AWHONN's Perinatal Nursing Co-Published with AWHONN

by Simpson, Kathleen Rice; Creehan, Patricia A.

• ISBN13: 9780781725101
• ISBN10: 0781725100
• Edition: 2nd
• Format: Paperback
• Copyright: 2001-04-08
• Publisher: LWW

Summary

Co-published with the Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN), this book features a family-centered approach to perinatal nursing and examines the care of and needs of childbearing women and neonates. The text's many topics include: professional development; standards of care; legal considerations; and professional organizations. Aspects and ramifications of different care delivery systems, such as case management, critical pathways, and collaborative practice are explored. This revised edition contains two new chapters: Strategies to Develop an Evidence-Based Approach to Prenatal Care and Pregnancy and Childbirth Practices of Selected Cultures and Religions. Extensive appendices include sample care maps, guidelines, forms, and algorithms.

Table of Contents

PART 1 Foundations for Practice	1	(94)
Managing the Quality of Care	1	(20)
Economics of Healthcare in the United States	2	(2)
Challenges Facing Nurse Managers of Perinatal Services	4	(14)
Summary	18	(3)
Professional and Legal Issues	21	(32)
Professional Issues	22	(7)
Legal Issues	29	(18)
Summary	47	(3)
Framework for Root Cause Analysis in Response to a Sentinel Event	50	(3)
Perinatal Teamwork: Turning Rhetoric Into Reality	53	(15)
Why Teams?	53	(1)
Why Not Teams?	54	(4)
Team Members Changing Perceptions of Each Other: Good News and a Further Foundation for Building Effective Perinatal Teams	58	(1)
What is a Team?	58	(1)
Healthcare Under Pressure: Resulting Stress Makes Teamwork Difficult	59	(1)
Team-Based Perinatal Care: Self-Assessment	59	(6)
Challenges and Opportunities with Perinatal Teamwork	65	(1)
Potential Benefits of Perinatal Teamwork	65	(1)
Summary	66	(2)
Integrating Cultural Beliefs and Practicies into the Care of Childbearing Women	68	(27)
Cultural Frameworks	69	(2)
Childbearing and the Meaning of Birth	71	(1)
Practices Associated With Childbearing	72	(1)
Gender Roles	72	(1)
Experiences of Pain	73	(1)
Major Cultural Groups in the United States	73	(7)
Nontraditional Cultural Groups	80	(1)
Biologic and Physiologic Variations Between Groups	81	(1)
Barriers to Integrating Culture into Nursing Care	82	(2)
Techniques to Integrate Culture into Nursing Care	84	(4)
Long-Term Strategies	88	(1)
Summary	89	(5)
Culture Care Resources	94	(1)
PART 2 Antepartum	95	(202)
Physiologic Changes of Pregnancy	96	(19)
Reproductive Hormonal Changes During Pregnancy	96	(2)
Cardiovascular System	98	(3)
Respiratory System	101	(2)
Renal System	103	(2)
Gastrointestinal System	105	(2)
Metabolic Changes	107	(1)
Endocrine System	108	(1)
Neurologic System	109	(1)
Integumentary System	109	(1)
Musculoskeletal System	110	(1)
Reproductive System	110	(1)
Host Defense and Immunity	111	(1)
Summary	112	(3)
Psychosocial Adaptation to Pregnancy and Postpartum	115	(10)
Aspects of Psychosocial Nursing Care	115	(2)
Adaptations During Pregnancy	117	(3)
Adaptations During Labor and Birth	120	(1)
Adaptations in the Postpartum Period	121	(3)
Summary	124	(1)
Antenatal Care	125	(48)
Birth in the United States	125	(2)
Access to Prenatal Care	127	(2)
Effects of Prenatal Care on Birth Outcome	129	(1)
Prenatal Risk Assessment	130	(17)
Fetal Development	147	(1)
Fetal Surveillance	147	(7)
Plan for Nursing Care and Intervention	154	(1)
Collaborative Management and Follow-up	154	(4)
Summary	158	(3)
Perinatal Substance Abuse Assessment Guide	161	(3)
Abuse Assessment	164	(2)
Immunization During Pregnancy	166	(7)
High-Risk Pregnancy	173	(124)
Hypertensive Disorders	173	(17)
Bleeding	190	(17)
Preterm Labor and Birth	207	(12)
Diabetes	219	(16)
Cardiac Disease	235	(8)
Pulmonary Complications	243	(10)
Multiple Gestation	253	(21)
Maternal Transfer	274	(2)
Summary	276	(16)
Guidelines for Home Care Management of Selected High-Risk Pregnancy Conditions	292	(5)
PART 3 Intrapartum	297	(148)
Labor and Birth	298	(80)
Overview of Labor and Birth	298	(30)
Emotional Support During Labor and Birth	328	(1)
Clinical Interventions for Laboring Women in Labor	329	(21)
Cesarean Birth	350	(8)
Summary	358	(8)
Admission Assessment	366	(3)
Labor Flow Sheet	369	(7)
Cervical Ripening and Induction of Labor Analysis	376	(2)
Fetal Assessment During Labor	378	(39)
Historic Perspectives	378	(1)
Definitions and Appropriate Terms Describing Fetal Heart Rate Patterns	379	(1)
Techniques of Fetal Heart Rate Monitoring	380	(3)
Physiologic Basis for Fetal Heart Rate Monitoring	383	(7)
