AWHONN's Perinatal Nursing

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  • Edition: 4th
  • Format: Paperback
  • Copyright: 2013-06-06
  • Publisher: LWW

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An official publication of the Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN), Perinatal Nursing, Fourth Edition presents up-to-date information based on the most rigorous evidence and offers suggestions for best practices. This new edition of the authoritative, comprehensive text used by perinatal nurses worldwide features a wealth of new content to keep practice current.

You’ll reach for this highly practical resource for: expanded coverage of high-risk pregnancy, from bleeding in pregnancy to preterm labor and birth, diabetes, cardiac disease, pulmonary complications, multiple gestation, and maternal-fetal transport. And, you'll expertly manage today's broader scope of perinatal nursing with . . . an all-new chapter on obesity in pregnancy covers risks to the mother and fetus, care from preconception to postpartum, as well as bariatric surgery. And, an expanded chapter on newborn nutrition includes new sections on the infant feeding decision, benefits of breastfeeding, nutritional components, and preterm milk and lactation. New chapters related to patient safety and the development of a highly reliable perinatal unit, inform nurses how to conduct team training and drills for obstetric emergencies, create checklists, and effectively handoff patients.

Two experienced perinatal nurses team with the prestigious Association of Women’s Health, Obstetric and Neonatal Nurses and more than 70 contributors and reviewers for an unbiased perspective. You’ll know the best evidence and latest standards for all areas of your perinatal practice by drawing on a wealth of wisdom gathered into the brand new edition of AWHONN’s Perinatal Nursing, 4th edition.

Table of Contents


Chapter 1 - Perinatal Patient Safety and Professional Liability Issues

Perinatal High Reliability


Shared Philosophy of Care

Professional Behavior

Common Areas of Liability and Patient Harm in Clinical Practice

Conflict Resolution

Team Training and Drills for Obstetric Emergencies

Patient Handoffs


Medical Record Documentation

Incident Management

Methods of Measuring Patient Safety

Perinatal Patient Safety Nurses



Chapter 2 - Integrating Cultural Beliefs and Practices When Caring for Childbearing Women and Families

Cultural Frameworks and Cultural Assessment Tools

Practices Associated with Childbearing

Gender Roles

Childbirth Pain and Culture

Major Cultural Groups

Health Differences in Populations of Childbearing Women

Barriers to Culturally Competent Care

Techniques to Integrate Culture into Nursing Care



Chapter 3 - Physiologic Changes of Pregnancy

Hormones and Other Mediators

Cardiovascular System

Respiratory System

Renal System

Gastrointestinal System

Metabolic Changes

Endocrine System

Immune System

Integumentary System

Reproductive Organs


Chapter 4 - Antenatal Care

Preconception Care

Prenatal Care

Prenatal Risk Assessment

Ongoing Prenatal Care

Fetal Surveillance

Nursing Assessment and Interventions



Chapter 5 - Hypertensive Disorders of Pregnancy

Classification and Definitions

Significance and Incidence

Morbidity and Mortality

Risk Factors

Prevention Strategies

Pathophysiology of Preeclampsia

Clinical Manifestations of Preeclampsia–Eclampsia

Preeclampsia versus Severe Preeclampsia

Nursing Assessment and Interventions for Preeclampsia

HELLP Syndrome




Chapter 6 - Bleeding in Pregnancy

Significance and Incidence

Definitions and Clinical Manifestations

Nursing Interventions



Chapter 7 - Preterm Labor and Birth

Significance and Incidence

Late Preterm Births

Early Term Births

Why Has the Rate of Preterm Birth Increased?

What Is Preterm Labor?

Pathophysiology of Preterm Labor and Birth

Risk Factors for Preterm Labor and Birth

Preterm Birth Risk in the Context of the Life Course

Can Preterm Labor and Birth Be Prevented?

Is There Any Good News?

