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UNIT I Social and Family Dynamics |
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1 | (28) |
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1 Contemporary Maternity Care, Family, and Cultural Considerations |
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1 | (15) |
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1 | (8) |
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1 | (1) |
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2 | (3) |
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5 | (1) |
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5 | (1) |
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National Patient Safety Goals |
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5 | (2) |
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Quality and Safety Education for Nurses (QSEN) |
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7 | (2) |
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9 | (2) |
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9 | (2) |
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Using Critical Thinking to Improne Test Scores |
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11 | (1) |
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11 | (2) |
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13 | (1) |
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13 | (1) |
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The Role of the Family in Health Care Delivery |
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13 | (1) |
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Complementary and Alternative Therapies |
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14 | (2) |
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2 Reproductive Anatomy and Physiology |
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16 | (13) |
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16 | (1) |
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16 | (1) |
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16 | (1) |
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Female Reproductive System |
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17 | (6) |
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External Genitalia: Vulva |
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17 | (1) |
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Internal Reproductive Organs |
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18 | (2) |
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20 | (2) |
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Endocrine System and Female Reproduction |
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22 | (1) |
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23 | (3) |
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23 | (1) |
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24 | (2) |
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Endocrine System and Male Reproduction |
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26 | (1) |
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26 | (1) |
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Physiology of the Sex Act |
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26 | (3) |
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Physiology of the Male Sex Act |
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26 | (1) |
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Physiology of the Female Sex Act |
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27 | (2) |
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UNIT II Development of the Fetus |
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29 | (14) |
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29 | (14) |
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29 | (2) |
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29 | (1) |
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Cell Division and Gametogenesis |
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30 | (1) |
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30 | (1) |
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31 | (1) |
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Beginning of Embryonic Development |
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31 | (5) |
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31 | (1) |
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31 | (1) |
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Embryonic Cell Differentiation |
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32 | (1) |
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Fetal Membranes and Amniotic Fluid |
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32 | (1) |
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33 | (1) |
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33 | (2) |
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35 | (1) |
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Circulation Before and After Birth |
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35 | (1) |
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36 | (1) |
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37 | (6) |
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37 | (1) |
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37 | (6) |
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43 | (48) |
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4 Physiologic and Psychological Changes During Pregnancy |
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43 | (18) |
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43 | (1) |
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Profile of Previous Obstetric History |
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44 | (1) |
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Determining Date of Birth |
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44 | (1) |
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44 | (1) |
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Physiologic Changes in Body Systems |
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45 | (10) |
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Changes in the Endocrine System |
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46 | (3) |
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Changes in the Reproductive System |
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49 | (1) |
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Changes in the Cardiovascular System |
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50 | (1) |
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Changes in the Respiratory System |
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51 | (1) |
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Changes in the Gastrointestinal System |
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52 | (1) |
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Changes in the Renal (Urinary) System |
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52 | (1) |
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Changes in the Integumentary and Skeletal Systems |
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53 | (1) |
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The Effect of Pregnancy and Lactation on Medication Ingestion |
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54 | (1) |
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Psychological Changes During Pregnancy |
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55 | (6) |
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55 | (1) |
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56 | (1) |
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56 | (5) |
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5 Health Care and Fetal Assessment During Pregnancy |
