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Maternal & Child Nursing Care Plus MyLab Nursing with Pearson eText -- Access Card Package 5th edition [Multiple-component retail product]

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  • Izdošanas datums: 24-Jun-2016
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  • ISBN-10: 0134449711
  • ISBN-13: 9780134449715
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  • Formāts: Multiple-component retail product, height x width x depth: 279x226x58 mm, weight: 3719 g, Contains 1 Digital product license key and 1 Hardback
  • Izdošanas datums: 24-Jun-2016
  • Izdevniecība: Pearson
  • ISBN-10: 0134449711
  • ISBN-13: 9780134449715
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For courses in maternal and child nursing care in any nursing program

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Help students think like nurses with maternal-newborn and pediatric clients



As nursing courses are shortened and clinical experiences become more limited, time is increasingly precious to both students and faculty. Designed to support faster, more efficient learning in condensed courses, Maternal & Child Nursing Care presents key content about maternal-newborn nursing, womens health, and pediatric nursing topics in an accurate, readable way. Throughout this family-focused text, special attention is paid to health promotion, home/community care, patient and family education, clinical reasoning, evidence-based practice, and cultural competence. Engaging features help readers learn and retain essential concepts in a short period of time. The straightforward approach allows students to focus on what is most importantdeveloping the essential skills and abilities to practice nursing in fast-changing healthcare environments.

 

Personalize learning with MyNursingLab

MyNursingLab is an an online homework, tutorial, and assessment program designed to engage students in the Maternal/Newborn Nursing course and improve results. Its guided learning path is proven to help students think like a nurse as they move beyond memorization to true understanding through application.

 

0134449711/ 9780134449715 Maternal & Child Nursing Care Plus MyNursingLab with Pearson eText -- Access Card Package, 5/e consists of:









0134167228 / 9780134167220 Maternal & Child Nursing Care 0134449045 / 9780134449043 MyNursingLab with Pearson eText -- Access Card -- for Maternal & Child Nursing Care
About the Authors iii
Thank You! v
Dedication vii
Preface viii
Acknowledgments xvii
Part 1 Introduction To Family-Centered Care 1(56)
1 Contemporary Maternal, Newborn, and Child Health Nursing
1(16)
Nursing Roles in Maternal-Child Nursing
1(2)
Family-Centered Maternal-Child Care
3(3)
Contemporary Childbirth
3(1)
Contemporary Care of Children
4(1)
Maternal-Child Care in the Community
5(1)
Complementary Care
6(1)
Access to Health Care
6(1)
Healthy People 2020 Goals
6(1)
Culturally Competent Care
7(1)
Statistical Data and Maternal-Child Care
7(2)
Birth Rate
7(1)
Maternal Mortality
7(1)
Infant Mortality
8(1)
Pediatric Mortality
8(1)
Pediatric Morbidity
8(1)
Implications for Nursing Practice
9(1)
Legal Considerations in Maternal-Child Nursing
9(3)
Scope of Practice
9(1)
Standards of Nursing Care
9(1)
Patient Safety
10(1)
Informed Consent
10(1)
Right to Privacy
11(1)
Patient Self-Determination Act
11(1)
Ethical Issues in Maternal-Child Nursing
12(2)
Maternal-Fetal Conflict
12(1)
Abortion
12(1)
Intrauterine Fetal Surgery
12(1)
Reproductive Assistance
12(1)
Embryonic Stem Cell Research
13(1)
Making Treatment Decisions for Children
13(1)
Terminating Life-Sustaining Treatment
13(1)
Organ Transplantation Issues
13(1)
Genetic Testing of Children
14(1)
Evidence-Based Practice in Maternal-Child Nursing
14(1)
Clinical Reasoning
14(3)
2 Culture and the Family
17(16)
The Family
17(2)
Types of Families
18(1)
Family Development Frameworks
18(1)
Family Assessment
19(1)
Cultural Influences Affecting the Family
19(4)
Family Roles and Structure
20(1)
Health Beliefs, Approaches, and Practices
20(1)
Healthcare Practitioners
21(1)
Impact of Religion and Spirituality
22(1)
Childbearing Practices
23(1)
Childrearing Practices
23(1)
Culture and Nursing Care
23(5)
Culturally Influenced Responses
25(3)
Complementary and Alternative Therapies and the Family
28(5)
Benefits and Risks
28(1)
Types of Complementary and Alternative Therapies
28(2)
Nursing Care of the Family Using Complementary Therapies
30(3)
3 Genetic and Genomic Influences in Maternal, Newborn, and Child Health
33(24)
Genetic Basics
34(4)
Cells and DNA
34(1)
Cell Division
34(1)
Chromosomal Alterations
35(1)
Genes
36(1)
Mutations and Disease
37(1)
Principles of Inheritance
38(3)
Classic Mendelian Patterns of Inheritance
38(3)
Variability in Classic Mendelian Patterns of Inheritance
41(1)
Multifactorial inheritance
41(1)
Genetic Testing
41(13)
Categories of Genetic Tests
42(1)
Diagnosing Chromosomal Alterations
43(1)
Diagnosing Gene Alterations
43(1)
Other Genetic Tests
43(1)
Prenatal Testing
43(2)
Assessing Genetic Risk
45(3)
The Role of the Nurse in Genetic Testing
48(4)
The Role of the Nurse in Genetic Referral
52(2)
The Role of the Nurse in Genetic Teaching, Psychosocial Care, and Advocacy
54(1)
Evaluation
54(1)
Vision for the Future
54(3)
Part 2 Women's Health 57(78)
4 Reproductive Anatomy and Physiology
57(20)
Physiology of Onset of Puberty
57(1)
Female Reproductive System
58(10)
External Genitals
58(2)
Female Internal Reproductive Organs
60(5)
Bony Pelvis
65(3)
Breasts
68(1)
The Female Reproductive Cycle
68(4)
Effects of Female Hormones
69(1)
Neurohormonal Basis of the Female Reproductive Cycle
70(1)
Ovarian Cycle
70(1)
Uterine (Menstrual) Cycle
71(1)
Male Reproductive System
72(5)
External Genitals
73(1)
Male Internal Reproductive Organs
73(4)
5 Health Promotion for Women
77(28)
Nursing Care in the Community
77(1)
The Nurse's Role in Addressing Issues of Sexuality
78(1)
Taking a Sexual History
78(1)
Menstruation
78(4)
Counseling the Premenstrual Girl About Menarche
78(1)
Educational Topics
79(1)
Associated Menstrual Conditions
80(2)
Contraception
82(9)
Fertility Awareness—Based Methods
82(2)
Situational Contraceptives
84(1)
Spermicides
84(1)
Barrier Methods of Contraception
84(3)
Long-Acting Reversible Contraception (LARC)
87(1)
Hormonal Contraception
88(1)
Postcoital Emergency Contraception
89(1)
Operative Sterilization
90(1)
Male Contraception
90(1)
Clinical Interruption of Pregnancy
91(1)
Preconception Counseling
91(1)
Preconception Health Measures
91(1)
Contraception
92(1)
Conception
92(1)
Health Promotion for Women
92(3)
Breast Examination
93(1)
Mammography
93(1)
Pap Smear and Pelvic Examination
93(2)
Menopause
95(3)
Clinical Therapy
96(2)
Violence Against Women
98(7)
Domestic Violence
98(2)
Sexual Assault
100(5)
6 Common Gynecologic Problems
105(30)
Care of the Woman With a Benign Disorder of the Breast
106(1)
Fibrocystic Breast Changes
106(1)
Other Benign Breast Disorders
106(1)
Care of the Woman With Endometriosis
107(1)
Care of the Woman With Polycystic Ovarian Syndrome
108(1)
Clinical Therapy
109(1)
Care of the Woman With Toxic Shock Syndrome
109(1)
Care of the Woman With a Vaginal Infection
109(3)
Bacterial Vaginosis
110(1)
Vulvovaginal Candidiasis
110(2)
Care of the Individual With a Sexually Transmitted Infection
112(4)
Trichomoniasis
112(1)
Chlamydial Infection
112(1)
Gonorrhea
113(1)
Herpes Genitalis
113(1)
Syphilis
114(1)
Condylomata Acuminata (Venereal Warts)
114(1)
AIDS
115(1)
Care of the Woman With Pelvic Inflammatory Disease
116(1)
Care of the Woman With an Abnormal Finding During Pelvic Examination
117(2)
Abnormal Pap Smear Results
117(1)
Ovarian Masses
117(1)
Uterine Abnormalities
118(1)
Care of the Woman With a Urinary Tract Infection
119(1)
Lower Urinary Tract Infection
119(1)
Upper Urinary Tract Infection (Pyelonephritis)
119(1)
Pelvic Relaxation
120(1)
Care of the Woman Requiring a Hysterectomy
121(1)
Infertility
122(13)
Essential Components of Fertility
122(1)
Initial Investigation: Physical and Psychosocial Issues
123(1)
Assessment of the Woman's Fertility
123(3)
Assessment of the Man's Fertility
126(1)
Methods of Infertility Management
127(8)
Part 3 Pregnancy And The Family 135(184)
7 Conception and Fetal Development
