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Maternal and Child Nursing Care

by ; ; ;
Edition:
2nd
ISBN13:

9780131723948

ISBN10:
0131723944
Format:
Hardcover
Pub. Date:
1/1/2007
Publisher(s):
Prentice Hall
List Price: $127.20

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Summary

Co-written by a maternity and pediatrics nursing author team throughly integrates materna-newborn nursing adn pediatric nursing in one since book. Equal focus is placed on community-based and hospital-based care to address the increasing balance between both nursing care settings. This edition has increased coverage of pain assessment and management, nutrition and health promotion, patient education and communication, research based practice, and assessment as the core of the nursing process. A CD-ROM includes NCLEX-RN practice questions and Newborn Reflex videos.

Table of Contents

About the Authors iii
Thank You! v
Dedication vii
Preface viii
Acknowledgments xiv
Special Features xvi
UNIT I FAMILY-CENTERED CARE: INTRODUCTORY CONCEPTS
1(42)
Maternal, Newborn, and Child Health Nursing
2(19)
Nursing Roles in Maternal-Child Nursing
3(1)
Family-Centered Maternal-Child Care
4(4)
Contemporary Childbirth
6(1)
Contemporary Care of Children
6(1)
Maternal-Child Care in the Community
7(1)
Complementary Therapies
8(1)
Access to Healthcare
8(1)
Culturally Competent Care
8(1)
Statistical Data and Maternal-Child Care
9(2)
Birth Rate
9(1)
Maternal Mortality
9(1)
Infant Mortality
10(1)
Pediatric Mortality
10(1)
Pediatric Morbidity
11(1)
Implications for Nursing Practice
11(1)
Legal Considerations in Maternal-Child Nursing
11(3)
Scope of Practice
11(1)
Standards of Nursing Care
11(1)
Client/Patient Safety
12(1)
Informed Consent
12(1)
Right to Privacy
13(1)
Patient Self-Determination Act
14(1)
Ethical Issues in Maternal-Child Nursing
14(3)
Maternal-Fetal Conflict
14(1)
Abortion
15(1)
Intrauterine Fetal Surgery
15(1)
Reproductive Assistance
15(1)
Embryonic Stem Cell Research
16(1)
The Human Genome Project
16(1)
Cord Blood Banking
16(1)
Making Treatment Decisions for Children
16(1)
Terminating Life-Sustaining Treatment
17(1)
Organ Transplantation Issues
17(1)
Implications for Nursing Practice
17(1)
Evidence-Based Practice in Maternal-Child Nursing
17(4)
Culture and the Family
21(22)
The Family
22(2)
Types of Families
22(1)
Family Development Frameworks
23(1)
Family Assessment
24(1)
Cultural Influences Affecting the Family
24(6)
Family Roles and Structure
26(1)
Health Beliefs
26(1)
Healthcare Practitioners
27(1)
Impact of Religion and Spirituality
28(1)
Childbearing Practices
29(1)
Childrearing Practices
30(1)
Culture and Nursing Care
30(4)
Culturally Influenced Responses
31(2)
Nursing Management
33(1)
Complementary and Alternative Therapies and the Family
34(9)
Benefits and Risks
35(1)
Types of Complementary and Alternative Therapies
35(3)
Nursing Care of the Family Using Complementary Therapies
38(5)
UNIT II THE REPRODUCTIVE YEARS AND BEYOND
43(112)
Reproductive Anatomy and Physiology
44(26)
Puberty
45(1)
Physiology of Onset
45(1)
Female Reproductive System
46(13)
External Genitals
46(3)
Female Internal Reproductive Organs
49(6)
Bony Pelvis
55(3)
Breasts
58(1)
Female Reproductive Cycle
59(4)
Effects of Female Hormones
59(2)
Neurohumoral Basis of the Female Reproductive Cycle
61(1)
Ovarian Cycle
61(1)
Menstrual Cycle
62(1)
Male Reproductive System
63(7)
External Genitals
63(1)
Male Internal Reproductive Organs
64(6)
Health Promotion for Women
70(30)
Nursing Care in the Community
71(1)
The Nurse's Role in Addressing Issues of Sexuality
71(1)
Taking a Sexual History
72(1)
Menstruation
72(3)
Counseling the Premenstrual Girl about Menarche
72(1)
Educational Topics
73(1)
Associated Menstrual Conditions
73(2)
Contraception
75(10)
Fertility Awareness Methods
75(2)
Situational Contraceptives
77(1)
Spermicides
77(1)
Barrier Methods of Contraceptives
77(4)
Hormonal Contraception
81(3)
Emergency Postcoital Contraception
84(1)
Operative Sterilization
84(1)
Male Contraception
84(1)
Nursing Management
84(1)
Clinical Interruption of Pregnancy
85(1)
Health Promotion for Women
85(3)
Breast Examination
85(1)
Mammography
86(1)
Pap Smear and Pelvic Examination
86(2)
Menopause
88(4)
Clinical Therapy
89(2)
Nursing Management
91(1)
Violence Against Women
92(8)
Domestic Violence
92(1)
Nursing Management
93(1)
Sexual Assault and Rape
94(6)
Common Gynecologic Problems
100(22)
Care of the Woman with a Benign Disorder of the Breast
101(2)
Fibrocystic Breast Changes
101(1)
Other Benign Breast Disorders
102(1)
Nursing Management
102(1)
Care of the Woman with Endometriosis
103(1)
Nursing Management
103(1)
Care of the Woman with Toxic Shock Syndrome
104(1)
Nursing Management
104(1)
Care of the Woman with a Vaginal Infection
104(3)
Bacterial Vaginosis
104(1)
Vulvovaginal Candidiasis
105(1)
Nursing Management
106(1)
Care of the Individual with a Sexually Transmitted Infection
107(4)
Trichomoniasis
107(1)
Chlamydial Infection
108(1)
Gonorrhea
108(1)
Herpes Genitalis
108(1)
Syphilis
109(1)
Condylomata Acuminata (Venereal Warts)
109(1)
Acquired Immunodeficiency Syndrome
110(1)
Nursing Management
110(1)
Care of the Woman with Pelvic Inflammatory Disease
111(1)
Nursing Management
112(1)
Care of the Woman with an Abnormal Finding During Pelvic Examination
112(2)
Abnormal Pap Smear Results
112(1)
Ovarian Masses
112(2)
Uterine Masses
114(1)
Nursing Management
114(1)
Care of the Woman with a Urinary Tract Infection
114(2)
Lower Urinary Tract Infection (Cystitis)
115(1)
Nursing Management
115(1)
Upper Urinary Tract Infection (Pyelonephritis)
115(1)
Nursing Management
116(1)
Pelvic Relaxation
116(1)
Care of the Woman Requiring a Hysterectomy
117(5)
Nursing Care Management
117(5)
Special Reproductive Issues for Families
122(33)
Infertility
123(15)
Essential Components of Fertility
123(1)
Initial Investigation: Physical and Psychosocial Issues
124(2)
Assessment of the Woman's Fertility
126(5)
Assessment of the Man's Fertility
131(1)
Methods of Infertility Management
132(5)
Nursing Management
137(1)
Genetic Disorders
138(17)
Chromosomes and Chromosomal Analysis
138(3)
Modes of Inheritance
141(3)
Prenatal Diagnostic Tests
144(3)
Genetic Counseling
147(8)
UNIT III PREGNANCY AND FAMILY
155(238)
Conception and Fetal Development
156(25)
Cell Division
157(1)
Mitosis
157(1)
Meiosis
157(1)
Gametogenesis
158(1)
Oogenesis
158(1)
Spermatogenesis
158(1)
The Process of Fertilization
159(1)
Preparation for Fertilization
159(1)
The Moment of Fertilization
160(1)
Preembryonic Development
160(6)
Cell Multiplication
160(2)
Implantation (Nidation)
162(1)
Cell Differentiation
162(3)
Twins
165(1)
Development and Functions of the Placenta
166(4)
Placental Circulation
167(1)
Placental Functions
168(2)
Development of the Fetal Circulatory System
170(1)
Embryonic and Fetal Development
170(11)
Embryonic Stage
170(5)
Fetal Stage
175(2)
Factors Influencing Embryonic and Fetal Development
177(4)
Preparation for Parenthood
181(14)
Preconception Counseling
182(1)
Preconception Health Measures
182(1)
Contraception
183(1)
Conception
183(1)
Childbearing Decisions
183(4)
Care Provider
184(1)
Birth Setting
184(2)
Labor Support
186(1)
Sibling Participation in the Birth
186(1)
Classes for Family Members During Pregnancy
187(2)
Early Classes: First Trimester
187(1)
Later Classes: Second and Third Trimesters
188(1)
Adolescent Parenting Classes
188(1)
Breastfeeding Programs
188(1)
Sibling Preparation: Adjustment to a Newborn
188(1)
Classes for Grandparents
189(1)
Education of the Family Having Cesarean Birth
189(1)