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61 | (30) |
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61 | (1) |
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61 | (1) |
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62 | (1) |
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62 | (1) |
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62 | (2) |
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Initial Health and Social History |
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63 | (1) |
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64 | (1) |
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64 | (1) |
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Prenatal Fetal Assessment |
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64 | (2) |
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Diagnostic Techniques and Nursing Considerations |
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64 | (2) |
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Psychological Reactions to Diagnostic Testing |
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66 | (1) |
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Patient Teaching for Self-Care and Common Discomforts of Pregnancy |
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66 | (14) |
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66 | (3) |
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Physical Activity and Exercise During Pregnancy |
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69 | (7) |
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Sexual Activity During Pregnancy |
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76 | (1) |
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77 | (1) |
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77 | (1) |
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78 | (1) |
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78 | (1) |
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Immunizations During Pregnancy |
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78 | (1) |
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Employment During Pregnancy |
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79 | (1) |
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79 | (1) |
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Effect of Pregnancy on Medication Metabolism |
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79 | (1) |
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80 | (1) |
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Weight Gain and Fetal Growth |
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80 | (1) |
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80 | (4) |
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81 | (1) |
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Nutritional Requirements During Pregnancy |
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81 | (3) |
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Foods to Avoid During Pregnancy |
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84 | (1) |
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Recommended Dietary Allowances and Dietary Reference Intakes |
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84 | (1) |
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84 | (1) |
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Nutrition and the Pregnant Adolescent |
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84 | (1) |
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84 | (7) |
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Breathing Patterns Used During Labor |
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86 | (1) |
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87 | (4) |
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91 | (68) |
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6 Process of Normal Labor |
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91 | (15) |
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91 | (1) |
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Major Variables in the Birth Process |
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92 | (6) |
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92 | (1) |
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92 | (3) |
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Powers: Uterine Contractions |
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95 | (3) |
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98 | (1) |
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Events Before the Onset of Labor |
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98 | (1) |
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98 | (1) |
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Vaginal Discharge (Bloody Show) |
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98 | (1) |
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98 | (1) |
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98 | (1) |
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Spontaneous Rupture of Membranes |
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99 | (1) |
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99 | (3) |
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99 | (2) |
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101 | (1) |
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Physiologic Changes in Labor |
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102 | (4) |
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7 Nursing Care During Labor |
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106 | (41) |
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106 | (1) |
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In-Hospital Birthing Rooms |
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107 | (1) |
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Freestanding Centers (Out-of-Hospital Birthing Centers) |
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107 | (1) |
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107 | (1) |
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107 | (3) |
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110 | (6) |
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When to Go to the Hospital or Birth Center |
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110 | (3) |
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113 | (1) |
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113 | (1) |
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Data Collection and Admission Procedures |
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113 | (2) |
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Nursing Care of Patient in False Labor |
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115 | (1) |
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Focused Data Collection for First and Second Stages of Labor |
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116 | (13) |
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Monitoring Fetal Heart Rate |
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116 | (4) |
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120 | (1) |
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Types of Electronic Fetal Monitoring |
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121 | (4) |
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125 | (1) |
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Monitoring Uterine Contractions |
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125 | (2) |
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Determining Fetal Position by Abdominal Palpation |
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127 | (1) |
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Monitoring Status of Amniotic Fluid |
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127 | (1) |