135(21)
Cellular Division
135(1)
Mitosis
136(1)
Meiosis
136(1)
Gametogenesis
136(1)
Oogenesis
136(1)
Spermatogenesis
136(1)
The Process of Fertilization
137(2)
Preparation for Fertilization
137(1)
The Moment of Fertilization
138(1)
Preembryonic Development
139(3)
Cellular Multiplication
139(1)
Implantation (Nidation)
140(1)
Cellular Differentiation
140(2)
Twins
142(1)
Development and Functions of the Placenta
143(3)
Placental Circulation
144(1)
Placental Functions
145(1)
Development of the Fetal Circulatory System
146(1)
Embryonic and Fetal Development
146(7)
Embryonic Stage
147(4)
Fetal Stage
151(2)
Factors Influencing Embryonic and Fetal Development
153(3)
8 Physical and Psychologic Changes of Pregnancy
156(14)
Anatomy and Physiology of Pregnancy
156(5)
Reproductive System
156(1)
Respiratory System
157(1)
Cardiovascular System
157(1)
Gastrointestinal System
158(1)
Urinary Tract
158(1)
Skin and Hair
158(1)
Musculoskeletal System
159(1)
Central Nervous System
159(1)
Metabolism
159(1)
Endocrine System
160(1)
Hormones in Pregnancy
160(1)
Signs of Pregnancy
161(2)
Subjective (Presumptive) Changes
161(1)
Objective (Probable) Changes
161(2)
Diagnostic (Positive) Changes
163(1)
Psychologic Response of the Expectant Family to Pregnancy
163(4)
The Mother
164(2)
The Father
166(1)
Siblings
167(1)
Grandparents
167(1)
Cultural Values and Pregnancy
167(3)
9 Antepartum Nursing Assessment
170(24)
Initial Client History
171(5)
Definition of Terms
171(1)
Client Profile
171(2)
Obtaining Data
173(1)
Prenatal Risk-Factor Screening
173(3)
Initial Prenatal Assessment
176(10)
Determination of Due Date
184(1)
Nagele's Rule
184(1)
Uterine Assessment
185(1)
Assessment of Fetal Development
185(1)
Assessment of Pelvic Adequacy (Clinical Pelvimetry)
186(2)
Screening Tests
187(1)
Subsequent Client History
188(1)
Subsequent Prenatal Assessment
189(5)
10 The Expectant Family: Needs and Care
194(25)
Nursing Care During the Prenatal Period
194(1)
Nursing Diagnoses During Pregnancy
194(1)
Planning and Implementation During Pregnancy
195(1)
Care of the Pregnant Woman's Family
195(1)
Cultural Considerations in Pregnancy
196(1)
Childbearing Decisions
196(6)
Healthcare Provider
198(2)
Prenatal Care Services
200(1)
Birth Setting
200(1)
Labor Support Person
201(1)
Siblings at Birth
202(1)
Classes for Family Members During Pregnancy
202(2)
Education of the Family Having Cesarean Birth
203(1)
Preparation for Parents Desiring Trial of Labor After Cesarean Birth
203(1)
Breastfeeding Programs
203(1)
Sibling Preparation: Adjustment to a Newborn
203(1)
Classes for Grandparents
204(1)
Common Discomforts of Pregnancy
204(3)
First Trimester
204(1)
Second and Third Trimesters
205(2)
Health Promotion During Pregnancy
207(12)
Fetal Activity Monitoring
207(1)
Breast Care
207(3)
Clothing
210(1)
Bathing
210(1)
Employment
210(1)
Travel
210(1)
Activity and Rest
210(1)
Exercises to Prepare for Childbirth
211(2)
Sexual Activity
213(1)
Dental Care
214(1)
Immunizations
214(1)
Complementary and Alternative Therapies
215(1)
CenteringPregnancy®
215(1)
Teratogenic Substances
215(1)
Evaluation
216(3)
11 Maternal Nutrition
219(15)
Maternal Weight Gain
221(1)
Nutritional Requirements
221(5)
Calories
222(1)
Carbohydrates
222(1)
Protein
222(1)
Fat
223(1)
Minerals
223(1)
Vitamins
224(1)
Fluid
225(1)
Vegetarianism
226(1)
Factors Influencing Nutrition
226(3)
Common Discomforts of Pregnancy
227(1)
Complementary and Alternative Therapies
227(1)
Use of Artificial Sweeteners
227(1)
Energy Drinks
227(1)
Foodborne Illnesses
227(1)
Mercury in Fish
227(1)
Lactase Deficiency (Lactose Intolerance)
227(1)
Cultural, Ethnic, and Religious Influences
228(1)
Psychosocial Factors
228(1)
Eating Disorders
228(1)
Pica
229(1)
Nutritional Care of the Pregnant Adolescent
229(3)
Specific Nutrient Concerns
229(1)
Dietary Patterns
229(1)
Counseling Issues
229(3)
Postpartum Nutrition
232(1)
Postpartum Nutritional Status
230(2)
Nutritional. Care of Formula-Feeding Mothers
232(1)
Nutritional! Care of Breastfeeding Mothers
232(1)
Community Resources
232(2)
12 Pregnancy in Selected Populations
234(16)
Adolescent Pregnancy
234(10)
Overview of the Adolescent Period
235(1)
Factors Contributing to Adolescent Pregnancy
235(2)
Risks to the Adolescent Mother
237(2)
Partners of Adolescent Mothers
239(1)
Reactions of Family and Social Network to Adolescent Pregnancy
239(4)
Prevention of Adolescent Pregnancy
243(1)
Care of Expectant Parents Over Age 35
244(2)
Medical Risks
244(1)
Special Concerns of Expectant Parents Over Age 35
245(1)
Care of the Pregnant Woman With Special Needs
246(4)
13 Assessment of Fetal Well-Being
250(16)
Maternal Assessment of Fetal Activity
252(1)
Ultrasound
253(2)
Procedures
254(1)
Clinical Applications
255(1)
Risks of Ultrasound
255(1)
First-Trimester Combined Screening
255(1)
Cell-Free Fetal DNA Testing
256(1)
Doppler Blood Flow Studies (Umbilical Velocimetry)
256(1)
Non-Stress Test
257(1)
Procedure
257(1)
Interpretation of NST Results
257(1)
Clinical Management
258(1)
Fetal Acoustic and Vibroacoustic Stimulation Tests
258(1)
Biophysical Profile
259(1)
Contraction Stress Test
259(2)
Procedure
260(1)
Interpretation of CST Results
260(1)
Clinical Application
260(1)
Amniotic Fluid Analysis
261(2)
Diagnostic Uses of Amniocentesis
261(2)
Chorionic Villus Sampling
263(3)
14 Pregnancy at Risk: Pregestational Problems
266(26)
Care of the Woman With Diabetes Mellitus
266(9)
Carbohydrate Metabolism in Normal Pregnancy
267(1)
Pathophysiology of Diabetes Mellitus
267(1)
Classification
267(1)
Influence of Pregnancy on Diabetes
267(1)
Influence of Diabetes on Pregnancy Outcome
267(2)
Clinical Therapy
269(1)
Antepartum Management of Diabetes Mellitus
269(1)
Intrapartum Management of Diabetes Mellitus
270(1)
Postpartum Management of Diabetes Mellitus
271(4)
Care of the Woman With Anemia
275(1)
Care of the Woman With Substance Abuse Problems
275(4)
Substances Commonly Abused During Pregnancy
276(3)
Clinical Therapy
279(1)
Care of the Woman With a Psychologic Disorder
279(2)
Maternal Implications
279(1)
Clinical Therapy
280(1)
Care of the Woman With HIV Infection
281(3)
Pathophysiology of HIV and AIDS
281(1)
Maternal Risks
281(1)
Fetal/Neonatal Risks
281(1)
Clinical Therapy
281(3)
Care of the Woman With Heart Disease
284(3)
Clinical Therapy
285(1)
Labor and Birth
285(2)
Other Medical Conditions and Pregnancy
287(5)
15 Pregnancy at Risk: Gestational Onset
292(27)
Care of the Woman With a Bleeding Disorder
292(6)
General Principles of Nursing Intervention
293(1)
Spontaneous Abortion (Miscarriage)
293(2)
Ectopic Pregnancy
295(2)
Gestational Trophoblastic Disease
297(1)
Care of the Woman With Hyperemesis Gravidarum
298(1)
Clinical Therapy
299(1)
Care of the Woman With a Hypertensive Disorder
299(8)
Preeclampsia and Eclampsia
299(7)
Chronic Hypertension in Pregnancy
306(1)
Chronic Hypertension With Superimposed Preeclampsia
307(1)
Gestational Hypertension
307(1)
Disseminated Inkravascular Coagulation
307(1)
Care of the Woman With a Perinatal Infection Affecting the Fetus
307(3)
Toxoplasmosis
307(1)
Rubella
308(1)
Cytomegalovirus
309(1)
Herpes Simplex Virus
309(1)
Group B Streptococcal Infection
310(1)
Other Infections in Pregnancy
310(1)
Care of the Woman Requiring Surgery During Pregnancy
310(2)
Care of the Woman Suffering Major Trauma
312(1)
Care of the Pregnant Woman Who Has Experienced Domestic Violence
313(1)
Care of the Woman at Risk for Rh Alloimmunization
313(3)
Fetal-Neonatal Risks
314(1)
Clinical Therapy
314(2)
Care of the Woman at Risk from ABO Incompatibility
316(3)
Part 4 Birth And The Family 319(150)
16 Processes and Stages of Labor and Birth
319(22)
Methods of Childbirth Preparation
319(2)
Programs for Preparation
320(1)
Body-Conditioning Exercises
320(1)
Relaxation Exercises
320(1)
Breathing Techniques
320(1)
Preparation for Childbirth That Supports Individuality
321(1)
Critical Factors in Labor
322(7)
The Birth Passage
323(1)
The Fetus
323(3)
Relationship Between the Maternal Pelvis and Presenting Part
326(1)
Physiologic Forces of Labor
327(2)
The Physiology of Labor
329(2)
Possible Causes of Labor Onset
329(1)
Myometrial Activity
329(1)
Musculature Changes in the Pelvic Floor
329(1)
Premonitory Signs of Labor
329(2)
Differences Between True and False Labor
331(1)
Stages of Labor and Birth
331(5)
First Stage