Preparation for Parents Desiring Vaginal Birth after Cesarean Birth (VBAC)
189(1)
Childbirth Preparation Methods
189(3)
Programs for Preparation
190(1)
Body-Conditioning Exercises
191(1)
Relaxation Exercises
191(1)
Breathing Techniques
192(1)
Preparation for Childbirth That Supports Individuality
192(3)
Physical and Psychologic Changes of Pregnancy
195(18)
Anatomy and Physiology of Pregnancy
196(5)
Reproductive System
196(1)
Respiratory System
197(1)
Cardiovascular System
197(1)
Gastrointestinal System
198(1)
Urinary Tract
198(1)
Skin and Hair
198(1)
Musculoskeletal System
199(1)
Metabolism
200(1)
Endocrine System
200(1)
Signs of Pregnancy
201(3)
Subjective (Presumptive) Changes
201(1)
Objective (Probable) Changes
202(2)
Diagnostic (Positive) Changes
204(1)
Psychologic Response of the Expectant Family to Pregnancy
204(5)
The Mother
205(2)
The Father
207(1)
Siblings
208(1)
Grandparents
209(1)
Cultural Values and Pregnancy
209(4)
Antepartal Nursing Assessment
213(27)
Initial Client History
214(3)
Definition of Terms
214(1)
Client Profile
215(2)
Obtaining Data
217(1)
High-Risk Screening
217(1)
Initial Prenatal Assessment
217(12)
Determination of Due Date
227(1)
Nagele's Rule
227(1)
Uterine Assessment
227(1)
Assessment of Fetal Development
228(1)
Assessment of Pelvic Adequacy (Clinical Pelvimetry)
229(1)
Subsequent Client History
230(1)
Subsequent Prenatal Assessment
231(9)
The Expectant Family: Needs and Care
240(30)
Nursing Care During the Prenatal Period
241(1)
Nursing Diagnosis During Pregnancy
241(1)
Planning and Implementation During Pregnancy
241(1)
Care of the Expectant Father and Siblings
242(1)
Cultural Considerations in Pregnancy
243(1)
Common Discomforts of Pregnancy
244(8)
First Trimester
244(4)
Second and Third Trimesters
248(4)
Promotion of Self-Care During Pregnancy
252(10)
Fetal Activity Monitoring
252(1)
Breast Care
252(2)
Clothing
254(1)
Bathing
254(1)
Employment
255(1)
Travel
255(1)
Activity and Rest
255(1)
Exercises to Prepare for Childbirth
256(2)
Sexual Activity
258(1)
Dental Care
259(1)
Immunizations
260(1)
Complementary and Alternative Therapies
260(1)
Teratogenic Substances
260(2)
Evaluation
262(1)
Care of Expectant Parents over Age 35
262(8)
Medical Risks
263(1)
Special Concerns of Expectant Parents over Age 35
263(1)
Nursing Management
264(6)
Maternal Nutrition
270(20)
Maternal Weight Gain
271(2)
Nutritional Requirements
273(5)
Calories
273(1)
Carbohydrates
274(1)
Protein
274(1)
Fat
274(1)
Minerals
274(2)
Vitamins
276(2)
Fluid
278(1)
Vegetarianism
278(2)
Factors Influencing Nutrition
280(1)
Common Discomforts of Pregnancy
280(1)
Salmonella and Listeria Infection
280(2)
Mercury in Fish
280(1)
Lactase Deficiency (Lactose Intolerance)
281(1)
Cultural, Ethnic, and Religious Influences
281(1)
Psychosocial Factors
282(1)
Eating Disorders
282(1)
Pica
282(1)
Nutritional Care of the Pregnant Adolescent
282(1)
Specific Nutrient Concerns
283(1)
Dietary Patterns
283(1)
Counseling Issues
283(1)
Postpartum Nutrition
283(7)
Postpartum Nutritional Status
283(1)
Nutritional Care of Formula-Feeding Mothers
284(1)
Nutritional Care of Breastfeeding Mothers
284(1)
Nursing Management
284(6)
Adolescent Pregnancy
290(15)
Overview of the Adolescent Period
291(1)
Physical Changes
291(1)
Psychosocial Development
291(1)
Factors Contributing to Adolescent Pregnancy
292(2)
Socioeconomic and Cultural Factors
292(1)
High-Risk Behaviors
292(1)
Psychosocial Factors
293(1)
Risks to the Adolescent Mother
294(2)
Physiologic Risks
294(1)
Psychologic Risks
294(1)
Sociologic Risks
295(1)
Risks for Her Child
296(1)
Partners of Adolescent Mothers
296(1)
Reactions of Family and Social Network to Adolescent Pregnancy
296(5)
Nursing Management
297(4)
Prevention of Adolescent Pregnancy
301(4)
Pregnancy at Risk: Pregestational Problems
305(31)
Care of the Woman with Substance Abuse Problems
306(4)
Substances Commonly Abused During Pregnancy
308(1)
Clinical Therapy
309(1)
Nursing Management
309(1)
Care of the Woman with Diabetes Mellitus
310(10)
Carbohydrate Metabolism in Normal Pregnancy
310(1)
Pathophysiology of Diabetes Mellitus
310(1)
Classification
311(1)
Influence of Pregnancy on Diabetes
311(1)
Influence of Diabetes on Pregnancy Outcome
312(1)
Clinical Therapy
313(1)
Antepartal Management of Diabetes Mellitus
313(1)
Intrapartal Management of Diabetes Mellitus
314(1)
Postpartal Management of Diabetes Mellitus
314(1)
Nursing Management
315(5)
Care of the Woman with Anemia
320(1)
Care of the Woman with HIV Infection
320(7)
Pathophysiology of HIV and AIDS
320(1)
Maternal Risks
321(1)
Fetal-Neonatal Risks
322(1)
Clinical Therapy
322(2)
Nursing Management
324(3)
Care of the Woman with Heart Disease
327(3)
Clinical Therapy
328(1)
Labor and Birth
328(1)
Nursing Management
328(2)
Other Medical Conditions and Pregnancy
330(6)
Pregnancy at Risk: Gestational Onset
336(40)
Care of the Woman with a Bleeding Disorder
337(6)
General Principles of Nursing Intervention
337(1)
Spontaneous Abortion (Miscarriage)
338(1)
Nursing Management
339(1)
Ectopic Pregnancy
340(1)
Nursing Management
341(1)
Gestational Trophoblastic Disease
342(1)
Nursing Management
343(1)
Care of the Woman with an Incompetent Cervix
343(1)
Care of the Woman with Hyperemesis Gravidarum
344(1)
Clinical Therapy
344(1)
Nursing Management
344(1)
Care of the Woman with Premature Rupture of Membranes
345(2)
Clinical Therapy
345(1)
Nursing Management
346(1)
Care of the Woman at Risk Due to Preterm Labor
347(4)
Clinical Therapy
347(2)
Nursing Management
349(2)
Care of the Woman with a Hypertensive Disorder
351(10)
Preeclampsia and Eclampsia
352(3)
Nursing Management
355(5)
Chronic Hypertensive Disease
360(1)
Chronic Hypertension with Superimposed Preeclampsia
360(1)
Gestational Hypertension
361(1)
Disseminated Intravascular Coagulation
361(1)
Care of the Woman at Risk for Rh Alloimmunization
361(3)
Fetal-Neonatal Risks
361(1)
Screening for Rh Incompatibility and Sensitization
361(1)
Clinical Therapy
362(1)
Nursing Management
363(1)
Care of the Woman at Risk Due to ABO Incompatibility
364(1)
Care of the Woman Requiring Surgery During Pregnancy
364(1)
Care of the Woman Suffering Trauma from an Accident
365(1)
Care of the Battered Pregnant Woman
365(1)
Care of the Woman with a Perinatal Infection Affecting the Fetus
366(3)
Toxoplasmosis
366(1)
Nursing Management
366(1)
Rubella
367(1)
Nursing Management
367(1)
Cytomegalovirus
368(1)
Herpes Simplex Virus
368(1)
Nursing Management
368(1)
Group B Streptococcal Infection
369(1)
Other Infections in Pregnancy
369(7)
Assessment of Fetal Well-Being
376(17)
Maternal Assessment of Fetal Activity
377(1)
Ultrasound
378(3)
Procedures
379(1)
Clinical Applications
380(1)
Risks of Ultrasound
381(1)
Nursing Management
381(1)
Doppler Blood Flow Studies (Umbilical Velocimetry)
381(1)
Nonstress Test
382(2)
Procedure for NST
382(1)
Interpretation of NST Results
382(1)
Clinical Management
383(1)
Nursing Management
383(1)
Fetal Acoustic Stimulation Test and Vibroacoustic Stimulation Test
384(1)
Biophysical Profile
384(1)
Contraction Stress Test
385(2)
Procedure
385(1)
Interpretation of CST Results
386(1)
Clinical Application
386(1)
Nursing Management
386(1)
Amniotic Fluid Analysis
387(3)
Diagnostic Uses of Amniocentesis
387(2)
Nursing Management
389(1)
Chorionic Villus Sampling
390(3)
UNIT IV BIRTH AND THE FAMILY
393(172)
Processes and Stages of Labor and Birth
394(26)
Critical Factors in Labor
395(9)
The Birth Passage
395(1)
The Fetus
396(4)
Relationship of Maternal Pelvis and Presenting Part
400(1)
The Physiologic Forces of Labor
401(2)
Psychosocial Considerations
403(1)
The Physiology of Labor
404(3)
