Maternity Nursing Care

by Littleton-Gibbs, Lynna Y.; Engebretson, Joan

• ISBN13: 9781401811921
• ISBN10: 1401811922
• Edition: 1st
• Format: Hardcover
• Copyright: 2004-10-14
• Publisher: CENGAGE Delmar Learning

Summary

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

Preface	p. xii
Contributors	p. xv
Reviewers	p. xviii
Acknowledgments	p. xx
About the Authors	p. xxi
How to Use This Text	p. xxii
How to Use Online Companion	p. xxvii
Foundations of Maternal, Neonatal, and Women's Health Nursing
Nursing in the Contemporary Health Care System	p. 3
Current State of Health Care Delivery	p. 4
Nursing Skills for Professional Practice	p. 9
Changes Reflected in Maternal, Neonatal, and Women's Health Care	p. 9
Trends in Maternal, Neonatal, and Women's Health Care	p. 11
Understanding Women's Health	p. 13
Issues Related to the Care of Women and Infants	p. 14
Nursing Implications	p. 18
Theoretical Perspectives on the Childbearing Family	p. 23
Families Are Systems of Function and Structure	p. 24
The Childbearing Family	p. 28
Nursing Implications	p. 31
Nursing Implications	p. 38
Nursing Process	p. 38
Case Study/Care Plan	p. 42
Complementary and Alternative Therapies	p. 47
Contemporary Use of Complementary Therapies	p. 48
Differentiating Alternative from Complementary Therapies	p. 50
Background and Classification of Modalities	p. 50
Complementary Modalities	p. 53
Nursing Implications	p. 67
Nursing Process	p. 70
Case Study/Care Plan	p. 71
Ethics, Laws, and Standards of Care	p. 77
Ethical Issues	p. 79
Case Study/Care Plan	p. 88
Legal Issues	p. 92
Health Care of Women across the Life Span
Promoting Women's Health	p. 103
Women's Development across the Life Span	p. 104
Women's Nutrition across the Life Span	p. 115
Violence and Abuse against Women	p. 126
Health Care Issues and Reproductive Concerns	p. 137
Historical Perspective of Women's Health	p. 138
Demographic Data for American Women	p. 141
Mortality and Morbidity	p. 143
Case Study/Care Plan	p. 151
Age-Specific Issues	p. 158
Health Promotion and Disease Prevention	p. 160
Women's Health Conditions	p. 162
Case Study/Care Plan	p. 181
Human Reproduction
Reproduction, Sexuality, Infertility, and Family Planning	p. 191
Normal Sexual Differentiation	p. 193
Sexuality	p. 197
Sexual Dysfunction	p. 202
Infertility	p. 203
Family Planning	p. 212
Genetics and Genetic Counseling	p. 239
Chromosomal Basis of Inheritance	p. 241
Gene Structure and Function	p. 245
Single-Gene (Mendelian) Inheritance	p. 246
Polygenic and Multifactorial Inheritance	p. 250
Single-Gene Disorders	p. 250
Chromosome Abnormalities	p. 255
Genetic Screening	p. 258
Genetic Counseling	p. 259
Nursing Implications	p. 262
Pregnancy
Normal Pregnancy	p. 269
Signs of Pregnancy	p. 270
Expected Date of Delivery	p. 273
Physiologic Adaptation to Pregnancy	p. 273
Discomforts of Pregnancy	p. 286
Psychosocial Adaptations to Pregnancy	p. 293
Cultural Caring	p. 298
Complementary Therapies	p. 300
Nursing Process	p. 300
Case Study/Care Plan	p. 302
Nursing Care of the Pregnant Woman	p. 307
Benefits of Early Care	p. 308
Preconception Care	p. 309
Prenatal Care	p. 309
Education of the Childbearing Family	p. 325
Managing the Discomforts of Pregnancy	p. 335
Case Study/Care Plan	p. 338
Nursing Process	p. 339
Management and Nursing Care of High-Risk Clients	p. 343
Hemorrhagic Disorders	p. 344
Placental Abnormalities	p. 347
Labor Disorders	p. 350
Disorders of Amniotic Fluid Volume	p. 353
High Risk Fetal Conditions	p. 354
Hypertension	p. 356
Endocrine Disorders	p. 361
Cardiovascular Disorders	p. 364
Pulmonary Disorders	p. 365
Hematologic Disorders	p. 367
Neurologic Disorders	p. 368
Nursing Implications	p. 370
Pregnancy in HIV-Infected Women	p. 371
Pregnancy in Adolescence	p. 376
Case Study/Care Plan	p. 377
Case Study/Care Plan	p. 387
Fetal Development and Well-Being	p. 397
Cell Division	p. 398
Fertilization and Implantation	p. 399
Placenta	p. 401