331(1)
Second Stage
332(3)
Third Stage
335(1)
Fourth Stage
335(1)
Maternal Systemic Response to Labor
336(3)
Cardiovascular System
336(1)
Respiratory System
336(1)
Renal System
337(1)
Gastrointestinal System
337(1)
Immune System and Other Blood Values
337(1)
Pain
337(2)
Fetal Response to Labor
339(2)
17 Intrapartum Nursing Assessment
341(25)
Maternal Assessment
341(6)
History
341(2)
Intrapartum High-Risk Screening
343(2)
Intrapartum Physical and Psychosociocultural Assessment
345(1)
Methods of Evaluating Labor Progress
346(1)
Cervical Assessment
347(1)
Fetal Assessment
347(19)
Fetal Position and Presentation
347(1)
Auscultation of Fetal Heart Rate
348(3)
Electronic Monitoring of Fetal Heart Rate
351(7)
Scalp Stimulation Test
358(1)
Cord Blood Analysis at Birth
358(8)
18 The Family in Childbirth: Needs and Care
366(25)
Nursing Diagnoses During Labor and Birth
367(1)
Nursing Care During the First Stage of Labor
368(8)
Integration of Family Expectations
369(1)
Integration of Cultural Beliefs
369(1)
Cultural Beliefs: Some Examples
369(3)
Promotion of Comfort in the First Stage
372(4)
Nursing Care During the Second Stage of Labor
376(6)
Promotion of Comfort in the Second Stage
378(1)
Assisting During Birth
378(4)
Nursing Care During the Third and Fourth Stages of Labor
382(4)
Initial Care of the Newborn
382(3)
Delivery of the Placenta
385(1)
Enhancing Attachment
385(1)
Support of the Adolescent During Birth
386(1)
Nursing Care During Precipitous Labor and Birth
387(1)
Evaluation
388(3)
19 Pharmacologic Pain Management
391(13)
Systemic Medications
392(2)
Opioid Analgesics
393(1)
Additive Medications
394(1)
Opiate Antagonist: Naloxone (Narcan)
394(1)
Regional Anesthesia and Analgesia
394(7)
Anesthetic Agents for Regional Blocks
395(1)
Types of Local Anesthetic Agents
395(1)
Epidural Block
396(3)
Continuous Epidural Infusion
399(1)
Epidural Opioid Analgesia After Birth
399(1)
Spinal Block
399(1)
Combined Spinal-Epidural Block
400(1)
Pudendal Block
400(1)
Local Infiltration Anesthesia
401(1)
General Anesthesia
401(3)
20 Childbirth at Risk: Prelabor and Intrapartum Complications
404(19)
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
408(2)
Care of the Woman at Risk Because of Bleeding During Pregnancy
410(6)
Placenta Previa
410(2)
Abruptio Placentae
412(4)
Care of the Woman With Cervical Insufficiency
416(1)
Cerclage Procedures
417(1)
Care of the Woman With Multiple Gestation
417(3)
Maternal Implications
418(1)
Fetal/Neonatal Implications
418(1)
Clinical. Therapy
418(2)
Care of the Woman With Abnormal Amniotic Fluid Volume
420(3)
Hydramnios
420(1)
Clinical Therapy
420(1)
Oligohydramnios
420(1)
Clinical Therapy
421(2)
21 Childbirth at Risk: Labor-Related Complications
423(25)
Care of the Woman With Dystocia Related to Dysfunctional Uterine Contractions
424(3)
Tachysystolic Labor Patterns
424(2)
Hypotonic Labor Patterns
426(1)
Care of the Woman With Postterm Pregnancy
427(2)
Risks of Prolonged Pregnancy
427(1)
Clinical Therapy
427(2)
Care of the Woman and Fetus at Risk Because of Fetal Malposition
429(1)
Risks of Fetal Malposition
429(1)
Clinical Therapy
429(1)
Care of the Woman and Fetus at Risk Because of Fetal Malpresentation
429(6)
Brow Presentation
429(2)
Face Presentation
431(1)
Breech Presentation
432(2)
Transverse Lie (Shoulder Presentation) of a Single Fetus
434(1)
Compound Presentation
435(1)
Care of the Woman and Fetus at Risk for Macrosomia
435(1)
Risks of Macrosomia
435(1)
Clinical Therapy
435(1)
Care of the Woman and Fetus in the Presence of Nonreassuring Fetal Status
436(1)
Maternal Implications
436(1)
Clinical Therapy
436(1)
Care of the Woman and Fetus With a Prolapsed Umbilical Cord
437(1)
Risks of Prolapsed. Umbilical. Cord
437(1)
Clinical Therapy
437(1)
Care of the Woman and Fetus at Risk Owing to Anaphylactoid Syndrome of Pregnancy
438(1)
Maternal Implications
438(1)
Clinical Therapy
438(1)
Care of the Woman With Cephalopelvic Disproportion
438(1)
Types of Contractures
438(1)
Risks of Cephalopelvic Disproportion
438(1)
Clinical Therapy
439(1)
Care of the Woman With a Complication of the Third or Fourth Stage of Labor
439(1)
Retained Placenta
439(1)
Lacerations
439(1)
Placenta Accreta
439(1)
Care of the Woman and Fetus With Placental Problems
439(2)
Care of the Family Experiencing Perinatal Loss
441(7)
Common Causes of Perinatal Loss
441(1)
Maternal Physiologic Implications
441(1)
Clinical Therapy
441(1)
Postbirth Evaluation
441(1)
Phases of Grief
442(1)
Maternal Death
442(6)
22 Birth-Related Procedures
448(21)
Care of the Woman During Version
448(2)
Criteria for External Cephalic Version
449(1)
Contraindications for External Version
449(1)
Care of the Woman During Amniotomy
450(1)
AROM Procedure
450(1)
Care of the Woman During Amnioinfusion
450(1)
Care of the Woman During Cervical Ripening
450(2)
Dinoprostone (Cervidil)
451(1)
Misoprostol (Cytotec)
451(1)
Care of the Woman During Labor Induction
452(4)
Labor Readiness
452(1)
Methods of Inducing Labor
453(3)
Care of the Woman During an Episiotomy
456(2)
Factors That Predispose Women to Episiotomy
456(1)
Preventive Measures
456(1)
Episiotomy Procedure
457(1)
Care of the Woman During Forceps-Assisted Birth
458(2)
Indications for Forceps-Assisted Birth
458(1)
Neonatal and Maternal Risks
458(2)
Care of the Woman During Vacuum-Assisted Birth
460(1)
Care of the Family During Cesarean Birth
460(5)
Indications for Cesarean Birth
461(1)
Maternal Mortality and Morbidity
461(1)
Skin Incisions
461(1)
Uterine Incisions
462(1)
-Analgesia and Anesthesia
463(2)
Care of the Woman Undergoing Trial of Labor After Cesarean (TOLAC) and Vaginal Birth After Cesarean (VBAC)
465(4)
Part 5 The Newborn 469(180)
23 The Physiologic Responses of the Newborn to Birth
469(19)
Respiratory Adaptations
470(1)
Fetal Lung Development
470(1)
Fetal Circulation
470(1)
Cardiopulmonary Adaptation
470(4)
Maintaining Respiratory Function
472(1)
Characteristics of Newborn Respiration
472(1)
Characteristics of Cardiac Function
473(1)
Hematopoietic System
474(2)
Oxygen Transport
474(1)
Delayed Cord Clamping
475(1)
Coagulation
475(1)
Temperature Regulation
476(2)
Heat Loss
476(1)
Heat Production (Thermogenesis)
477(1)
Hepatic Adaptations
478(3)
Iron Storage and RBC Production
478(1)
Glucose Homeostasis
478(1)
Conjugation of Bilirubin
478(1)
Physiologic Jaundice
478(2)
Breastfeeding Jaundice
480(1)
Breast Milk Jaundice
480(1)
Gastrointestinal Adaptations
481(1)
Digestion and Absorption
481(1)
Elimination
482(1)
Urinary Tract Adaptations
482(1)
Kidney Development and Function
482(1)
Characteristics of Newborn Urinary Function
482(1)
Immunologic Adaptations
482(1)
Neurologic Adaptation
483(5)
Intrauterine Environment Influence on Newborn Behavior
483(1)
Characteristics of Newborn Neurologic Function
483(1)
Periods of Reactivity
484(1)
Behavioral States of the Newborn
484(1)
Sensory Capacities of the Newborn
485(3)
24 Nursing Assessment of the Newborn
488(36)
Tuning of Newborn Assessments
489(1)
Estimation of Gestational Age
489(7)
Assessment of Physical Maturity Characteristics
490(3)
Assessment of Neuromuscular Maturity Characteristics
493(3)
Physical Assessment
496(28)
General Appearance
496(1)
Weight and Measurements
496(1)
Temperature
497(1)
Skin Characteristics
498(2)
Birthmarks
500(1)
Head
501(1)
Cephalohematoma
501(1)
Caput Succedaneum
501(1)
Hair
502(1)
Face
502(1)
Eyes
503(1)
Nose
504(1)
Mouth
504(1)
Ears
504(1)
Neck
505(1)
Chest
505(1)
Cry
505(1)
Respiration
505(1)
Heart
505(1)
Abdomen
506(1)
Umbilical Cord
507(1)
Genitals
507(1)
Anus
508(1)
Extremities
508(1)
Back
508(1)
Assessment of Neurologic Status
508(2)
The Brazelton Neonatal Behavioral Assessment Scale
510(2)
Newborn Physical Assessment Guide
512(12)
25 The Normal Newborn: Needs, Care, and Feeding
524(41)
Admission and the First 4 Hours of Life
525(4)
The Newborn Following Transition
529(6)
Newborn Feeding
535(1)
Choice of Feeding: Breast Versus Formula
535(1)
Breastfeeding
535(17)
Breast Milk Production
535(1)
Physiologic and Endocrine Control of Lactogenesis
536(1)
Advantages of Breast Milk
537(4)
Timing of Newborn Feedings
541(1)
Cultural Considerations in Newborn Feeding
542(1)
Breastfeeding Technique
543(9)
Formula Feeding
552(4)
Formula-Feeding Guidelines and Technique
553(2)
Involving Fathers
555(1)
Promotion of Successful Newborn Breastfeeding