Possible Causes of Labor Onset
404(1)
Myometrial Activity
405(1)
Musculature Changes in the Pelvic Floor
406(1)
Premonitory Signs of Labor
406(1)
Differences Between True and False Labor
407(1)
Stages of Labor and Birth
407(6)
First Stage
407(2)
Second Stage
409(3)
Third Stage
412(1)
Fourth Stage
413(1)
Maternal Systemic Response to Labor
413(3)
Cardiovascular System
413(1)
Blood Pressure
414(1)
Respiratory System
414(1)
Renal System
414(1)
Gastrointestinal System
414(1)
Immune System and Other Blood Values
414(1)
Pain
414(2)
Fetal Response to Labor
416(4)
Intrapartal Nursing Assessment
420(28)
Maternal Assessment
421(12)
History
421(1)
Intrapartal High-Risk Screening
422(2)
Intrapartal Physical and Psychosociocultural Assessment
424(1)
Methods of Evaluating Labor Progress
424(9)
Fetal Assessment
433(15)
Fetal Position and Presentation
433(1)
Auscultation of Fetal Heart Rate
433(2)
Electronic Monitoring of Fetal Heart Rate
435(8)
Scalp Stimulation Test
443(1)
Fetal Scalp Blood Sampling
443(1)
Fetal Oxygen Saturation (FSpO2) Monitoring
444(1)
Cord Blood Analysis at Birth
444(4)
The Family in Childbirth: Needs and Care
448(32)
Nursing Diagnosis During Labor and Birth
449(1)
Nursing Care During Admission
449(5)
Nursing Care During the First Stage of Labor
454(9)
Integration of Family Expectations
454(1)
Integration of Cultural Beliefs
454(1)
Provision of Care in the First Stage of Labor
455(3)
Promotion of Comfort in the First Stage
458(5)
Nursing Care During the Second Stage of Labor
463(5)
Promotion of Comfort in the Second Stage
465(1)
Assisting During Birth
465(3)
Nursing Care During the Third and Fourth Stages of Labor
468(6)
Initial Care of the Newborn
468(3)
Delivery of the Placenta
471(1)
Enhancing Attachment
472(1)
Provision of Care in the Fourth Stage
472(2)
Support of the Adolescent During Birth
474(1)
Nursing Care During Precipitous Birth
475(2)
Evaluation
477(3)
Pharmacologic Pain Relief
480(17)
Systemic Drugs
481(3)
Nursing Care Management
482(1)
Narcotic Analgesics
483(1)
Analgesic Potentiators
483(1)
Opiate Antagonist: Naloxone (Narcan)
484(1)
Regional Anesthesia and Analgesia
484(9)
Anesthetic Agents for Regional Blocks
485(1)
Types of Local Anesthetic Agents
486(1)
Adverse Maternal Reactions to Anesthetic Agents
486(1)
Neonatal Neurobehavioral Effects of Anesthesia and Analgesia
487(1)
Epidural Block
487(2)
Continuous Epidural Infusion
489(1)
Epidural Narcotic Analgesia after Birth
490(1)
Spinal Block
490(1)
Combined Spinal-Epidural Block
491(1)
Pudendal Block
491(1)
Local Infiltration Anesthesia
492(1)
General Anesthesia
493(4)
Complications of General Anesthesia
493(1)
Nursing Care Management
493(4)
Childbirth at Risk
497(42)
Care of the Woman with Dystocia Related to Dysfunctional Uterine Contractions
498(4)
Hypertonic Labor Patterns
498(1)
Clinical Therapy
498(1)
Nursing Management
499(1)
Hypotonic Labor Patterns
500(1)
Nursing Management
501(1)
Care of the Woman Experiencing Precipitous Labor
502(1)
Risks of Precipitous Labor
502(1)
Nursing Management
502(1)
Care of the Woman with Postterm Pregnancy
503(1)
Risks of Postterm Pregnancy
503(1)
Nursing Management
503(1)
Care of the Woman and Fetus at Risk Due to Fetal Malposition
504(1)
Risks of Fetal Malposition
504(1)
Clinical Therapy
504(1)
Nursing Management
504(1)
Care of the Woman and Fetus at Risk Due to Fetal Malpresentation
505(5)
Brow Presentation
505(1)
Nursing Management
506(1)
Face Presentation
506(1)
Nursing Management
507(1)
Breech Presentation
508(1)
Nursing Management
508(1)
Transverse Lie (Shoulder Presentation) of a Single Fetus
509(1)
Compound Presentation
510(1)
Care of the Woman and Fetus at Risk Due to Macrosomia
510(1)
Risks of Macrosomia
510(1)
Clinical Therapy
510(1)
Nursing Management
510(1)
Care of the Woman with Multiple Gestation
511(2)
Maternal Implications
511(1)
Fetal-Neonatal Implications
511(1)
Clinical Therapy
511(1)
Nursing Management
512(1)
Care of the Woman and Fetus in the Presence of Nonreassuring Fetal Status
513(1)
Maternal Implications
513(1)
Clinical Therapy
513(1)
Nursing Management
513(1)
Care of the Woman and Fetus at Risk Due to Placental Problems
513(6)
Abruptio Placentae
513(3)
Placenta Previa
516(2)
Nursing Management
518(1)
Other Placental Problems
519(1)
Care of the Woman and Fetus with a Prolapsed Umbilical Cord
519(4)
Maternal Implications
519(1)
Fetal-Neonatal Implications
519(1)
Clinical Therapy
519(3)
Nursing Management
522(1)
Care of the Woman and Fetus at Risk Due to Amniotic Fluid-Related Complications
523(2)
Amniotic Fluid Embolism
523(1)
Hydramnios
523(1)
Oligohydramnios
524(1)
Care of the Woman with Cephalopelvic Disproportion
525(1)
Types of Contractures
525(1)
Maternal Implications
525(1)
Fetal-Neonatal Implications
525(1)
Clinical Therapy
525(1)
Nursing Management
525(1)
Care of the Woman at Risk Due to Complications of the Third and Fourth Stages of Labor
526(1)
Retained Placenta
526(1)
Lacerations
526(1)
Placenta Accreta
526(1)
Care of the Family Experiencing Perinatal Loss
526(6)
Common Causes of Perinatal Loss
526(1)
Maternal Physiologic Implications
527(1)
Clinical Therapy
527(1)
Postbirth Evaluation
528(1)
Phases of Grief
528(1)
Nursing Management
529(3)
Care of the Woman with a Psychologic Disorder
532(7)
Maternal Implications
532(1)
Clinical Therapy
532(1)
Nursing Management
532(7)
Birth-Related Procedures
539(26)
Care of the Woman During Version
540(1)
Criteria for External Version
540(1)
Contraindications for External Version
540(1)
Nursing Care Management
541(1)
Care of the Woman During Amniotomy
541(1)
AROM Procedure
542(1)
Nursing Care Management
542(1)
Care of the Woman During Cervical Ripening
542(1)
Prostaglandin Agents
542(1)
Misoprostol (Cytotec)
542(1)
Nursing Care Management
543(1)
Care of the Woman During Labor Induction
543(4)
Labor Readiness
544(1)
Methods of Inducing Labor
544(1)
Nursing Care Management
545(2)
Care of the Woman During Amnioinfusion
547(3)
Nursing Care Management
550(1)
Care of the Woman During an Episiotomy
550(2)
Factors That Predispose Women to Episiotomy
550(1)
Preventive Measures
550(1)
Episiotomy Procedure
551(1)
Nursing Care Management
551(1)
Care of the Woman During Forceps-Assisted Birth
552(2)
Indications for Forceps-Assisted Birth
552(1)
Neonatal and Maternal Risks
552(1)
Nursing Care Management
552(2)
Care of the Woman During Vacuum-Assisted Birth
554(1)
Nursing Care Management
554(1)
Care of the Family During Cesarean Birth
554(5)
Indications
555(1)
Maternal Mortality and Morbidity
555(1)
Skin Incisions
555(1)
Uterine Incisions
555(1)
Analgesia and Anesthesia
556(1)
Nursing Care Management
557(1)
Immediate Postnatal Recovery Period
558(1)
Care of the Woman Undergoing Vaginal Birth after Cesarean (VBAC)
559(6)
Nursing Care Management
560(5)
UNIT V THE POSTPARTAL CHILDBEARING FAMILY AND NEWBORN
565(322)
Postpartal Adaptation and Nursing Assessment
566(24)
Postpartal Physical Adaptations
567(5)
Reproductive System
567(2)
Abdomen
569(1)
Lactation
570(1)
Gastrointestinal System
570(1)
Urinary Tract
570(1)
Vital Signs
570(1)
Blood Values
571(1)
Cardiovascular Changes
571(1)
Neurologic Changes and Conditions
571(1)
Weight Loss
572(1)
Postpartal Chill
572(1)
Postpartal Diaphoresis
572(1)
Afterpains
572(1)
Postpartal Psychologic Adaptations
572(2)
Taking In and Taking Hold
572(1)
Maternal Role Attainment
573(1)
Postpartum Blues
574(1)
Importance of Social Support
574(1)
Development of Family Attachment
574(3)
Initial Maternal Attachment Behavior
574(2)
Cultural Influences in the Postpartal Period
576(1)
Postpartal Nursing Assessment
577(13)
Risk Factors
577(1)
