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Midwifery & Women's Health Nurse Practitioner Certification Review MIDWIFERY & WOMEN’S HEALTH NURSE PRACTITIONER CERTIFICATION REVIEW GUIDE Second Edition Edited by Beth M. Kelsey, EdD, WHNP-BC Assistant Professor School of Nursing Ball State University Muncie, Indiana Board of Directors National Association of Nurse Practitioners in Women’s Health (NPWH) Washington, DC 74172_FMXx_ttlpg.indd 1 7/30/10 2:53 PM World Headquarters Jones & Bartlett Learning Jones & Bartlett Learning Jones and Bartlett Learning 40 Tall Pine Drive Canada International Sudbury, MA 01776 6339 Ormindale Way Barb House, Barb Mews 978-443-5000 Mississauga, Ontario L5V 1J2 London W6 7PA [email protected] Canada United Kingdom www.jblearning.com Jones & Bartlett Learning books and products are available through most bookstores and online booksellers. To contact Jones & Bartlett Learning directly, call 800-832-0034, fax 978-443-8000, or visit our website, www.jblearning.com. Substantial discounts on bulk quantities of Jones & Bartlett Learning publications are available to corporations, professional associations, and other qualified organizations. For details and specific discount information, contact the special sales department at Jones & Bartlett Learning via the above contact information or send an email to [email protected]. Copyright © 2011 by Jones & Bartlett Learning, LLC All rights reserved. No part of the material protected by this copyright may be reproduced or utilized in any form, electronic or mechanical, including photocopying, recording, or by any information storage and retrieval system, without written permission from the copyright owner. The authors, editor, and publisher have made every effort to provide accurate information. However, they are not responsible for errors, omissions, or for any outcomes related to the use of the contents of this book and take no responsibility for the use of the products and procedures described. Treatments and side effects described in this book may not be applicable to all people; likewise, some people may require a dose or experience a side effect that is not described herein. Drugs and medical devices are discussed that may have limited availability controlled by the Food and Drug Administration (FDA) for use only in a research study or clinical trial. Research, clinical practice, and government regulations often change the accepted standard in this field. When consideration is being given to use of any drug in the clinical setting, the health care provider or reader is responsible for determining FDA status of the drug, reading the package insert, and reviewing prescribing information for the most up-to-date recommendations on dose, precautions, and contraindications, and determining the appropriate usage for the product. This is especially important in the case of drugs that are new or seldom used. Production Credits Publisher: Kevin Sullivan V.P., Manufacturing and Inventory Control: Therese Connell Acquisitions Editor: Amy Sibley Composition: DataStream Content Solutions, LLC Associate Editor: Patricia Donnelly Cover Design: Scott Moden Editorial Assistant: Rachel Shuster Cover Image: © Hocusfocus/Dreamstime.com Production Editor: Amanda Clerkin Printing and Binding: Courier Stoughton, Inc. Associate Marketing Manager: Katie Hennessy Cover Printing: Courier Stoughton, Inc. To order this product, use ISBN: 978-0-7637-1500-0 Library of Congress Cataloging-in-Publication Data Midwifery & women’s health nurse practitioner certification review guide / [edited by] Beth M. Kelsey.—2nd ed. â p. ; cm. Rev. ed. of: Midwifery/women’s health nurse practitioner certification review guide. c2004. Includes bibliographical references and index. ISBN 978-0-7637-7417-2 (pbk.) 1. Nurse practitioners—Examinations, questions, etc. 2. Midwives Examinations, questions, etc. 3. Gynecologic nursing—Examinations, questions, etc. 4. Maternity nursing—Examinations, questions, etc. 5. Women—Diseases— Examinations, questions, etc. 6. Women—Health and hygiene—Examinations, questions, etc. I. Kelsey, Beth. II. Midwifery/women’s health nurse practitioner certification review guide. [DNLM: 1. Midwifery—Examination Questions. 2. Genital Diseases, Female—nursing—Examination Questions. 3. Nurse Midwives—Examination Questions. 4. Nurse Practitioners—Examination Questions. 5. Pregnancy Complications— nursing—Examination Questions. 