556(1)
Preparation for Discharge
556(9)
Evaluation
562(3)
26 The Newborn at Risk: Conditions Present at Birth
565(42)
Identification of At-Risk Newborns
566(1)
Care of the Small-for-Gestational-Age/Intrauterine Growth Restriction Newborn
567(2)
Factors Contributing to IUGR
567(1)
Patterns of IUGR
567(1)
Common Complications ofthe SGA/IUGR Newborn
568(1)
Care of the Large-for-Gestational-Age (LGA) Newborn
569(4)
Common Complications of the LGA Newborn
569(4)
Care of the Infant of a Diabetic Mother
573(2)
Common Complications of the IDM
573(1)
Clinical Therapy
574(1)
Care of the Postterm Newborn
575(2)
Common Complications of the Newborn with Postmaturity Syndrome
575(1)
Clinical Therapy
576(1)
Care of the Preterm (Premature) Newborn
577(12)
Alteration in Respiratory and Cardiac Physiology
577(1)
Alterations in Thermoregulation
577(1)
Alteration in Gastrointestinal Physiology
578(1)
Alteration in Renal Physiology
578(1)
Alteration in Immunologic Physiology
578(1)
Alteration in Neurologic Physiology
579(1)
Alteration in Reactivity Periods and Behavioral States
579(1)
Management of Nutrition and Fluid Requirements
580(3)
Common Complications of Preterm Newborns and Their Clinical Management
583(1)
Long-Term Needs and Outcome
583(6)
Care of the Newborn With Congenital Anomalies
589(5)
Care of the Infant of a Substance-Abusing Mother
594(8)
Alcohol Dependence
594(2)
Opiate Dependency
596(1)
Common Complications of the Drug-Exposed Newborn
597(2)
Newborns of Mothers Who Are Tobacco Dependent
599(3)
Care of the Newborn Exposed to HIV/AIDS
602(1)
Care of the Newborn With a Congenital Heart Defect
603(4)
Overview of Congenital Heart Defects
603(4)
27 The Newborn at Risk: Birth-Related Stressors
607(42)
Care of the Newborn at Risk From Asphyxia
608(4)
Risk Factors Predisposing to Asphyxia
608(1)
Clinical Therapy
608(1)
Resuscitation Management
609(3)
Care of the Newborn With Respiratory Distress
612(10)
Respiratory Distress Syndrome
612(4)
Transient Tachypnea of the Newborn
616(2)
The Newborn With Meconium Aspiration. Syndrome
618(4)
Care of the Newborn With Cold Stress
622(1)
Care of the Newborn With Hypoglycemia
623(3)
Clinical Therapy
624(2)
Care of the Newborn With Jaundice
626(7)
Pathophysiology of Hyperbilirubinemia
626(1)
Causes of Hyperbilirubinemia
626(1)
Clinical Therapy
627(6)
Care of the Newborn With Anemia
633(1)
Clinical Therapy
633(1)
Care of the Newborn With Infection
634(5)
Clinical Therapy
636(3)
Care of the Family With Birth of an At-Risk Newborn
639(10)
Parental Responses
639(1)
Developmental Consequences
639(6)
Considerations for the Nurse Who Works With. At-Risk Newborns
645(4)
Part 6 The Postpartum Family 649(96)
28 Postpartum Adaptation and Nursing Assessment
649(22)
Postpartum Physical Adaptations
649(6)
Reproductive System
650(2)
Abdomen
652(1)
Lactation
652(1)
Gastrointestinal System
652(1)
Urinary Tract
653(1)
Vital Signs
653(1)
Blood Values
654(1)
Cardiovascular Changes
654(1)
Neurologic and Immunologic Changes
654(1)
Weight Loss
655(1)
Postpartum Chill
655(1)
Postpartum Diaphoresis 655• Afterpains
655(1)
Postpartum Psychologic Adaptations
655(2)
Taking-In and Taking-Hold
655(1)
Becoming a Mother (BAM)
655(1)
Postpartum Blues
656(1)
Importance of Social Support
657(1)
Development of Family Attachment
657(3)
Maternal—Newborn Attachment Behavior
657(1)
Father—Newborn Interactions
658(1)
Siblings and Others
659(1)
Cultural Influences in the Postpartum Period
659(1)
Postpartum Nursing Assessment
660(6)
Risk Factors
660(1)
Physical Assessment
660(5)
Psychologic Assessment
665(1)
Discharge Assessment and Follow-Up
666(5)
29 The Postpartum Family: Early Care Needs and Home Care
671(39)
Nursing Care During the Early Postpartum Period
672(1)
Nursing Diagnoses
672(1)
Nursing Plan and Implementation
672(1)
Promotion of Maternal Comfort and Well-Being
672(4)
Postpartum Examination
672(1)
Relief of Perineal Discomfort
672(3)
Relief of Hemorrhoidal Discomfort
675(1)
Relief of Afterpains
675(1)
Relief of Discomfort from Immobility and Muscle Strain
675(1)
Relief of Discomfort From Postpartum Diaphoresis
676(1)
Suppression of Lactation in the Nonbreastfeeding Mother
676(1)
Relief of Emotional Stress
676(1)
Promotion of Maternal Rest and Activity
676(2)
Relief of Fatigue
676(1)
Resumption of Activity
677(1)
Postpartum Exercises
677(1)
Sexual Activity and Contraception
677(1)
Pharmacologic Interventions
678(1)
Promotion of Effective Parent Learning
678(2)
Promotion of Family Wellness
680(1)
Reactions of Siblings
680(1)
Promotion of Parent—Newborn Attachment During the Postpartum Period
681(1)
Nursing Care Following Cesarean Birth
681(2)
Promotion of Maternal Physical Well-Being After Cesarean Birth
681(1)
Promotion of Parent—Newborn Interaction After Cesarean Birth
682(1)
Nursing Care of the Postpartum Adolescent
683(1)
Nursing Care of the Woman Who Relinquishes Her Baby
683(1)
Surrogacy
684(1)
Nursing Interventions
684(1)
Postpartum Care for Special Populations
684(1)
Nursing Care of the Postpartum. Client With Obesity
684(1)
Nursing Care of the Postpartum Lesbian Mother
684(1)
Nursing Care of the Postpartum .Mother With a Developmental Disability
685(1)
Nursing Care of the Postpartum Mother With a History of Sexual Abuse
685(1)
Preparation for Discharge
685(3)
Discharge Criteria
685(1)
Discharge Teaching
686(1)
Considerations for Follow-Up Care
686(1)
Evaluation
687(1)
Considerations for the Home Visit
688(2)
Purpose and Timing of the Home Visit
688(1)
Maintaining Safety
688(1)
Fostering a Caring Relationship With the Family
688(2)
Home Care: The Mother and Family
690(10)
Assessment of the Mother and Family
690(3)
Breastfeeding Concerns Following Discharge
693(7)
Home Care: The Newborn
700(5)
Handling and Positioning
700(1)
Bathing
701(1)
Nail Care
702(1)
Dressing the Newborn
702(1)
Temperature Assessment
703(1)
Stools and Urine
703(1)
Sleep and Activity
704(1)
Crying
704(1)
Safety Considerations
705(1)
Postpartum Classes and Support Groups
705(5)
30 The Postpartum Family at Risk
710(35)
Care of the Woman With Postpartum Hemorrhage
711(8)
Early (Primary) Postpartum Hemorrhage
711(5)
Late (Secondary) Postpartum Hemorrhage
716(3)
Care of the Woman With a Reproductive Tract Infection or Wound Infection
719(5)
Postpartum Endometritis
720(1)
Pelvic Cellulitis (Parametritis)
721(1)
Perineal Wound Infections
721(1)
Cesarean Wound Infections
721(1)
Clinical Therapy
721(3)
Care of the Woman With a Urinary Tract Infection
724(2)
Overdistention of the Bladder
724(1)
Cystitis (Lower Urinary Tract Infection)
725(1)
Care of the Woman With Mastitis
726(2)
Clinical Therapy
727(1)
Care of the Woman With Postpartum Thromboembolic Disease
728(3)
Superficial Leg Vein Disease
729(1)
Deep Vein Thrombosis
729(1)
Clinical Therapy
729(2)
Care of the Woman With a Postpartum Psychiatric Disorder
731(14)
Types of Postpartum Psychiatric Disorders
731(6)
Clinical Therapy
737(8)
Part 7 Care And Needs Of Children 745(334)
31 Growth and Development
745(32)
Principles of Growth and Development
745(2)
Major Theories of Development
747(9)
Freud's Theory of Psychosexual Development
747(1)
Erikson's Theory of Psychosocial Development
748(1)
Piaget's Theory of Cognitive Development
748(3)
Kohlberg's Theory of Moral Development
751(1)
Social Learning Theory
752(1)
Behaviorism
752(1)
Ecologic Theory
753(1)
Temperament Theory
753(3)
Resiliency Theory
756(1)
Influences on Development
756(2)
Infant (Birth to 1 Year)
758(6)
Physical Growth and Development
758(1)
Cognitive Development
759(3)
Psychosocial Development
762(2)
Toddler (1 to 3 Years)
764(2)
Physical Growth and Development
764(1)
Cognitive Development
765(1)
Psychosocial Development
765(1)
Preschool Child (3 to 6 Years)
766(4)
Physical Growth and Development
766(2)
Cognitive Development
768(1)
Psychosocial Development
768(2)
School-Age Child (6 to 12 Years)
770(3)
Physical Growth and Development
770(1)
Cognitive Development
770(1)
Psychosocial Development
771(2)
Adolescent (12 to 18 Years)
773(4)
Physical Growth and Development
773(1)
Cognitive Development
773(1)
Psychosocial Development
773(4)
32 Infant, Child, and Adolescent Nutrition
777(29)
General Nutrition Concepts
777(1)
Nutritional Needs
778(7)
Infancy
778(4)
Toddlerhood
782(1)
Preschool
782(1)
School Age
783(1)
Adolescence
