a secondary survey. What is included in the primary survey and secondary survey?

Chapter 47

1.      What are the common laboratory and diagnostic studies ordered for the assessment of sickle cell anemia? What are the findings in relation to normal?

2.      What should be included in the guidelines for teaching parents about preventing bleeding in the child with hemophilia?

3.      The priority in sickling crisis is to control pain quickly. What are the ABCs for managing sickle cell pain?

4.      What are the priority nursing assessments for a child with suspected aplastic anemia? What are the expected laboratory and diagnostic test results?

Chapter 48

1.      Why do infants experience a physiologic hypogammaglobulinemia between 2 and 6 months of age? Explain why the breastfed infant is better protected during this time.

2.      What should be included in the teaching guidelines about hidden allergens for the child with a milk allergy?

3.      What are the nursing care implications for lymphocyte immunophenotyping T-cell quantification?

4.      What are the three types of juvenile idiopathic arthritis?

5.      What should be included in the nursing care plan for promoting comfort and decreasing pain in a child with juvenile idiopathic arthritis?

Chapter 49

1. Name the glands and hormones affected by the posterior pituitary gland and describe the major effects they have on the body.

2. What are areas of imbalance that may occur in an infant or young child that would not occur in adults?

3. What are the nursing interventions for an adolescent girl with hyperthyroidism?

4. What are the nursing diagnoses for a child with precocious puberty?

Chapter 50

1. What are the origins and types of cancers typical in children and in adults?

2. What is the difference between acute lymphoblastic leukemia and acute myelogenous leukemia?

Chapter 51

1. Discuss the two types of monogenic inheritance as well as the subsets of each type.

2. What is the purpose of genetic counseling, and what is the nurse’s role in it?

Chapter 52

1.      What are the primary nursing implications for psychostimulant medications (e.g., methylphenidate, dextroamphetamine) prescribed for attention-deficit/hyperactivity disorder?

2.      Define sensory integration dysfunction.

3.      How do untreated mental health alterations in the early years manifest during the adolescent years?

Chapter 53

1. Create a checklist that identifies the steps for assisting with tracheal intubation.

2. Describe the proper single-rescuer procedure for ventilating a child with a bag-valve-mask (BVM).

3. Write an essay that explains the 3 steps for rapid cardiopulmonary assessment.

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