Physical Assessment
577(9)
Psychologic Assessment
586(1)
Assessment of Early Attachment
586(1)
Discharge Assessment and Follow-Up
586(4)
The Postpartum Family: Needs and Care
590(23)
Nursing Care During the Early Postpartum Period
591(4)
Nursing Diagnosis
591(1)
Planning and Implementation
591(4)
Promotion of Maternal Comfort and Well-Being
595(6)
Monitoring Uterine Status
595(1)
Relief of Perineal Discomfort
595(2)
Relief of Hemorrhoidal Discomfort
597(1)
Relief of Afterpains
597(1)
Relief of Discomfort from Immobility and Muscle Strain
598(1)
Relief of Discomfort from Postpartum Diaphoresis
598(1)
Suppression of Lactation in the Nonbreastfeeding Mother
598(2)
Pharmacologic Interventions
600(1)
Relief of Emotional Stress
600(1)
Promotion of Maternal Rest and Activity
601(1)
Resumption of Activities
601(1)
Postpartum Exercises
602(1)
Promotion of Effective Parent Learning
602(2)
Promotion of Family Wellness
604(1)
Reactions of Siblings
604(1)
Sexual Activity and Contraception
604(1)
Promotion of Parent-Infant Attachment
605(1)
Nursing Care Following Cesarean Birth
605(3)
Promotion of Maternal Physical Well-Being
605(2)
Promotion of Parent-Infant Interaction after Cesarean Birth
607(1)
Nursing Care of the Postpartal Adolescent
608(1)
Nursing Care of the Woman Who Relinquishes Her Baby
608(1)
Preparation for Discharge
609(4)
Evaluation
610(3)
The Postpartal Family at Risk
613(32)
Care of the Woman with Postpartal Hemorrhage
614(6)
Early Postpartal Hemorrhage
615(1)
Uterine Atony
615(1)
Lacerations of the Reproductive Tract
616(1)
Retained Placental Fragments
616(1)
Vulvar, Vaginal, and Pelvic Hematomas
616(2)
Uterine Inversion
618(1)
Late Postpartal Hemorrhage
618(1)
Nursing Management
618(2)
Care of the Woman with a Reproductive Tract Infection or Wound Infection
620(5)
Postpartal Uterine Infection
620(1)
Endometritis (Metritis)
620(3)
Pelvic Cellulitis (Parametritis) and Peritonitis
623(1)
Perineal Wound Infections
623(1)
Cesarean Wound Infection
623(1)
Clinical Therapy
623(1)
Nursing Management
624(1)
Care of the Woman with a Urinary Tract Infection
625(1)
Overdistention of the Bladder
625(1)
Clinical Therapy
625(1)
Nursing Management
625(1)
Cystitis (Lower Urinary Tract Infection)
626(1)
Clinical Therapy
626(1)
Nursing Management
626(1)
Care of the Woman with Mastitis
627(2)
Clinical Therapy
628(1)
Nursing Management
628(1)
Care of the Woman with Postpartal Thromboembolic Disease
629(7)
Superficial Vein Leg Disease
630(1)
Deep Vein Thrombosis
630(1)
Septic Pelvic Thrombophlebitis
631(1)
Clinical Therapy
631(1)
Nursing Management
631(5)
Care of the Woman with a Postpartum Psychiatric Disorder
636(9)
Types of Postpartum Psychiatric Disorders
636(1)
Adjustment Reaction with Depressed Mood
636(1)
Postpartum Psychosis
637(1)
Postpartum Major Mood Disorder
637(1)
Clinical Therapy
637(1)
Nursing Management
637(8)
The Physiologic Responses of the Newborn to Birth
645(25)
Respiratory Adaptations
646(4)
Intrauterine Factors Supporting Respiratory Function
646(1)
Initiation of Breathing
647(2)
Factors Opposing the First Breath
649(1)
Cardiopulmonary Physiology
649(1)
Oxygen Transport
649(1)
Maintaining Respiratory Function
649(1)
Characteristics of Newborn Respiration
649(1)
Cardiovascular Adaptations
650(3)
Fetal-Newborn Transitional Physiology
650(2)
Characteristics of Cardiac Function
652(1)
Hematopoietic System
653(1)
Temperature Regulation
653(3)
Heat Loss
654(1)
Heat Production (Thermogenesis)
655(1)
Response to Heat
656(1)
Hepatic Adaptations
656(4)
Iron Storage and RBC Production
656(1)
Carbohydrate Metabolism
656(1)
Conjugation of Bilirubin
657(1)
Physiologic Jaundice
657(2)
Breastfeeding Jaundice and Breast Milk Jaundice
659(1)
Coagulation
660(1)
Gastrointestinal Adaptations
660(1)
Digestion and Absorption
660(1)
Elimination
661(1)
Urinary Adaptations
661(1)
Kidney Development and Function
661(1)
Characteristics of Newborn Urinary Function
662(1)
Immunologic Adaptations
662(1)
Neurologic and Sensory-Perceptual Functioning
663(7)
Intrauterine Factors Influencing Newborn Behavior
663(1)
Characteristics of Newborn Neurologic Function
663(1)
Periods of Reactivity
664(1)
Behavioral States of the Newborn
664(1)
Behavioral-Sensory Capacities of the Newborn
665(5)
Nursing Assessment of the Newborn
670(46)
Timing of Newborn Assessments
671(1)
Estimation of Gestational Age
672(9)
Assessment of Physical Maturity Characteristics
674(3)
Assessment of Neuromuscular Maturity Characteristics
677(4)
Physical Assessment
681(35)
General Appearance
681(1)
Weight and Measurements
681(2)
Temperature
683(1)
Skin Characteristics
684(2)
Birthmarks
686(1)
Head
687(1)
Hair
688(1)
Face
689(1)
Eyes
689(12)
Nose
701(1)
Mouth
701(1)
Ears
702(1)
Neck
702(1)
Chest
703(1)
Cry
703(1)
Respiration
703(1)
Heart
704(1)
Abdomen
705(1)
Umbilical Cord
705(1)
Genitals
705(1)
Anus
706(1)
Extremities
706(1)
Back
707(1)
Assessment of Neurologic Status
707(4)
Newborn Physical Assessment Guide
711(1)
Newborn Behavioral Assessment
711(5)
Normal Newborn: Needs and Care
716(28)
Nursing Management During Admission and the First Four Hours of Life
717(9)
Nursing Management of the Newborn Following Transition
726(5)
Nursing Management in Preparation for Discharge
731(13)
Newborn Nutrition
744(23)
Nutritional Needs of the Newborn
745(5)
Breast Milk Feeding
745(3)
Formula-Feeding
748(2)
Timing of Newborn Feedings
750(17)
Initial Feeding
750(1)
Establishing a Feeding Pattern
750(1)
Cultural Considerations in Infant Feeding
751(1)
Promotion of Successful Infant Feeding
752(2)
Client Education for Breastfeeding
754(1)
Physiology of the Breasts and Lactation
754(7)
Client Education for Formula-Feeding
761(2)
Nutritional Assessment of the Infant
763(4)
The Newborn at Risk: Conditions Present at Birth
767(46)
Identification of At-Risk Newborns
768(3)
Care of the Small-for-Gestational-Age/Intrauterine Growth Restriction Newborn
771(2)
Factors Contributing to IUGR
771(1)
Patterns of IUGR
771(1)
Common Complications of the SGA Newborn
772(1)
Clinical Therapy
772(1)
Nursing Management
773(1)
Care of the Large-for-Gestational-Age (LGA) Newborn
773(5)
Common Complications of the LGA Newborn
777(1)
Care of the Infant of a Diabetic Mother (IDM)
778(2)
Common Complications of the IDM
778(1)
Clinical Therapy
779(1)
Nursing Management
779(1)
Care of the Postterm Newborn
780(2)
Common Complications of the Newborn with Postmaturity Syndrome
780(1)
Clinical Therapy
780(1)
Nursing Management
781(1)
Care of the Preterm (Premature) Newborn
782(12)
Alteration in Respiratory and Cardiac Physiology
782(1)
Alteration in Thermoregulation
782(1)
Alteration in Gastrointestinal Physiology
783(1)
Alteration in Renal Physiology
783(1)
Alteration in Reactivity Periods and Behavioral States
784(1)
Management of Nutrition and Fluid Requirements
784(3)
Common Complications of Preterm Newborns
787(1)
Long-Term Needs and Outcome
787(1)
Nursing Management
788(6)
Care of the Newborn with Congenital Anomalies
794(1)
Nursing Management
798
Care of the Newborn of a Substance-Abusing Mother
794(11)
Alcohol Dependence
795(4)
Drug Dependency
799(1)
Nursing Management
800(2)
Infants of Mothers Who Are Tobacco Dependent
802(3)
Nursing Care Management
805(1)
Care of the Newborn at Risk for HIV/AIDS
805(1)
Care of the Newborn with Congenital Heart Defects
805(3)
Overview of Congenital Heart Defects
806(1)
Nursing Management
806(2)
Care of the Newborn with Inborn Errors of Metabolism
808(5)
The Newborn at Risk: Birth-Related Stressors
813(50)
Care of the Newborn at Risk Due to Asphyxia
814(4)
Risk Factors Predisposing to Asphyxia
814(1)
