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Maternity Nursing Care,9781401811921
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Maternity Nursing Care



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Pub. Date:
CENGAGE Delmar Learning
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This is the 1st edition with a publication date of 10/14/2004.

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  • Maternity Nursing Care
    Maternity Nursing Care
  • Maternity Nursing Care, 1st Edition
    Maternity Nursing Care, 1st Edition
  • Student Study Guide to Accompany Maternity Nursing Care
    Student Study Guide to Accompany Maternity Nursing Care
  • Student Study Guide for Littleton/Engebretson's Maternity Nursing Care, 2nd
    Student Study Guide for Littleton/Engebretson's Maternity Nursing Care, 2nd


Only have time for the essentials? Maternity Nursing Care provides the core components of safe nursing practice for the obstetric client through application of the nursing process. Chronologically organized, the book covers women's health, pregnancy care, labor and childbirth, postpartum care, and newborn development. Both normal and high-risk pregnancy situations are addressed, including appropriate nursing considerations. Through prioritization of health promotion, emphasizing "care" over "treatment", and fostering the nurse-client relationship, the perspective is uniquely geared to the nurse. Essentially, this is the resource of choice for maternity nursing.

Author Biography

Lynna Y. Littleton, RNC, PhD University of Texas Health Science Center at Houston Joan C. Engebretson, RN, HNC, DrPH University of Texas Health Science Center at Houston