784(1)
Nutritional Assessment
785(3)
Physical and Behavioral Measurement
785(1)
Dietary Intake
786(2)
Common Nutritional Concerns
788(13)
Childhood Hunger
788(1)
Overweight and Obesity
789(2)
Food. Safety
791(1)
Common Dietary Deficiencies
792(1)
Celiac Disease
793(1)
Feeding and Eating Disorders
794(6)
Food Reactions
800(1)
Lactose Intolerance
800(1)
Nutritional Support
801(5)
Sports Nutrition and Ergogenic Agents
801(1)
Herbs, Probiotics, and Prebiotics
801(1)
Health-Related Conditions
802(1)
Vegetarianism
802(1)
Enteral Therapy
802(1)
Total Parenteral Nutrition (TPN)
803(3)
33 Pediatric Assessment
806(45)
Anatomic and Physiologic Characteristics of Infants and Children
806(1)
Obtaining the Child's History
806(7)
Communication Strategies
806(2)
Data to Be Collected
808(3)
Developmental Approach to the Examination
811(2)
General Appraisal
813(1)
Assessing Skin and Hair Characteristics
814(2)
Inspection of the Skin
814(1)
Palpation of the Skin
814(1)
Capillary Refill Time
815(1)
Skin Lesions
815(1)
Inspection of the Hair
815(1)
Palpation of the Hair
815(1)
Assessing the Head for Skull Characteristics and Facial Features
816(1)
Inspection of the Head and Face
816(1)
Palpation of the Skull
817(1)
Assessing Eye Structures, Function, and Vision
817(3)
Inspection of the External Eye Structures
817(3)
Vision Assessment
820(1)
Inspection of the Internal Eye Structures
820(1)
Assessing the Ear Structures and Hearing
820(3)
Inspection of the External Ear Structures
820(1)
Inspection of the Tympanic Membrane
820(1)
Hearing Assessment
821(2)
Assessing the Nose and Sinuses for Airway Patency and Discharge
823(2)
Inspection of the External Nose
823(1)
Palpation of the External. Nose
823(1)
Assessment of Smell
823(1)
Inspection of the Internal Nose
824(1)
Inspection of the Sinuses
824(1)
Assessing the Mouth and Throat for Color, Function, and Signs of Abnormal Conditions
825(1)
Inspection of the Mouth
825(1)
Palpation of the Mouth Structures
826(1)
Inspection of the Throat
826(1)
Assessing the Neck for Characteristics, Range of Motion, and Lymph Nodes
826(2)
Inspection of the Neck
826(1)
Palpation of the Neck
827(1)
Range of Motion Assessment
827(1)
Assessing the Chest for Shape, Movement, Respiratory Effort, and Lung Function
828(4)
Inspection of the Chest
828(2)
Palpation of the Chest
830(1)
Auscultation of the Chest
830(1)
Percussion of the Chest
831(1)
Assessing the Breasts
832(1)
Inspection of the Breasts
832(1)
Palpation of the Breasts
832(1)
Assessing the Heart for Heart Sounds and Function
832(3)
Inspection of the Precordium
832(1)
Palpation of the Precordium
832(1)
Heart Rate and Rhythm
833(1)
Auscultation of the Heart
833(1)
Completing the Heart Examination
834(1)
Assessing the Abdomen for Shape, Bowel Sounds, and Underlying Organs
835(1)
Inspection of the Abdomen
835(1)
Auscultation of the Abdomen
835(1)
Percussion of the Abdomen
836(1)
Palpation of the Abdomen
836(1)
Assessment of the Inguinal Area
836(1)
Assessing the Genital and Perineal Areas for External Structural Abnormalities
836(2)
Inspection of the Female External Genitalia
837(1)
Inspection of the Male Genitalia
837(1)
Palpation of the Male Genitalia
838(1)
Anus and Rectum
838(1)
Assessing Pubertal Development and Sexual Maturation
838(2)
Girls
838(1)
Boys
839(1)
Sexual Maturity Timeline
839(1)
Assessing the Musculoskeletal System for Bone and Joint Structure, Movement, and Muscle Strength
840(3)
Inspection of the Bones, Muscles, and Joints
840(1)
Palpation of the Bones, Muscles, and Joints
840(1)
Range of Motion and Muscle Strength Assessment
841(1)
Posture and Spinal Alignment
841(1)
Inspection of the Upper Extremities
841(1)
Inspection of the Lower Extremities
842(1)
Assessing the Nervous System
843(5)
Cognitive Function
843(1)
Cerebellar Function
844(1)
Cranial Nerve Function
844(1)
Sensory Function
845(1)
Common Newborn Reflexes
845(1)
Superficial and Deep Tendon Reflexes
845(3)
Performing an Intermittent Examination
848(1)
Analyzing Data From the Physical Examination
848(3)
34 Health Promotion and Maintenance: General Concepts, the Newborn, and the Infant
851(18)
General Concepts
852(2)
Components of Health Promotion/Health Maintenance Visits
854(3)
Health Promotion and Maintenance of the Newborn and Infant
857(12)
Early Contacts With the Family
857(1)
General Observations
858(1)
Growth and. Developmental Surveillance
858(1)
Nutrition
859(1)
Physical Activity
859(1)
Oral Health
860(1)
Mental and Spiritual Health
861(1)
Relationships
862(1)
Disease Prevention Strategies
862(1)
Injury Prevention Strategies
863(6)
35 Health Promotion and Maintenance: The Toddler and the Preschooler
869(16)
Health Promotion and Maintenance: The Toddler and Preschooler
869(16)
General Observations
870(1)
Growth and Developmental Surveillance
870(2)
Nutrition
872(1)
Physical Activity
873(1)
Oral Health
874(1)
Mental and Spiritual Health
875(1)
Relationships
876(1)
Disease Prevention Strategies
877(1)
Injury Prevention Strategies
877(8)
36 Health Promotion and Maintenance: The School-Age Child and the Adolescent
885(25)
Health Promotion and Maintenance: The School-Age Child
885(13)
General Observations
886(1)
Growth and Developmental Surveillance
886(1)
Nutrition
887(1)
Physical Activity
887(2)
Oral Health
889(1)
Mental and Spiritual Health
890(2)
Relationships
892(1)
Disease Prevention Strategies
893(1)
Injury Prevention Strategies
894(4)
Health Promotion and Maintenance: The Adolescent
898(12)
General Observations
899(1)
Growth and Developmental Surveillance
899(1)
Nutrition
900(1)
Physical Activity
900(1)
Oral Health
901(1)
Mental and Spiritual Health
902(2)
Relationships
904(1)
Disease Prevention Strategies
904(1)
Injury Prevention Strategies
905(5)
37 Family Assessment and Concepts of Nursing Care in the Community
910(15)
Family Assessment
910(3)
Family Stressors
911(1)
Family Strengths
911(1)
Collecting Data for Family Assessment 911 Family Assessment Tools
911(2)
Family Support Services in the Community
913(1)
Community-Based Health Care
913(1)
Community Healthcare Settings
914(7)
Nursing Roles in the Office or Healthcare Center Setting
914(1)
Nursing Roles in the Specialty Healthcare Setting
915(1)
Nursing Roles in the School Setting
915(2)
Nursing Roles in the Childcare Setting
917(2)
Nursing Roles in the Home Healthcare Setting
919(2)
Preparation for Disasters
921(4)
38 Nursing Considerations for the Child and Family With a Chronic Condition
925(14)
Overview of Chronic Conditions
925(2)
Role of the Nurse
927(5)
The Child With a Newly Diagnosed Chronic Condition
927(1)
Discharge Planning and Home Care Teaching
928(3)
Coordination of Care
931(1)
Community Sites of Care
932(7)
Office or Health Center
932(1)
Specialty Referral Centers
933(1)
Schools
933(3)
Home Care
936(3)
39 Nursing Considerations for the Hospitalized Child
939(24)
Effects of Hospitalization on Children and Their Families 940 Children's Understanding of Health and Illness
940(7)
Family Responses to Hospitalization
943(1)
Family Assessment
944(1)
Nurse's Role in the Child's Adaptation to Hospitalization 945 Planned Hospitalization
945(1)
Unexpected Hospitalization
946(1)
Nursing Care of the Hospitalized Child
947(8)
Special Units and Types of Care
947(1)
Parental Involvement and Parental. Presence
948(1)
Performing the Procedure
949(2)
Preparation for Surgery
951(4)
Strategies to Promote Coping and Normal Development of the Hospitalized Child
955(5)
Rooming In
955(1)
Child-Life Programs
955(1)
Therapeutic Play
955(3)
Therapeutic Recreation
958(1)
Strategies to Meet Educational Needs
958(2)
Preparation for Home Care
960(3)
Assessing the Child and Family in Preparation for Discharge
960(1)
Preparing the Family for Home Care
960(1)
Preparing Parents to Act as Case Managers
960(3)
40 Pain Assessment and Management in Children
963(23)
Pain
963(4)
Misconceptions About Pain in Children
964(1)
Developmental Aspects of Pain Perception, Memory, and Response
964(1)
Cultural Influences on Pain
965(2)
Consequences of Pain
967(1)
Pain Assessment
967(3)
Pain History
967(1)
Pain Assessment Tools
968(2)
Acute Pain
970(11)
Clinical Manifestations
971(1)
Clinical Therapy
971(4)
Nonpharmacologic Methods of Pain Management
975(6)
Chronic Pain
981(1)
Clinical Manifestations
981(1)
Clinical Therapy
981(1)
Sedation and Analgesia for Medical Procedures
