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9780323033664

Maternity Nursing

by
  • ISBN13:

    9780323033664

  • ISBN10:

    0323033660

  • Edition: 7th
  • Format: Hardcover
  • Copyright: 2006-03-01
  • Publisher: Mosby
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Summary

Maternity Nursing focuses on the care of women during the childbearing years. Designed to meet the needs of todays students, it addresses the fundamentals of maternity nursing with a clear, readable writing style and concise, focused content presentation. Integrating the importance of understanding family, culture, and health promotion into the continuum of care, it also includes a strategic integration of community-based care to emphasize that care can take place wherever the woman may be. It also addresses wellness promotion and the management of womens common health problems. The companion CD comes with useful study tools, including video and animation segments and an English/Spanish audio glossary with pronunciations. Patient Instructions for Self-Care and Home Care boxes emphasize guidelines for the patient to practice self-care and transfer information from the hospital to the home. Medication Guides provide information about the most current drugs. Family content is first introduced in the second chapter and then incorporated in the pregnancy, labor and birth, postpartum, and newborn chapters to stress the importance of including the family in the continuum of care. Culture content is integrated throughout to emphasize the importance of assessing for and understanding cultural variations in providing care. Health promotion and prevention is integrated throughout to maintain a focus on wellness as an integral part of todays maternity nursing care. Womens Health content is up-front to provide a thorough understanding of health promotion and prevention, common health concerns, and care of women throughout the childbearing years. Care of the childbearing adolescent is integrated throughout to provide important age-related considerations within each corresponding content area. English/Spanish Guidelines boxes provide the student with a handy reference for communicating with and teaching patients and families. Nurse Alert boxes highlight critical information for the nurse. Includes Evidence-Based Practice as summarized in the Cochrane Pregnancy and Childbirth Database, which is a collection of research findings that confirm effective practices or identify practices that have unknown, ineffective, or harmful effects. The number of English/Spanish Guidelines boxes has been expanded throughout the text and additional translations are included for common responses. Includes additional content in Medication Guides that focuses on interactions with other therapies. Incorporates Community Activity exercises throughout to illustrate nursing care in a variety of settings. The integration of Legal Tips has been expanded throughout the text to include appropriate delegation considerations. Provides consistent format for Critical Thinking Exercises and include answer guidelines in the back of the book.

Table of Contents

UNIT ONE Introduction to Maternity Nursing
Contemporary Maternity Nursing
1(20)
Contemporary issues and trends
2(8)
Structure of health care delivery
2(1)
Integrative health care
3(1)
Childbirth practices
4(1)
Certified nurse-midwives
5(1)
Views of women
5(1)
Breastfeeding in the workplace
6(1)
Family leave
6(1)
Violence
6(1)
HIV and AIDS in pregnancy and the newborn
6(1)
International concerns
6(1)
Healthy People 2010 Goals
6(1)
Trends in fertility and birthrate
6(1)
Incidence of low birth weight
7(1)
Infant mortality in the United States
7(1)
International trends in infant mortality