Characteristics of the Normal Fetal Heart Rate	390	(1)
Interventions for Nonreassuring Fetal Heart Rate Patterns	391	(1)
Fetal Heart Rate Patterns	392	(10)
Assessment of Pattern Evolution	402	(3)
Ancillary Tests of Fetal Well-Being	405	(4)
Nursing Assessment and Management Strategies	409	(2)
Ongoing Issues Related to the Use of Fetal Heart Rate Monitoring During Labor	411	(1)
Summary	412	(5)
Pain Relief and Comfort Measures During Labor	417	(28)
Physiologic Basis for Labor Pain	417	(1)
Physiologic Responses to Pain	418	(1)
Psychosocial Factors Influencing Pain Perception	418	(5)
Nonpharmacologic Pain Management Strategies	423	(9)
Pharmacologic Pain Management Strategies	432	(10)
Summary	442	(3)
PART 4 Postpartum	445	(48)
Postpartum Care	446	(30)
Anatomic and Physiologic Changes During the Postpartum Period	446	(6)
Postpartum Nursing Care	452	(3)
Complications During the Postpartum Period	455	(8)
Individualizing Care for Women with Special Needs	463	(1)
Postpartum Learning Needs Assessment and Education	464	(1)
Selected Postpartum Teaching Topics	465	(3)
Women's Perspectives on the Transition to Parenthood	468	(1)
Family Transition to Parenthood	468	(2)
Summary	470	(3)
Daily Postpartum Assessments and Interventions	473	(3)
Perinatal Loss and Bereavement	476	(17)
The Phenomenology of Loss	476	(4)
Psychological Perspective of Grief	480	(3)
Sociologic Perspective of Bereavement	483	(1)
Spiritual Perspective of Bereavement	484	(1)
Ontologic Perspective of Bereavement	485	(1)
Nursing Management	485	(5)
Healing the Healer	490	(1)
Summary	490	(3)
PART 5 The Newborn	493	(117)
Newborn Adaptation to Extrauterine Life	494	(19)
Influence of Maternal History	494	(1)
Physiologic Changes During Transition	494	(8)
Stabilization and Resuscitation of the Newborn	502	(1)
Initial Assessment of the Newborn	502	(4)
Procedures Performed in the Birthing Room	506	(2)
Promoting Family-Newborn Attachment	508	(1)
Exposure to Group B Beta-Hemolytic Streptococcus	508	(2)
Hepatitis B Vaccine	510	(1)
Summary	511	(2)
Newborn Physical Assessment	513	(37)
Gestational Age Assessment	513	(1)
Integument Assessment	514	(3)
Head Assessment	517	(3)
Eye Assessment	520	(1)
Ear Assessment	521	(2)
Nose Assessment	523	(1)
Mouth Assessment	524	(1)
Neck Assessment	524	(1)
Chest and Lung Assessment	525	(3)
Cardiovascular System Assessment	528	(2)
Abdominal Assessment	530	(2)
Genitourinary System Assessment	532	(2)
Musculoskeletal System Assessment	534	(5)
Neurologic Assessment	539	(2)
Summary	541	(2)
Characteristics of Infant State	543	(3)
Characteristics of the Ballard Gestation Age Assessment Tool	546	(2)
Developmental Reflexes	548	(2)
Newborn Nutrition	550	(25)
Incidence of Breast-Feeding	550	(1)
Physiology of Milk Production	551	(2)
Biospecificity of Human Milk	553	(1)
Breast-Feeding Process	554	(3)
Breast-Feeding Management	557	(4)
Potential Breast-Feeding Problems	561	(7)
Medications and Breast-Feeding	568	(1)
Formula Feeding	568	(3)
Lactation Suppression	571	(1)
Summary	571	(4)
Common Neonatal Complications	575	(35)
Respiratory Distress	575	(4)
Congenital Heart Disease	579	(3)
Hypoglycemia	582	(2)
Hyperbilirubinemia	584	(3)
Neonatal Sepsis	587	(4)
Neonatal Abstinence Syndrome	591	(5)
Transport and Return Transport	596	(1)
Summary	596	(3)
Algorithm for Management of Hyperbilirubinemia in the Healthy Term Infant	599	(4)
Loyola University Perinata Network: Acutely Ill Neonatal Transport Collaborative Carepath	603	(3)
Loyola University Perinatal Network: Neonatal Return Collaborative Carepath	606	(4)
PART 6 The Transition from Hospital to Home	610	(57)
Discharge Planning	610	(33)
Current Issues	611	(1)
Prenatal Patient Database	612	(1)
Prenatal Classes	612	(6)
Educational Methods and Materials	618	(1)
Family Preference Plan	618	(2)
Learning-Needs Assessment	620	(3)
Case Management	623	(2)
Role of the Staff Nurse	625	(1)
Care Paths	626	(1)
Postdischarge Follow-up	627	(3)
Program Evaluation	630	(1)
Summary	631	(2)
Pregnancy, Having a Baby, and Parenting Pathway	633	(10)
Postpartum Home Care	643	(24)
Review of the Literature	643	(2)
Models of Services	645	(1)
Essential Components of Quality Perinatal Home Care Services	646	(3)
Nursing Assessments	649	(2)
Nursing Interventions	651	(1)
Outcome Monitoring and Quality Care	651	(1)
Nurse Providers of Perinatal Home Care	652	(1)
Summary	653	(3)
Home Care Assessment Form	656	(2)
Telephone Assessment Form	658	(2)
Maternal Assessment Form	660	(2)
Infant Assessment Form	662	(2)
Patient Satisfaction Form	664	(3)
Appendix A Item Bank Questions and Answer Key	667	(40)
Index	707