Clinical Therapy
815(1)
Resuscitation Management
815(3)
Nursing Management
818(1)
Care of the Newborn with Respiratory Distress
818(11)
Respiratory Distress Syndrome
819(2)
Clinical Therapy
821(1)
Nursing Management
822(2)
Transient Tachypnea of the Newborn
824(5)
Care of the Newborn with Meconium Aspiration Syndrome
829(2)
Clinical Manifestations of MAS
829(1)
Clinical Therapy
830(1)
Nursing Management
830(1)
Care of the Newborn with Cold Stress
831(1)
Nursing Management
831(1)
Care of the Newborn with Hypoglycemia
832(3)
Clinical Therapy
832(1)
Nursing Management
833(2)
Care of the Newborn with Jaundice
835(9)
Physiologic Jaundice
835(1)
Pathophysiology of Hyperbilirubinemia
835(1)
Causes of Hyperbilirubinemia
835(1)
Clinical Therapy
836(1)
Therapeutic Management
837(1)
Nursing Management
838(6)
Care of the Newborn with Anemia
844(1)
Clinical Therapy
845(1)
Nursing Management
845(1)
Care of the Newborn with Polycythemia
845(1)
Clinical Therapy
845(1)
Nursing Management
845(1)
Care of the Newborn with Infection
846(4)
Clinical Therapy
846(2)
Nursing Management
848(2)
Care of the Family of an At-Risk Newborn
850(8)
Parental Responses
850(1)
Developmental Consequences
851(1)
Nursing Management
852(6)
Considerations for the Nurse Who Works with At-Risk Newborns
858(5)
Home Care of the Postpartum Family
863(24)
The Home Visit
864(2)
Purposes of the Home Visit
865(1)
Fostering a Caring Relationship with the Family
865(1)
Maintaining Safety
865(1)
Carrying Out the Home Visit
865(1)
Home Care: The Newborn
866(7)
Positioning and Handling
866(1)
Newborn Feeding
866(1)
Bathing
867(2)
Nail Care
869(1)
Dressing the Newborn
869(1)
Temperature Assessment
869(1)
Stools and Urine
870(1)
Sleep and Activity
871(1)
Crying
871(1)
Safety Considerations
871(2)
Newborn Screening and Immunization Program
873(1)
Home Care: The Mother and Family
873(9)
Assessment of the Mother and Family
873(4)
Breastfeeding Concerns Following Discharge
877(5)
Resumption of Sexual Activity
882(1)
Additional Types of Follow-Up Care
882(5)
Return Visits
882(1)
Telephone Follow-Up
883(1)
Postpartum Classes and Support Groups
883(4)
UNIT VI CARE AND NEEDS OF CHILDREN
887(346)
Growth and Development
888(39)
Principles of Growth and Development
889(1)
Major Theories of Development
890(12)
Freud's Theory of Psychosexual Development
890(2)
Erikson's Theory of Psychosocial Development
892(1)
Piaget's Theory of Cognitive Development
892(3)
Kohlberg's Theory of Moral Development
895(1)
Social Learning Theory
896(1)
Behaviorism
897(1)
Ecologic Theory
897(2)
Temperament Theory
899(1)
Resiliency Theory
900(2)
Influences on Development
902(2)
Infant (Birth to 1 Year)
904(4)
Physical Growth and Development
904(1)
Cognitive Development
904(3)
Play
907(1)
Personality and Temperament
908(1)
Communication
908(1)
Toddler (1 to 3 Years)
908(4)
Physical Growth and Development
908(1)
Cognitive Development
909(1)
Play
910(1)
Personality and Temperament
911(1)
Communication
911(1)
Preschool Child (3 to 6 Years)
912(4)
Physical Growth and Development
912(2)
Cognitive Development
914(1)
Play
914(1)
Personality and Temperament
915(1)
Communication
916(1)
School--Age Child (6 to 12 Years)
916(4)
Physical Growth and Development
917(1)
Cognitive Development
917(1)
Play
918(1)
Personality and Temperament
919(1)
Communication
919(1)
Sexuality
919(1)
Adolescent (12 to 18 Years)
920(7)
Physical Growth and Development
920(1)
Cognitive Development
920(1)
Activities
920(1)
Personality and Temperament
921(1)
Communication
921(1)
Sexuality
922(5)
Infant, Child, and Adolescent Nutrition
927(34)
General Concepts in Nutrition
928(1)
Nutritional Needs
929(7)
Infancy
929(4)
Toddlerhood
933(1)
Preschool
934(1)
School-Age
935(1)
Adolescence
935(1)
Nutritional Assessment
936(6)
Physical and Behavioral Measurement
936(1)
Dietary Intake
937(5)
Common Nutritional Concerns
942(11)
Childhood Hunger
942(1)
Overweight and Obesity
943(1)
Food Safety
944(1)
Common Dietary Deficiencies
945(2)
Feeding and Eating Disorders
947(1)
Nursing Management
948(4)
Food Reactions
952(1)
Nutritional Support
953(8)
Sports Nutrition
953(2)
Health-Related Conditions
955(1)
Vegetarianism
955(1)
Enteral Therapy
955(1)
Total Parenteral Nutrition (TPN)
956(5)
Pediatric Assessment
961(62)
Anatomic and Physiologic Characteristics of Infants and Children
962(1)
Obtaining the Child's History
962(8)
Communication Strategies
962(2)
Data to Be Collected
964(4)
Developmental Approach to the Examination
968(2)
General Appraisal
970(1)
Assessing Skin and Hair Characteristics
971(2)
Inspection of the Skin
971(1)
Palpation of the Skin
971(1)
Capillary Refill and Small-Vein Filling Times
972(1)
Skin Lesions
972(1)
Inspection of the Hair
972(1)
Palpation of the Hair
973(1)
Assessing the Head for Skull Characteristics and Facial Features
973(3)
Inspection of the Head and Face
973(2)
Palpation of the Skull
975(1)
Assessing Eye Structures, Function, and Vision
976(4)
Inspection of the External Eye Structures
976(1)
Inspection of the Eye Muscles
977(1)
Vision Assessment
978(1)
Inspection of the Internal Eye Structures
979(1)
Assessing the Ear Structures and Hearing
980(3)
Inspection of the External Ear Structures
980(1)
Inspection of the Tympanic Membrane
980(1)
Hearing Assessment
981(2)
Assessing the Nose and Sinuses for Airway Patency and Discharge
983(2)
Inspection of the External Nose
983(1)
Palpation of the External Nose
984(1)
Assessment of Smell
984(1)
Inspection of the Internal Nose
984(1)
Inspection of the Sinuses
985(1)
Assessing the Mouth and Throat for Color, Function, and Signs of Abnormal Conditions
985(3)
Inspection of the Mouth
985(2)
Palpation of the Mouth Structures
987(1)
Inspection of the Throat
987(1)
Assessing the Neck for Characteristics, Range of Motion, and Lymph Nodes
988(1)
Inspection of the Neck
988(1)
Palpation of the Neck
988(1)
Range of Motion Assessment
989(1)
Assessing the Chest for Shape, Movement, Respiratory Effort, and Lung Function
989(6)
Topographic Landmarks of the Chest
990(1)
Inspection of the Chest
990(2)
Palpation of the Chest
992(1)
Auscultation of the Chest
992(2)
Percussion of the Chest
994(1)
Assessing the Breasts
995(1)
Inspection of the Breasts
995(1)
Palpation of the Breasts
995(1)
Assessing the Heart for Heart Sounds and Function
995(5)
Inspection of the Precordium
995(1)
Palpation of the Precordium
995(1)
Percussion of the Heart Borders
996(1)
Auscultation of the Heart
996(2)
Completing the Heart Examination
998(2)
Assessing the Abdomen for Shape, Bowel Sounds, and Underlying Organs
1000(5)
Topographic Landmarks of the Abdomen
1000(1)
Inspection of the Abdomen
1000(3)
Auscultation of the Abdomen
1003(1)
Percussion of the Abdomen
1003(1)
Palpation of the Abdomen
1004(1)
Assessment of the Inguinal Area
1005(1)
Assessing the Genital and Perineal Areas for External Structural Abnormalities
1005(3)
Preparation of Children for the Examination
1005(1)
Inspection of the Female Genitalia
1005(1)
Palpation of the Female Genitalia
1006(1)
Inspection of the Male Genitalia
1006(1)
Palpation of the Male Genitalia
1006(1)
Inspection of the Anus and Rectum
1007(1)
Palpation of the Anus and Rectum
1007(1)
Assessment of Pubertal Development and Sexual Maturation
1008(1)
Females
1008(1)
Males
1009(1)
Sexual Maturity Rating
1009(1)
Assessing the Musculoskeletal System for Bone and Joint Structure, Movement, and Muscle Strength
1009(4)
Inspection of the Bones, Muscles, and Joints
1009(1)
Palpation of the Bones, Muscles, and Joints
1010(1)
Range of Motion and Muscle Strength Assessment
1010(1)
Posture and Spinal Alignment
1011(1)
