도서 소개
최근 모성간호의 변화, 개정 사항, 최신 임상지견 등 신뢰도 높은 자료만을 선별해, 효율적인 학습을 위한 핵심 정리로 구성하였다. 모성간호학의 출제 비중이 높아진 만큼, 예상되는 모든 쟁점을 빠짐없이 담았으며, 그동안 임용고시에서 출제 비중이 높았던 영역과 향후 출제될 가능성이 높은 내용, 국가고시 주요 쟁점까지 모두 아울렀다.
출판사 리뷰
Preface 이 책의 머리말
본 교재는 보건교사 임용고시를 준비하는 예비보건교사들의 합격의 길잡이가 될 것으로 확신합니다.
김이지 전공보건 모성간호학 교재의 특징은 아래와 같습니다.
1. 최신의 엄선된 핵심 정보로 구성된 ‘함축 정리형 교재’
∙ 최근 모성간호의 변화, 개정 사항, 최신 임상지견 등 신뢰도 높은 자료만을 선별해, 효율적인 학습을 위한 핵심 정리로 구성하였습니다.
2. 출제 가능성이 높은 쟁점들을 빠짐없이 담은 ‘출제 포인트 완전 수록 교재’
∙ 모성간호학의 출제 비중이 높아진 만큼, 예상되는 모든 쟁점을 빠짐없이 담았습니다.
∙ 그동안 임용고시에서 출제 비중이 높았던 영역과 향후 출제될 가능성이 높은 내용, 국가고시 주요 쟁점까지 모두 아우른 교재입니다.
3. 개념별 키워드와 사례 중심의 ‘이해 기반 서술형 대비 교재’
∙ 각 개념을 핵심 키워드와 논리적 설명, 개념들 간 구조의 연결성 등을 풀어내어 주관식·서술형 문제에 강한 이해 중심 학습이 가능하도록 설계했습니다.
4. 최신 기출을 반영한 ‘출제 트렌드 기반 교재’
∙ 최근 모성간호학의 출제 경향을 정밀 분석하여, 자주 출제되는 핵심과 앞으로 나올 가능성이 높은 주제를 반영한 최신형 교재입니다.
5. 그림·표·도식화를 활용한 ‘시각적 구조화 교재’
∙ 복잡한 개념도 표, 그림, 도식화를 통해 한눈에 구조화하여, 개념 간 흐름을 시각적으로 기억에 정착시켜 시험일까지 오래 유지할 수 있도록 구성했습니다.
교재의 내용 한글자 한글자를 집필할 때는 이 교재가 바로 여러분의 ‘시험지의 답안’이라고
생각하고, 쉽게 암기하면서도 고득점을 맞을 수 있는 방법을 고민하고, 또 고민해서 교재를
만들었습니다.
김이지 전공보건 강의의 특징은 다음과 같습니다.
1. ‘완벽한 이해’를 바탕으로 복습을 최소화하는 강의와 교재
∙암기와 인출은 이해가 바탕이 될 때 비로소 효과를 발휘합니다.
∙ 그래서 저는 수험생이 복습에 시간을 낭비하지 않도록, 한 번에 이해하고 오래 기억할 수 있는 강의와 교재를 지향합니다.
2. 장기간 기출 분석을 기반으로 한 ‘출제 예측 강의’
∙기출문제는 단순 반복이 아닌, 미래의 출제를 읽기 위한 가장 정밀한 자료입니다.
∙ 2024년과 2025년, 가장 높은 적중률로 증명했으며, 앞으로도 그 정확도를 계속 증명해나갈 것입니다.
3. ‘키워드 중심의 이론 정리’로 체계적 틀을 구축하는 강의
∙ 강의 중 반드시 기억해야 할 핵심 키워드는 명확하게 강조하며, 개념 간 연결을 통해 체계적인 이론의 틀을 만들어드립니다.
4. ‘반복 문제풀이’로 실제 시험 적응력을 높이는 강의
∙이해와 적용은 반복을 통해 완성됩니다.
∙ 사회 변화와 최신 간호 내용을 반영한 출제 예상 문제풀이를 통해, 실제 시험에 가장 가까운 적응력을 키워드릴 것입니다.