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127 | (2) |
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Physical Care and Psychological Support During Labor and Birth |
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129 | (4) |
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129 | (1) |
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129 | (3) |
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132 | (1) |
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132 | (1) |
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132 | (1) |
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Provision of Care During the Four Stages of Labor |
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133 | (5) |
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133 | (1) |
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134 | (1) |
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134 | (2) |
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Immediate Recovery Period |
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136 | (2) |
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Phase 1 Immediate Care of the Newborn |
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138 | (5) |
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Nursing Care of the Newborn in the Delivery Room |
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139 | (3) |
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Umbilical Cord Blood Banking |
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142 | (1) |
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Phase 2 and Phase 3 Care of the Newborn |
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143 | (1) |
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Emergency Delivery by the Nurse (Without a Physician or Nurse-Midwife) |
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143 | (4) |
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8 Management of Pain During Labor |
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147 | (12) |
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147 | (1) |
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Standards of Pain Management |
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147 | (1) |
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147 | (1) |
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Factors That Influence Labor Pain |
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148 | (1) |
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148 | (1) |
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148 | (1) |
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Nonpharmacologic Pain Control Strategies |
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148 | (3) |
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149 | (1) |
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150 | (1) |
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150 | (1) |
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150 | (1) |
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150 | (1) |
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151 | (1) |
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151 | (1) |
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Pharmacologic Pain Control Strategies |
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151 | (4) |
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Physiology of Pregnancy and Its Relationship to Analgesia and Anesthesia |
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151 | (1) |
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Advantages of Pharmacologic Methods |
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151 | (1) |
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Limitations of Pharmacologic Methods |
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151 | (1) |
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152 | (1) |
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152 | (1) |
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152 | (1) |
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153 | (2) |
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The Nurse's Role in Pharmacologic Techniques |
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155 | (4) |
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159 | (65) |
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9 Physiologic Adaptation of the Newborn and Nursing Assessment |
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159 | (25) |
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Adjustment to Extrauterine Life |
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159 | (8) |
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Respiratory and Circulatory Function |
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160 | (2) |
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Body System Adaptations and Functions |
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162 | (5) |
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Nursing Assessment of the Newborn |
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167 | (17) |
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167 | (1) |
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168 | (2) |
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Assessment of Physical Characteristics |
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170 | (3) |
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Estimation of Gestational Age |
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173 | (1) |
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173 | (6) |
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179 | (1) |
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179 | (5) |
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10 Nursing Care of the Newborn |
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184 | (20) |
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Three Phases of Newborn Care |
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184 | (1) |
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Phase 1 Care Nursing Interventions |
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184 | (4) |
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Clamping the Umbilical Cord and Cord Care |
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184 | (2) |
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Identification and Security |
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186 | (1) |
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187 | (1) |
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187 | (1) |
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Administering an Intramuscular Injection |
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188 | (1) |
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188 | (1) |
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Phase 2 Care Routine Nursing Interventions |
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188 | (4) |
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188 | (2) |
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Protection From Infection |
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190 | (1) |
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Assessing and Managing Pain in the Newborn |
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190 | (1) |
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190 | (1) |
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Facilitation of Parent-Newborn Attachment and Nursing Interventions |
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191 | (1) |
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192 | (12) |
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192 | (6) |
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Cultural Beliefs and Practices in Newborn Care |
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198 | (1) |
