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Principles of Pediatric Nursing: Caring for Children 7th edition [Hardback]

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  • Formāts: Hardback, 1080 pages, height x width x depth: 100x100x100 mm, weight: 100 g
  • Izdošanas datums: 16-May-2017
  • Izdevniecība: Pearson
  • ISBN-10: 0134257014
  • ISBN-13: 9780134257013
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  • Formāts: Hardback, 1080 pages, height x width x depth: 100x100x100 mm, weight: 100 g
  • Izdošanas datums: 16-May-2017
  • Izdevniecība: Pearson
  • ISBN-10: 0134257014
  • ISBN-13: 9780134257013
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NOTE: Before purchasing, check with your instructor to ensure you select the correct ISBN. Several versions of Pearsons MyLab & Mastering products exist for each title, and registrations are not transferable. To register for and use Pearsons MyLab & Mastering products, you may also need a Course ID, which your instructor will provide. Used books, rentals, and purchases made outside of Pearson If purchasing or renting from companies other than Pearson, the access codes for Pearsons MyLab & Mastering products may not be included, may be incorrect, or may be previously redeemed. Check with the seller before completing your purchase.   For pediatric nursing courses in associate and baccalaureate degree programs This package includes MyNursingLab® Help readers learn to think like nurses and visualize how to care for children To prepare todays student to begin thinking and acting like a nurse, Principles of Pediatric Nursing, Seventh Edition presents a foundation of core pediatric nursing principles with an emphasis on growth and development, family-centered care, and health promotion and maintenance. Nursing students often bring an Adult Health mindset to Pediatric Nursing, which can obscure the special considerations needed to effectively care for children. Principles of Pediatric Nursing helps students visualize how to care for children and understand the ways caring for pediatric patients is similar to, and different from, adult patients. Personalize learning with MyNursingLab MyNursingLab is an an online homework, tutorial, and assessment program designed to engage students and improve results. Its guided learning path helps students think like nurses as they move beyond memorization to true understanding through application.
Dedication iii
About The Authors v
Thank You! vii
Preface ix
Acknowledgments xiii
1 Nurse's Role in Care of the Child: Hospital, Community, and Home 1(16)
Pediatric Healthcare Overview
1(1)
Role of the Nurse in Pediatrics
2(2)
Direct Nursing Care
2(1)
Patient Education
3(1)
Patient Advocacy
3(1)
Case Management
4(1)
Research
4(1)
Nursing Process in Pediatric Care
4(1)
Clinical Reasoning
4(1)
Evidence-Based Practice
4(1)
Settings for Pediatric Nursing Care
5(1)
Contemporary Climate for Pediatric Nursing Care
5(1)
Culturally Sensitive Care
5(1)
Family-Centered Care
6(1)
Pediatric Health Statistics
6(2)
Mortality
6(1)
Morbidity
7(1)
Healthcare Issues
8(1)
Healthcare Financing
8(1)
Healthcare Technology
8(1)
Legal Concepts and Responsibilities
9(2)
Regulation of Nursing Practice
9(1)
Accountability and Risk Management
9(2)
Legal and Ethical Issues in Pediatric Care
11(6)
Informed Consent
11(1)
Child Participation in Healthcare Decisions
12(1)
Child's Rights Versus Parents' Rights
12(1)
Patient Self-Determination Act
13(1)
Ethical Issues
13(2)
Partnering With Families
15(2)
2 Family-Centered Care and Cultural Considerations 17(28)
Family and Family Roles
17(1)
Family-Centered Care
18(1)
History of Family-Centered Care
18(1)
Promoting Family-Centered Care
18(1)
Family Composition
19(2)
Family Functioning
21(1)
Transition to Parenthood
21(1)
Parental Influences on the Child
21(1)
Family Size
21(1)
Sibling Relationships
22(1)
Parenting
22(3)
Authoritarian Parents
23(1)
Authoritative Parents
23(1)
Permissive Parents
23(1)
Indifferent Parents
23(1)
Parent Adaptability
23(1)
Assessing Parenting Styles
23(1)
Discipline and Limit Setting
24(1)
Special Family Considerations
25(1)
Divorce and Its Effects on Children
25(1)
Stepparenting
26(1)
Foster Care
26(1)
Foster Parenting
27(1)
Health Status of Foster Children
27(1)
Transition to Permanent Placement
27(1)
Adoption
27(2)
Legal Aspects of Adoption
28(1)
Preparation for Adoption
28(1)
Responses by Adopted Children
28(1)
International Adoptions
29(1)
Family Theories
29(2)
Family Development Theory
29(1)