합격의 길은 막막하지 않습니다. 얼마든지 즐겁게 행복하게 공부할 수 있습니다. 딱 하루하루만 허들을 넘듯, 최선을 다해봅시다.
그럼, 어느순간 합격의 길에 여러분이 있을 것이라 확신합니다.
곧 여러분들은 학교의 보건실에서 사랑스럽고 귀여운 아이들을 따뜻하게 맞이하게 될 것입니다.
그날을 향해 나아가는 예비 보건교사 선생님들의 합격을 마음 깊이 응원합니다.
끝으로, 이 교재를 완성하도록 도움을 주신 해커스 임용고시 학원선생님들과 법률저널 출판사
관계자분들, 그리고 집필에 도움을 주신 배현자 연구원님과 김은진 연구원님께도 깊은 감사를
드립니다.
2025년 6월
저자 김이지
목차
PART 01 여성 생식기 구조와 기능 ··············· 8
1 여성 외생식기 ··············································8
2 여성 내생식기 ·············································11
3 골반 ····························································18
4 유방 ····························································21
PART 02 여성 생식 생리와 호르몬 ············· 23
1 시상하부-뇌하수체-난소주기 ··················23
2 난소주기 ····················································25
3 자궁내막주기(월경주기) ······························30
4 월경주기관련 호르몬 ································33
PART 03 여성 생식기 건강사정 ·················· 37
1 외부 생식기 ···············································37
2 내부 생식기 ···············································38
PART 04 피임법 ··········································· 40
1 피임법의 이상적 조건(선택시 고려할 요인) ·· 40
2 월경주기법(자연가족계획, 가임기간 인지방법, 생식능력 인지기반 피임법) ·················41
3 자궁경부차단법 ·········································44
4 질 살정제 ···················································48
5 호르몬 피임법 ···········································49
6 자궁내 장치(IntraUterine Device, IUD) ··········56
7 응급피임약 ·················································59
8 외과적 불임법(영구 불임법, 불임술) ············60
9 성교중절법(질외사정법) ·······························61
10 수유 무월경법 ············································61
11 피임방법의 분류 ········································61
12 인공임신중절 ·············································62
PART 05 월경이상 ······································· 64
1 무월경 ························································64
2 비정상 자궁출혈 ········································69
3 월경곤란증 ·················································74
4 월경전 증후군(premenstrual syndrome, PMS) ························································77
5 황색 포도상 구균에 의한 독성쇼크증후군 ···························································79
6 그룹 A 연쇄상 구균으로 인한 독성 쇼크증후군 ························································84
PART 06 생식기 감염 ·································· 85
1 외생식기 감염 ···········································85
2 외음의 염즘성 질환 ···································86
3 내생식기 감염 ············································87
4 골반 염증성 질환(pelvic inflammatory disease, PID) ················96
PART 07 자궁내막질환 ····························· 100
1 자궁내막증(endometriosis) ························100
2 자궁선근증(uterine adenomyosis, adenomyosis) ·················································106
3 자궁내막증식증(endometrial hyperplasia) ··108
PART 08 난임간호 ····································· 110
1 난임 정의 및 분류 ····································110
2 난임의 원인 ··············································110
3 여성 난임 사정 ·········································114
4 남성난임사정 ············································121
5 여성 난임치료 ··········································123
6 남성 난임치료 ··········································129
7 난임치료 시술 ··········································130
PART 09 폐경기 간호 ································ 135
1 갱년기 진행과정 ······································135
2 갱년기의 건강문제와 건강관리 ···············138
3 신체검진 ···················································145
4 약물요법 ···················································146
5 운동요법 ···················································148
6 영양과 식이요법 ······································149
7 비뇨기계 감염예방 및 안전한 성생활 ·····150
PART 10 생식기 종양관련 간호 ················ 151
1 자궁근종 ···················································151
2 자궁경부상피내종양(CIN) ·························156
3 자궁경부암 ···············································162
4 자궁내막암 ···············································166
5 자궁육종 ···················································168
6 기능성 난소낭종 ······································168
7 다낭성난소증후군(PCOS) ·························169
8 난소의 양성 종양 ·····································172
9 난소 및 난관 악성종양 ····························174
10 질의 종양 ··················································179
11 외음 종양 ·················································180
12 임신성 융모성 종양 ·································182
PART 11 생식기 수술 ································ 184
1 자궁절제술 ···············································184
2 자궁근종절제술 ········································186
3 난소수술 ···················································186
4 난관수술 ···················································187
5 외음절제술 ···············································187
6 골반장기제거술 ········································187