Table of Contents

Prefacep. xii
Contributorsp. xv
Reviewersp. xviii
Acknowledgmentsp. xx
About the Authorsp. xxi
How to Use This Textp. xxii
How to Use Online Companionp. xxvii
Foundations of Maternal, Neonatal, and Women's Health Nursing
Nursing in the Contemporary Health Care Systemp. 3
Current State of Health Care Deliveryp. 4
Nursing Skills for Professional Practicep. 9
Changes Reflected in Maternal, Neonatal, and Women's Health Carep. 9
Trends in Maternal, Neonatal, and Women's Health Carep. 11
Understanding Women's Healthp. 13
Issues Related to the Care of Women and Infantsp. 14
Nursing Implicationsp. 18
Theoretical Perspectives on the Childbearing Familyp. 23
Families Are Systems of Function and Structurep. 24
The Childbearing Familyp. 28
Nursing Implicationsp. 31
Nursing Implicationsp. 38
Nursing Processp. 38
Case Study/Care Planp. 42
Complementary and Alternative Therapiesp. 47
Contemporary Use of Complementary Therapiesp. 48
Differentiating Alternative from Complementary Therapiesp. 50
Background and Classification of Modalitiesp. 50
Complementary Modalitiesp. 53
Nursing Implicationsp. 67
Nursing Processp. 70
Case Study/Care Planp. 71
Ethics, Laws, and Standards of Carep. 77
Ethical Issuesp. 79
Case Study/Care Planp. 88
Legal Issuesp. 92
Health Care of Women across the Life Span
Promoting Women's Healthp. 103
Women's Development across the Life Spanp. 104
Women's Nutrition across the Life Spanp. 115
Violence and Abuse against Womenp. 126
Health Care Issues and Reproductive Concernsp. 137
Historical Perspective of Women's Healthp. 138
Demographic Data for American Womenp. 141
Mortality and Morbidityp. 143
Case Study/Care Planp. 151
Age-Specific Issuesp. 158
Health Promotion and Disease Preventionp. 160
Women's Health Conditionsp. 162
Case Study/Care Planp. 181
Human Reproduction
Reproduction, Sexuality, Infertility, and Family Planningp. 191
Normal Sexual Differentiationp. 193
Sexualityp. 197
Sexual Dysfunctionp. 202
Infertilityp. 203
Family Planningp. 212
Genetics and Genetic Counselingp. 239
Chromosomal Basis of Inheritancep. 241
Gene Structure and Functionp. 245
Single-Gene (Mendelian) Inheritancep. 246
Polygenic and Multifactorial Inheritancep. 250
Single-Gene Disordersp. 250
Chromosome Abnormalitiesp. 255
Genetic Screeningp. 258
Genetic Counselingp. 259
Nursing Implicationsp. 262
Normal Pregnancyp. 269
Signs of Pregnancyp. 270
Expected Date of Deliveryp. 273
Physiologic Adaptation to Pregnancyp. 273
Discomforts of Pregnancyp. 286
Psychosocial Adaptations to Pregnancyp. 293
Cultural Caringp. 298
Complementary Therapiesp. 300
Nursing Processp. 300
Case Study/Care Planp. 302
Nursing Care of the Pregnant Womanp. 307
Benefits of Early Carep. 308
Preconception Carep. 309
Prenatal Carep. 309
Education of the Childbearing Familyp. 325
Managing the Discomforts of Pregnancyp. 335
Case Study/Care Planp. 338
Nursing Processp. 339
Management and Nursing Care of High-Risk Clientsp. 343
Hemorrhagic Disordersp. 344
Placental Abnormalitiesp. 347
Labor Disordersp. 350
Disorders of Amniotic Fluid Volumep. 353
High Risk Fetal Conditionsp. 354
Hypertensionp. 356
Endocrine Disordersp. 361
Cardiovascular Disordersp. 364
Pulmonary Disordersp. 365
Hematologic Disordersp. 367
Neurologic Disordersp. 368
Nursing Implicationsp. 370
Pregnancy in HIV-Infected Womenp. 371
Pregnancy in Adolescencep. 376
Case Study/Care Planp. 377
Case Study/Care Planp. 387
Fetal Development and Well-Beingp. 397
Cell Divisionp. 398
Fertilization and Implantationp. 399
Placentap. 401
Umbilical Cordp. 405
Membranes and Amniotic Fluidp. 405
Embryonic Stagep. 405
Fetal Stagep. 410
Risks Affecting Fetal Well-Beingp. 412
Nursing Processp. 421
Case Study/Care Planp. 423
Evaluation of Fetal Well-Beingp. 426
Genetic and Biochemical Evaluationp. 429
Nursing Processp. 443
Case Study/Care Planp. 446
Processes of Labor and Delivery: Analgesia and Anesthesiap. 453
Physiology of Laborp. 454
Signs and Symptoms of Impending Laborp. 462
Stages of Laborp. 462
Interventions of Laborp. 466
Maternal Adaptations to Laborp. 479
Fetal Adaptations to Laborp. 480
History of Analgesia for Childbirthp. 481
Theories of Pain and Pain Managementp. 481
Analgesia and Anesthesiap. 482
Pain in Labor and Deliveryp. 482
Analgesia in Laborp. 484
Anesthesia for Deliveryp. 491
Postdelivery Care for the Client Receiving Anesthesiap. 499
Nursing Care of the Intrapartal Familyp. 505
Assessment of Physiologic Process of Laborp. 507
General Systems Assessmentp. 523
Setting Priorities and Making Decisionsp. 526
Maternal-Family Support and Interactionsp. 526
Psychologic Considerations during the Latent Phase of Laborp. 527
Documentation and Communicationp. 528
Laboratory Testsp. 528
Nursing Responsibilities during Laborp. 528
Case Study/Care Planp. 570
High-Risk Births and Obstetric Emergenciesp. 575
Dysfunctional Labor Patternp. 577
Fetal Malpresentation and Malpositionp. 584
Case Study/Care Planp. 590
Maternal and Fetal Structural Abnormalitiesp. 592
Multuple Gestationp. 596
Fetal Distressp. 598
Uterine Rupturep. 599
Placental Abnormalitiesp. 600
Umbilical Cord Anomaliesp. 603
Amniotic Fluid Abnormalitiesp. 605
Postpartum Nursing Care
Nursing Care of the Low-Risk Postpartum Familyp. 617
Postpartum Carep. 618
Clinical Assessmentp. 621
Other Assessmentsp. 638
Family Considerationsp. 645
Discharge Preparationp. 652
Nursing Implicationsp. 653
Nursing Processp. 654
Case Study/Care Planp. 655
Complications of Postpartum and Neonatal Lossp. 661
Postpartum Physical Complicationsp. 662
Case Study/Care Planp. 671
Postpartum Psychologic Disordersp. 674
Nursing Implications and Preparation for Dischargep. 675
Losses in the Postpartum Periodp. 677
Nursing Processp. 685
Case Study/Care Planp. 686
Lactation and Newborn Nutritionp. 691
Infant Nutritionp. 692
Growth and Developmentp. 693
Breastfeedingp. 698
Commercial Infant Formula Feedingp. 724
Nursing Processp. 729
Case Study/Care Planp. 731
Newborn Development and Nursing Care
Transition to Extrauterine Lifep. 741
Physiologic Transitions of Major Systemsp. 742
Neurobehavioral Transition in the First 12 Hoursp. 748
Complications of Transitionp. 751
Case Study/Care Planp. 755
Transition of the Premature Infantp. 756
Resuscitation and Stabilization in the Delivery Roomp. 758
Nursing Care of the Normal Newbornp. 763
Assessment after Transitionp. 765
General Assessmentp. 769
Physical Examinationp. 773
Photo Story: A Circumcision Storyp. 802
Additional Assessmentsp. 810
Factors That Place the Infant at Riskp. 813
Nursing Implicationsp. 815
Care of Newborns at Risk Related to Birth Weight and Premature Deliveryp. 821
The Small for Gestational Age Infantp. 823
The Large for Gestational Age Infantp. 825
The Premature Infantp. 825
Special Considerations in Caring for the Infant at High Riskp. 838
Neonatal Transportp. 863
Discharge Planningp. 864
Case Study/Care Planp. 866
Care of Newborns at Risk Related to Congenital and Acquired Conditionsp. 873
Congenital Anomaliesp. 874
Acquired Disordersp. 889
Neonatal Infectionsp. 895
Family Experiencesp. 896
Nursing Processp. 896
Case Study/Care Planp. 898
American Holistic Nurses Association's Standards of Holistic Nursing Practicep. 903
Abbreviations, Acronyms, and Symbolsp. 909
Glossaryp. 915
Indexp. 937
Table of Contents provided by Rittenhouse. All Rights Reserved.

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