Family Systems Theory
30(1)
Family Stress Theory
30(1)
Family Assessment
31(2)
Family Stressors
31(1)
Family Strengths
31(1)
Collecting Data for Family Assessment
31(1)
Family Assessment Tools
32(1)
Cultural Considerations
33(5)
Cultural Assessment
34(1)
Cultural Practices That Influence Health Care
35(3)
Complementary and Alternative Modalities
38(7)
Safety Issues Concerning CAM Therapies
39(6)
3 Genetic and Genomic Influences 45(21)
Partnering With Families: Meeting the Standard of Genetic Nursing Care Delivery
45(6)
Impact of Genetic Advances on Health Promotion and Health Maintenance
47(1)
Genetic Basics
48(1)
Cell Division
48(1)
Chromosomal Alterations
49(1)
Genes
49(2)
Principles of Inheritance
51(4)
Classic Mendelian Patterns of Inheritance
51(3)
Variability in Classic Mendelian Patterns of Inheritance
54(1)
Multifactoria I Inheritance
55(1)
Collaborative Care
55(8)
Diagnostic Procedures
55(2)
Quality and Accuracy of Genetic Tests
57(6)
Visions for the Future
63(3)
4 Growth and Development 66(32)
Principles of Growth and Development
66(2)
Major Theories of Development
68(9)
Freud's Theory of Psychosexual Development
68(1)
Erikson's Theory of Psychosocial Development
69(1)
Piaget's Theory of Cognitive Development
69(3)
Kohlberg's Theory of Moral Development
72(1)
Social Learning Theory
73(1)
Behaviorism
73(1)
Ecologic Theory
74(1)
Temperament Theory
74(3)
Resiliency Theory
77(1)
Influences on Development
77(2)
Infant (Birth to 1 Year)
79(6)
Physical Growth and Development
79(1)
Cognitive Development
80(3)
Psychosocial Development
83(2)
Toddler (1 to 3 Years)
85(2)
Physical Growth and Development
85(1)
Cognitive Development
86(1)
Psychosocial Development
86(1)
Preschool Child (3 to 6 Years)
87(4)
Physical Growth and Development
87(2)
Cognitive Development
89(1)
Psychosocial Development
89(2)
School-Age Child (6 to 12 Years)
91(3)
Physical Growth and Development
91(1)
Cognitive Development
91(1)
Psychosocial Development
92(2)
Adolescent (12 to 18 Years)
94(4)
Physical Growth and Development
94(1)
Cognitive Development
94(1)
Psychosocial Development
94(4)
5 Pediatric Assessment 98(46)
Anatomic and Physiologic Characteristics of Infants and Children
98(1)
Obtaining the Child's History
98(7)
Communication Strategies
98(2)
Data to Be Collected
100(3)
Developmental Approach to the Examination
103(2)
General Appraisal
105(1)
Assessing Skin and Hair Characteristics
105(3)
Inspection of the Skin
106(1)
Palpation of the Skin
106(1)
Capillary Refill Time
107(1)
Skin Lesions
107(1)
Inspection of the Hair
107(1)
Palpation of the Hair
107(1)
Assessing the Head for Skull Characteristics and Facial Features
108(1)
Inspection of the Head and Face
108(1)
Palpation of the Skull
109(1)
Assessing Eye Structures, Function, and Vision
109(3)
Inspection of the External Eye Structures
109(3)
Vision Assessment
112(1)
Inspection of the Internal Eye Structures
112(1)
Assessing the Ear Structures and Hearing
112(3)
Inspection of the External Ear Structures
112(1)
Inspection of the Tympanic Membrane
112(1)
Hearing Assessment
113(2)
Assessing the Nose and Sinuses for Airway Patency and Discharge
115(2)
Inspection of the External Nose
115(1)
Palpation of the External Nose
115(1)
Assessment of Smell
115(1)
Inspection of the Internal Nose
116(1)
Inspection of the Sinuses
116(1)
Assessing the Mouth and Throat for Color, Function, and Signs of Abnormal Conditions
117(1)
Inspection of the Mouth
117(1)
Palpation of the Mouth Structures
118(1)
Inspection of the Throat
118(1)
Assessing the Neck for Characteristics, Range of Motion, and Lymph Nodes
118(2)
Inspection of the Neck
118(1)
Palpation of the Neck
119(1)
Range of Motion Assessment
119(1)
Assessing the Chest for Shape, Movement, Respiratory Effort, and Lung Function
120(4)
Inspection of the Chest
120(2)
Palpation of the Chest
122(1)
Auscultation of the Chest
122(1)
Percussion of the Chest
123(1)
Assessing the Breasts
124(1)
Inspection of the Breasts
124(1)
Palpation of the Breasts
124(1)
Assessing the Heart for Heart Sounds and Function
124(3)
Inspection of the Precordium
124(1)
Palpation of the Precordium
124(1)
Heart Rate and Rhythm
125(1)
Auscultation of the Heart
125(1)
Completing the Heart Examination
126(1)
Assessing the Abdomen for Shape, Bowel Sounds, and Underlying Organs
127(1)
Inspection of the Abdomen
127(1)
Auscultation of the Abdomen
127(1)
Percussion of the Abdomen
128(1)
Palpation of the Abdomen
128(1)
Assessment of the Inguinal Area
128(1)
Assessing the Genital and Perineal Areas for External Structural Abnormalities