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Discharge and Follow-Up Care |
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198 | (6) |
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204 | (20) |
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204 | (2) |
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Maternal Nutrition During Lactation |
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206 | (1) |
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206 | (1) |
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207 | (1) |
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208 | (8) |
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208 | (1) |
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Frequency and Length of Feedings |
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208 | (1) |
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Teaching Feeding Techniques |
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209 | (4) |
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Special Breastfeeding Situations |
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213 | (3) |
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Contraindications for Breastfeeding |
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216 | (1) |
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216 | (6) |
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219 | (1) |
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219 | (2) |
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Teaching Bottle-Feeding Techniques |
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221 | (1) |
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222 | (2) |
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UNIT VI Postpartum Assessment |
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224 | (25) |
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12 Postpartum Assessment and Nursing Care |
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224 | (25) |
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224 | (2) |
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Physiologic Changes and Nursing Interventions |
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226 | (8) |
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Changes in the Reproductive System |
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226 | (3) |
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Changes in the Musculoskeletal System |
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229 | (1) |
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Changes in the Cardiovascular System |
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230 | (2) |
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232 | (1) |
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Changes in the Urinary System |
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232 | (1) |
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Changes in the Gastrointestinal System |
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232 | (1) |
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Changes in the Nervous System |
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233 | (1) |
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Changes in the Integumentary System |
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233 | (1) |
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Changes in the Endocrine System |
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233 | (1) |
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233 | (1) |
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Psychological Changes and Nursing Interventions |
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234 | (2) |
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Phases of Maternal Adaptation |
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234 | (1) |
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Attainment of the Maternal Role |
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234 | (1) |
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234 | (2) |
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Care Management After Delivery |
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236 | (5) |
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237 | (2) |
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239 | (1) |
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240 | (1) |
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240 | (1) |
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240 | (1) |
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Family Adjustment and Development of Attachment |
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241 | (2) |
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241 | (1) |
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242 | (1) |
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242 | (1) |
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Promoting Parent-Newborn Bonding |
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242 | (1) |
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Early Discharge Planning and Health Promotion |
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243 | (6) |
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Resumption of Normal Activities |
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245 | (1) |
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Resumption of Sexual Intercourse |
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245 | (1) |
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245 | (1) |
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245 | (1) |
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245 | (1) |
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246 | (3) |
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UNIT VII Complications of Childbearing |
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249 | (106) |
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13 Health Problems Complicating Pregnancy |
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249 | (31) |
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Effects of a High-Risk Pregnancy on the Family |
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250 | (1) |
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Disruption of Usual Roles |
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250 | (1) |
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250 | (1) |
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Delayed Attachment to the Infant |
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250 | (1) |
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250 | (9) |
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Bleeding in Early Pregnancy |
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250 | (1) |
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250 | (2) |
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252 | (1) |
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253 | (1) |
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Gestational Trophoblastic Disease |
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254 | (1) |
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Bleeding in Late Pregnancy |
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254 | (1) |
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254 | (2) |
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256 | (1) |
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Disseminated Intravascular Coagulation |
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257 | (1) |
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Blood Incompatibility (Isoimmunization) |
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258 | (1) |
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259 | (9) |
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259 | (4) |