982(4)
41 The Child With a Life-Threatening Condition and End-of-Life Care
986(21)
Life-Threatening Illness or Injury
986(1)
Child's Experience
987(3)
Coping Mechanisms
987(3)
Parents' Experience of a Child's Life-Threatening Illness or Injury
990(4)
The Family in Crisis
990(1)
Parental Reactions to Life-Threatening Illness or Injury
991(3)
The Siblings' Experience
994(1)
End-of-Life Care
995(1)
Palliative and Hospice Care
995(1)
Ethical Issues Surrounding a Child's Death
995(2)
Brain Death Criteria
995(1)
Withdrawal of or Withholding Treatment
996(1)
Do-Not-Resuscitate Orders
997(1)
Care of the Dying Child
997(5)
Awareness of Dying by Developmental Age
997(5)
Bereavement
1002(5)
Parents' Reactions
1002(1)
Sudden Death of a Child
1002(1)
Death of a Newborn or Young Infant
1002(1)
Grief and Bereavement
1002(1)
Siblings' Reactions
1002(2)
Staff Reactions to the Death of a Child
1004(3)
42 Social and Environmental Influences on the Child
1007(37)
Basic Concepts
1008(1)
Social Influences on Child Health
1008(6)
Poverty
1008(1)
Stress
1009(2)
Families
1011(1)
School and Child Care
1012(1)
Community
1012(1)
Culture
1013(1)
Lifestyle Activities and Their Influence on Child Health
1014(10)
Tobacco Use
1014(2)
Alcohol Use
1016(1)
Drug Use
1016(4)
Physical Inactivity and Sedentary Behavior
1020(1)
Injury and Protective Equipment
1020(2)
Body Art
1022(1)
Sexual Orientation
1023(1)
Effects of Violence
1024(4)
Schools and Communities
1024(1)
Bullying
1024(1)
Incarceration
1025(1)
Hazing
1025(1)
Domestic Violence
1025(1)
Dating Violence
1026(2)
Child Abuse
1028(6)
Physical Abuse
1028(1)
Physical Neglect
1029(1)
Abandoned Babies
1029(1)
Emotional Abuse
1029(1)
Emotional Neglect
1029(1)
Sexual Abuse
1029(4)
Manchausen Syndrome by Proxy (Factitious Disorder)
1033(1)
Environmental Influences on Child Health
1034(10)
Environmental Contaminants
1034(1)
Poisoning
1035(3)
Ingestion of Foreign Objects
1038(1)
Lead Poisoning
1039(5)
43 Immunizations and Communicable Diseases
1044(35)
Special Vulnerability of Infants and Children
1044(1)
Public Health and Communicable Diseases
1045(1)
Immunization
1046(13)
Clinical Manifestations
1051(1)
Collaborative Care
1051(8)
Communicable Diseases in Children
1059(16)
Clinical Manifestations
1059(16)
Sepsis and Septic Shock
1075(1)
Emerging Infection Control Threats
1075(4)
Part 8 Caring For Children With Alterations In Health Status 1079(514)
44 The Child With Alterations in Fluid, Electrolyte, and Acid-Base Balance
1079(35)
Anatomy and Physiology of Pediatric Differences
1079(2)
Extracellular Fluid Volume Imbalances
1081(11)
Extracellular Fluid Volume Deficit (Dehydration)
1081(7)
Extracellular Fluid Volume Excess
1088(2)
Interstitial. Fluid Volume Excess (Edema)
1090(2)
Sodium Imbalances
1092(3)
Hypernatremia
1093(1)
Hyponatremia
1094(1)
Potassium Imbalances
1095(4)
Hyperkalemia
1095(2)
Hypokalemia
1097(2)
Calcium Imbalances
1099(3)
Hypercalcemia
1100(1)
Hypocalcemia
1101(1)
Magnesium Imbalances
1102(2)
Hypermagnesemia
1103(1)
Hypomagnesemia
1103(1)
Physiology of Acid—Base Balance
1104(2)
Buffers
1104(2)
Role of the Lungs
1106(1)
Role of the Kidneys
1106(1)
Role of the Liver
1106(1)
Acid—Base Imbalances
1106(8)
Respiratory Acidosis
1107(2)
Respiratory Alkalosis
1109(1)
Metabolic Acidosis
1110(1)
Metabolic Alkalosis
1111(1)
Mixed Acid—Base Imbalances
1112(2)
45 The Child With Alterations in Eye, Ear, Nose, and Throat Function
1114(32)
Anatomy and Physiology of Pediatric Differences
1114(2)
Eye
1114(1)
Ear
1115(1)
Nose, Throat, and Mouth
1116(1)
Disorders of the Eye
1116(12)
Infectious Conjunctivitis
1116(1)
Periorbital Cellulitis
1117(1)
Visual Disorders
1117(3)
Color Blindness
1120(1)
Retinopathy of Prematurity
1120(4)
Visual Impairment
1124(3)
Injuries of the Eye
1127(1)
Disorders of the Ear
1128(9)
Otitis Media
1128(4)
Otitis Extern
1132(1)
Hearing Impairment
1132(5)
Injuries of the Ear
1137(1)
Disorders of the Nose and Throat
1137(6)
Epistaxis
1137(2)
Nasopharyngitis
1139(1)
Sinusitis
1140(1)
Pharyngitis
1140(1)
Tonsillitis and Adenoiditis
1141(2)
Disorders of the Mouth
1143(3)
46 The Child With Alterations in Respiratory Function
1146(43)
Anatomy and Physiology of Pediatric Differences
1147(1)
Upper Airway Differences
1147(1)
Lower Airway Differences
1147(1)
Respiratory Distress and Respiratory Failure
1147(5)
Foreign-Body Aspiration
1147(4)
Respiratory Failure
1151(1)
Apnea
1152(4)
Apparent Life-Threatening Event (A LTE)
1152(1)
Obstructive Sleep Apnea
1153(1)
Sudden Infant Death Syndrome
1154(2)
Croup Syndromes
1156(3)
Lower Airway Disorders
1159(5)
Bronchitis
1159(1)
Bronchiolitis and Respiratory Syncytial Virus
1159(3)
Pneumonia
1162(1)
Tuberculosis
1163(1)
Chronic Lung Diseases
1164(19)
Bronchopulmonary Dysplasia (Chronic Lung Disease)
1164(2)
Asthma
1166(11)
Cystic Fibrosis
1177(6)
Injuries of the Respiratory System
1183(6)
Smoke-Inhalation Injury
1183(1)
Blunt Chest Trauma
1184(1)
Pulmonary Contusion
1184(1)
Pneumothorax
1184(5)
47 The Child With Alterations in Cardiovascular Function
1189(43)
Anatomy and Physiology of Pediatric Differences
1189(1)
Oxygenation
1190(1)
Cardiac Functioning
1190(1)
Congenital Heart Disease
1190(4)
Etiology and. Pathophysiology
1190(1)
Clinical Manifestations
1191(1)
Clinical Therapy
1191(3)
Congenital Heart Defects That Increase Pulmonary Blood Flow
1194(5)
Etiology and Pathophysiology
1194(1)
Clinical Manifestations
1195(2)
Clinical Therapy
1197(2)
Defects Causing Decreased Pulmonary Blood Flow and Mixed Defects
1199(9)
Etiology and Pathophysiology
1200(1)
Clinical Manifestations
1200(3)
Clinical Therapy
1203(5)
Defects Obstructing Systemic Blood Flow
1208(3)
Etiology and Pathophysiology
1208(1)
Clinical Manifestations
1208(3)
Clinical Therapy
1211(1)
Congestive Heart Failure
1211(5)
Etiology and Pathophysiology
1212(1)
Clinical Manifestations
1212(1)
Clinical Therapy
1212(4)
Acquired Heart Diseases
1216(9)
Cardiomyopathy
1216(2)
Heart Transplantation
1218(1)
Pulmonary Artery Hypertension
1219(1)
Infective Endocarditis
1219(1)
Acute Rheumatic Fever
1220(1)
Kawasjki Disease
1221(1)
Cardiac Arrhythmias
1222(2)
Dyslipidemia
1224(1)
Hypertension
1225(1)
Injuries of the Cardiovascular System
1225(7)
Shock
1225(1)
Hypovolemic Shock
1225(3)
Distributive Shock
1228(1)
Obstructive Shock
1228(1)
Cardiogenic Shock
1228(1)
Myocardial Contusion
1229(1)
Commotio Cordis
1229(3)
48 The Child With Alterations in Immune Function
1232(25)
Anatomy and Physiology of Pediatric Differences
1232(2)
Immunodeficiency Disorders
1234(12)
B-Cell and T-Cell Disorders
1234(1)
Severe Combined Immunodeficiency Disease
1234(3)
Wiskott-Aldrich Syndrome
1237(1)
Human Immunodeficiency Virus and Acquired Immune Deficiency Syndrome
1237(9)
Autoimmune Disorders
1246(5)
Systemic Lupus Erythematosus
1246(2)
Prevent Infection
1248(1)
Juvenile Idiopathic Arthritis
1249(2)
Allergic Reactions
1251(2)
Latex Allergy
1253(1)
Graft-Versus-Host Disease
1253(4)
49 The Child With Alterations in Hematologic Function
1257(21)
Anatomy and Physiology of Pediatric Differences
1257(2)
Red Blood Cells
1258(1)
White Blood Cells
1259(1)
Platelets
1259(1)
Anemias
1259(11)
Iron Deficiency Anemia
1259(1)
Normocytic Anemia
1260(1)
Sickle Cell Disease
1261(8)
Thalassemias
1269(1)
Hereditary Spherocytosis
1269(1)
Aplastic Anemia
1270(1)
Bleeding Disorders
1270(3)
Hemophilia
1270(2)
Von Willebrand Disease
1272(1)
Disseminated Intravascular Coagulation
1272(1)
Immune Thrombocytopenic Purpura
1273(1)
Hematopoietic Stem Cell Transplantation
1273(5)
50 The Child With Cancer
1278(43)
Anatomy and Physiology of Pediatric Differences
1279(1)
Childhood Cancer
1279(23)
Incidence
1279(1)
Etiology and Pathophysiology
1279(3)
Clinical Manifestations
1282(20)
Solid Tumors
1302(7)
Brain Tumors
1302(4)
Neuroblastoma
1306(1)
Wilms Tumor (Nephroblastoma)
1307(2)
Bone Tumors
1309(2)
Osteosarcoma
1309(1)
Ewing Sarcoma
1309(2)
Leukemia
1311(3)
Etiology and Pathophysiology
1311(1)
Clinical Manifestations
1311(1)
Clinical Therapy
1312(2)
Soft-Tissue Tumors
1314(7)
Hodgkin Disease
1314(1)
Non-Hodgkin Lymphoma
1315(1)
Rhabdomyosarcoma
1315(1)
Retinoblastoma
1316(5)
51 The Child With Alterations in Gastrointestinal Function
1321(43)
Anatomy and Physiology of Pediatric Differences
1322(1)
Structural Defects
1322(17)
Cleft Lip and Cleft Palate