Inspection of the Upper Extremities
1011(1)
Inspection of the Lower Extremities
1012(1)
Assessing the Nervous System for Cognitive Function, Balance, Coordination, Cranial Nerve Function, Sensation, and Reflexes
1013(4)
Cognitive Function
1013(1)
Cerebellar Function
1014(1)
Cranial Nerve Function
1015(1)
Sensory Function
1016(1)
Infant Primitive Reflexes
1017(1)
Superficial and Deep Tendon Reflexes
1017(1)
Analyzing Data from the Physical Examination
1017(6)
Social and Environmental Influences on the Child
1023(38)
Basic Concepts
1024(1)
External Influences on Child Health
1025(7)
Poverty
1025(1)
Stress
1026(2)
Family Structure
1028(1)
School and Child Care
1029(2)
Community
1031(1)
Culture
1031(1)
Lifestyle Activities and Their Influence on Child Health
1032(11)
Tobacco Use
1032(1)
Nursing Management
1033(1)
Substance Use
1034(3)
Nursing Management
1037(2)
Physical Inactivity
1039(1)
Injury and Protective Equipment
1039(2)
Body Art
1041(1)
Sexual Orientation
1042(1)
Effects of Violence
1043(6)
Schools and Communities
1043(1)
Bullying
1044(1)
Incarceration
1045(1)
Nursing Management
1045(3)
Nursing Care in the Community
1048(1)
Child Abuse
1049(6)
Physical Abuse
1049(1)
Physical Neglect
1049(1)
Emotional Abuse
1050(1)
Emotional Neglect
1050(1)
Sexual Abuse
1050(2)
Nursing Management
1052(3)
Additional Abusive and Violent Situations
1055(6)
Abandoned Babies
1055(1)
Hazing
1055(1)
Domestic Violence
1055(1)
Dating Violence
1055(1)
Munchausen Syndrome by Proxy
1056(5)
Health Promotion and Health Maintenance for the Infant and Young Child
1061(36)
General Concepts
1062(3)
Components of Health Promotion/Health Maintenance Visits
1065(5)
Health Promotion and Health Maintenance of the Infant
1070(10)
Early Contacts with the Family
1071(1)
General Observations
1071(1)
Growth and Developmental Surveillance
1071(1)
Nutrition
1072(1)
Physical Activity
1073(1)
Oral Health
1074(1)
Mental and Spiritual Health
1074(2)
Relationships
1076(1)
Disease Prevention Strategies
1076(1)
Injury Prevention Strategies
1077(1)
Nursing Management
1077(3)
Health Promotion and Health Maintenance of the Young Child
1080(17)
General Observations
1081(1)
Growth and Developmental Surveillance
1081(1)
Nutrition
1082(1)
Physical Activity
1083(2)
Oral Health
1085(1)
Mental and Spiritual Health
1085(2)
Relationships
1087(1)
Disease Prevention Strategies
1087(1)
Injury Prevention Strategies
1088(3)
Nursing Management
1091(6)
Health Promotion and Health Maintenance in the Older Child and Adolescent
1097(29)
Health Promotion and Health Maintenance of the Older Child
1098(13)
General Observations
1098(1)
Growth and Developmental Surveillance
1099(1)
Nutrition
1099(1)
Physical Activity
1100(2)
Oral Health
1102(1)
Mental and Spiritual Health
1102(3)
Relationships
1105(1)
Disease Prevention Strategies
1106(1)
Injury Prevention Strategies
1107(1)
Nursing Management
1108(3)
Health Promotion and Health Maintenance of the Adolescent
1111(15)
General Observations
1111(1)
Growth and Developmental Surveillance
1112(1)
Nutrition
1113(1)
Physical Activity
1114(1)
Oral Health
1115(1)
Mental and Spiritual Health
1115(3)
Relationships
1118(1)
Disease Prevention Strategies
1118(1)
Injury Prevention Strategies
1119(1)
Nursing Management
1120(6)
Nursing Considerations for the Child and Family in the Community
1126(26)
Family Assessment
1127(3)
Family Stressors
1127(1)
Family Strengths
1127(1)
Collecting Data for Family Assessment
1128(1)
Family Assessment Tools
1129(1)
Family Support Services in the Community
1129(1)
Settings for Community Healthcare
1130(10)
Office or Healthcare Center Setting
1131(2)
Specialty Healthcare Settings
1133(1)
School Settings
1133(2)
Childcare Settings
1135(1)
Home Healthcare Setting
1136(3)
Disaster Preparedness
1139(1)
The Child with a Chronic Condition
1140(12)
Role of the Nurse
1141(1)
Community Sites of Care
1142(10)
Nursing Considerations for the Hospitalized Child
1152(28)
Effects of Illness and Hospitalization on Children and Families
1153(2)
Children's Understanding of Health and Illness
1153(2)
Family Responses to Hospitalization
1155(1)
Preparation for Hospitalization
1155(2)
Adaptation to Hospitalization
1157(17)
Special Units and Types of Care
1157(2)
Family Assessment
1159(1)
Child and Family Teaching
1160(1)
Strategies to Promote Coping and Normal Development
1161(5)
Strategies to Meet Educational Needs
1166(1)
Preparation for Procedures
1167(7)
Preparation for Long-Term Care
1174(1)
Preparation for Home Care
1175(5)
Assessing the Child in Preparation for Discharge
1175(1)
Preparing the Family for Home Care
1175(2)
Preparing Parents to Act as Case Managers
1177(3)
The Child with a Life-Threatening Condition and End-of-Life Care
1180(27)
Life-Threatening Illness or Injury
1181(1)
Child's Experience
1181(6)
Stressors to the Child
1182(1)
Coping Mechanisms
1182(1)
Nursing Management
1183(4)
Parents' Experience
1187(4)
What Makes a Problem a Crisis?
1187(1)
Reactions to Life-Threatening Illness or Injury
1187(1)
Nursing Management
1188(3)
Siblings' Experience
1191(1)
End-of-Life Care
1192(1)
Palliative Care
1192(1)
Hospice Care
1193(1)
Ethical Issues Surrounding a Child's Death
1193(1)
Withdrawal of or Withholding Treatment
1193(1)
Conflicts Regarding Parental Treatment Refusal
1193(1)
Do-Not-Resucitate Orders
1193(1)
School Considerations
1194(1)
Care of the Dying Child
1194(5)
Awareness of Dying by Developmental Age
1195(1)
Nursing Management
1195(4)
Bereavement
1199(3)
Parents' Reactions
1199(1)
Sudden Death of a Child
1200(1)
Death of a Newborn or Young Infant
1200(1)
Siblings' Reactions
1200(2)
Staff Reactions to the Death of a Child
1202(5)
Pain Assessment and Management in Children
1207(26)
Acute and Chronic Pain
1208(1)
Misconceptions about Pain in Children
1208(2)
Clinical Manifestations
1209(1)
Consequences of Pain
1209(1)
Pain Assessment
1210(5)
Pain History
1210(2)
Cultural Influences on Pain
1212(1)
Developmental Responses to Pain
1212(1)
Pain Assessment Scales
1213(2)
Clinical Therapy for Pain
1215(11)
Pain Medications
1215(3)
Drug Administration
1218(1)
Regional Pain Management
1219(1)
Nursing Management
1220(6)
Nursing Management of Chronic Pain
1226(1)
Sedation and Pain Management for Medical Procedures
1226(7)
Clinical Therapy
1227(1)
Nursing Management
1227(6)
UNIT VII CARING FOR CHILDREN WITH ALTERATIONS IN HEALTH STATUS
1233(671)
The Child with Alterations in Fluid, Electrolyte, and Acid-Base Balance
1234(43)
Anatomy and Physiology of Pediatric Differences
1235(2)
Extracellular Fluid Volume Imbalances
1237(13)
Extracellular Fluid Volume Deficit (Dehydration)
1237(4)
Nursing Management
1241(4)
Extracellular Fluid Volume Excess
1245(2)
Interstitial Fluid Volume Excess (Edema)
1247(3)
Sodium Imbalances
1250(1)
Hypernatremia
1250(2)
Nursing Management
1251(1)
Hyponatremia
1252(1)
Etiology and Pathophysiology
1252(1)
Clinical Manifestations
1252(1)
Clinical Therapy
1252(1)
Nursing Management
1252(1)
Hyperkalemia
1253(2)
Etiology and Pathophysiology
1253(1)
Clinical Manifestations
1254(1)
Clinical Therapy
1254(1)
Nursing Management
1254(1)
Hypokalemia
1255(3)
Etiology and Pathophysiology
1255(1)
Clinical Manifestations
1255(1)
Clinical Therapy
1256(1)
Nursing Management
1256(2)
Hypercalcemia
1258(2)
Etiology and Pathophysiology
1259(1)
Clinical Manifestations
1259(1)
Clinical Therapy
1259(1)
Nursing Management
1259(1)
Hypocalcemia
1260(2)
Etiology and Pathophysiology
1260(1)
Clinical Manifestations
1260(1)
Clinical Therapy
1261(1)
Nursing Management
1261(1)
Hypermagnesemia
1262(1)
Nursing Management
1263(1)
Hypomagnesemia
1263(2)
Nursing Management