128(2)
Inspection of the Female External Genitalia
129(1)
Inspection of the Male Genitalia
129(1)
Palpation of the Male Genitalia
130(1)
Anus and Rectum
130(1)
Assessing Pubertal Development and Sexual Maturation
130(2)
Girls
130(1)
Boys
131(1)
Sexual Maturity Timeline
131(1)
Assessing the Musculoskeletal System for Bone and Joint Structure, Movement, and Muscle Strength
132(2)
Inspection of the Bones, Muscles, and Joints
132(1)
Palpation of the Bones, Muscles, and Joints
132(1)
Range of Motion and. Muscle Strength Assessment
133(1)
Posture and Spinal Alignment
133(1)
Inspection of the Upper Extremities
134(1)
Inspection of the Lower Extremities
134(1)
Assessing the Nervous System
134(7)
Cognitive Function
136(1)
Cerebellar Function
136(2)
Cranial Nerve Function
138(1)
Sensory Function
138(1)
Common Newborn Reflexes
138(2)
Superficial and Deep Tendon Reflexes
140(1)
Performing an Intermittent Examination
141(1)
Analyzing Data From the Physical Examination
142(2)
6 Introduction to Health Promotion and Maintenance 144(10)
General Concepts
145(2)
Components of Health Promotion/Health Maintenance Visits
147(7)
7 Health Promotion and Maintenance for the Newborn and Infant 154(12)
Health Promotion and Maintenance for the Newborn and Infant
154(12)
Early Contacts With the Family
155(1)
General Observations
155(1)
Growth and Developmental Surveillance
156(1)
Nutrition
157(1)
Physical Activity
157(1)
Oral Health
158(1)
Mental and Spiritual Health
158(2)
Relationships
160(1)
Disease Prevention Strategies
160(1)
Injury Prevention Strategies
161(5)
8 Health Promotion and Maintenance for the Toddler and Preschooler 166(16)
Health Promotion and Maintenance for the Toddler and Preschooler
166(16)
General Observations
167(1)
Growth and Developmental Surveillance
167(2)
Nutrition
169(1)
Physical Activity
170(1)
Oral Health
171(1)
Mental and Spiritual Health
172(1)
Relationships
173(1)
Disease Prevention Strategies
174(1)
Injury Prevention Strategies
174(8)
9 Health Promotion and Maintenance for the School-Age Child and Adolescent 182(25)
Health Promotion and Maintenance for the School-Age Child
182(13)
General Observations
183(1)
Growth and Developmental Surveillance
183(1)
Nutrition
184(1)
Physical Activity
184(2)
Oral Health
186(1)
Mental and Spiritual Health
187(2)
Relationships
189(1)
Disease Prevention Strategies
190(1)
Injury Prevention Strategies
191(4)
Health Promotion and Maintenance for the Adolescent
195(12)
General Observations
196(1)
Growth and Developmental Surveillance
196(1)
Nutrition
197(1)
Physical Activity
197(1)
Oral Health
198(1)
Mental and Spiritual Health
199(2)
Relationships
201(1)
Disease Prevention Strategies
201(1)
Injury Prevention Strategies
202(5)
10 Nursing Considerations for the Child in the Community 207(15)
Community-Based Health Care
207(1)
Community Healthcare Settings
208(8)
Nursing Roles in the Office or Healthcare Center Setting
208(1)
Nursing Roles in the Specialty Healthcare Setting
209(1)
Nursing Roles in the School Setting
210(1)
Nursing Roles in the Childcare Setting
211(2)
Nursing Roles in the Home Healthcare Setting
213(3)
Assessment of Community Needs and Resources
216(1)
Community Assessment
216(1)
Planning and Evaluation
217(1)
Preparation for Disasters
217(5)
Clinical Manifestations
218(1)
Clinical Therapy
218(4)
11 Nursing Considerations for the Hospitalized Child 222(24)
Effects of Hospitalization on Children and Their Families
223(5)
Children's Understanding of Health and Illness
223(3)
Family Responses to Hospitalization
226(1)
Family Assessment
227(1)
Nurse's Role in the Child's Adaptation to Hospitalization
228(2)
Planned Hospitalization
228(1)
Unexpected Hospitalization
229(1)
Nursing Care of the Hospitalized Child
230(8)
Special Units and Types of Care
230(1)
Parental Involvement and Parental Presence
231(1)
Performing the Procedure
232(2)
Preparation for Surgery
234(4)
Strategies to Promote Coping and Normal Development of the Hospitalized Child
238(5)
Rooming In
238(1)
Child-Life Programs
238(1)
Therapeutic Play
238(3)
Therapeutic Recreation
241(1)
Strategies to Meet Educational Needs
241(2)
Preparation for Home Care
243(3)
Assessing the Child and Family in Preparation for Discharge
243(1)
Preparing the Family for Home Care
243(1)
Preparing Parents to Act as Case Managers
243(3)
12 The Child With a Chronic Condition 246(14)
Overview of Chronic Conditions
246(2)
Role of the Nurse
248(5)
The Child With a Newly Diagnosed Chronic Condition
248(1)
Discharge Planning and Home Care Teaching