7(1)
Maternal mortality trends
7(1)
Involving consumers and promoting self-care
8(1)
Efforts to reduce health disparities
8(1)
Health literacy
8(1)
High-technology care
9(1)
Community-based care
9(1)
Increase in high risk pregnancies
9(1)
High cost of health care
9(1)
Limited access to care
9(1)
Trends in nursing practice
10(5)
Nursing interventions classification
10(1)
Evidence-based practice
10(1)
Introduction to evidence-based practice reviews
11(2)
Cochrane pregnancy and childbirth database
13(1)
Outcomes-oriented practice
13(1)
Best practices as goal of care
13(1)
Clinical benchmarking
13(1)
A global perspective
13(1)
Millennium development goals
13(2)
Standards of practice and legal issues in delivery of care
15(1)
Risk management
16(1)
Sentinel events
16(1)
Failure to rescue
16(1)
Ethical issues in perinatal nursing
16(1)
Research in perinatal nursing
17(4)
Ethical guidelines for nursing research
17(4)
The Family and Culture
21(20)
The family in cultural and community context
22(1)
Defining family
22(4)
Family organization and structure
22(2)
Family functions
24(1)
Family dynamics
25(1)
The family in society
26(1)
Theoretic approaches to understanding families
26(3)
Family systems theory
26(1)
Using theories to guide practice
27(2)
Cultural factors related to family health
29(6)
Cultural context of the family
29(3)
Childbearing beliefs and practices
32(3)
Developing cultural competence
35(6)
Pathways to the development of cultural competence
35(2)
Integrating cultural competence with the nursing care plan
37(1)
Implications for nursing
37(4)
Community and Home Care
41(22)
Health and wellness in the community
42(1)
Public health services
42(1)
Community health status indicators
43(1)
Vulnerable populations
43(3)
Women
43(1)
Rural versus urban community settings
44(1)
Refugees and immigrants
45(1)
Implications for nursing
45(1)
Assessing the communities in which families live
46(2)
Methods of community assessment
46(1)
Data collection and sources of community health data
46(2)
Levels of preventive care
48(1)
Community health promotion
49(1)
Perinatal continuum of care
49(2)
Communication to bridge the continuum
51(1)
Telephonic nursing care
51(1)
Guidelines for nursing practice
52(1)
Home care perinatal services
52(11)
Patient selection and referral
53(1)
Preparing for the home visit
53(2)
First home care visit
55(4)
Nursing considerations
59(4)
UNIT TWO Reproductive Years
Assessment and Health Promotion
63(37)
Female reproductive system
64(9)
External structures
64(1)
Internal structures
65(1)
Bony pelvis
66(1)
Breasts
67(1)
Menstruation
68(3)
Prostaglandins
71(1)
Sexual response
71(2)
Reasons for entering the health care system
73(1)
Preconception counseling
73(1)
Pregnancy
73(1)
Well-woman care
73(1)
Fertility control and infertility
73(1)
Menstrual problems
74(1)
Perimenopause
74(1)
Barriers to seeking health care
74(1)
Financial issues
74(1)
Cultural issues
75(1)
Gender issues
75(1)
Health risks in the childbearing years
75(7)
Age
75(1)
Social and cultural factors
76(1)
Substance use and abuse
76(1)
Nutrition
77(1)
Physical fitness and exercise
78(1)
Stress
78(1)
Sexual practices
78(1)
Medical conditions
79(1)
Gynecologic conditions affecting pregnancy
79(1)
Other cancers
79(2)
Environmental and workplace hazards
81(1)
Violence against women
81(1)
Health assessment
82(9)
Interview
82(1)
Women with special needs
82(2)
History
84(2)
Physical examination
86(1)
Pelvic examination
86(5)
Laboratory and diagnostic procedures
91(1)
Anticipatory guidance for health promotion and prevention
91(9)
Nutrition
92(1)
Exercise
92(1)
Stress management
92(1)
Substance use cessation
93(1)
Safer sexual practices
94(1)
Health screening schedule
94(1)
Health risk prevention
94(1)
Health protection