1263(2)
Buffers
1265(1)
Role of the Lungs
1266(1)
Role of the Kidneys
1266(1)
Role of the Liver
1267(1)
Respiratory Acidosis
1267(3)
Etiology and Pathophysiology
1267(2)
Clinical Manifestations
1269(1)
Clinical Therapy
1269(1)
Nursing Management
1269(1)
Respiratory Alkalosis
1270(1)
Nursing Management
1270(1)
Metabolic Acidosis
1271(2)
Etiology and Pathophysiology
1271(1)
Clinical Manifestations
1272(1)
Clinical Therapy
1272(1)
Nursing Management
1272(1)
Metabolic Alkalosis
1273(1)
Nursing Management
1273(1)
Mixed Acid-Base Imbalances
1273(4)
The Child with Alterations in Immune Function
1277(33)
Anatomy and Physiology of Pediatric Differences
1278(2)
B-Cell and T-Cell Disorders
1280(1)
Severe Combined Immunodeficiency Disease
1281(2)
Etiology and Pathophysiology
1281(1)
Clinical Manifestations
1281(1)
Clinical Therapy
1281(1)
Nursing Management
1282(1)
Wiskott--Aldrich Syndrome
1283(1)
Nursing Management
1284(1)
Acquired Immunodeficiency Syndrome
1284(11)
Etiology and Pathophysiology
1284(1)
Clinical Manifestations
1284(2)
Clinical Therapy
1286(1)
Nursing Management
1287(8)
Systemic Lupus Erythematosus
1295(3)
Etiology and Pathophysiology
1296(1)
Clinical Manifestations
1296(1)
Clinical Therapy
1296(1)
Nursing Management
1297(1)
Juvenile Rheumatoid Arthritis
1298(2)
Etiology and Pathophysiology
1299(1)
Clinical Manifestations
1299(1)
Clinical Therapy
1299(1)
Nursing Management
1299(1)
Allergic Reactions
1300(3)
Nursing Management
1302(1)
Latex Allergy
1303(3)
Graft-versus-Host Disease
1306(4)
The Child with Infectious and Communicable Diseases
1310(38)
Special Vulnerability of Children
1312(1)
Immunization
1313(12)
Nursing Management
1316(9)
Infectious and Communicable Diseases in Children
1325(18)
Clinical Manifestations
1325(15)
Clinical Therapy
1340(1)
Nursing Management
1341(2)
Emerging Infection Control Threats
1343(5)
Nursing Management
1343(5)
The Child with Alterations in Eye, Ear, Nose, and Throat Function
1348(40)
Anatomy and Physiology of Pediatric Differences
1349(2)
Eye
1349(1)
Ear
1349(1)
Nose and Throat
1350(1)
Infectious Conjunctivitis
1351(1)
Nursing Management
1352(1)
Periorbital Cellulitis
1352(1)
Visual Disorders
1352(2)
Nursing Management
1353(1)
Color Blindness
1354(1)
Retinopathy of Prematurity
1354(5)
Etiology and Pathophysiology
1354(3)
Clinical Manifestations
1357(1)
Clinical Therapy
1357(1)
Nursing Management
1357(2)
Visual Impairment
1359(3)
Nursing Management
1360(2)
Injuries of the Eye
1362(1)
Disorders of the Ear
1363(1)
Otitis Media
1363(4)
Etiology and Pathophysiology
1363(1)
Clinical Manifestations
1364(1)
Clinical Therapy
1365(2)
Nursing Management
1367(1)
Otitis Externa
1367(3)
Hearing Impairment
1370(6)
Etiology and Pathophysiology
1370(1)
Clinical Manifestations
1371(1)
Clinical Therapy
1372(1)
Nursing Management
1373(3)
Injuries of the Ear
1376(1)
Disorders of the Nose, Throat, and Mouth
1377(1)
Epistaxis
1377(1)
Nursing Management
1377(1)
Nasopharyngitis
1378(1)
Nursing Management
1378(1)
Sinusitis
1379(1)
Pharyngitis
1379(1)
Nursing Management
1380(1)
Tonsillitis
1380(3)
Etiology and Pathophysiology
1380(1)
Clinical Manifestations
1380(1)
Clinical Therapy
1380(1)
Nursing Management
1381(2)
Mouth and Dental Emergencies
1383(5)
The Child with Alterations in Respiratory Function
1388(51)
Anatomy and Physiology of Pediatric Differences
1390(2)
Upper Airway Differences
1390(2)
Respiratory Distress and Respiratory Failure
1392(4)
Foreign-Body Aspiration
1392(1)
Nursing Management
1392(2)
Respiratory Failure
1394(2)
Apnea
1396(4)
Apparent Life-Threatening Event (ALTE)
1396(1)
Obstructive Sleep Apnea
1397(1)
Sudden Infant Death Syndrome (SIDS)
1398(2)
Croup Syndromes
1400(4)
Laryngotracheobronchitis
1400(2)
Nursing Management
1402(2)
Lower Airway Disorders
1404(1)
Bronchitis
1404(1)
Nursing Management
1404(1)
Bronchiolitis
1404(5)
Etiology and Pathophysiology
1405(1)
Clinical Manifestations
1405(1)
Clinical Therapy
1405(1)
Nursing Management
1406(3)
Pneumonia
1409(1)
Nursing Management
1410(1)
Tuberculosis
1410(1)
Nursing Management
1411(1)
Chronic Lung Diseases
1411(1)
Bronchopulmonary Dysplasia
1411(2)
Asthma
1413(13)
Etiology and Pathophysiology
1414(6)
Nursing Management
1420(6)
Status Asthmaticus
1426(1)
Cystic Fibrosis
1426(6)
Etiology and Pathophysiology
1426(1)
Clinical Manifestations
1427(1)
Clinical Therapy
1427(2)
Nursing Management
1429(3)
Injuries of the Respiratory System
1432(1)
Smoke-Inhalation Injury
1432(1)
Nursing Management
1433(1)
Blunt Chest Trauma
1433(6)
Pulmonary Contusion
1433(1)
Pneumothorax
1433(6)
The Child with Alterations in Cardiovascular Function
1439(50)
Anatomy and Physiology of Pediatric Differences
1440(1)
Oxygenation
1440(1)
Cardiac Functioning
1441(1)
Congestive Heart Failure
1441(7)
Etiology and Pathophysiology
1441(1)
Clinical Manifestations
1441(1)
Clinical Therapy
1442(1)
Nursing Management
1442(6)
Congenital Heart Disease
1448(6)
Etiology and Pathophysiology
1448(3)
Clinical Manifestations
1451(1)
Clinical Therapy
1451(1)
Nursing Management of the Child Undergoing a Cardiac Catherization
1452(2)
Congenital Heart Defects that Increase Pulmonary Blood Flow
1454(6)
Etiology and Pathophysiology
1454(1)
Clinical Manifestations
1454(1)
Clinical Therapy
1455(1)
Nursing Management Prior to Surgery
1455(4)
Nursing Management at the Time of Surgery
1459(1)
Defects Causing Decreased Pulmonary Blood Flow and Mixed Defects
1460(9)
Etiology and Pathophysiology
1460(1)
Clinical Manifestations
1461(2)
Clinical Therapy
1463(2)
Nursing Management
1465(4)
Defects Obstructing Systemic Blood Flow
1469(1)
Etiology and Pathophysiology
1469(1)
Clinical Manifestations
1469(1)
Clinical Therapy
1469(1)
Nursing Management
1469(1)
Cardiomyopathy
1469(2)
Heart Transplantation
1471(1)
Pulmonary Artery Hypertension
1472(1)
Acquired Heart Diseases
1472(1)
Rheumatic Fever
1472(1)
Nursing Management
1473(1)
Infective Endocarditis
1473(1)
Nursing Management
1474(1)
Kawasaki Disease
1474(2)
Nursing Management
1475(1)
Cardiac Arrhythmias
1476(1)
Supraventricular Tachycardia
1476(1)
Long QT Syndrome
1476(1)
Nursing Management
1476(1)
Dyslipidemia
1477(1)
Nursing Management
1478(1)
Hypertension
1478(1)
Nursing Management
1478(1)
Injuries of the Cardiovascular System
1479(5)
Shock
1479(1)
Hypovolemic Shock
1479(1)
Etiology and Pathophysiology
1480(1)
Clinical Manifestations
1480(1)
Clinical Therapy
1480(1)
Nursing Management
1480(2)
Maldistributive Shock
1482(1)
Obstructive Shock
1483(1)
Cardiogenic Shock
1483(1)
Myocardial Contusion
1484(5)
The Child with Alterations in Hematologic Function
1489(27)
Anatomy and Physiology of Pediatric Differences
1490(2)
Red Blood Cells
1491(1)
White Blood Cells
1491(1)
Platelets
1492(1)
Anemias
1492(1)
Iron Deficiency Anemia
1492(1)
Nursing Management
1493(1)
Normocytic Anemia
1493(1)
Sickle Cell Anemia
1494(9)
Etiology and Pathophysiology
1494(1)
Clinical Manifestations
1495(1)
Clinical Therapy
1495(2)
Nursing Management
1497(6)
Thalassemias
1503(1)
Nursing Management
1504(1)
Aplastic Anemia
1504(1)
Nursing Management
1505(1)
Clotting Disorders
1505(1)
Hemophilia
1505(2)
Etiology and Pathophysiology
1505(1)
Clinical Manifestations
1505(1)
Clinical Therapy
1505(1)
Nursing Management
1506(1)
Von Willebrand Disease
1507(1)
Nursing Management
1508(1)
Disseminated Intravascular Coagulation
1508(1)
Nursing Management
1508(1)
Idiopathic Thrombocytopenic Purpura
1508(1)
Nursing Management
1509(1)
Meningococcemia
1509(1)
Nursing Management
1509(1)
Hematopoietic Stem Cell Transplantation (HSCT)
1509(7)
The Child with Alterations in Cellular Growth
1516(53)
