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Contemporary Maternal-Newborn Nursing Care 9th edition [Hardback]

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  • Formāts: Hardback, 848 pages, height x width x depth: 100x100x100 mm, weight: 100 g
  • Izdošanas datums: 13-Jan-2017
  • Izdevniecība: Pearson
  • ISBN-10: 0134257022
  • ISBN-13: 9780134257020
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  • Formāts: Hardback, 848 pages, height x width x depth: 100x100x100 mm, weight: 100 g
  • Izdošanas datums: 13-Jan-2017
  • Izdevniecība: Pearson
  • ISBN-10: 0134257022
  • ISBN-13: 9780134257020
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For 2- and 4-year college-level nursing courses that cover pregnancy, birth, and the postpartum period.

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Help readers think like maternal-newborn nurses

Accurate, readable, and up-to-date, Contemporary Maternal-Newborn Nursing presents pregnancy and childbirth as normal life processes with family members as co-participants in care. This text thoroughly illuminates all aspects of maternal-newborn nursing and many opportunities for nurses to make a difference in a changing healthcare environment. After introducing key concepts, it progresses through the steps of the nursing process, clearly delineating nurses' roles throughout pregnancy, labor, birth, the newborn period, and postpartum care. For each, it presents basic theory followed by chapters on assessment and care for essentially healthy women or infants, and then by complications and treatment. Recurring themes include evidence-based practice, critical thinking, clinical decision-making, community-based care, patient and family teaching, safety, cultural competence, complementary/alternative therapies, and health promotion. This edition's significant updates include revisions reflecting the latest recommendations of AACN Baccalaureate Essentials, QSEN, the Institute of Medicine (IOM), and Healthy People 2020.


Part I Introductory Concepts 1(62)
1 Contemporary Maternal-Newborn Care
1(11)
Contemporary Childbirth
2(2)
Health Teaching and Contemporary Care
2(1)
The Healthcare Environment
3(1)
Community-Based Nursing Care
3(1)
Healthy People 2020 Goals
3(1)
Culturally Competent Care
4(1)
Complementary Health Approaches
4(1)
Nursing Roles
4(1)
Legal Considerations
5(1)
Scope of Practice
5(1)
Standards of Nursing Care
5(1)
Patients' Rights
5(1)
Special Ethical Issues in Maternity Care
6(1)
Maternal-Fetal Conflict
6(1)
Abortion
6(1)
Intrauterine Fetal Surgery
6(1)
Reproductive Assistance
7(1)
Embryonic Stem Cell Research
7(1)
Evidence-Based Practice in Maternal-Newborn Nursing
7(1)
Nursing Research
8(1)
Nursing Care Plans
8(1)
Clinical Reasoning
8(1)
Statistical Data and Maternal-Infant Care
8(4)
Birth Rate
8(1)
Infant Mortality
9(1)
Maternal Mortality
9(1)
Implications for Nursing Practice
9(3)
2 Family, Culture, and Complementary Health Approaches
12(11)
The Family
13(1)
Types of Families
13(1)
Family Development Frameworks
14(1)
Family Assessment
14(1)
Cultural Influences Affecting the Family
14(3)
Cultural Influences on Childbearing and Childrearing
15(2)
Impact of Religion and Spirituality
17(1)
Complementary Health Approaches and the Childbearing Family
17(3)
Benefits and Risks
18(1)
Types of Complementary Health Approaches
18(2)
Nursing Care of the Childbearing Family Using Complementary Health Approaches
20(3)
3 Reproductive Anatomy and Physiology
23(19)
Female Reproductive System
23(10)
External Genitals
24(1)
Female Internal Reproductive Organs
25(5)
Bony Pelvis
30(3)
Breasts
33(1)
Female Reproductive Cycle
33(5)
Effects of Female Hormones
33(3)
Neurohormonal Basis of the Female Reproductive Cycle
36(1)
Ovarian Cycle
36(1)
Uterine (Menstrual) Cycle
37(1)
Male Reproductive System
38(4)
External Genitals
38(1)
Male Internal Reproductive Organs
38(4)
4 Conception and Fetal Development
42(21)
Cellular Division
42(1)
Mitosis
42(1)
Meiosis
43(1)
Gametogenesis
43(1)
Oogenesis
43(1)
Spermatogenesis
43(1)
The Process of Fertilization
44(2)
Preparation for Fertilization
44(1)
The Moment of Fertilization
45(1)
Preembryonic Development
46(4)
Cellular Multiplication
46(1)
Implantation (Nidation)
47(1)
Cellular Differentiation
47(2)
Twins
49(1)
Development and Functions of the Placenta
50(3)
Placental Circulation
51(1)
Placental Functions
51(2)
Development of the Fetal Circulatory System
53(1)
Embryonic and Fetal Development
53(7)
Embryonic Stage
53(5)
Fetal Stage
58(2)
Factors Influencing Embryonic and Fetal Development