94(6)
Common Reproductive Concerns
100(34)
Menstrual problems
101(10)
Amenorrhea
101(1)
Cyclic perimenstrual pain and discomfort
102(1)
Dysmenorrhea
102(2)
Premenstrual syndrome
104(3)
Endometriosis
107(1)
Alterations in cyclic bleeding
108(3)
Infections
111(12)
Sexually transmitted infections
111(2)
Bacterial sexually transmitted infections
113(3)
Viral sexually transmitted infections
116(5)
Vaginal infections
121(2)
Infection control
123(1)
Problems of the breasts
123(11)
Benign problems
123(2)
Cancer of the breast
125(9)
Contraception, Abortion, and Infertility
134(41)
Contraception
135(21)
Methods of contraception
137(19)
Induced abortion
156(4)
Incidence
157(1)
Decision to have an abortion
157(1)
First-trimester abortion
157(2)
Second-trimester abortion
159(1)
Nursing considerations
160(1)
Infertility
160(15)
Factors associated with infertility
160(15)
UNIT THREE Pregnancy
Genetics, Conception, and Fetal Development
175(33)
Genetics
176(12)
Genomics
176(1)
Relevance of genetics to nursing
176(1)
Genetic history-taking and genetic counseling services
177(1)
Ethical considerations
177(1)
The human genome project
178(2)
Management of genetic disorders
180(1)
Genes and chromosomes
180(1)
Chromosomal abnormalities
181(1)
Patterns of genetic transmission
182(4)
Nongenetic factors influencing development
186(2)
Conception
188(3)
Cell division
188(1)
Gametogenesis
188(1)
Conception
189(1)
Fertilization
189(1)
Implantation
190(1)
The embryo and fetus
191(17)
Primary germ layers
191(1)
Development of the embryo
191(1)
Membranes
191(1)
Amniotic fluid
192(1)
Yolk sac
192(1)
Umbilical cord
192(1)
Placenta
193(2)
Fetal maturation
195(5)
Multifetal pregnancy
200(8)
Anatomy and Physiology of Pregnancy
208(23)
Gravidity and parity
209(1)
Pregnancy tests
210(1)
Adaptations to pregnancy
211(20)
Signs of pregnancy
211(1)
Reproductive system and breasts
211(6)
General body systems
217(14)
Nursing Care during Pregnancy
231(57)
Diagnosis of pregnancy
232(1)
Signs and symptoms
232(1)
Estimating date of birth
232(1)
Adaptation to pregnancy
233(41)
Maternal adaptation
233(3)
Paternal adaptation
236(2)
Sibling adaptation
238(1)
Grandparent adaptation
239(14)
Care paths
253(21)
Variations in prenatal care
274(4)
Cultural influences
274(1)
Age differences
275(3)
Childbirth and perinatal education
278(2)
Perinatal care choices
279(1)
Childbirth education programs
279(1)
Options for care providers
280(8)
Physicians
280(1)
Nurse-midwives
280(1)
Doulas
280(1)
Birth setting choices
281(7)
Maternal and Fetal Nutrition
288(28)
Nutrient needs before conception
289(1)
Nutrient needs during pregnancy
290(12)
Energy needs
290(4)
Protein
294(1)
Fluids
295(2)
Minerals and vitamins
297(4)
Other nutritional issues during pregnancy
301(1)
Nutrient needs during lactation
302(14)
UNIT FOUR Childbirth
Labor and Birth Processes
316(21)
Factors affecting labor
317(11)
Passenger
317(4)
Passageway
321(3)
Powers
324(2)
Position of the laboring woman
326(2)
Process of labor
328(4)
Signs preceding labor
328(1)
Onset of labor
328(1)
Stages of labor
329(1)
Mechanism of labor
329(3)
Physiologic adaptation to labor
332(5)
Fetal adaptation
332(1)
Maternal adaptation
333(4)
Management of Discomfort
337(31)
Discomfort during labor and birth
338(3)
Neurologic origins
338(1)
Factors influencing pain response
338(3)
Nonpharmacologic management of discomfort
341(8)
Childbirth preparation methods
341(1)
Specific strategies
342(7)
Pharmacologic management of discomfort
349(19)
Sedatives
349(1)
Analgesia and anesthesia
349(19)
Fetal Assessment during Labor
368(25)
Basis for monitoring
369(1)
Fetal response
369(1)
Uterine activity
369(1)
Fetal compromise
369(1)
Monitoring techniques
370(4)
Intermittent auscultation
370(1)
Electronic fetal monitoring