Anatomy and Physiology of Pediatric Differences
1517(1)
Childhood Cancer
1517(29)
Incidence
1518(1)
Etiology and Pathophysiology
1518(2)
Clinical Manifestations
1520(1)
Collaborative Care
1521(8)
Nursing Management
1529(17)
Brain Tumors
1546(3)
Etiology and Pathophysiology
1546(1)
Clinical Manifestations
1547(1)
Clinical Therapy
1547(1)
Nursing Management
1548(1)
Neuroblastoma
1549(3)
Etiology and Pathophysiology
1549(1)
Clinical Manifestations
1550(1)
Clinical Therapy
1550(1)
Nursing Management
1551(1)
Wilms' Tumor (Nephroblastoma)
1552(1)
Etiology and Pathophysiology
1552(1)
Clinical Manifestations
1552(1)
Clinical Therapy
1552(1)
Nursing Management
1553(1)
Bone Tumors
1553(3)
Osteosarcoma
1553(1)
Ewing's Sarcoma
1554(1)
Nursing Management
1554(2)
Leukemia
1556(3)
Etiology and Pathophysiology
1556(1)
Clinical Manifestations
1556(1)
Clinical Therapy
1557(1)
Nursing Management
1558(1)
Soft-Tissue Tumors
1559(10)
Hodgkin Disease
1559(2)
Non-Hodgkin Lymphoma
1561(1)
Rhabdomyosarcoma
1561(1)
Retinoblastoma
1562(1)
Nursing Management
1563(6)
The Child with Alterations in Gastrointestinal Function
1569(59)
Anatomy and Physiology of Pediatric Differences
1570(1)
Structural Defects
1571(1)
Cleft Lip and Cleft Palate
1571(8)
Etiology and Pathophysiology
1571(1)
Clinical Manifestations
1571(1)
Clinical Therapy
1572(1)
Nursing Management
1572(7)
Esophageal Atresia and Tracheoesophageal Fistula
1579(3)
Nursing Management
1580(2)
Pyloric Stenosis
1582(2)
Etiology and Pathophysiology
1582(1)
Clinical Manifestations
1582(1)
Clinical Therapy
1582(1)
Nursing Management
1582(2)
Gastroesophageal Reflux
1584(3)
Nursing Management
1586(1)
Omphalocele and Gastroschisis
1587(1)
Nursing Management
1588(1)
Intussusception
1588(1)
Nursing Management
1589(1)
Hirschsprung Disease
1589(1)
Nursing Management
1589(1)
Anorectal Malformations
1590(1)
Nursing Management
1590(1)
Hernias
1591(1)
Diaphragmatic Hernia
1591(1)
Nursing Management
1591(1)
Umbilical Hernia
1591(1)
Nursing Management
1592(1)
Ostomies
1592(1)
Preoperative Care
1593(1)
Postoperative Care
1593(1)
Inflammatory Disorders
1593(1)
Appendicitis
1593(2)
Etiology and Pathophysiology
1593(1)
Clinical Manifestations
1594(1)
Clinical Therapy
1594(1)
Nursing Management
1594(1)
Necrotizing Enterocolitis
1595(2)
Nursing Management
1596(1)
Meckel's Diverticulum
1597(1)
Nursing Management
1597(1)
Inflammatory Bowel Disease
1597(2)
Crohn's Disease and Ulcerative Colitis
1597(2)
Nursing Management
1599(1)
Peptic Ulcer
1599(2)
Nursing Management
1600(1)
Disorders of Motility
1601(1)
Gastroenteritis (Acute Diarrhea)
1601(2)
Etiology and Pathophysiology
1601(1)
Clinical Manifestations
1601(1)
Clinical Therapy
1601(1)
Nursing Management
1602(1)
Constipation
1603(3)
Nursing Management
1606(1)
Intestinal Parasitic Disorders
1606(1)
Feeding Disorders
1606(3)
Colic
1609(1)
Nursing Management
1609(1)
Rumination
1609(1)
Nursing Management
1610(1)
Disorders of Malabsorption
1610(1)
Celiac Disease
1610(1)
Nursing Management
1610(1)
Lactose Intolerance
1611(1)
Nursing Management
1611(1)
Short Bowel Syndrome
1611(1)
Nursing Management
1612(1)
Hepatic Disorders
1612(1)
Biliary Atresia
1612(1)
Nursing Management
1613(1)
Viral Hepatitis
1613(4)
Etiology and Pathophysiology
1613(2)
Clinical Manifestations
1615(1)
Clinical Therapy
1616(1)
Nursing Management
1616(1)
Cirrhosis
1617(1)
Nursing Management
1618(1)
Injuries to the Gastrointestinal System
1618(1)
Abdominal Trauma
1618(1)
Nursing Management
1619(1)
Poisoning
1619(2)
Nursing Management
1621(1)
Ingestion of Foreign Objects
1621(1)
Nursing Management
1622(1)
Lead Poisoning
1622(6)
Nursing Management
1623(5)
The Child with Alterations in Genitourinary Function
1628(40)
Anatomy and Physiology of Pediatric Differences
1629(1)
Urinary System
1629(1)
Reproductive System
1630(1)
Structural Defects of the Urinary System
1630(1)
Bladder Exstrophy
1630(1)
Nursing Management
1631(1)
Hypospadias and Epispadias
1631(1)
Nursing Management
1632(1)
Obstructive Uropathy
1632(3)
Nursing Management
1633(2)
Urinary Tract Infection
1635(2)
Etiology and Pathophysiology
1635(1)
Clinical Manifestations
1635(1)
Clinical Therapy
1636(1)
Nursing Management
1636(1)
Enuresis
1637(2)
Nursing Management
1639(1)
Renal Disorders
1639(1)
Nephrotic Syndrome
1639(4)
Etiology and Pathophysiology
1640(1)
Clinical Manifestations
1640(1)
Clinical Therapy
1640(2)
Nursing Management
1642(1)
Renal Failure
1643(1)
Acute Renal Failure
1643(6)
Etiology and Pathophysiology
1643(2)
Clinical Manifestations
1645(1)
Clinical Therapy
1646(1)
Nursing Management
1646(3)
Chronic Renal Failure
1649(3)
Etiology and Pathophysiology
1649(1)
Clinical Manifestations
1649(1)
Clinical Therapy
1649(1)
Nursing Management
1650(2)
Renal Replacement Therapy
1652(3)
Peritoneal Dialysis
1655(1)
Hemodialysis
1655(3)
Kidney Transplantation
1658(1)
Polycystic Kidney Disease
1659(1)
Nursing Management
1660(1)
Hemolytic-Uremic Syndrome
1660(1)
Nursing Management
1660(1)
Acute Postinfectious Glomerulonephritis
1660(2)
Etiology and Pathophysiology
1661(1)
Clinical Manifestations
1661(1)
Clinical Therapy
1661(1)
Nursing Management
1661(1)
Structural Defects of the Reproductive System
1662(1)
Phimosis
1662(1)
Cryptorchidism
1662(1)
Nursing Management
1663(1)
Inguinal Hernia and Hydrocele
1663(1)
Testicular Torsion
1664(4)
The Child with Alterations in Neurologic Function
1668(57)
Anatomy and Physiology of Pediatric Differences
1669(1)
Altered States of Consciousness
1670(4)
Etiology and Pathophysiology
1670(1)
Clinical Manifestations
1670(1)
Nursing Management
1671(3)
Seizure Disorders
1674(8)
Etiology and Pathophysiology
1674(1)
Clinical Manifestations
1675(1)
Clinical Therapy
1675(3)
Nursing Management
1678(4)
Infectious Diseases
1682(1)
Bacterial Meningitis
1682(6)
Etiology and Pathophysiology
1682(1)
Clinical Manifestations
1682(1)
Clinical Therapy
1682(2)
Nursing Management
1684(4)
Viral (Aseptic) Meningitis
1688(1)
Nursing Management
1688(1)
Encephalitis
1688(1)
Nursing Management
1689(1)
Reye Syndrome
1689(1)
Nursing Management
1690(1)
Guillain-Barre Syndrome (Postinfectious Polyneuritis)
1690(1)
Nursing Management
1690(1)
Headaches
1691(2)
Clinical Therapy
1691(2)
Nursing Management
1693(1)
Structural Defects
1693(1)
Microcephaly
1693(1)
Hydrocephalus
1693(4)
Etiology and Pathophysiology
1693(1)
Clinical Manifestations
1694(1)
Clinical Therapy
1694(2)
Nursing Management
1696(1)
Neural Tube Defects
1697(1)
Myelodysplasia or Spina Bifida
1697(3)
Nursing Management
1699(1)
Craniosynostosis
1700(2)
Cerebral Palsy
1702(6)
Etiology and Pathophysiology
1702(1)
Clinical Manifestations
1702(1)
Clinical Therapy
1702(2)
Nursing Management
1704(4)
Injuries of the Neurologic System
1708(1)
Traumatic Brain Injury
1708(4)
Etiology and Pathophysiology
1708(1)
Clinical Manifestations
1708(1)
Clinical Therapy
1709(2)
Nursing Management
1711(1)
Specific Head Injuries
1712(3)
Scalp Injuries
1712(1)
Concussion
1713(1)
Skull Fractures
1713(1)
Cerebral Contusion
1713(1)
Intracranial Hematomas
1714(1)
Penetrating Injuries
1714(1)
Spinal Cord Injury
1715(3)
Nursing Management
1717(1)
Hypoxic-Ischemic Brain Injury (Drowning and Near-Drowning)
1718(7)
Nursing Management
1719(6)
The Child with Alterations in Cognitive and Mental Health Function
1725(36)
Mental Health Alterations of Childrenand Adolescents
1726(5)
Treatment Modes
1727(1)
Therapeutic Strategies
1728(2)
Nursing Management
1730(1)
Developmental and Behavioral Disorders
1731(1)
Pervasive Developmental Disorders
1731(4)
Etiology and Pathophysiology
1732(1)


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