1322(6)
Esophageal Atresia and Tracheoesophageal Fistula
1328(2)
Pyloric Stenosis
1330(3)
Gastroesophageal Reflux
1333(1)
Omphalocele and Gastroschisis
1334(1)
Intussusception
1335(1)
Volvulus
1336(1)
Hirschsprung Disease
1337(1)
Anorectal Malformations
1337(2)
Hernias
1339(1)
Ostomies
1339(1)
Inflammatory Disorders
1340(7)
Appendicitis
1341(3)
Necrotizing Enterbcolitis
1344(1)
Meckel's Diverticulum
1345(1)
Inflammatory Bowel Disease
1345(2)
Peptic Ulcer
1347(1)
Disorders of Motility
1347(5)
Gastroenteritis (Acute Diarrhea)
1347(4)
Constipation
1351(1)
Encopresis
1352(1)
Intestinal Parasitic Disorders
1352(1)
Disorders of Malabsorption
1352(2)
Short Bowel Syndrome
1352(2)
Hepatic Disorders
1354(5)
Biliary Atresia
1355(1)
Viral Hepatitis
1355(3)
Cirrhosis
1358(1)
Injuries to the Gastrointestinal System
1359(5)
Abdominal Trauma
1359(5)
52 The Child With Alterations in Genitourinary Function
1364(33)
Anatomy and Physiology of Pediatric Differences
1364(1)
Urinary System
1365(1)
Reproductive System
1365(1)
Urinary Tract Infection
1365(3)
Etiology and Pathophysiology
1365(1)
Clinical Manifestations
1366(1)
Clinical Therapy
1366(2)
Structural Defects of the Urinary System
1368(5)
Bladder Exstrophy
1368(1)
Flypospadias and Epispadias
1369(1)
Obstructive Uropathy
1370(2)
Vesicoureteral Reflux
1372(1)
Prune Belly Syndrome
1372(1)
Enuresis
1373(1)
Renal Disorders
1374(6)
Nephrotic Syndrome
1374(3)
Acute Postinfectious Glomerulonephritis
1377(3)
Renal Failure
1380(13)
Acute Renal Failure
1380(3)
Chronic Renal. Failure
1383(4)
Renal Replacement Therapy
1387(4)
Hemolytic-Uremic Syndrome
1391(1)
Polycystic Kidney Disease
1392(1)
Structural Defects of the Reproductive System
1393(4)
Phimosis
1393(1)
Cryptorchidism
1393(1)
Inguinal Hernia and Hydrocele
1393(1)
Testicular Torsion
1394(3)
53 The Child With Alterations in Endocrine Function
1397(38)
Anatomy and Physiology of Pediatric Differences
1398(1)
Disorders of Pituitary Function
1399(6)
Growth Hormone Deficiency (Hypopituitarism)
1400(2)
Growth Hormone Excess (Hyperpituitarism)
1402(1)
Diabetes Insipidus
1403(1)
Syndrome of Inappropriate Antidiuretic Hormone (SIADH)
1404(1)
Precocious Puberty
1404(1)
Disorders of Thyroid Function
1405(2)
Hypothyroidism
1405(1)
Hyperthyroidism
1406(1)
Disorders of the Parathyroid
1407(1)
Hyperparathyroidism
1407(1)
Hypoparathyroidism
1408(1)
Disorders of Adrenal Function
1408(4)
Cushing Syndrome and Cushing Disease
1408(1)
Congenital Adrenal Hyperplasia
1409(2)
Adrenal Insufficiency (Addison Disease)
1411(1)
Pheochromocytoma
1411(1)
Disorders of Pancreatic Function
1412(15)
Diabetes Mellitus
1412(1)
Type 1 Diabetes
1412(9)
Diabetic Ketoacidosis
1421(3)
Hypoglycemia in the Child With Diabetes
1424(1)
Type 2 Diabetes
1425(2)
Disorders of Gonadal Function
1427(1)
Gynecomastia
1427(1)
Disorders Related to Sex Chromosome Abnormalities
1427(1)
Turner Syndrome
1427(1)
Klinefelter Syndrome
1428(1)
Inborn Errors of Metabolism
1428(7)
Phenylketonuria
1428(1)
Galactosemia
1429(1)
Mitochondrial Diseases
1429(1)
Maple Syrup Urine Disease
1430(5)
54 The Child With Alterations in Neurologic Function
1435(48)
Anatomy and Physiology of Pediatric Differences
1435(1)
Altered States of Consciousness
1436(5)
Etiology and Pathophysiology
1437(1)
Clinical Manifestations
1437(1)
Clinical Therapy
1437(4)
Seizure Disorders
1441(8)
Etiology and Pathophysiology
1441(1)
Clinical Manifestations
1442(2)
Clinical Therapy
1444(5)
Infectious Diseases
1449(7)
Bacterial Meningitis
1449(4)
Viral (Aseptic) Meningitis
1453(1)
Encephalitis
1454(1)
Reye Syndrome
1454(1)
Guillain-Barre Syndrome (Postinfectious Polyneuritis)
1455(1)
Headaches
1456(1)
Etiology and Pathophysiology
1456(4)
Clinical Manifestations
1460
Clinical Therapy
1456(1)
Structural Defects
1456(10)
Microcephaly
1456(1)
Hydrocephalus
1456(4)
Neural Tube Defects
1460(4)
Craniosynostosis
1464(1)
Positional Plagiocephaly
1465(1)
Neurofibrornatosis
1465(1)
Cerebral Palsy
1466(4)
Etiology and Pathophysiology
1466(1)
Clinical Manifestations
1466(1)
Clinical Therapy
1466(4)
Injuries of the Neurologic System
1470(13)
Traumatic Brain Injury
1471(4)
Concussion
1475(1)
Scalp Injuries
1476(1)
Skull Fractures
1476(1)
Penetrating Injuries
1476(1)
Spinal Cord. Injury
1476(3)
Hypoxic-Ischemic Brain. Injury (Drowning)
1479(4)
55 The Child With Alterations in Mental Health and Cognitive Function
1483(31)
Mental Health Alterations of Children and Adolescents
1484(4)
Etiology and Pathophysiology
1484(1)
Clinical Manifestations
1484(1)
Clinical Therapy
1484(4)
Developmental and Behavioral Disorders
1488(8)
Autism Spectrum Disorder (Neurodevelopmental Disorder)
1488(4)
Attention Deficit Disorder and Attention Deficit Hyperactivity Disorder
1492(4)
Mood Disorders
1496(4)
Depression
1496(2)
Bipolar Disorder (Manic Depression)
1498(2)
Anxiety and Related Disorders
1500(3)
Generalized Anxiety Disorder
1500(1)
Separation Anxiety Disorder
1500(1)
Panic Disorder
1500(1)
Obsessive-Compulsive Disorder
1501(1)
School Phobia (Social Phobia)
1501(1)
Conversion Reaction
1501(1)
Posttraumatic Stress Disorder
1501(2)
Other Disorders
1503(3)
Suicide
1503(2)
Tic Disorders arid Tourette Syndrome
1505(1)
Schizophrenia
1505(1)
Cognitive Alterations
1506(8)
Learning Disabilities
1506(1)
Intellectual Disability (Formerly Called Mental Retardation)
1507(7)
56 The Child With Alterations in Musculoskeletal Function
1514(38)
Anatomy and Physiology of Pediatric Differences
1515(2)
Bones
1515(2)
Muscles, Tendons, and Ligaments
1517(1)
Disorders of the Feet and Legs
1517(4)
Metatarsus Adductus
1517(1)
Clubfoot
1517(3)
Genu Varum and. Genu Valgum
1520(1)
Disorders of the Hip
1521(7)
Developmental Dysplasia of the Hip
1521(3)
Legg-Calve-Perthes Disease
1524(2)
Slipped Capital Femoral Epiphysis
1526(2)
Disorders of the Spine
1528(4)
Scoliosis
1528(3)
Torticollis, Kyphosis, and Lordosis
1531(1)
Additional Disorders of the Bones and Joints
1532(6)
Osteoporosis and Osteopenia
1532(2)
Osteomyelitis
1534(1)
Skeletal Tuberculosis and Septic Arthritis
1535(1)
Achondroplasia
1535(2)
Marfan Syndrome
1537(1)
Osteogenesis Imperfecta
1537(1)
Muscular Dystrophies
1538(4)
Nursing Management
1540(2)
Injuries to the Musculoskeletal System
1542(10)
Fractures
1542(5)
Sports Injuries
1547(1)
Amputations
1548(4)
57 The Child With Alterations in Skin Integrity
1552(41)
Skin Lesions
1553(1)
Wound Healing
1553(1)
Dermatitis
1554(5)
Contact Dermatitis
1554(3)
Diaper Dermatitis
1557(1)
Seborrheic Dermatitis
1558(1)
Bacterial Infections
1559(2)
Impetigo
1559(1)
Community-Acquired Meth id! n - Resistant Staphylococcus aureus
1559(1)
Folliculitis
1560(1)
Cellulitis
1560(1)
Viral Infections
1561(1)
Molluscum Contagiosum
1561(1)
Warts (Papillomavirus)
1561(1)
Fungal Infections
1561(1)
Oral Candidal Infection (Thrush)
1561(1)
Dermatophytoses (Ringworm)
1562(1)
Drug Reactions
1562(2)
Chronic Skin Conditions
1564(8)
Atopic Dermatitis
1564(3)
Acne
1567(4)
Psoriasis
1571(1)
Epidermolysis Bullosa
1571(1)
Infestations
1572(2)
Pediculosis Capitis (Lice)
1572(1)
Scabies
1573(1)
Vascular Tumors (Hemangiomas)
1574(1)
Injuries to the Skin
1575(18)
Pressure Ulcers
1575(1)
Burns
1576(8)
Sunburn
1584(1)
Hypothermia
1585(1)
Frostbite
1586(1)
Bites
1587(1)
Contusions
1588(1)
Foreign Bodies
1588(2)
Lacerations
1590(3)
Appendix A Selected Maternal-Newborn Laboratory Values 1593(1)
Appendix B Selected Pediatric Laboratory Values 1594(3)
Appendix C Growth Charts 1597(10)
Appendix D Pediatric Blood Pressure Tables 1607(2)
Appendix E Conversions and Equivalents 1609(1)
Appendix F Dietary Reference Intakes 1610(2)
Appendix G Body Surface Area Nomogram 1612(1)
Glossary 1613(24)
Index 1637
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 Childrens 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 postmasters Neonatal Nurse Practitioner certificate in 1983, and subsequently developed the Neonatal Nurse Practitioner (NNP) certificate and the masters 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; and Matthew, who works in computer teleresearch. Both are more than willing to give Mom helpful hints about computers.