371(3)
Fetal heart rate patterns
374(19)
Baseline fetal heart rate
374(2)
Changes in fetal heart rate
376(17)
Nursing Care during Labor and Birth
393(61)
First stage of labor
394(35)
Second stage of labor
429(17)
Third stage of labor
446(8)
Placental separation and expulsion
446(2)
Maternal physical status
448(1)
Care of the family
448(6)
UNIT FIVE Postpartum Period
Maternal Physiologic Changes
454(12)
Reproductive system and associated structures
455(2)
Uterus
455(1)
Cervix
456(1)
Vagina and perineum
457(1)
Endocrine system
457(1)
Placental hormones
457(1)
Pituitary hormones and ovarian function
458(1)
Abdomen
458(1)
Urinary system
458(2)
Urine components
458(1)
Postpartal diuresis
458(1)
Urethra and bladder
458(2)
Gastrointestional system
460(1)
Appetite
460(1)
Bowel evacuation
460(1)
Breasts
460(1)
Breastfeeding mothers
460(1)
Nonbreastfeeding mothers
460(1)
Cardiovascular system
460(2)
Blood volume
460(1)
Cardiac output
461(1)
Vital signs
461(1)
Blood components
462(1)
Varicosities
462(1)
Neurologic system
462(1)
Musculoskeletal system
462(1)
Integumentary system
463(1)
Immune system
463(3)
Nursing Care during the Fourth Trimester
466(30)
Fourth stage of labor
467(5)
Physical assessment
467(1)
Postanesthesia recovery
467(5)
Transfer from the recovery area
472(1)
Discharge---before 24 hours and after 48 hours
472(1)
Laws relating to discharge
472(1)
Criteria for discharge
472(1)
Physical needs
473(12)
Psychosocial needs
485(3)
Discharge teaching
488(8)
Self-care, signs of complications
488(1)
Sexual activity and contraception
488(1)
Prescribed medications
489(1)
Routine mother and baby checkups
489(1)
Follow-up after discharge
490(6)
Transition to Parenthood
496(35)
Parental attachment, bonding, and acquaintance
497(4)
Assessment of attachment behaviors
499(2)
Parent-infant contact
501(1)
Early contact
501(1)
Extended contact
501(1)
Communication between parent and infant
501(2)
The senses
501(1)
Entrainment
502(1)
Biorhythmicity
502(1)
Reciprocity and synchrony
502(1)
Parental role after childbirth
503(6)
Transition to parenthood
503(1)
Parental tasks and responsibilities
504(1)
Maternal adjustment
504(4)
Paternal adjustment
508(1)
Factors influencing parental response
509(3)
Age
509(2)
Culture
511(1)
Socioeconomic conditions
512(1)
Personal aspirations
512(1)
Parental sensory impairment
512(1)
Visually impaired parent
512(1)
Hearing-impaired parent
512(1)
Sibling adaptation
513(1)
Grandparent adaptation
514(2)
Practical suggestions for the first weeks at home
516(15)
UNIT SIX The Newborn
Physiologic and Behavioral Adaptations
531(28)
Transition to extrauterine life
532(1)
Physiologic adaptations
532(22)
Respiratory system
532(1)
Cardiovascular system
533(3)
Hematopoietic system
536(1)
Thermogenic system
536(2)
Renal system
538(1)
Gastrointestinal system
538(3)
Hepatic system
541(2)
Immune system
543(1)
Integumentary system
544(2)
Reproductive system
546(1)
Skeletal system
547(2)
Neuromuscular system
549(5)
Behavioral characteristics
554(5)
Sleep-wake states
554(1)
Other factors influencing newborn behavior
554(1)
Sensory behaviors
555(1)
Response to environmental stimuli
556(3)
Assessment and Care of the Newborn
559(58)
From birth through the first 2 hours
560(19)
From 2 hours after birth until discharge
579(22)
Neonatal pain
601(3)
Assessment
602(1)
Management of neonatal pain
602(2)
Discharge planning and teaching
604(13)
Temperature
604(1)
Respirations
604(2)
Feeding schedules
606(1)
Elimination
606(1)
Positioning and holding
606(1)
Rashes
607(1)
Nail care
607(1)
Clothing
607(1)
Sleeping
607(1)
Safety: use of car seat
608(1)
Nonnutritive sucking
608(1)
Sponge bathing, cord care, and skin care
609(1)
Infant follow-up care
609(8)
Newborn Nutrition and Feeding
617(31)