249(3)
Coordination of Care
252(1)
Community Sites of Care
253(7)
Office or Health Center
253(1)
Specialty Referral Centers
254(1)
Schools
254(3)
Home Care
257(3)
13 The Child With a Life-Threatening Condition and End-of-Life Care 260(21)
Life-Threatening Illness or Injury
260(1)
Child's Experience
261(3)
Coping Mechanisms
261(3)
Parents' Experience of a Child's Life-Threatening Illness or Injury
264(4)
The Family in Crisis
264(1)
Parental Reactions to Life-Threatening Illness or Injury
265(3)
The Siblings' Experience
268(1)
End-of-Life Care
269(1)
Palliative and Hospice Care
269(1)
Ethical Issues Surrounding a Child's Death
269(2)
Brain Death Criteria
269(1)
Withdrawal of or Withholding Treatment
270(1)
Do-Not-Resuscitate Orders
271(1)
Care of the Dying Child
271(5)
Awareness of Dying by Developmental Age
271(5)
Bereavement
276(5)
Parents' Reactions
276(1)
Sudden Death of a Child
276(1)
Death of a Newborn or Young Infant
276(1)
Grief and Bereavement
276(1)
Siblings' Reactions
276(2)
Staff Reactions to the Death of a Child
278(3)
14 Infant, Child, and Adolescent Nutrition 281(29)
General Nutrition Concepts
281(1)
Nutritional Needs
282(7)
Infancy
282(4)
Toddlerhood
286(1)
Preschool
286(1)
School Age
287(1)
Adolescence
288(1)
Nutritional Assessment
289(3)
Physical and Behavioral Measurement
289(1)
Dietary Intake
290(2)
Common Nutritional Concerns
292(13)
Childhood Hunger
292(1)
Overweight and Obesity
293(2)
Food Safety
295(1)
Common Dietary Deficiencies
296(1)
Celiac Disease
297(1)
Feeding and Eating Disorders
298(6)
Food Reactions
304(1)
Lactose Intolerance
304(1)
Nutritional Support
305(5)
Sports Nutrition and Ergogenic Agents
305(1)
Herbs, Probiotics, and Prebiotics
305(1)
Health-Related Conditions
306(1)
Vegetarianism
306(1)
Enteral Therapy
306(1)
Total Parenteral Nutrition (TPN)
307(3)
15 Pain Assessment and Management in Children 310(23)
Pain
310(4)
Misconceptions About Pain in Children
311(1)
Developmental Aspects of Pain Perception, Memory, and Response
311(1)
Cultural Influences on Pain
312(2)
Consequences of Pain
314(1)
Pain Assessment
314(3)
Pain History
314(1)
Pain Assessment Tools
315(2)
Acute Pain
317(11)
Clinical Manifestations
318(1)
Clinical Therapy
318(4)
Nonpharmacologic Methods of Pain Management
322(6)
Chronic Pain
328(1)
Clinical Manifestations
328(1)
Clinical Therapy
328(1)
Sedation and Analgesia for Medical Procedures
329(4)
16 Immunizations and Communicable Diseases 333(34)
Special Vulnerability of Infants and Children
333(1)
Public Health and Communicable Diseases
334(1)
Immunization
335(13)
Clinical Manifestations
340(1)
Collaborative Care
340(8)
Communicable Diseases in Children
348(16)
Clinical Manifestations
348(16)
Sepsis and Septic Shock
364(1)
Emerging Infection Control Threats
364(3)
17 Social and Environmental Influences on the Child 367(37)
Basic Concepts
368(1)
Social Influences on Child Health
368(6)
Poverty
368(1)
Stress
369(2)
Families
371(1)
School and Child Care
372(1)
Community
372(1)
Culture
373(1)
Lifestyle Activities and Their Influence on Child Health
374(10)
Tobacco Use
374(2)
Alcohol Use
376(1)
Drug Use
376(4)
Physical Inactivity and Sedentary Behavior
380(1)
Injury and Protective Equipment
380(2)
Body Art
382(1)
Sexual Orientation
383(1)
Effects of Violence
384(4)
Schools and Communities
384(1)
Bullying
384(1)
Incarceration
385(1)
Hazing
385(1)
Domestic Violence
385(1)
Dating Violence
386(2)
Child Abuse
388(6)
Physical Abuse
388(1)
Physical Neglect
389(1)
Abandoned Babies
389(1)
Emotional Abuse
389(1)
Emotional Neglect
389(1)
Sexual Abuse
389(4)
Munchausen Syndrome by Proxy (Factitious Disorder)
393(1)
Environmental Influences On Child Health
394(10)
Environmental Contaminants
394(1)
Poisoning
395(3)
Ingestion of Foreign Objects
398(1)
Lead Poisoning
399(5)
18 Alterations in Fluid, Electrolyte, and Acid-Base Balance 404(36)
Extracellular Fluid Volume Imbalances
409(11)
Extracellular Fluid Volume Deficit (Dehydration)
409(7)
Extracellular Fluid Volume Excess
416(2)
Interstitial Fluid. Volume Excess (Edema)
418(2)
Sodium Imbalances
420(3)
Hypernatremia
420(2)
Hyponatremia
422(1)
Potassium Imbalances
423(4)
Hyperkalemia
423(2)
Hypokalemia
425(2)
Calcium Imbalances
427(3)
Hypercalcemia
427(1)
Hypocalcemia
428(2)
Magnesium Imbalances
430(2)
Hypermagnesemia
430(1)
Hypomagnesemia
430(2)
Acid-Base Imbalances
432(110)
Respiratory Acidosis
433(2)
Respiratory Alkalosis
435(1)
Metabolic Acidosis
436(1)
Metabolic Alkalosis
437(1)
Mixed Acid-Base Imbalances
437(105)
Congestive Heart Failure
542(5)