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Chronic Hypertensive Disease |
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263 | (2) |
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265 | (1) |
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265 | (1) |
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266 | (2) |
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Gastrointestinal Disorder |
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268 | (1) |
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268 | (1) |
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268 | (4) |
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268 | (1) |
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Pregestational Diabetes Mellitus |
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269 | (2) |
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Gestational Diabetes Mellitus |
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271 | (1) |
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272 | (2) |
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272 | (1) |
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273 | (1) |
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274 | (1) |
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Accidents During Pregnancy |
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274 | (1) |
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Bioterrorism Exposure and Pregnancy |
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275 | (1) |
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Loss of Expected Birth Experience |
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275 | (1) |
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Pregnancy Loss: Grief and Bereavement |
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276 | (4) |
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14 Complications of Labor and Birth |
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280 | (23) |
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280 | (4) |
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281 | (1) |
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281 | (1) |
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Assessment and Management |
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281 | (2) |
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Nursing Care Related to Pharmacologic Therapy |
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283 | (1) |
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283 | (1) |
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Premature Rupture of Membranes |
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284 | (1) |
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284 | (1) |
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284 | (5) |
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285 | (1) |
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285 | (1) |
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286 | (3) |
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289 | (1) |
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Induction of Labor and Augmentation |
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289 | (2) |
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|
289 | (1) |
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289 | (2) |
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291 | (1) |
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Assisted Vaginal Delivery |
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292 | (1) |
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292 | (1) |
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292 | (1) |
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293 | (1) |
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293 | (1) |
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293 | (1) |
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293 | (1) |
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294 | (1) |
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294 | (1) |
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294 | (1) |
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294 | (1) |
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295 | (8) |
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15 The Newborn at Risk: Conditions Associated with Gestational Age and Development |
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303 | (17) |
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Gestational Age and Birth Weight |
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304 | (9) |
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Small-for-Gestational-Age (SGA) Newborn |
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304 | (2) |
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Large-for-Gestational-Age (LGA) Newborn |
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306 | (1) |
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306 | (2) |
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308 | (5) |
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Common Problems of the Compromised Newborn |
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313 | (2) |
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Retinopathy of Prematurity |
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313 | (1) |
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Bronchopulmonary Dysplasia |
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314 | (1) |
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314 | (1) |
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Necrotizing Enterocolitis |
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314 | (1) |
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Intraventricular Hemorrhage |
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315 | (1) |
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Pain, Irritability, and Sedation |
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315 | (1) |
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Developmentally Supportive Care |
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315 | (2) |
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Complementary and Alternative Medical Therapy and the Preterm Infant |
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317 | (1) |
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|
317 | (3) |
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16 The Newborn at Risk: Acquired and Congenital Conditions |
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320 | (23) |
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321 | (1) |
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|
321 | (1) |
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Inborn Errors of Metabolism |
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322 | (2) |
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|
322 | (1) |
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323 | (1) |
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|
323 | (1) |
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Maple Syrup Urine Disease |
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|
323 | (1) |
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Common Congenital Anomalies |
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324 | (1) |
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Common Acquired Disorders |
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324 | (8) |
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Hyperbilirubinemia (Physiologic Jaundice) |
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324 | (5) |
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Hyperbilirubinemia (Pathologic Jaundice) |
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|
329 | (3) |
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332 | (1) |