Recommended infant nutrition
618(1)
Breastfeeding rates
618(1)
Benefits of breastfeeding
618(1)
Choosing an infant feeding method
619(2)
Cultural influences on infant feeding
620(1)
Nutrient needs
621(2)
Fluids
621(1)
Energy
622(1)
Carbohydrate
622(1)
Fat
622(1)
Protein
622(1)
Vitamins
622(1)
Minerals
622(1)
Anatomy and physiology of lactation
623(3)
Breast development
623(1)
Lactogenesis
623(2)
Uniqueness of human milk
625(1)
The breastfeeding mother and infant
626(12)
Formula feeding
638(10)
Parent education
638(10)
UNIT SEVEN Complications of Childbearing
Assessment for Risk Factors
648(25)
Definition and scope of the problem
649(3)
Maternal health problems
649(1)
Fetal and neonatal health problems
649(1)
Regionalization of health care services
649(1)
Assessment of risk factors
650(2)
Antepartum testing: biophysical assessment
652(8)
Daily fetal movement count
652(3)
Ultrasonography
655(5)
Magnetic resonance imaging
660(1)
Biochemical assessment
660(5)
Amniocentesis
660(2)
Chorionic villus sampling
662(1)
Percutaneous umbilical blood sampling
663(1)
Maternal assays
663(2)
Antepartal assessment using electronic fetal monitoring
665(8)
Indications
665(1)
Fetal responses to hypoxia and asphyxia
666(1)
Nonstress test
666(1)
Vibroacoustic stimulation
667(1)
Contraction stress test
668(1)
Nursing role in antepartal assessment for risk
668(5)
Pregnancy at Risk: Preexisting Conditions
673(42)
Metabolic disorders
674(17)
Diabetes mellitus
674(1)
Pregestational diabetes mellitus
675(11)
Gestational diabetes mellitus
686(3)
Thyroid disorders
689(1)
Nursing care
690(1)
Maternal phenylketonuria
691(1)
Cardiovascular disorders
691(8)
Peripartum cardiomyopathy
692(1)
Rheumatic heart disease
692(1)
Mitral valve stenosis
692(1)
Mitral valve prolapse
693(1)
Infective endocarditis
693(1)
Eisenmenger syndrome
693(1)
Atrial septal defect
693(1)
Tetralogy of Fallot
693(1)
Marfan syndrome
693(1)
Heart transplantation
694(5)
Anemia
699(2)
Iron deficiency anemia
700(1)
Folate deficiency
700(1)
Sickle cell hemoglobinopathy
701(1)
Thalassemia
701(1)
Pulmonary disorders
701(1)
Asthma
701(1)
Cystic fibrosis
702(1)
Integumentary disorders
702(1)
Neurologic disorders
702(1)
Epilepsy
703(1)
Multiple sclerosis
703(1)
Bell's palsy
703(1)
Autoimmune disorders
703(1)
Systemic lupus erythematosus
704(1)
Gastrointestinal disorders
704(1)
Cholelithiasis and cholecystitis
704(1)
Inflammatory bowel disease
705(1)
HIV and AIDS
705(1)
Preconception counseling
705(1)
Pregnancy risks
705(1)
Substance abuse
706(9)
Pregnancy at Risk: Gestational Conditions
715(54)
Hypertension in pregnancy
716(19)
Significance and incidence
716(1)
Classification
717(2)
Etiology
719(1)
Pathophysiology
719(16)
Hyperemesis gravidarum
735(2)
Etiology
736(1)
Clinical manifestations
736(1)
Collaborative care
736(1)
Hemorrhagic complications
737(18)
Early pregnancy bleeding
737(11)
Late pregnancy bleeding
748(7)
Clotting disorders in pregnancy
755(1)
Normal clotting
755(1)
Clotting problems
755(1)
Infections acquired during pregnancy
756(2)
Sexually transmitted infections
756(1)
TORCH infections
756(2)
Surgical emergencies during pregnancy
758(2)
Appendicitis
759(1)
Intestinal obstructions
760(1)
Gynecologic problems
760(1)
Collaborative care
760(1)
Trauma during pregnancy
760(9)
Significance
761(1)
Etiology
761(1)
Clinical manifestations
761(1)
Penetrating abdominal trauma
762(1)
Thoracic trauma
762(1)
Collaborative care
762(7)
Labor and Birth at Risk
769(50)
Preterm labor and birth
770(10)
Preterm birth versus low birth weight
770(1)
Predicting preterm labor and birth
771(9)
Preterm premature rupture of membranes
780(2)
Collaborative care
780(2)
Dystocia
782(26)
Dysfunctional labor
782(3)
Alterations in pelvic structure
785(1)
Fetal causes
785(4)
Position of the woman