60(3)
Part II Women's Health: The Reproductive Years 63(74)
5 Health Promotion for Women
63(30)
Community-Based Nursing Care
63(1)
The Nurse's Role in Addressing Issues of Sexuality
64(1)
Taking a Sexual History
64(1)
Menstruation
64(4)
Counseling the Premenstrual Girl About Menarche
64(1)
Educational Topics
65(1)
Associated Menstrual Conditions
66(2)
Contraception
68(10)
Fertility Awareness Methods
68(1)
Situational Contraceptives
69(1)
Spermicides
70(1)
Barrier Methods of Contraception
70(3)
Long-Acting Reversible Contraception (LARC)
73(1)
Hormonal Contraceptives
74(2)
Postcoital Emergency Contraception
76(1)
Operative Sterilization
76(1)
Male Contraception
76(1)
Clinical Interruption of Pregnancy
77(1)
Preconception Counseling
78(1)
Preconception Health Measures
78(1)
Contraception
79(1)
Conception
79(1)
Health Promotion Activities
79(2)
Breast Examination
79(2)
Pap Smear and Pelvic Examination
81(1)
Menopause
81(4)
Physical Aspects
83(1)
Psychologic Aspects
83(1)
Clinical Therapy
83(2)
Violence Against Women
85(8)
Domestic Violence
85(3)
Sexual Assault and Rape
88(5)
6 Common Gynecologic Problems
93(19)
Care of the Woman With a Benign Disorder of the Breast
94(1)
Fibrocystic Breast Changes
94(1)
Other Benign Breast Disorders
94(1)
Care of the Woman With Endometriosis
95(1)
Care of the Woman With Polycystic Ovarian Syndrome
96(1)
Clinical Therapy
97(1)
Care of the Woman With Toxic Shock Syndrome
97(1)
Care of the Woman With a Vaginal Infection
98(1)
Bacterial Vaginosis
98(1)
Vulvovaginal Candidiasis
98(1)
Care of the Woman With a Sexually Transmitted Infection
99(5)
Trichomoniasis
100(1)
Chlamydial Infection
101(1)
Gonorrhea
101(1)
Herpes Genitalis
101(1)
Syphilis
102(1)
Human Papillomavirus/Condyloma ta-Acuminata
102(1)
Acquired Immunodeficiency Syndrome
103(1)
Care of the Woman With Pelvic Inflammatory Disease
104(1)
Care of the Woman With an Abnormal Finding During Pelvic Examination
105(2)
Abnormal Pap Smear Results
105(1)
Ovarian Masses
105(1)
Uterine Abnormalities
106(1)
Care of the Woman With a Urinary Tract Infection
107(1)
Lower Urinary Tract Infection
107(1)
Upper Urinary Tract Infection (Pvelonephritis)
107(1)
Care of the Woman With Pelvic Relaxation
108(1)
Care of the Woman Requiring a Hysterectomy
109(3)
7 Families With Special Reproductive Concerns
112(25)
Infertility
113(11)
Essential Components of Fertility
113(1)
Initial Investigation: Physical and Psychosocial Issues
114(1)
Assessment of the Woman's Fertility
114(4)
Assessment of the Man's Fertility
118(1)
Methods of Infertility Management
119(5)
Genetic Disorders
124(13)
Chromosomes and Chromosomal Analysis
124(3)
Modes of inheritance
127(2)
Prenatal Diagnostic Tests
129(2)
Nursing Implications of Prenatal Diagnostic Testing
131(1)
Newborn Screening
132(1)
Postnatal Diagnosis
132(1)
Genetic Counseling
132(5)
Part III Pregnancy And The Family 137(172)
8 Physical and Psychologic Changes of Pregnancy
137(14)
Anatomy and Physiology of Pregnancy
137(5)
Reproductive System
137(1)
Breasts
138(1)
Respiratory System
138(1)
Cardiovascular System
138(1)
Gastiointestinal System
139(1)
Urinary Tract
139(1)
Skin and Hair
139(1)
Musculoskeletal System
140(1)
Central Nervous System
140(1)
Eyes
140(1)
Metabolism
140(1)
Endocrine System
141(1)
Signs of Pregnancy
142(2)
Subjective (Presumptive) Changes
142(1)
Objective (Probable) Changes
142(2)
Diagnostic (Positive) Changes
144(1)
Psychologic Response of the Expectant Family to Pregnancy
144(4)
Developmental Tasks of the Expectant Couple
145(1)
The Mother
146(1)
The Father
147(1)
Siblings
148(1)
Grandparents
148(1)
Cultural Values and Pregnancy
148(3)
9 Antepartum Nursing Assessment
151(24)
Initial Client History
152(2)
Definition of Terms
152(1)
Client Profile
152(2)
Obtaining Data
154(1)
Prenatal Risk Factor Screening
154(1)
Initial Prenatal Assessment
154(15)
Determination of Due Date
158(8)
Uterine Assessment
166(1)
Assessment of Fetal Development
166(1)
Assessment of Pelvic Adequacy (Clinical Pelvimetry)
167(1)
Screening Tests
167(2)
Subsequent Client History
169(1)
Subsequent Prenatal Assessment
170(5)
10 The Expectant Family: Needs and Care
175(25)
Nursing Care During the Prenatal Period
176(1)
Nursing Diagnoses During Pregnancy
176(1)
Planning and Implementation During Pregnancy
176(1)
Care of the Pregnant Woman's Family
176(1)
Cultural Considerations in Pregnancy
177(1)
Childbearing Decisions
177(6)
Healthcare Provider
179(1)
Prenatal Care Services
180(2)
Birth Setting
182(1)
Labor Support Person
182(1)
Siblings at Birth
183(1)