Etiology and Pathophysiology
543(1)
Clinical Manifestations
543(1)
Clinical Therapy
543(4)
Acquired Heart Diseases
547(9)
Cardiomyopathy
547(2)
Heart Transplantation
549(1)
Pulmonary Artery Hypertension
550(1)
Infective Endocarditis
550(1)
Acute Rheumatic Fever
551(1)
Kawasaki Disease
552(1)
Cardiac Arrhythmias
553(2)
Dyslipidemia
555(1)
Hypertension
556(1)
Injuries of the Cardiovascular System
556
Shock
556(1)
Hypovolemic Shock
556(3)
Distributive Shock
559(1)
Obstructive Shock
559(1)
Cardiogenic Shock
559(1)
Myocardial Contusion
560(1)
Commotio Cordis
560
19 Alterations in Eye, Ear, Nose, and Throat Function 440(34)
Disorders of the Eye
440(15)
Infectious Conjunctivitis
440(5)
Periorbital Cellulitis
445(1)
Visual Disorders
445(1)
Color Blindness
446(2)
Retinopathy of Prematurity
448(4)
Visual Impairment
452(3)
Injuries of the Eye
455(1)
Disorders of the Ear
455(10)
Otitis Media
455(5)
Otitis Externa
460(1)
Hearing Impairment
460(5)
Injuries of the Ear
465(1)
Disorders of the Nose and Throat
465(6)
Epistaxis
465(2)
Nasopharyngitis
467(1)
Sinusitis
468(1)
Pharyngitis
468(1)
Tonsillitis and Adenoiditis
469(2)
Disorders of the Mouth
471(3)
20 Alterations in Respiratory Function 474(44)
Respiratory Distress and Respiratory Failure
474(7)
Foreign-Body Aspiration
478(2)
Respiratory Failure
480(1)
Apnea
481(4)
Apparent Life-Threatening Event (ALTE)
481(1)
Obstructive Sleep Apnea
482(1)
Sudden. Infant Death Syndrome
483(2)
Croup Syndromes
485(3)
Lower Airway Disorders
488(5)
Bronchitis
488(1)
Bronchiolitis and Respiratory Syncytial Virus
488(3)
Pneumonia
491(1)
Tuberculosis
492(1)
Chronic Lung Conditions
493(19)
Bronchopulmonary Dysplasia (Chronic Lung Disease)
493(2)
Asthma
495(11)
Cystic Fibrosis
506(6)
Injuries of the Respiratory System
512(6)
Smoke-Inhalation Injury
512(1)
Blunt Chest Trauma
513(1)
Pulmonary Contusion
513(1)
Pneumothorax
513(5)
21 Alterations in Cardiovascular Function 518(45)
Congenital Heart Disease
522(3)
Etiology and Pathophysiology
522(1)
Clinical Manifestations
522(1)
Clinical Therapy
523(2)
Congenital Heart Defects That Increase Pulmonary Blood Flow
525(5)
Etiology and Pathophysiology
525(1)
Clinical Manifestations
525(3)
Clinical Therapy
528(2)
Defects Causing Decreased Pulmonary Blood Flow and Mixed Defects
530(9)
Etiology and Pathophysiology
530(1)
Clinical Manifestations
531(3)
Clinical Therapy
534(5)
Defects Obstructing Systemic Blood Flow
539(104)
Etiology and Pathophysiology
539(1)
Clinical Manifestations
539(3)
Clinical Therapy
542(101)
Bone Tumors
643(2)
Osteosarcoma
643(1)
Ewing Sarcoma
643(2)
Leukemia
645(3)
Etiology and Pathophysiology
645(1)
Clinical Manifestations
645(1)
Clinical Therapy
646(2)
Soft-Tissue Tumors
648
Hodgkin Disease
648(1)
Non-Hodgkin Lymphoma
649(1)
Rhabdomyosarcoma
649(1)
Retinoblastoma
650
22 Alterations in Immune Function 563(26)
Immunodeficiency Disorders
563(15)
B-Cell and T-Cell Disorders
566(1)
Severe Combined Immunodeficiency Disease
567(2)
Wiskott-Aldrich Syndrome
569(1)
Human Immunodeficiency Virus and Acquired Immune Deficiency Syndrome
569(9)
Autoimmune Disorders
578(5)
Systemic Lupus Erythematosus
578(3)
Juvenile Idiopathic Arthritis
581(2)
Allergic Reactions
583(2)
Latex Allergy
585(1)
Graft-Versus-Host Disease
585(4)
23 Alterations in Hematologic Function 589(21)
Anemias
589(13)
Iron Deficiency Anemia
589(3)
Normocytic Anemia
592(1)
Sickle Cell Disease
593(8)
Thalassemias
601(1)
Hereditary Spherocytosis
601(1)
Aplastic Anemia
602(1)
Bleeding Disorders
602(3)
Hemophilia
602(2)
Von Willebrand Disease
604(1)
Disseminated Intravascular Coagulation
604(1)
Immune Thrombocytopenic Purpura
605(1)
Hematopoietic Stem Cell Transplantation
605(5)
24 The Child With Cancer 610(45)
Childhood Cancer
613(23)
Incidence
613(1)
Etiology and Pathophysiology
613(2)
Clinical Manifestations
615(1)
Diagnostic Tests
615(1)
Clinical Therapy
616(6)
Special Issues in Childhood Cancer
622(14)
Solid Tumors
636(19)
Brain Tumors
636(4)
Neuroblastoma
640(1)
Wilms Tumor (Nephroblastoma)
641(14)
25 Alterations in Gastrointestinal Function 655(46)
Structural Defects
655(19)
Cleft Lip and Cleft Palate
655(8)
Esophageal Atresia and Tracheoesophageal Fistula
663(2)
Pyloric Stenosis
665(3)
Gastroesophageal Reflux
668(1)
Omphalocele and Gastroschisis
669(1)
Intussusception
670(1)
Volvulus
671(1)
Hirschsprung Disease
672(1)
Anorectal Malformations
672(2)
Hernias
674(1)
Ostomies
674(1)
Inflammatory Disorders
675(7)
Appendicitis
676(3)
Necrotizing Enterocolitis
679(1)
Meckel Diverticulum
680(1)
inflammatory Bowel Disease