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|
332 | (3) |
|
Respiratory Distress Syndrome |
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|
333 | (1) |
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Meconium Aspiration Syndrome |
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|
334 | (1) |
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Persistent Pulmonary Hypertension of the Newborn |
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|
335 | (1) |
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Transient Tachypnea of the Newborn |
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|
335 | (1) |
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Infants of Diabetic Mothers |
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|
335 | (2) |
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|
337 | (1) |
|
Newborn with Effects of Maternal Substance Abuse |
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|
337 | (1) |
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The Nurse and the Family of the Newborn at Risk |
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|
337 | (2) |
|
Discharge Planning and Home Care |
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|
339 | (4) |
|
17 Postpartum Complications |
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|
343 | (12) |
|
Postpartum Hemorrhage: Overview |
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|
343 | (6) |
|
Early Postpartum Hemorrhage |
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|
344 | (1) |
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|
344 | (1) |
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|
344 | (1) |
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|
345 | (1) |
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|
345 | (1) |
|
Late Postpartum Hemorrhage |
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|
345 | (1) |
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|
345 | (1) |
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|
345 | (1) |
|
Disseminated Intravascular Coagulation |
|
|
345 | (1) |
|
|
345 | (1) |
|
Anaphylactoid Syndrome of Pregnancy (Amniotic Fluid Embolism) |
|
|
346 | (1) |
|
Interventions for Hemorrhage |
|
|
346 | (1) |
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|
346 | (1) |
|
Nursing Assessment and Management of Postpartum Hemorrhage |
|
|
346 | (3) |
|
Thrombophlebitis and Thromboembolism |
|
|
349 | (1) |
|
|
349 | (1) |
|
Postpartum (Puerperal) Infection |
|
|
349 | (3) |
|
|
350 | (1) |
|
|
350 | (1) |
|
|
351 | (1) |
|
|
351 | (1) |
|
|
352 | (1) |
|
Postpartum Sexual Dysfunction |
|
|
352 | (1) |
|
Postpartum Blues and Depression |
|
|
352 | (3) |
|
|
352 | (1) |
|
|
352 | (1) |
|
|
353 | (2) |
|
UNIT VIII Community-Based Care |
|
|
355 | (17) |
|
18 The Pregnant Adolescent and Maternity Nursing in the Community |
|
|
355 | (17) |
|
The Adolescent as Obstetric Patient |
|
|
355 | (1) |
|
|
355 | (2) |
|
Early Adolescence: Ages 10 to 13 Years |
|
|
356 | (1) |
|
Middle Adolescence: Ages 14 to 16 Years |
|
|
356 | (1) |
|
Late Adolescence: Ages 17 to 20 Years |
|
|
356 | (1) |
|
|
357 | (3) |
|
Influences on Sexual Behavior |
|
|
357 | (1) |
|
Prevention of Adolescent Pregnancy |
|
|
358 | (1) |
|
Confidentiality and the Adolescent |
|
|
358 | (1) |
|
Pregnancy and the Adolescent |
|
|
358 | (1) |
|
|
359 | (1) |
|
|
359 | (1) |
|
Nursing Care of the Pregnant Adolescent |
|
|
360 | (1) |
|
Antepartum Care of Adolescents |
|
|
360 | (1) |
|
Care of the Adolescent During Labor and Delivery |
|
|
360 | (1) |
|
Care of the Postpartum Adolescent |
|
|
360 | (1) |
|
|
360 | (1) |
|
Urinary Tract Infections and Sexually Transmitted Infections in Adolescents |
|
|
361 | (1) |
|
|
361 | (1) |
|
Sexually Transmitted Infections |
|
|
361 | (1) |
|
|
361 | (1) |
|
|
362 | (1) |
|
|
362 | (1) |
|
Contraception and Adolescents |
|
|
362 | (1) |
|
|
363 | (1) |
|
Prenatal Programs Available to Adolescents |
|
|
363 | (1) |
|
|
363 | (1) |
|
Overview of Issues in Obstetrical Home Care |
|
|
364 | (1) |
|
|
364 | (1) |
|
|
365 | (1) |
|
|
365 | (1) |
|
Alternative Health Care Practices |
|
|
365 | (1) |
|
|
365 | (1) |
|
|
366 | (1) |
|
Prenatal Care for Low-Risk Pregnancies |
|
|
366 | (1) |
|
Prenatal Care for High-Risk Pregnancies |
|
|
366 | (1) |
|
|
366 | (3) |
|
Postpartum Care for Low-Risk Mothers |
|
|
366 | (2) |
|
Home Care for Low-Risk Newborns |
|
|
368 | (1) |
|
Home Care for High-Risk Newborns |
|
|
368 | (1) |
|
|
368 | (1) |
|
The Homeless Mother and Newborn |
|
|
369 | (1) |
|
Costs of Early Discharge and Home Care |
|
|
370 | (1) |
|
|
370 | (2) |
|
UNIT IX Other Reproductive Issues |
|
|
372 | (48) |
|
19 Family Planning and Infertility |
|
|
372 | (18) |
|
|
372 | (1) |
|
|
372 | (9) |
|
|
373 | (1) |
|
Mechanical Barrier Methods |
|
|
374 | (4) |
|
|
378 | (2) |
|
|
380 | (1) |
|
Adverse Effects of Oral Contraceptives |
|
|
381 | (1) |
|
|
381 | (1) |
|
Least Effective Methods of Contraception |
|
|
381 | (1) |
|
Coitus Interruptus (Withdrawal) |
|
|
381 | (1) |
|
|
381 | (1) |
|
|
381 | (1) |
|
|
381 | (2) |
|
|
381 | (1) |
|
|
382 | (1) |
|
|
382 | (1) |
|
|
382 | (1) |
|
Infertility and Therapies to Facilitate Pregnancy |
|
|
383 | (1) |
|
Definitions of Fertility and Infertility |
|
|
383 | (1) |
|
Cultural and Religious Considerations |
|
|
383 | (1) |
|
Factors Related to Fertility |
|
|
384 | (1) |
|
|
384 | (1) |
|
|
384 | (1) |
|
|
384 | (1) |
|
|
384 | (1) |
|
|
384 | (1) |
|
|
384 | (1) |
|
|
384 | (1) |
|
Use of Drugs and Chemicals |
|
|
384 | (1) |
|
|
385 | (1) |
|
Infertility Management Programs |
|
|
385 | (2) |
|
Assisted Reproductive Technology |
|
|
385 | (2) |
|
Complementary and Alternative Medical Therapy for Infertility |
|
|
387 | (1) |
|
Role of the Nurse in Contraception and Infertility |
|
|
387 | (3) |
|
|
390 | (17) |
|
|
390 | (1) |
|
|
391 | (1) |
|
|
391 | (1) |
|
|
392 | (1) |
|
|
392 | (1) |
|
Menstrual Irregularities (Dysfunctional Bleeding) |
|
|
393 | (1) |
|
|
393 | (1) |
|
|
393 | (1) |
|
|
394 | (1) |
|
|
394 | (1) |
|
|
395 | (1) |
|
Screening Tests for Cancer Detection |
|
|
395 | (2) |
|
|
395 | (1) |
|
|
395 | (1) |
|
|
395 | (2) |
|
|
397 | (1) |
|
|
397 | (1) |
|
|
397 | (1) |
|
|
398 | (1) |
|
|
398 | (1) |
|
Pelvic Inflammatory Disease |
|
|
399 | (1) |
|
|
399 | (1) |
|
|
399 | (1) |
|
|
400 | (1) |
|
Sexually Transmitted Infections |
|
|
400 | (7) |
|
Human Papillomavirus (HPV) |
|
|
404 | (1) |
|
Prevention of Sexually Transmitted Infections |
|
|
404 | (3) |
|
21 Complementary and Alternative Therapies |
|
|
407 | (13) |
|
|
407 | (1) |
|
The Changing Health Care Environment |
|
|
408 | (1) |
|
|
408 | (1) |
|
|
408 | (1) |
|
Nursing Acceptance of Complementary and Alternative Therapy Modalities |
|
|
408 | (1) |
|
Selected Complementary and Alternative Therapies |
|
|
409 | (11) |
|
|
409 | (1) |
|
|
409 | (1) |
|
|
410 | (1) |
|
|
411 | (1) |
|
|
411 | (1) |
|
Transcutaneous Electrical Nerve Stimulation |
|
|
412 | (1) |
|
Visualization and Guided Imagery |
|
|
413 | (1) |
|
Expressive Therapy and Sound Therapy |
|
|
413 | (1) |
|
|
413 | (1) |
|
|
414 | (1) |
|
Massage and Touch Therapy |
|
|
414 | (1) |
|
|
415 | (1) |
|
|
415 | (2) |
|
|
417 | (1) |
|
|
417 | (1) |
|
|
418 | (2) |
|
|
|
Appendix A The Joint Commission's Lists of Dangerous Abbreviations, Acronyms, and Symbols |
|
|
420 | (1) |
|
Appendix B Commonly Used Abbreviations in Maternity and Pediatric Nursing |
|
|
421 | (1) |
|
Appendix C Common Phrases for Maternity and Pediatric Nursing with Spanish Translations |
|
|
422 | (3) |
|
Appendix D Multilingual Glossary of Symptoms |
|
|
425 | (3) |
|
Appendix E Conversion Tables |
|
|
428 | (1) |
|
Appendix F Selected Maternal and Newborn Laboratory Values |
|
|
429 | (1) |
|
Appendix G Answers to Review Questions for the NCLEX® Examination |
|
|
430 | (2) |
Bibliography and Reader References |
|
432 | (10) |
Illustration Credits |
|
442 | (3) |
Glossary |
|
445 | (28) |
Study Guide |
|
473 | |