Classes for Family Members During Pregnancy
183(2)
Education of the Family Having Cesarean Birth
184(1)
Preparation for Parents Desiring Trial of Labor after Cesarean Birth
184(1)
Breastfeeding Programs
184(1)
Sibling Preparation: Adjustment to a Newborn
185(1)
Classes for Grandparents
185(1)
Common Discomforts of Pregnancy
185(3)
First Trimester
185(1)
Second and Third Trimesters
186(2)
Health Promotion During Pregnancy
188(12)
Fetal Activity Monitoring
188(1)
Breast Care
188(2)
Clothing
190(1)
Bathing
191(1)
Employment
191(1)
Travel
191(1)
Activity and Rest
191(2)
Exercises to Prepare for Childbirth
193(1)
Sexual Activity
194(1)
Dental Care
195(1)
Immunizations
195(1)
Complementary Health Approaches
195(1)
Teratogenic Substances
196(1)
Evaluation
197(3)
11 Maternal Nutrition
200(16)
Maternal Weight Gain
201(1)
Nutritional Requirements
202(5)
Calories
202(2)
Carbohydrates
204(1)
Protein
204(1)
Fat
204(1)
Minerals
204(1)
Vitamins
205(1)
Fluid
206(1)
Vegetarianism
207(1)
Factors Influencing Nutrition
207(3)
Common Discomforts of Pregnancy
207(1)
Complementary Health Approaches
208(1)
Use of Artificial Sweeteners
208(1)
Energy Drinks
208(1)
Mercury in Fish
208(1)
Foodborne Illnesses
208(1)
Lactase Deficiency (Lactose Intolerance)
209(1)
Cultural, Ethnic, and Religious Influences
209(1)
Psychosocial Factors
210(1)
Eating Disorders
210(1)
Pica
210(1)
Nutritional Care of the Pregnant Adolescent
210(2)
Specific Nutrient Concerns
211(1)
Dietary Patterns
211(1)
Counseling Issues
211(1)
Postpartum Nutrition
212(1)
Postpartum Nutritional Status
212(1)
Nutritional Care of Formula-Feeding Mothers
213(1)
Nutritional Care of Breastfeeding Mothers
213(1)
Community Resources
213(3)
12 Pregnancy in Selected Populations
216(17)
Adolescent Pregnancy
216(10)
Overview of the Adolescent Period
217(1)
Factors Contributing to Adolescent Pregnancy
217(2)
Risks to the Adolescent Mother
219(1)
'Risks for the Child
220(1)
Partners of Adolescent Mothers
221(1)
Reactions of Family and Social Network to Adolescent Pregnancy
221(5)
Prevention of Adolescent Pregnancy
226(1)
Care of Expectant Parents Over Age 35
226(3)
Medical Risks
227(1)
Special Concerns of Expectant Parents Over Age 35
227(2)
Care of the Pregnant Woman With Special Needs
229(4)
13 Assessment of Fetal Well-Being
233(17)
Rationale for Antenatal Testing
234(1)
Maternal Assessment of Fetal Activity
234(2)
Ultrasound
236(3)
Procedures
238(1)
Nuchal Translucency Testing and First-Trimester Combined Screening
238(1)
Clinical Applications
239(1)
Risks of Ultrasound
239(1)
Cell-Free Fetal DNA (cffDNA) Testing
239(1)
Umbilical Velocimetry (Doppler Blood Flow Studies)
240(1)
Non-Stress Test (NST)
240(2)
Procedure for NST
240(1)
Interpretation of NST Results
240(1)
Clinical Management
241(1)
Fetal Acoustic Stimulation Test (FAST) and Vibroacoustic Stimulation Test (VST)
242(1)
Biophysical Profile (BPP)
242(1)
Contraction Stress Test (CST)
243(2)
Procedure
243(1)
Interpretation of CST Results
243(1)
Clinical Application
244(1)
Amniotic Fluid Analysis
245(2)
Diagnostic Uses of Amniocentesis
245(2)
Chorionic Villus Sampling (CVS)
247(3)
14 Pregnancy at Risk: Pregestational Problems
250(29)
Care of the Woman With Diabetes Mellitus
251(8)
Carbohydrate Metabolism in Normal Pregnancy
251(1)
Pathophysiology of Diabetes Mellitus
251(1)
Classification
251(1)
Influence of Pregnancy on. Diabetes
251(1)
Influence of Diabetes on Pregnancy Outcome
252(1)
Clinical Therapy
252(1)
Antepartum Management of Diabetes Mellitus
253(1)
Intrapartum Management of Diabetes Mellitus
254(1)
Postpartum Management of Diabetes Mellitus
254(5)
Care of the Woman With Anemia
259(1)
Care of the Woman With a Substance Abuse Problem
259(5)
Substances Commonly Abused During Pregnancy
261(2)
Clinical Therapy
263(1)
Care of the Woman With a Psychologic Disorder
264(1)
Maternal Implications
264(1)
Clinical Therapy
265(1)
Care of the Woman With HIV/AIDS
265(5)
Pathophysiology of HIV and AIDS
266(1)
Clinical Therapy
266(4)
Care of the Woman With Heart Disease
270(2)
Clinical Therapy
270(2)
Other Medical Conditions and Pregnancy
272(7)
15 Pregnancy at Risk: Gestational Onset
279(30)
Care of the Woman With a Bleeding Disorder
280(5)
General Principles of Nursing Intervention
280(1)
Spontaneous Abortion (Miscarriage)
280(2)
Ectopic Pregnancy
282(2)
Gestational Trophoblastic Disease
284(1)
Care of the Woman With Hyperemesis Gravidarum
285(2)
Clinical Therapy
286(1)
Care of the Woman With a Hypertensive Disorder
287(9)
Preeclampsia and Eclampsia
287(6)
Chronic Hypertension in Pregnancy
293(2)