789(1)
Psychologic responses
789(19)
Postterm pregnancy, labor, and birth
808(2)
Maternal and fetal risks
808(1)
Collaborative care
809(1)
Obstetric emergencies
810(9)
Shoulder dystocia
810(1)
Prolapsed umbilical cord
811(1)
Rupture of the uterus
811(2)
Amniotic fluid embolism
813(6)
Postpartum Complications
819(29)
Postpartum hemorrhage
820(5)
Definition and incidence
820(1)
Etiology and risk factors
820(1)
Uterine atony
820(1)
Lacerations of the genital tract
821(1)
Retained placenta
821(1)
Inversion of the uterus
821(1)
Subinvolution of the uterus
822(3)
Hemorrhagic (hypovolemic) shock
825(2)
Medical management
825(1)
Nursing interventions
825(2)
Fluid or blood replacement therapy
827(1)
Coagulopathies
827(1)
Idiopathic thrombocytopenic purpura
827(1)
von Willebrand disease
827(1)
Disseminated intravascular coagulation
828(1)
Thromboembolic disease
828(2)
Incidence and etiology
828(1)
Clinical manifestations
828(1)
Medical management
829(1)
Nursing interventions
829(1)
Postpartum infections
830(2)
Endometritis
830(1)
Wound infections
830(1)
Urinary tract infections
830(1)
Mastitis
831(1)
Sequelae of childbirth trauma
832(4)
Uterine displacement and prolapse
832(1)
Cystocele and rectocele
833(1)
Urinary incontinence
834(1)
Genital fistulas
834(2)
Postpartum psychologic complications
836(12)
Mood disorders
836(8)
Postpartum onset of panic disorder
844(4)
The Newborn at Risk: Problems Related to Gestational Age
848(38)
The preterm infant
849(21)
Growth and development potential
853(1)
Parental adaptation to preterm infant
854(16)
Complications associated with prematurity
870(6)
Respiratory distress syndrome
870(1)
Patent ductus arteriosus
871(3)
Periventricular-intraventricular hemorrhage
874(1)
Necrotizing enterocolitis
874(1)
Complications of oxygen therapy
875(1)
Chronic lung disease
875(1)
The postmature infant
876(1)
Meconium aspiration syndrome
876(1)
Persistent pulmonary hypertension of the newborn
876(1)
Other problems related to gestation
877(3)
Small-for-gestational-age infants and intrauterine growth restriction
877(1)
Large-for-gestational-age infants
878(1)
Infants of diabetic mothers
878(2)
Discharge planning
880(1)
Transport of high risk infants
881(5)
Transport to a regional center
881(1)
Transport from a regional center
882(4)
The Newborn at Risk: Acquired and Congenital Problems
886(46)
Birth trauma
887(3)
Skeletal injuries
887(1)
Peripheral nervous system injuries
888(2)
Central nervous system injuries
890(1)
Neonatal infections
890(10)
Sepsis
890(4)
Torch infections
894(5)
Parvovirus B19
899(1)
Bacterial infections
899(1)
Fungal infections
900(1)
Substance abuse
900(11)
Alcohol
901(2)
Tobacco
903(1)
Marijuana
903(1)
Cocaine
903(1)
Phencyclidine (``angel dust'')
904(1)
Heroin
904(2)
Methadone
906(1)
Miscellaneous substances
906(5)
Hemolytic disorders
911(1)
Hemolytic disease of the newborn
911(1)
Collaborative care
912(1)
Exchange transfusion
912(1)
Congenital anomalies
912(13)
Central nervous system anomalies
913(2)
Cardiovascular system anomalies
915(1)
Respiratory system anomalies
915(3)
Gastrointestinal system anomalies
918(3)
Musculoskeletal system anomalies
921(2)
Genitourinary system anomalies
923(2)
Collaborative care
925(7)
Genetic diagnosis
925(1)
Newborn screening
925(1)
Cytogenetic studies
926(1)
Dermatoglyphics
926(1)
Interventions
926(6)
Perinatal Loss and Grief
932(24)
Grief responses
933(18)
Acute distress
934(1)
Intense grief
935(3)
Reorganization
938(1)
Family aspects of grief: grandparents and siblings
939(12)
Special losses
951(1)
Prenatal diagnoses with negative outcome
951(1)
Loss of one in a multiple birth
952(1)
Adolescent grief
952(1)
Complicated bereavement
952(4)
Glossary 956

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