680(2)
Peptic Ulcer
682(1)
Disorders of Motility
682(5)
Gastroenteritis (Acute Diarrhea)
682(4)
Constipation
686(1)
Encopresis
687(1)
Intestinal Parasitic Disorders
687(1)
Disorders of Malabsorption
687(2)
Short Bowel Syndrome
687(2)
Hepatic Disorders
689(6)
Hyperbilirubinemia of the Newborn
690(1)
Biliary Atresia
691(1)
Viral Hepatitis
692(2)
Cirrhosis
694(1)
Injuries to the Gastrointestinal System
695(6)
Abdominal Trauma
695(6)
26 Alterations in Genitourinary Function 701(38)
Urinary Tract Infection
701(5)
Etiology and Pathophysiology
701(4)
Clinical Manifestations
705(1)
Clinical Therapy
705(1)
Structural Defects of the Urinary System
706(5)
Bladder Exstrophy
706(1)
Hypospadias and Epispadias
707(2)
Obstructive Uropathy
709(1)
Vesicoureteral Reflux
710(1)
Prune Belly Syndrome
710(1)
Enuresis
711(1)
Renal Disorders
712(6)
Nephrotic Syndrome
712(3)
Acute Postinfectious Glomerulonephritis
715(3)
Renal Failure
718(13)
Acute Renal Failure
718(3)
Chronic Renal Failure
721(4)
Renal Replacement Therapy
725(4)
Hemolytic-Uremic Syndrome
729(1)
Polycystic Kidney Disease
730(1)
Structural Defects of the Reproductive System
731(1)
Phimosis
731(1)
Cryptorchidism
731(1)
Inguinal Hernia and Hydrocele
731(1)
Testicular Torsion
732(1)
Sexually Transmitted Infections
732(7)
Pelvic Inflammatory Disease (PID)
735(4)
27 Alterations in Neurologic Function 739(51)
Altered States of Consciousness
739(8)
Etiology and Pathophysi.ology
743(1)
Clinical Manifestations
743(1)
Clinical Therapy
743(4)
Seizure Disorders
747(7)
Etiology and Pathophysidlogy
747(1)
Clinical. Manifestations
747(1)
Clinical Therapy
747(7)
Infectious Diseases
754(7)
Bacterial Meningitis
754(4)
Viral (Aseptic) - Meningitis
758(1)
Encephalitis
759(1)
Reye Syndrome
759(1)
Guillain-Barre Syndrome (Postinfectious Polyneuritis)
760(1)
Headaches
761(1)
Etiology and Pathophysiology
761(1)
Clinical Manifestations
761(1)
Clinical Therapy
761(1)
Structural Defects
761(11)
Microcephaly
761(1)
Hydrocephalus
761(4)
Neural Tube Defects
765(4)
Craniosynostosis
769(1)
Positional Plagiocephaly
770(1)
Neonatal Abstinence Syndrome
770(1)
Neurofibromatosis
771(1)
Cerebral Palsy
772(5)
Etiology and Pathophysiology
772(1)
Clinical Manifestations
773(1)
Clinical Therapy
773(4)
Injuries of the Neurologic System
777(13)
Traumatic Brain Injury
777(5)
Concussion
782(1)
Scalp Injuries
782(1)
Skull Fractures
782(1)
Penetrating Injuries
783(1)
Spinal Cord Injury
783(2)
Hypoxic-Ischemic Brain Injury (Drowning)
785(5)
28 Alterations in Mental Health and Cognitive Function 790(31)
Mental Health Alterations of Children and Adolescents
790(6)
Etiology and Pathophysiology
792(1)
Clinical Manifestations
792(1)
Clinical Therapy
793(3)
Developmental and Behavioral Disorders
796(7)
Autism Spectrum Disorder (Neurodevelopmental Disorder)
796(4)
Attention Deficit Disorder and Attention Deficit Hyperactivity Disorder
800(3)
Mood Disorders
803(4)
Depression
803(3)
Bipolar Disorder (Manic Depression)
806(1)
Anxiety and Related Disorders
807(4)
Generalized Anxiety Disorder
807(1)
Separation Anxiety Disorder
807(1)
Panic Disorder
808(1)
Obsessive-Compulsive Disorder
808(1)
School Phobia (Social Phobia)
808(1)
Conversion Reaction
808(1)
Posttraumatic Stress Disorder
809(2)
Other Disorders
811(2)
Suicide
811(1)
Tic Disorders and Tourette Syndrome
812(1)
Schizophrenia
813(1)
Cognitive Alterations
813(8)
Learning Disabilities
813(1)
Intellectual Disability (Formerly Called Mental Retardation)
814(7)
29 Alterations in Musculoskeletal Function 821(40)
Disorders of the Feet and Legs
826(5)
Metatarsus Adductus
826(1)
Clubfoot
827(3)
Genu Varum and Genu Valgum
830(1)
Disorders of the Hip
831(6)
Developmental Dysplasia of the Hip
831(3)
Legg-Calve-Perthes Disease
834(1)
Slipped Capital Femoral Epiphysis
835(2)
Disorders of the Spine
837(4)
Scoliosis
837(4)
Torticollis, Kyphosis, and Lordosis
841(1)
Additional Disorders of the Bones and Joints
841(6)
Osteoporosis and Osteopenia
841(2)
Osteomyelitis
843(1)
Skeletal Tuberculosis and Septic Arthritis
844(1)
Achondroplasia
845(1)
Marfan Syndrome
846(1)
Osteogenesis Imperfecta
846(1)
Muscular Dystrophies
847(4)
Injuries to the Musculoskeletal System
851(10)
Fractures
851(5)
Sports Injuries
856(1)
Amputations
857(4)
30 Alterations in Endocrine Function 861(39)
Disorders of Pituitary Function
861(8)
Growth Hormone Deficiency (Hypopituitarism)
861(6)
Growth Hormone Excess (Hyperpituitarism)
867(1)
Diabetes Insipidus
867(1)
Syndrome of Inappropriate
Antidiuretic Hormone (SIADH)
868(1)
Precocious Puberty