Chronic Hypertension With Superimposed Preeclampsia
295(1)
Gestational Hypertension
296(1)
Disseminated Intravascular Coagulation
296(1)
Care of the Woman Requiring Surgery During Pregnancy
296(1)
Care of the Woman Suffering Major Trauma
296(1)
Care of the Pregnant Woman Who Has Experienced Intimate Partner Violence
297(1)
Care of the Woman With a Perinatal Infection Affecting the Fetus
297(5)
Toxoplasmosis
297(1)
Rubella
298(1)
Cytomegalo-virus
299(1)
Herpes Simplex Virus
299(1)
Group B Streptococcal Infection
300(1)
Other Infections in Pregnancy
300(2)
Care of the Woman at Risk for Rh Alloimmunization
302(4)
Fetal /Neonatal Risks
303(1)
Screening for Rh Incompatibility and Alloimmunization
303(1)
Clinical Therapy
303(3)
Care of the Woman at Risk Because of ABO Incompatibility
306(3)
Part IV Birth And The Family 309(161)
16 Processes and Stages of Labor and Birth
309(25)
Methods of Childbirth Preparation
310(1)
Programs for Preparation
310(1)
Body-Conditioning Exercises
310(1)
Relaxation Exercises
310(1)
Breathing Techniques
310(1)
Preparation for Childbirth That Supports Individuality
311(1)
Critical Factors in Labor
312(7)
The Birth Passage
312(1)
The Fetus
313(2)
Relationship of Maternal Pelvis and Presenting Part
315(2)
Physiologic Forces of Labor
317(2)
The Physiology of Labor
319(3)
Possible Causes of Labor Onset
319(1)
Myometrial Activity
320(1)
Musculature Changes in the Pelvic Floor
321(1)
Premonitory Signs of Labor
321(1)
Differences Between True and False Labor
322(1)
Stages of Labor and Birth
322(7)
First Stage
323(1)
Second Stage
324(1)
Third Stage
325(4)
Fourth Stage
329(1)
Maternal Systemic Response to Labor
329(2)
Cardiovascular System
329(1)
Respiratory System
329(1)
Renal System
329(1)
Gastrointestinal System
329(1)
Immune System and Other Blood Values
329(1)
Pain
329(2)
Fetal Response to Labor
331(3)
Heart Rate Changes
331(1)
Acid—Base Status in Labor
331(1)
Hernodynamic Changes
331(1)
Fetal Sensation
331(3)
17 Intrapartum Nursing Assessment
334(28)
Maternal Assessment
335(7)
History
335(1)
Intrapartum High-Risk Screening
336(2)
Intrapartum Physical and Psychosociocultural Assessment
338(1)
Methods of Evaluating Labor Progress
339(3)
Fetal Assessment
342(20)
Fetal Position
342(1)
Auscultation of Fetal Heart Rate
342(3)
Electronic Monitoring of Fetal Heart Rate
345(9)
Fetal Scalp Stimulation Test
354(1)
Cord Blood Analysis at Birth
354(8)
18 The Family in Childbirth: Needs and Care
362(27)
Nursing Diagnoses During Labor and Birth
363(1)
Nursing Care During Admission
363(2)
Nursing Care During the First Stage of Labor
365(8)
Integration of Family Expectations
365(1)
Integration of Cultural Beliefs
365(3)
Promotion of Comfort in the First Stage
368(5)
Nursing Care During the Second Stage of Labor
373(4)
Promotion of Comfort in the Second Stage
376(1)
Assisting During Birth
376(1)
Nursing Care During the Third and Fourth Stages of Labor
377(7)
Initial Care of the Newborn
377(5)
Delivery of the Placenta
382(1)
Enhancing Attachment
382(1)
Provision of Care in the Fourth Stage
383(1)
Support of the Adolescent During Birth
384(1)
Nursing Care During Precipitous Labor and Birth
385(2)
Risks of Precipitous Labor and Precipitous Birth
386(1)
Precipitous Birth
386(1)
Evaluation
387(2)
19 Pharmacologic Pain Management
389(15)
Systemic Medications
390(2)
Opioid Analgesics
391(1)
Additive Medications
392(1)
Opiate Antagonist: Naloxone (Narcan)
392(1)
Regional Anesthesia and Analgesia
392(8)
Anesthetic Agents for Regional Blocks
393(1)
Types of Local Anesthetic Agents
393(1)
Epidural Block
394(4)
Continuous Epidural Infusion
398(1)
Epidural Opioid Analgesia After Birth
398(1)
Spinal Block
398(1)
Combined Spinal—Epidural Block
399(1)
Pudendal Block
400(1)
Local Infiltration Anesthesia
400(1)
Inhalation Nitrous Oxide
400(1)
General Anesthesia
401(3)
20 Childbirth at Risk: Prelabor and Intrapartum Complications
404(20)
Care of the Woman With Premature Rupture of Membranes
404(3)
Clinical Therapy
405(2)
Care of the Woman at Risk Because of Preterm Labor
407(3)
Clinical Therapy
407(3)
Care of the Woman at Risk Because of Bleeding During Pregnancy
410(7)
Placenta Previa
410(2)
Abruption Placentae (Placental Abruption)
412(5)
Care of the Woman With Cervical Insufficiency
417(1)
Clinical Management
417(1)
Cercla.ge Procedures
418(1)
Care of the Woman With Multiple Gestation
418(2)
Maternal Implications
419(1)
Fetal/Neonatal implications
419(1)
Clinical Therapy
419(1)
Care of the Woman With Abnormal Amniotic Fluid Volume
420(4)
Hydramnios
420(1)
Oligohydramnios
421(3)