6. Women’s Health—Examination Questions. WY 18.2 M6288 2011] RT82.8.M53 2011 610.73092—dc22 2010018003 6048 Printed in the United States of America 14 13 12 11 10 10 9 8 7 6 5 4 3 2 1 Contents Preface vii Physical Examination (General Screening Examination) 13 Contributors ix Nongynecological Diagnostic Studies/ Instructions for Using the Online Access Laboratory Tests 19 Code Card xi Health Maintenance and Risk Factor Identification 22 Chapter 1 Preconception Care 28 Test-Taking Strategies 1 Parenting 28 Aging 29 Strategy #1: Know Yourself 1 Pharmacology 30 Strategy #2: Develop Your Thinking Skills 1 Questions 31 Strategy #3: Know the Content 3 Answers 35 Strategy #4: Become Test-Wise 6 Bibliography 35 Strategy #5: Apply Basic Rules of Test Taking 7 Chapter 3 Some Dos & Don’ts to Remember 8 Women’s Health 37 Strategy #6: Psych Yourself Up: Taking Tests is Stressful 8 Beth M. Kelsey Summary 9 Anne A. Moore Bibliography 9 Gynecology (Normal) 37 Chapter 2 Diagnostic Studies and Laboratory Tests 46 General Health Assessment and Health Fertility Control 50 Promotion 11 Questions 70 Beth M. Kelsey Answers 77 Bibliography 78 Health History 11 iii iv Contents Chapter 4 Primary Care of the Newborn for the First 6 Pregnancy 79 Weeks 145 Common Variations from Normal Newborn Patricia Burkhardt Findings 147 Human Reproduction and Fertilization 79 Deviations from Normal 148 Development of the Placenta, Membranes, Questions 155 and Amniotic Fluid 80 Answers 160 Embryonic and Fetal Development 81 Bibliography 161 Diagnosis and Dating of Pregnancy 82 Chapter 6 Maternal Physiologic Adaptations to Intrapartum and Postpartum 163 Pregnancy 82 Maternal Psychological/Social Changes in Susan P. Shannon Pregnancy 85 Overview of Antepartum Care 86 Initial Assessment 163 Antepartum Visit 86 Physical Examination 164 Common Discomforts of Pregnancy and Diagnostic Studies 166 Comfort Measures 89 Management and Teaching 166 Nutrition During Pregnancy 90 Mechanisms of Labor 168 The Woman and Her Family and Their Role Management of the First Stage of in Pregnancy 91 Labor 169 Teaching and Counseling 92 Management of the Second Stage of Pharmacologic Considerations in the Labor 173 Antepartum Period 93 Delivery Management 174 Techniques Used to Assess Fetal Health 93 Management of the Third Stage 177 Selected Obstetrical Complications 96 Management of Immediate Newborn Medical Complications 110 Transition 178 Questions 120 Special Considerations and Deviations Answers 133 from Normal 178 Bibliography 134 The Normal Postpartum 185 Assessment of Maternal Response to Chapter 5 Baby 186 Midwifery Care of the Newborn 135 Management Plan for the Postpartum Period 187 Anthony A. Lathrop Postpartal Discomforts 188 Physiologic Transition to Extrauterine Questions 188 Life 135 Answers 195 Ongoing Extrauterine Transition 136 Bibliography 196 Immediate Care and Assessment of the Chapter 7 Healthy Newborn 137 Gynecological Disorders 197 Care During the First Hours After Birth 139 Penelope Morrison Bosarge Plan of Care for the First Few Days of Life 140 Menstrual and Endocrine Disorders 197 Discharge Planning 140 Benign and Malignant Tumors/ Newborn Assessment 142 Neoplasms 205 Contents v Vaginal Infections 211 Answers 335 Sexually Transmitted Diseases (STDs) 213 Bibliography 335 Urinary Tract Disorders 222 Breast Disorders 224 Chapter 9 Congenital and Chromosomal Advanced Practice Nursing and Abnormalities 227 Midwifery: Role Development, Trends, Additional Gynecological Disorders 228 and Issues 337 Questions 236 Patricia Burkhardt Answers 242 Bibliography 243 Advanced Practice Registered Nurse (APRN) 337 Chapter 8 Midwifery 339 Nongynecological Disorders/ Trends and Issues 341 Problems 245 Professional Components of Advanced Practice Nursing and Midwifery 344 Sandra K. Pfantz Health Policy and Legislative Regulation of Beth M. Kelsey Midwifery and Nursing 346 Mary C. Knutson Healthcare Delivery Systems 346 Cardiovascular Disorders 245 Ethical and Legal Issues and Eye, Ear, Nose, and Throat Disorders 255 Principles 349 Lower Respiratory Disorders 264 Health Insurance Portability and Gastrointestinal Disorders 269 Accountability Act of 1996 (HIPAA)— Hematologic Disorders 282 Public Law 104–191 350 Immunologic Disorders 286 Evidence-Based Practice 352 Endocrine Disorders 293 Questions 352 Musculoskeletal Disorders 301 Answers 356 Neurologic Disorders 307 Bibliography 356 Dermatologic Disorders 313 Psychosocial Problems 318 Index 359 Questions 325 Preface A comprehensive review essential for those preparing guide is to provide a succinct, yet comprehensive to take the midwifery (AMBC) or women’s health nurse review of the core material. practitioner certification (NCC) examinations. The The book has been organized to provide the reader Midwifery & Women’s Health Nurse Practitioner Certi- with test-taking and study strategies first. This is an fication Review Guide was developed for both of these imperative prerequisite for success in the certification nursing specialties because of the many commonalities examination arena. they share that enhance the delivery of care to women This chapter is followed by chapters on General during their life span. Experts in the field of women’s Health Assessment and Health
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