868(1)
Disorders of Thyroid Function
869(3)
Hypothyroidism
869(1)
Hyperthyroidism
870(2)
Disorders of the Parathyroid
872(1)
Hyperparathyroidism
872(1)
Hypoparathyroidism
872(1)
Disorders of Adrenal Function
872(4)
Cushing Syndrome and. Cushing Disease
872(1)
Congenital Adrenal Hyperplasia
873(2)
Adrenal Insufficiency (Addison Disease)
875(1)
Pheochromocytoma
875(1)
Disorders of Pancreatic Function
876(15)
Diabetes Mellitus
876(1)
Type 1 Diabetes
876(10)
Diabetic Ketoacidosis
886(2)
Hypoglycemia in the Child With Diabetes
888(1)
Type 2 Diabetes
889(2)
Disorders of Gonadal Function
891(1)
Gynecomastia
891(1)
Amenorrhea
891(1)
Dysmenorrhea
892(1)
Disorders Related to Sex Chromosome Abnormalities
892(1)
Turner Syndrome
892(1)
Klinefelter Syndrome
893(1)
Inborn Errors of Metabolism
893(7)
Phenylketonuria
893(1)
Galactosemia
894(1)
Mitochondrial Diseases
894(1)
Maple Syrup Urine Disease
895(5)
31 Alterations in Skin Integrity 900(42)
Skin Lesions
900(3)
Wound Healing
903(1)
Dermatitis
903(5)
Contact Dermatitis
904(2)
Diaper Dermatitis
906(1)
Seborrheic Dermatitis
907(1)
Bacterial Infections
908(2)
Impetigo
908(1)
Community-Acquired Methicillin-Resistant Staphylococcus aureus
908(1)
Folliculitis
909(1)
Cellulitis
909(1)
Viral Infections
910(1)
Molluscum Contagiosuni
910(1)
Warts (Papillornavirus)
910(1)
Fungal Infections
910(1)
Oral Candidal Infection (Thrush)
910(1)
Dermatophytoses (Ringworm)
911(1)
Drug Reactions
911(2)
Chronic Skin Conditions
913(8)
Atopic Dermatitis
913(3)
Acne
916(4)
Psoriasis
920(1)
Epidermolysis Bullosa
920(1)
Infestations
921(2)
Pediculosis Capitis (Lice)
921(1)
Scabies
922(1)
Vascular Tumors (Hemangiomas)
923(1)
Injuries to the Skin
924(18)
Pressure Ulcers
924(1)
Burns
925(8)
Sunburn
933(1)
Hypothermia
934(1)
Frostbite
935(1)
Bites
936(1)
Contusions
937(1)
Foreign Bodies
937(2)
Lacerations
939(3)
Appendix A Physical Growth Charts 942(10)
Appendix B Blood Pressure Tables 952(2)
Appendix C Dietary Reference Intakes 954(2)
Appendix D Selected Pediatric Laboratory Values 956(3)
Appendix E Diagnostic Tests and Procedures 959(5)
Appendix F Body Surface Area Nomogram 964(1)
Appendix G Conversions and Equivalents 965(1)
Glossary 966(13)
Index 979
Jane W. Ball graduated from the Johns Hopkins Hospital School of Nursing, and subsequently received a BS from the Johns Hopkins University. She began her nursing career working in the pediatric surgical inpatient, emergency department, and outpatient clinic of the Johns Hopkins Medical Center, first as a staff nurse and then as a pediatric nurse practitioner. After recognizing a need to focus on the health of children she returned to school and obtained both a master of public health and a 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, Dr. Ball 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 worked at Childrens National Medical Center on a number of federally funded projects. The first project in 1986, teaching instructors of emergency medical technicians from all states about the special care children need during an emergency revealed the shortcomings of the emergency medical services system for children. This exposure was a career-changing event. A textbook entitled Pediatric Emergencies, A Manual for Prehospital Providers was subsequently developed. A second project led to the development of a pediatric emergency education program for nurses in emergency departments to promote improved care for children. Both of these programs served as a foundation for other pediatric emergency education developed and sponsored by national organizations. For 15 years, Dr. Ball managed the federally funded Emergency Medical Services for Childrens National Resource Center. As executive director, she provided and directed the provision of consultation and resource development for state health agencies, health professionals, families, and advocates about successful methods to improve the health care system so that children get optimal emergency care in all health care settings. After leaving that position, she continues to be engaged in many projects with a focus on the emergency care system. She is a consultant to the American College of Surgeons Committee on Trauma, supporting state trauma system development. She recently completed a federally funded project to study whether the implementation of a statewide pediatric emergency department recognition program improved pediatric emergency care. In 2010, Dr. Ball received the Distinguished Alumna Award from the Johns Hopkins University.