21 Childbirth at Risk: Labor-Related Complications
424(26)
Care of the Woman With Dystocia Related to Dysfunctional Uterine Contractions
425(3)
Tachysy-stolic Labor Patterns
425(2)
Hypotonic Labor Patterns
427(1)
Care of the Woman With Postterm Pregnancy
428(2)
Risks of Prolonged Pregnancy
428(1)
Clinical Therapy
428(2)
Care of the Woman and Fetus at Risk Because of Fetal Malposition
430(1)
Risks of Fetal Malposition
430(1)
Clinical Therapy
430(1)
Care of the Woman and Fetus at Risk Because of Fetal Malpresentation
431(5)
Brow Presentation
431(1)
Face Presentation
432(1)
Breech Presentation
433(3)
Transverse Lie (Shoulder Presentation) of a Single Fetus
436(1)
Compound Presentation
436(1)
Care of the Woman and Fetus at Risk for Macrosomia
436(1)
Risks of Macrosomia
436(1)
Clinical Therapy
437(1)
Care of the Woman and Fetus in the Presence of Nonreassuring Fetal Status
437(1)
Maternal Implications
438(1)
Clinical Therapy
438(1)
Care of the Woman and Fetus With a Prolapsed Umbilical Cord
438(1)
Maternal Implications
438(1)
Fetal/Neonatal Implications
439(1)
Clinical Therapy
439(1)
Care of the Woman and Fetus at Risk Because of Anaphylactoid Syndrome of Pregnancy
439(1)
Maternal Implications
439(1)
Clinical Therapy
440(1)
Care of the Woman With a Uterine Rupture
440(1)
Clinical Therapy
440(1)
Care of the Woman With Cephalopelvic Disproportion
440(1)
Types of Contractures
441(1)
Maternal Implications
441(1)
Fetal/Neonatal Implications
441(1)
Clinical Therapy
441(1)
Care of the Woman With a Complication of the Third or Fourth Stage of Labor
441(1)
Retained Placenta
441(1)
Lacerations
442(1)
Placenta Accreta
442(1)
Care of the Family Experiencing Perinatal Loss
442(8)
Common Causes of Perinatal Loss
442(1)
Maternal Physiologic Implications
443(1)
Clinical-Therapy
443(1)
Postbirth Evaluation
443(1)
Phases of Grief
443(1)
Maternal Death
444(6)
22 Birth-Related Procedures
450(20)
Care of the Woman During Version
451(1)
Criteria for External Version
451(1)
Contraindications for External Version
451(1)
Care of the Woman During Amniotomy
452(1)
Amniotomy Procedure
452(1)
Care of the Woman During Amnioinfusion
452(1)
Care of the Woman During Cervical Ripening
453(1)
Prostaglandin Agents
453(1)
Misoprostol (Cytotec)
453(1)
Other Methods of Cervical Ripening
454(1)
Care of the Woman During Labor Induction
454(2)
Labor Readiness
454(1)
Methods of Inducing Labor
455(1)
Care of the Woman During an Episiotomy
456(3)
Factors That Predispose Women to Episiotomy
456(1)
Preventive Measures
456(2)
Episiotomy Procedure
458(1)
Care of the Woman During Forceps-Assisted Birth
459(1)
Indications for Forceps-Assisted Birth
459(1)
Neonatal and Maternal Risks
459(1)
Care of the Woman During Vacuum-Assisted Birth
460(1)
Care of the Family During Cesarean Birth
460(6)
Indications
461(1)
Maternal Mortality and Morbidity
462(1)
Skin Incisions
462(1)
Uterine Incisions
463(1)
Analgesia and Anesthesia
464(2)
Care of the Woman Undergoing Trial of Labor After Cesarean (TOLAC) and Vaginal Birth After Cesarean (VBAC)
466(4)
Part V The Newborn 470(194)
23 The Physiologic Responses of the Newborn to Birth
470(20)
Respiratory Adaptations
471(1)
Intrauterine Factors Supporting Respiratory Function
471(1)
Fetal Circulation
471(1)
Cardiopulmonary Adaptations
472(3)
Maintaining Respiratory Function
473(1)
Characteristics of Newborn Respiration
473(1)
Characteristics of Cardiac Function
474(1)
Hematopoietic System
475(2)
Oxygen Transport
475(1)
Delayed Cord Clamping
476(1)
Coagulation
476(1)
Temperature Regulation
477(2)
Heat Loss
477(1)
Heat Production (Thermogenesis)
478(1)
Response to Heat
479(1)
Hepatic Adaptations
479(3)
Iron Storage and Red Blood Cell Production
479(1)
Carbohydrate Metabolism
479(1)
Conjugation of Bilirubin
480(1)
Physiologic Jaundice
480(2)
Breastfeeding Jaundice and Breast Milk Jaundice
482(1)
Gastrointestinal Adaptations
482(2)
Digestion and Absorption
482(1)
Elimination
483(1)
Urinary Tract Adaptations
484(1)
Kidney Development and Function
484(1)
Characteristics of Newborn Urinary Function
484(1)
Immunologic Adaptations
484(1)
Neurologic Adaptations
485(5)
Intrauterine Environment Influence on Newborn Behavior
485(1)
Characteristics of Newborn Neurologic Function
485(1)
Periods of Reactivity
485(1)
Behavioral States of the Newborn
486(1)
Sensory Capacities of the Newborn
487(3)
24 Nursing Assessment of the Newborn
490(38)
Timing of Newborn Assessments
491(1)
Estimation of Gestational Age
491(7)
Assessment of Physical Maturity Characteristics
492(2)
Assessment of Neuromuscular Maturity Characteristics