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 in Tallahassee. Over the years, she has taught at several schools of nursing. In addition, she became a womens 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 Vice President for Academic Affairs, and in 2012, she became Provost at Regis University. She and her husband, Tim, enjoy skiing, baseball games, and traveling. However, their greatest pleasure comes from their family: son Ryan and grandchildren Reed and Addison Grace; and son Erik, his wife Kedri, and grandchildren Emma and Camden.







Michele R. Davidson completed her ADN degree from Marymount University in Arlington, Virginia. She has worked in multiple womens 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 in Fairfax, Virginia. Dr. Davidson earned her MSN and a nurse-midwifery certificate at Case Western Reserve University in Cleveland, Ohio, and continued to work as a full-scope nurse-midwife for 16 years. She has delivered over 1000 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 womens 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 8 years. Dr. Davidson has also completed certifications in lactation consulting, forensic nursing, and surgical first assistant. In 2012, her book, A Nurses Guide to Womens 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. 







Jane W. Ball graduated from The Johns Hopkins Hospital School of Nursing in Baltimore, Maryland, and subsequently received a BS from The Johns Hopkins University in Baltimore. She worked in the surgical, emergency, and outpatient units of the Johns Hopkins Childrens Medical and Surgical Center, first as a staff nurse and then as a pediatric nurse practitioner. Thus began her career as a pediatric nurse and advocate for childrens health needs. She obtained both a master of public health and doctor of public health degree from the Johns Hopkins University Bloomberg School of Public Health with a focus on maternal and child health. After graduation, she became the chief of child health services for the Commonwealth of Pennsylvania Department of Health. In this capacity, she oversaw the state-funded well-child clinics and explored ways to improve education for the states community health nurses. After relocating to Texas, she joined the faculty at the University of Texas at Arlington School of Nursing to teach community pediatrics to registered nurses returning to school for a BSN. During this time she became involved in writing her first textbook, Mosbys Guide to Physical Examination, which is currently in its eighth edition. After relocating to the Washington, DC, area, she joined the Childrens National Medical Center to manage a federal project to teach instructors of emergency medical technicians from all states about the special care children need during an emergency. Exposure to the shortcomings of the emergency medical services system in the late 1980s with regard to pediatric care was a career-changing event. With federal funding, she developed educational curricula for emergency medical technicians and emergency nurses to help them provide improved care for children. A textbook entitled Pediatric Emergencies, A Manual for Prehospital Providers was developed from these educational ventures. She served as the executive director of the federally funded Emergency Medical Services for Children National Resource Center for 15 years, providing consultation and resource development for state health agencies, health professionals, families, and advocates to improve the emergency healthcare system for children. Dr. Ball is a consultant for the American College of Surgeons, assisting states to develop and enhance their trauma systems. She is also collaborating on a pediatric explosion injury electronic curriculum and virtual pediatric trauma center conceptual design as a consultant to the Uniformed Services University of the Health Sciences. 







Ruth C. McGillis Bindler received her BSN from Cornell UniversityNew York Hospital School of Nursing in New York, New York. She worked in oncology nursing at MemorialSloan Kettering Cancer Center in New York, and then moved to Wisconsin and became a public health nurse in Dane County. Thus began her commitment to work with children as she visited children and their families at home, and served as a school nurse for several elementary, middle, and high schools. As a result of this interest in child healthcare needs, she earned her MS in child development from the University of Wisconsin in Madison. A move to Washington State was accompanied by a new job as a faculty member at the Intercollegiate Center for Nursing Education in Spokane,  now the Washington State University College of Nursing. Dr. Bindler feels fortunate to have been involved for 38 years in the growth of this nursing education consortium, which is a combination of public and private universities and offers undergraduate and graduate nursing degrees. She taught theory and clinical courses in child health nursing, cultural diversity, graduate research, pharmacology, and assessment; served as lead faculty for child health nursing; was the first director of the PhD program; and served as Associate Dean for Graduate Programs, which include Master of Nursing, Post-Masters certificates, and PhD and Doctor of Nursing Practice (DNP) programs. She recently retired from this position and serves the college and profession as a professor emeritus, continuing work with graduate students and research. Her first professional book, Pediatric Medications, was published in 1981, and she has continued to publish articles and books in the areas of pediatric medications and pediatric health. Her research was focused in the area of childhood obesity, type 2 diabetes, and cardiovascular risk factors in children. Ethnic diversity and interprofessional collaboration have been other themes in her work. Dr. Bindler believes that her role as a faculty member and administrator enabled her to learn continually, to foster the development of students in nursing, and to participate fully in the profession of nursing. In addition to teaching, research, publication, and leadership, she enhances her life by service in several professional and community activities, and by outdoor activities with her family.







Kay J. Cowen received her BSN degree from East Carolina University in Greenville, North Carolina, and began her career as a staff nurse on the pediatric unit of North Carolina Baptist Hospital in Winston-Salem. She developed a special interest in the psychosocial needs of hospitalized children and preparing them for hospitalization. This led to the focus of her masters thesis at the University of North Carolina at Greensboro (UNCG), where she received a MS in Nursing Education degree with a focus in maternalchild nursing. Mrs. Cowen began her teaching career in 1984 at UNCG, where she continues today as clinical professor. Her primary responsibilities include coordination of the pediatric nursing course, teaching classroom content, and supervising a clinical group of students. Mrs. Cowen shared her passion for the psychosocial care of children and the needs of their families through her first experience as an author of the chapter Hospital Care for Children in Child Health Nursing: A Comprehensive Approach to the Care of Children and Their Families, published in 1993. In the classroom, Mrs. Cowen realized that students learn through a variety of teaching strategies, and she became especially interested in the strategy of gaming. She led a research study to evaluate the effectiveness of gaming in the classroom, and subsequently continues to incorporate gaming in her teaching. In the clinical setting, Mrs. Cowen teaches her students the skills needed to care for patients and the importance of family-centered care, focusing on not only the physical needs of the child but also the psychosocial needs of the child and family. During her teaching career, Mrs. Cowen has continued to work part time as a staff nurse, first on the pediatric unit of Moses Cone Hospital in Greensboro and then at Brenner Childrens Hospital in Winston-Salem. In 2006, she became the part-time pediatric nurse educator in Brenners Family Resource Center. Through this role she is able to extend her love of teaching to children and families. Through her role as an author, Mrs. Cowen is able to extend her dedication to pediatric nursing and nursing education.