Nursing Care for the Prevention of Preterm Birth

Intrapartum Nursing Care of the Woman in Preterm Labor



Chapter 8 - Diabetes in Pregnancy

Significance and Incidence

Definitions and Classification

Pathophysiology of Diabetes in Pregnancy

Screening and Diagnosis of Gestational Diabetes Mellitus

Clinical Manifestations

Nursing Assessments and Interventions for Diabetes Mellitus

Ambulatory and Home Care Management

Timing and Mode of Birth

Inpatient Management

Postpartum Management



Chapter 9 - Cardiac Disease in Pregnancy

Significance and Incidence

Cardiovascular Physiology

Cardiac Adaptations of Pregnancy

Obstetric Outcomes and Assessment of Risk

Congenital Heart Disease in Pregnancy

Acquired Cardiac Disease in Pregnancy

Clinical Management

Nursing Care



Chapter 10 - Pulmonary Complications in Pregnancy

Anatomic and Physiologic Changes of Pregnancy That Affect the Respiratory System

Recognizing Respiratory Compromise

Fetal Surveillance with Maternal Pulmonary Complications



Influenza and H1N1

Pulmonary Edema

Amniotic Fluid Embolism

Venous Thromboembolism

Cystic Fibrosis

Special Considerations for the Respiratory System in Pregnancy



Chapter 11 - Multiple Gestation


Physiology of Twinning

Role of Infertility and Assisted Reproductive Technology

Diagnosis of Multiple Gestations

Maternal Adaptation

Perinatal Complications

Antepartum Management

Intrapartum Management

Postpartum Management

Multiple Birth Infants

Psychologic Issues with Multiple Gestations

Multiple Birth Resources and Support Organizations



Chapter 12 - Obesity in Pregnancy

Significance and Incidence

Obesity Related Risks to the Mother and Fetus

Preconception Care       

Antenatal care

Intrapartum care

Intraoperative care

Postpartum Care           

Bariatric Surgery and Pregnancy



Chapter 13 - Maternal-Fetal Transport


Types of Maternal-Fetal Transport

Mode of Transport

Transport Equipment

Transport Personnel

Transport Plan and Patient Preparation



Chapter 14 - Labor and Birth

Overview of Labor and Birth

Emotional and Physical Support during Labor and Birth

Clinical Interventions for Women in Labor

Vaginal Birth

Cesarean Birth



Chapter 15 - Fetal Assessment during Labor

Historical Perspectives

Definitions and Appropriate Use of Terms Describing Fetal Heart Rate Patterns

Techniques of Fetal Heart Rate Monitoring

Physiologic Basis for Fetal Heart Rate Monitoring

Characteristics of the Normal Fetal Heart Rate

Interventions for Indeterminate or Abnormal Fetal Heart Rate Patterns

Fetal Heart Rate Patterns

Clinical Implications for Monitoring the Fetus Less than 32 weeks Gestation during Labor

Assessment of Pattern Evolution

Ancillary Methods for Assessing Fetal Acid-Base Status

Nursing Assessment and Management Strategies

Issues in the Use of Fetal Heart Rate Monitoring During Labor



Chapter 16 - Pain in Labor: Nonpharmacologic and Pharmacologic Management

Physiologic Basis for Pain

Psychosocial Factors Influencing Pain Perception

The Nonpharmacologic Model

The Pharmacologic Model



Chapter 17 - Postpartum Care

Planning for the Transition to Parenthood

Anatomic and Physiologic Changes during the Postpartum Period

Individualizing Care for Women with Special Needs

Postpartum Learning—Needs Assessment and Education

Psychological Adaptation to the Postpartum Period


Family Transition to Parenthood

Postpartum Discharge Follow-up

Evaluation of Postpartum Services



Chapter 18 - Newborn Adaptation to Extrauterine Life

Maternal Medical and Obstetric Conditions Influencing Newborn Adaptation

Unique Mechanisms of Newborn Physiologic Adaptation


Physical Assessment

Newborn Identification

Vitamin K

Eye Prophylaxis

Umbilical Cord Care

Psychological Adaptation

Complications Affecting Transition

Hepatitis B



Chapter 19 - Newborn Physical Assessment

Gestational Age Assessment

Skin Assessment

Head Assessment

Eye Assessment

Ear Assessment

Nose Assessment

Mouth Assessment

Neck Assessment

Chest and Lung Assessment

Cardiovascular Assessment

Abdominal Assessment

Genitourinary System

Musculoskeletal Assessment

Neurological Assessment



Chapter 20 - Newborn Nutrition

Infant Feeding Decision

Benefits of Breastfeeding

Incidence of Breastfeeding

Breastfeeding Promotion

Physiology of Milk Production

Biospecificity of Human Milk

Nutritional Components

Preterm Milk and Lactation

Breastfeeding Process

Breastfeeding Management

Potential Breastfeeding Problems

Medications and Breastfeeding

Postpartum Surgery and Breastfeeding

Formula Feeding

Lactation Suppression



Chapter 21 - Common Neonatal Complications

Neonatal Resuscitation and Stabilization

Respiratory Distress

Congenital Heart Disease



Neonatal Sepsis

Perinatal Human Immune Deficiency Infection

Neonatal Substance Exposure

Late Preterm Infants

Hypoxic Ischemic Encephalopathy

Transport and Return Transport




Item Bank Questions and Answer Key

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