494(4)
Physical Assessment
498(13)
General Appearance
498(1)
Weight and Measurements
498(1)
Temperature
499(1)
Skin Characteristics
500(2)
Birthmarks
502(1)
[ lead
503(2)
Hair
505(1)
Face
505(1)
Eyes
505(1)
Nose
506(1)
Mouth
506(1)
Ears
507(1)
Neck
507(1)
Chest
507(1)
Cry
508(1)
Respiration
508(1)
Heart
508(1)
Abdomen
509(1)
Umbilical Cord
509(1)
Genitals
510(1)
Anus
510(1)
Extremities
510(1)
Back
511(1)
Assessment of Neurologic Status
511(4)
The Brazelton Neonatal Behavioral Assessment Scale
514(1)
Newborn Physical Assessment Guide
515(13)
25 The Normal Newborn: Needs, Care, and Feeding
528(43)
Admission and the First 4 Hours of Life
529(5)
The Newborn Following Transition
534(5)
Newborn Feeding
539(1)
Growth Rates
540(1)
Choice of Feeding: Breast Versus Formula
540(1)
Breastfeeding
541(17)
Breast Milk Production
541(1)
Physiologic and Endocrine Control of Lactogenesis
541(1)
Advantages of Breast Milk
542(4)
Timing of Newborn Feedings
546(2)
Cultural Considerations in Newborn Feeding
548(1)
Breastfeeding Technique
549(9)
Formula-Feeding
558(3)
Formula-Feeding Guidelines and Technique
558(3)
Involving Fathers/Partners
561(1)
Promotion of Successful Newborn Breastfeeding
561(1)
Preparation for Discharge
562(9)
Evaluation
567(4)
26 The Newborn at Risk: Conditions Present at Birth
571(49)
Identification of At-Risk Newborns
572(1)
Care of the Small-for-Gestational-Age/Intrauterine Growth Restriction Newborn
573(2)
Factors Contributing to IUGR
573(1)
Patterns of IUGR
574(1)
Common Complications of the SGA Newborn
574(1)
Clinical Therapy
574(1)
Care of the Large-for-Gestational-Age (LGA) Newborn
575(4)
Common Complications of the LGA Newborn
575(4)
Care of the Infant of a Diabetic Mother
579(2)
Common Complications of the IDM
580(1)
Clinical Therapy
580(1)
Care of the Postterm Newborn
581(2)
Common Complications of the Newborn With Postmaturity Syndrome
581(1)
Clinical Therapy
582(1)
Care of the Preterm (Premature) Newborn
583(14)
Alteration in Thermoregulation
583(1)
Alteration in Gastrointestinal Physiology
584(1)
Alteration in Renal Physiology
584(1)
Alteration in Immunologic Physiology
584(1)
Alteration in Neurologic Physiology
585(1)
Alteration in Reactivity Periods and Behavioral States
585(1)
Management of Nutrition and Fluid Requirements
585(5)
Common Complications of Preterm Newborns and Their Clinical Management
590(1)
Long-Term Needs and Outcome
590(7)
Care of the Newborn With Congenital Anomalies
597(5)
Care of the Newborn With Congenital Heart Defect
602(1)
Overview of Congenital Heart Defects
602(1)
Care of the Newborn of a Substance-Abusing Mother
603(10)
Alcohol Dependence
603(4)
Opiate Dependency
607(1)
Common Complications of the Drug-Exposed Newborn
607(3)
Newborns of Mothers Who Are Tobacco Dependent
610(3)
Care of the Newborn Exposed to HIV/AIDS
613(2)
Care of the Newborn With an Inborn Error of Metabolism
615(5)
Selected Inborn Errors of Metabolism
615(1)
Clinical Therapy
616(4)
27 The Newborn at Risk: Birth-Related Stressors
620(44)
Care of the Newborn at Risk of Asphyxia
621(4)
Risk Factors Predisposing to Asphyxia
621(1)
Clinical Therapy
621(1)
Resuscitation Management
622(3)
Care of the Newborn With Respiratory Distress
625(9)
Respiratory Distress Syndrome
625(2)
Transient Tachypnea of the Newborn
627(5)
The Newborn With Meconium Aspiration Syndrome
632(2)
Care of the Newborn With Cold Stress
634(1)
Care of the Newborn With Hypoglycemia
635(3)
Clinical Therapy
636(2)
Care of the Newborn With Jaundice
638(9)
Pathophysiology of Hyperbilirubinemia
639(1)
Causes of Hyperbilirubinemia
639(1)
Clinical Therapy
640(7)
Care of the Newborn With Anemia
647(1)
Clinical Therapy
648(1)
Care of the Newborn With Infection
648(5)
Clinical Therapy
649(4)
Care of the Family With Birth of an At-Risk Newborn
653(6)
Parental Responses
653(1)
Developmental Consequences
654(5)
Considerations for the Nurse Who Works With At-Risk Newborns
659(5)
Part VI Postpartum 664(99)
28 Postpartum Adaptation and Nursing Assessment
664(25)
Postpartum Physical Adaptations
664(6)
Reproductive System
665(2)
Abdomen
667(1)
Lactation
667(1)
Gastrointestinal System
667(1)
Urinary Tract
668(1)
Vital Signs
668(1)
Blood Values
669(1)
Cardiovascular Changes
669(1)
Neurologic and Immunologic Changes
669(1)
Weight Loss
670(1)
Postpartum Chill
670(1)
Postpartum Diaphoresis
670(1)
Afterpains
670(1)
Postpartum Psychologic Adaptations
670(2)
Taking-In and Taking-Hold
670(1)
Becoming a Mother
670(1)
Postpartum Blues
671(1)
Importance of Social Support
672(1)
Development of Family Attachment