Ruth C. McGillis Bindler received her BSN from Cornell UniversityNew York Hospital School of Nursing. She worked in oncology nursing at Memorial-Sloan Kettering Cancer Center in New York, and then a public health nurse in Dane County, Wisconsin. Thus began her commitment to work with children as she visited children and their families at home, and served as a school nurse. Due to this interest in child health care needs, she earned her MS in child development from the University of Wisconsin. A move to Washington State was accompanied by a new job as a faculty member at the Intercollegiate Center for Nursing Education in Spokane. Dr. Bindler was fortunate to be involved for over 38 years in the growth of this nursing education consortium, which is a combination of public and private universities and colleges and is now the Washington State University (WSU) College of Nursing. Ruth obtained a PhD in human nutrition at WSU. She taught theory and clinical courses in child health nursing, cultural diversity and health, graduate research, pharmacology, and assessment, as well as serving as lead faculty for child health nursing. She was the first Director of the PhD in Nursing program at WSU and most recently served as Associate Dean for Graduate Programs, which include Master of Nursing, Post-Masters certificates, PhD and Doctor of Nursing Practice (DNP) programs. She recently retired 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. Research foci have been childhood obesity, type 2 diabetes, metabolic syndrome, and cardiometabolic risk factors in children. Ethnic diversity and interprofessional collaboration have been additional themes in her work. Dr. Bindler believes that her role as a faculty member and administrator enabled her to learn continually, foster the development of students in nursing, lead and mentor junior faculty into the teaching role, and participate fully in the profession of nursing. In addition to teaching, research, publication, and leadership, she enhances her life by professional and community service, and by activities with her family.



Kay J. Cowen received her BSN 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 master of science in nursing education degree with a focus in maternal child nursing.





Mrs. Cowen began her teaching career in 1984 at UNCG where she continues today as clinical professor in the Parent Child Department. Her primary responsibilities include coordinating 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 in the chapter Hospital Care for Children in Jackson & Saunders 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 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.



Michele R. Shaw received her BSN from Pacific Lutheran University in Tacoma, Washington. She began her career as a nurse at a long-term care facility and then as a home healthcare nurse in Spokane, Washington. While making home visits, she became interested in the nursing care needs of children and families. She realized the importance of educating the family about their childs condition and to include family members while planning and carrying out the nursing care plan. This interest in family nursing led her into the area of maternal-child nursing, where she served as a postpartum nurse for nearly 18 years. Her experience with providing nursing care to families in various settings has highlighted her belief in the need of a family-centered approach in order to provide optimal nursing care.



Dr. Shaw began her teaching career as a teaching assistant in 2001 at the Washington State University (WSU) College of Nursing, where she continues today as an associate professor. It was during those early years as a teaching assistant that she began to realize her passion for educating nursing students. This interest led to her completing a masters degree in nursing with an emphasis on education at WSU. Knowing that she wanted to continue working in nursing academia, Dr. Shaw went on to receive her PhD in nursing from the University of Arizona in Tucson. She has taught theory, seminar, and clinical courses in maternal-child nursing, family health, evidence-based practice, ethical decision making, physical assessment, and professional practice. Dr. Shaw recently assisted in the development of the Bachelor of Science-to-PhD in Nursing program at WSU. This fast-track program will enable students with an earned bachelors degree to complete a PhD in nursing in four years.



Dr. Shaw enjoys working with undergraduate and graduate students and encourages active participation in research. Her research interests include children with asthma and their families, childbearing women and their families, and substance use among youth and childbearing women. She is particularly interested in childrens and families unique perspectives, and thus much of her research uses qualitative approaches. She continues to publish articles in the areas of pediatric asthma and substance use among childbearing women. Dr. Shaw believes her active role in nursing academia and research allows her to stay current in various pedagogical approaches to enhance nursing students learning experiences, as well as continuous learning about evidence-based interventions to provide nursing care to children and families.