Umbilical Cord	p. 405
Membranes and Amniotic Fluid	p. 405
Embryonic Stage	p. 405
Fetal Stage	p. 410
Risks Affecting Fetal Well-Being	p. 412
Nursing Process	p. 421
Case Study/Care Plan	p. 423
Evaluation of Fetal Well-Being	p. 426
Genetic and Biochemical Evaluation	p. 429
Nursing Process	p. 443
Case Study/Care Plan	p. 446
Childbirth
Processes of Labor and Delivery: Analgesia and Anesthesia	p. 453
Physiology of Labor	p. 454
Signs and Symptoms of Impending Labor	p. 462
Stages of Labor	p. 462
Interventions of Labor	p. 466
Maternal Adaptations to Labor	p. 479
Fetal Adaptations to Labor	p. 480
History of Analgesia for Childbirth	p. 481
Theories of Pain and Pain Management	p. 481
Analgesia and Anesthesia	p. 482
Pain in Labor and Delivery	p. 482
Analgesia in Labor	p. 484
Anesthesia for Delivery	p. 491
Postdelivery Care for the Client Receiving Anesthesia	p. 499
Nursing Care of the Intrapartal Family	p. 505
Assessment of Physiologic Process of Labor	p. 507
General Systems Assessment	p. 523
Setting Priorities and Making Decisions	p. 526
Maternal-Family Support and Interactions	p. 526
Psychologic Considerations during the Latent Phase of Labor	p. 527
Documentation and Communication	p. 528
Laboratory Tests	p. 528
Nursing Responsibilities during Labor	p. 528
Case Study/Care Plan	p. 570
High-Risk Births and Obstetric Emergencies	p. 575
Dysfunctional Labor Pattern	p. 577
Fetal Malpresentation and Malposition	p. 584
Case Study/Care Plan	p. 590
Maternal and Fetal Structural Abnormalities	p. 592
Multuple Gestation	p. 596
Fetal Distress	p. 598
Uterine Rupture	p. 599
Placental Abnormalities	p. 600
Umbilical Cord Anomalies	p. 603
Amniotic Fluid Abnormalities	p. 605
Postpartum Nursing Care
Nursing Care of the Low-Risk Postpartum Family	p. 617
Postpartum Care	p. 618
Clinical Assessment	p. 621
Other Assessments	p. 638
Family Considerations	p. 645
Discharge Preparation	p. 652
Nursing Implications	p. 653
Nursing Process	p. 654
Case Study/Care Plan	p. 655
Complications of Postpartum and Neonatal Loss	p. 661
Postpartum Physical Complications	p. 662
Case Study/Care Plan	p. 671
Postpartum Psychologic Disorders	p. 674
Nursing Implications and Preparation for Discharge	p. 675
Losses in the Postpartum Period	p. 677
Nursing Process	p. 685
Case Study/Care Plan	p. 686
Lactation and Newborn Nutrition	p. 691
Infant Nutrition	p. 692
Growth and Development	p. 693
Breastfeeding	p. 698
Commercial Infant Formula Feeding	p. 724
Nursing Process	p. 729
Case Study/Care Plan	p. 731
Newborn Development and Nursing Care
Transition to Extrauterine Life	p. 741
Physiologic Transitions of Major Systems	p. 742
Neurobehavioral Transition in the First 12 Hours	p. 748
Complications of Transition	p. 751
Case Study/Care Plan	p. 755
Transition of the Premature Infant	p. 756
Resuscitation and Stabilization in the Delivery Room	p. 758
Nursing Care of the Normal Newborn	p. 763
Assessment after Transition	p. 765
General Assessment	p. 769
Physical Examination	p. 773
Photo Story: A Circumcision Story	p. 802
Additional Assessments	p. 810
Factors That Place the Infant at Risk	p. 813
Nursing Implications	p. 815
Care of Newborns at Risk Related to Birth Weight and Premature Delivery	p. 821
The Small for Gestational Age Infant	p. 823
The Large for Gestational Age Infant	p. 825
The Premature Infant	p. 825
Special Considerations in Caring for the Infant at High Risk	p. 838
Neonatal Transport	p. 863
Discharge Planning	p. 864
Case Study/Care Plan	p. 866
Care of Newborns at Risk Related to Congenital and Acquired Conditions	p. 873
Congenital Anomalies	p. 874
Acquired Disorders	p. 889
Neonatal Infections	p. 895
Family Experiences	p. 896
Nursing Process	p. 896
Case Study/Care Plan	p. 898
American Holistic Nurses Association's Standards of Holistic Nursing Practice	p. 903
Abbreviations, Acronyms, and Symbols	p. 909
Glossary	p. 915
Index	p. 937
Table of Contents provided by Rittenhouse. All Rights Reserved.