672(2)
Maternal—Newborn Attachment Behavior
672(1)
Siblings and Others
673(1)
Cultural Influences in the Postpartum Period
674(1)
Postpartum Nursing Assessment
674(10)
Risk Factors
674(1)
Physical Assessment
674(9)
Psychologic Assessment
683(1)
Assessment of Early Attachment
683(1)
Discharge Assessment and Follow-Up
684(5)
29 The Postpartum Family: Early Care Needs and Home Care
689(40)
Nursing Care During the Early Postpartum Period
690(1)
Nursing Diagnoses
690(1)
Nursing Plan and Implementation
690(1)
Promotion of Maternal Comfort and Well-Being
690(5)
Postpartum Examination
690(1)
Relief of Perineal Discomfort
690(4)
Relief of Hemorrhoidal Discomfort
694(1)
Relief of Afterpains
694(1)
Relief of Discomfort from Immobility and Muscle Strain
694(1)
Relief of Discomfort from Postpartum Diaphoresis
694(1)
Suppression of Lactation in the Nonbreastfeeding Mother
694(1)
Relief of Emotional Stress
695(1)
Promotion of Maternal Rest and Activity
695(2)
Relief of Fatigue
695(1)
Resumption of Activity
696(1)
Postpartum Exercises
696(1)
Sexual Activity and Contraception
696(1)
Pharmacologic Interventions
697(1)
Promotion of Effective Parent Learning
697(2)
Promotion of Family Wellness
699(1)
Reactions of Siblings
699(1)
Parent—Newborn Attachment
700(1)
Nursing Care Following Cesarean Birth
700(2)
Promotion of Maternal Physical Well-Being after Cesarean Birth
700(1)
Promotion of Parent—Newborn Interaction After Cesarean Birth
701(1)
Nursing Care of the Postpartum Adolescent
702(1)
Nursing Care of the Woman Who Relinquishes Her Baby
703(1)
Surrogacy
703(1)
Nursing Interventions
704(1)
Postpartum Care for Special Populations
704(1)
Nursing Care of the Obese Postpartum Woman
704(1)
Nursing Care of the Lesbian Mother
704(1)
Nursing Care of the Postpartum Mother With a Developmental Disability
705(1)
Nursing Care of the Mother With a History of Sexual Abuse
705(1)
Preparation for Discharge
705(2)
Discharge Criteria
705(1)
Discharge Teaching
705(1)
Considerations for Follow-Up Care
706(1)
Evaluation
707(1)
Considerations for the Home Visit
707(2)
Purpose and Timing of the Home Visit
707(1)
Maintaining Safety
707(1)
Fostering a Caring Relationship With the Family
708(1)
Home Care: The Mother and Family
709(9)
Assessment of the Mother and the Family
709(1)
Breastfeeding Concerns Following Discharge
709(9)
Home Care: The Newborn
718(5)
Handling and Positioning
718(1)
Bathing
719(2)
Nail Care
721(1)
Dressing the Newborn
721(1)
Temperature Assessment
721(1)
Stools and Urine
722(1)
Sleep and Activity
722(1)
Crying
722(1)
Safety Considerations
723(1)
Postpartum Classes and Support Groups
723(6)
30 The Postpartum Family at Risk
729(34)
Care of the Woman With Postpartum Hemorrhage
730(8)
Early (Primary) Postpartum Hemorrhage
730(4)
Late (Secondary) Postpartum Hemorrhage
734(4)
Care of the Woman With a Reproductive Tract Infection or Wound Infection
738(4)
Postpartum Endometritis
738(1)
Perineal Wound infections
739(1)
Clinical Therapy
739(3)
Care of the Woman With a Urinary Tract Infection
742(2)
Over distention of the Bladder
743(1)
Cystitis (Lower Urinary Tract Infection)
743(1)
Care of the Woman With Postpartum Mastitis
744(3)
Clinical Therapy
745(2)
Care of the Woman With Postpartum Thromboembolic Disease
747(3)
Superficial Leg Vein Disease
748(1)
Deep Vein Thrombosis
748(1)
Clinical Therapy
748(2)
Care of the Woman With a Postpartum Psychiatric Disorder
750(13)
Types of Postpartum Psychiatric Disorders
750(6)
Clinical Therapy
756(7)
Appendix A Common Abbreviations in Maternal-Newborn and Women's Health Nursing 763(4)
Appendix B Conversions and Equivalents 767(1)
Appendix C Guidelines for Working With Deaf Patients and Interpreters 768(1)
Appendix D Sign Language for Healthcare Professionals 769(3)
Appendix E Selected Maternal-Newborn Laboratory Values 772(1)
Glossary 773(11)
Index 784
Patricia A. Wieland Ladewig received her BS from the College of Saint Teresa in Winona, Minnesota; her MSN from Catholic University of America in Washington, DC; and her PhD in higher education administration from the University of Denver in Colorado. She served as an Air Force nurse and discovered her passion for teaching as a faculty member at Florida State University. Over the years, she has taught at several schools of nursing. In addition, she became a women's health nurse practitioner and maintained a part-time clinical practice for many years. In 1988, Dr. Ladewig became the first director of the nursing program at Regis College in Denver. In 1991, when the college became Regis University, she became academic dean of the Rueckert-Hartman College for Health Professions. Under her guidance, the School of Nursing added a graduate program. In addition, the college added a School of Physical Therapy and a School of Pharmacy. In 2009 Dr. Ladewig became the Chief Academic Officer at Regis University. She retired from the position in 2016. She and her husband, Tim, enjoy skiing, baseball games, and traveling. However, their greatest pleasure comes from their family: son Ryan, his wife Amanda, and grandchildren Reed and Addison; and son Erik, his wife Kedri, and grandchildren Emma and Camden.