PART 12 성매개 질환 ································ 188
1 임질 ··························································188
2 클라미디아(chlamydia) ······························190
3 첨형 콘딜로마(인유두종 바이러스 감염(HPV) 6번, 11번) ·······································192
4 음부포진 ···················································194
5 매독 ··························································198
6 연성하감 ··················································202
7 서혜육아종 ··············································203
8 성병성 림프육아종 ··································204
9 후천성 면역결핍증후군 ···························204
PART 13 태아 발달 ···································· 210
1 태아발달 ···················································210
2 배아와 태아부속물 ···································213
3 태아 발달 ·················································220
PART 14 태아 건강사정 ···························· 228
1 초음파 검사 ·············································228
2 태아심박동수 측정 ···································231
3 태동 측정(자가 측정법) ······························231
4 생물리학적 계수(Biophysical Profile, BPP) ·· 232
5 자기공명영상(MRI) ···································234
6 태아경 검사(fetoscope) ·····························234
7 양막경 검사 ·············································234
8 모체혈청 검사 ·········································235
9 양수천자 ··················································237
10 경피 제대혈 채취 ····································238
11 융모막융모생검 ·······································238
12 태아 DNA 선별검사 ································239
13 전자 태아감시장치 ··································239
14 태아심박동 이상 양상 ·····························242
15 하강 ··························································243
PART 15 정상임신 간호 ···························· 247
1 임산력과 출산력 ······································247
2 임신의 징후와 진단 ·································248
3 임신여성의 신체계통별 변화와 간호 ······251
4 임부 영양과 체중증가 ·····························269
PART 16 임부의 건강사정과 간호 ············ 272
1 임신 기수 ·················································272
2 산전방문 일정 ··········································272
3 산과력, 분만예정일 ·································272
4 신체검진 ··················································274
5 검사실 검사 ·············································275
6 임신시 흡연, 음주, 약물 영향 ·················277
7 임신 중 예방접종 ·····································277
8 임신 중 성생활 ········································278
9 임신 중 건강위협 증상 ····························278
PART 17 고위험 임신 간호 ······················· 279
1 다태임신 ··················································279
2 임신오조증 ···············································279
3 임신전반기 출혈 ······································281
4 임신후반기 출혈 ······································289
5 고혈압성 건강문제 ··································299
6 당뇨병 ······················································307
7 심장질환 ··················································309
8 갑상샘질환 ···············································310
9 Rh 동종면역 ·············································311
10 비뇨기계 질환 ··········································312
11 감염질환 ···················································312
12 TORCH 감염 ············································314
PART 18 정상분만 간호 ···························· 315
1 분만에 영향을 주는 요소(5P) ···················315
2 산도의 구성 요소 ·····································315
3 분만과정 ··················································327
4 신생아 사정 및 간호 ·······························340
PART 19 고위험 분만 간호 ······················· 342
1 난산 ··························································342
2 조기진통 ··················································344
3 만기후 분만 ·············································347
4 자궁파열 ··················································349
5 자궁내번증 ··············································350
6 유착태반 ···················································351
7 제대탈출 ··················································352
8 양수과다증, 양수과소증 ··························353
9 융모양막염 ··············································354
10 양수색전증 ··············································354
11 인위적 분만 ·············································355
12 조작적 분만법 ·········································358
13 제왕절개 후 질분만 시l도(VBAC) ············359
PART 20 정상 산욕기 간호 ······················· 360
1 자궁저부 높이(자궁퇴축) ··························360
2 산욕기 생리적 변화 ································360
3 산욕기 기관별 변화 ·································361
4 산욕기 간호사정 및 간호 ························363
PART 21 고위험 산욕 간호 ······················· 370
1 산욕감염(산후감염) ···································370
2 자궁내막염 ··············································370
3 산후출혈 ··················································372
4 산욕기 산후정신건강 문제 ······················374