Marcia L. London received her BSN and School Nurse Certificate from Plattsburgh State University in Plattsburgh, New York, and her MSN in pediatrics as a clinical nurse specialist from the University of Pittsburgh in Pennsylvania. She worked as a pediatric nurse and began her teaching career at Pittsburgh Children's Hospital Affiliate Program. Mrs. London began teaching at Beth-El School of Nursing and Health Science in 1974 (now part of the University of Colorado, Colorado Springs) after opening the first intensive care nursery at Memorial Hospital of Colorado Springs. She has served in many faculty positions at Beth-El, including assistant director of the School of Nursing. Mrs. London obtained her postmaster's Neonatal Nurse Practitioner certificate in 1983 and subsequently developed the Neonatal Nurse Practitioner (NNP) certificate and the master's NNP program at Beth-El. She is active nationally in neonatal nursing and was involved in the development of National Neonatal Nurse Practitioner educational program guidelines. Mrs. London pursued her interest in college student learning by taking doctoral classes in higher education administration and adult learning at the University of Denver in Colorado. She feels fortunate to be involved in the education of her future colleagues and teaches undergraduate education. Mrs. London and her husband, David, enjoy reading, travel, and hockey games. They have two sons. Craig, who lives in Florida with his wife, Jennifer, and daughter Hannah, works with Internet companies. Matthew works in computer teleresearch. Both are more than willing to give Mom helpful hints about computers.

Michele R. Davidson completed her ADN degree from Marymount University and worked in multiple women's health specialty areas including postpartum, newborn nursery, high-risk nursery, labor and delivery, reproductive endocrinology, gynecology medical-surgical, and oncology units as a registered nurse while obtaining a BSN from George Mason University. Dr. Davidson earned her MSN and a nurse-midwifery certificate at Case Western Reserve University and continued to work as a full-scope nurse-midwife for 16 years. She has delivered over 1,000 babies during her career as a nurse-midwife. She completed her PhD in nursing administration and healthcare policy at George Mason University (GMU) and began teaching at GMU in 1999 while continuing in her role as a nurse- midwife. Dr. Davidson serves as the Coordinator for the PhD program in the School of Nursing. She has an interest in women's mental health and focuses her research on perinatal and postpartum mood and anxiety disorders. Dr. Davidson also has an interest in the care of individuals with disabilities; she serves as a member of the Loudoun County Disability Advisory Committee and is a disability advocate in her community. She was a member of the American College of Nurse-Midwives Certification Council, the body that writes the national certification examination for certified nurse-midwives. She is a member of numerous editorial and advisory boards and has a passion for writing. In 2000, Dr. Davidson developed an immersion clinical experience for GMU students on a remote island in the Chesapeake Bay. In 2003, she founded the Smith Island Foundation, a nonprofit organization in which she served as executive director for eight years. Dr. Davidson has also completed certifications in lactation consulting, forensic nursing, and surgical first assistant. In 2012, her book, A Nurse's Guide to Women's Mental Health, won an American Journal of Nursing Book Award. In her free time, she enjoys spending time with her mother, writing, gardening, Internet surfing, and spending time on Smith Island with her nurse-practitioner husband, Nathan, and their four active children, Hayden, Chloe, Caroline, and Grant. Dr. Davidson and her family love the Eastern Shore of Maryland and continue to be part-time residents of Smith Island.