Essentials Of Maternity, Newborn, And Women's Health Nursing

by Ricci, Susan Scott

• ISBN13: 9780781752206
• ISBN10: 0781752205
• Format: Hardcover
• Copyright: 2006-02-24
• Publisher: LWW

Summary

This primary "essentials textbook" is intended specifically as the course text for the standard, increasingly shortened Maternity courses. The book covers topics of importance without providing the unnecessary detail that is seen in virtually all essentials maternity texts on the market today.

Table of Contents

Unit 1 Introduction to Maternity, Newborn, and Women's Health Nursing	1	(42)
Contemporary Issues and Trends in Maternal, Newborn, and Women's Health	3	(18)
Maternal and Women's Health Care Perspectives	4	(3)
Past Trends	4	(1)
Current Trends	5	(2)
Future Trends/Needs for Women's Health	7	(1)
Health Care Indicators	7	(6)
Mortality Rates	8	(2)
The Report Card on Women's Health	10	(3)
Improving Women's Health	13	(1)
Social Issues	13	(2)
Poverty and Women	13	(1)
Barriers to Accessing Health Care	13	(2)
Violence and Women	15	(1)
Legal and Ethical Issues	15	(2)
Abortion	16	(1)
Substance Abuse	16	(1)
Fetal Therapy	16	(1)
Nursing Management	17	(4)
Community-Based Care	21	(22)
Concepts of Community	22	(1)
Community-Based Nursing	22	(4)
Community-Based Nursing Roles	23	(1)
Community-Based Nursing Interventions	23	(1)
Community-Based Nursing Challenges	23	(3)
Community-Based Nursing Care for Women and Infants	26	(4)
Prenatal Care	26	(1)
Care During Labor and Delivery	27	(1)
Postpartum and Newborn Care	28	(2)
Women's Health Care	30	(1)
Levels of Prevention in Community-Based Nursing	30	(2)
Primary Prevention	30	(1)
Secondary Prevention	31	(1)
Tertiary Prevention	31	(1)
The Nurse's Role in Community-Based Preventive Care	31	(1)
Cultural Issues in Community-Based Care	32	(11)
Characteristics of Culture	32	(1)
Culturally Competent Nursing Care	33	(4)
Complementary and Alternative Medicine	37	(1)
Types of Complementary and Alternative Medicine	37	(1)
Nursing Management	37	(6)
Unit 2 Women's Health Throughout the Lifespan	43	(166)
Anatomy and Physiology of the Reproductive System	45	(14)
Female Reproductive Anatomy and Physiology	46	(4)
Internal Female Reproductive Organs	46	(2)
External Female Reproductive Organs	48	(2)
Erection, Lubrication, and Orgasm	50	(1)
Breasts	50	(1)
The Female Reproductive Cycle	50	(4)
Ovarian Cycle	51	(2)
Endometrial Cycle	53	(1)
Menstrual Cycle Hormones	53	(1)
Male Reproductive System	54	(5)
Internal Male Reproductive Organs	54	(1)
External Male Reproductive Organs	55	(1)
Erection, Orgasm, and Ejaculation	56	(3)
Common Reproductive Issues	59	(48)
Menstrual Disorders	60	(9)
Amenorrhea	60	(1)
Dysmenorrhea	61	(3)
Dysfunctional Uterine Bleeding	64	(1)
Premenstrual Syndrome	65	(3)
Endometriosis	68	(1)
Infertility	69	(6)
Etiology and Risk Factors	69	(1)
Assessment	70	(2)
Treatment	72	(1)
Nursing Management	72	(3)
Contraception	75	(22)
Behavioral Methods	76	(8)
Barrier Methods	84	(1)
Hormonal Methods	85	(4)
Abortion	89	(2)
Sterilization	91	(1)
Nursing Management	91	(6)
Menopause	97	(4)
Assessment	98	(1)
Treatment	98	(2)
Nursing Management	100	(1)
Summary	101	(6)
Sexually Transmitted Infections	107	(20)
Infections Characterized by Vaginal Discharge	108	(3)
Vulvovaginal Candidiasis	108	(1)
Trichomoniasis	109	(1)
Bacterial Vaginosis	110	(1)
Nursing Management	110	(1)
Infections Characterized by Cervicitis	111	(2)
Chlamydia	111	(1)
Gonorrhea	111	(1)
Nursing Management	112	(1)
Infections Characterized by Genital Ulcers	113	(2)
Genital Herpes Simplex	113	(1)
Syphilis	114	(1)
Nursing Management	115	(1)
Pelvic Inflammatory Disease	115	(1)
Clinical Manifestations and Diagnosis	115	(1)
Treatment	116	(1)
Nursing Management	116	(1)
Human Immunodeficiency Virus (HIV)	116	(5)
Clinical Manifestations	117	(1)
Diagnosis	117	(1)
Treatment	117	(1)
Nursing Management	118	(3)
Human Papillomavirus	121	(1)
Clinical Manifestations	121	(1)
Diagnosis	121	(1)
Treatment	122	(1)
Nursing Management	122	(1)
Vaccine-Preventable STIs	122	(1)
Hepatitis A and B	122	(1)
Ectoparasitic Infections	123	(1)
Prevention of Sexually Transmitted Infections	123	(4)
Behavior Modification	124	(1)
Contraception	124	(3)
Disorders of the Breasts	127	(24)
Benign Breast Disorders	128	(5)
Fibrocystic Breast Changes	128	(2)
Fibroadenomas	130	(2)
Intraductal Papilloma	132	(1)
Mammary Duct Ecfasia	133	(1)
Mastitis	133	(1)
Malignant Breast Disorder	133	(9)
Risk Factors	134	(1)
Clinical Manifestations	135	(1)
Pathophysiology	135	(1)
Diagnostic Studies	136	(2)
Therapeutic Management	138	(4)
Nursing Management for the Patient With Breast Cancer	142	(6)
Assessment	142	(1)
Nursing Diagnosis	142	(1)
Nursing Interventions	142	(6)
Summary	148	(3)
Benign Disorders of the Female Reproductive Tract	151	(16)
Pelvic Support Disorders	152	(7)
Pelvic Organ Prolapse	152	(5)
Urinary Incontinence	157	(2)
Benign Growths	159	(4)
Polyps	159	(1)
Uterine Fibroids	160	(1)
Ovarian Cysts	161	(2)
Summary	163	(4)
Cancers of the Female Reproductive Tract	167	(22)
Cervical Cancer	168	(5)
Pathophysiology	168	(1)
Etiology and Risk Factors	168	(1)
Clinical Manifestations	169	(1)
Diagnosis	169	(3)
Treatment	172	(1)
Nursing Management	172	(1)
Endometrial Cancer	173	(4)
Pathophysiology	173	(2)
Etiology and Risk Factors	175	(1)
Clinical Manifestations and Diagnosis	175	(2)
Treatment	177	(1)
Nursing Management	177	(1)
Ovarian Cancer	177	(4)
Etiology and Risk Factors	177	(1)
Clinical Manifestations and Diagnosis	178	(1)
Treatment	179	(1)
Nursing Management	179	(2)
Vaginal Cancer	181	(1)
Etiology and Risk Factors	181	(1)
Clinical Manifestations and Diagnosis	181	(1)
Treatment and Nursing Management	181	(1)
Vulvar Cancer	181	(2)
Etiology and Risk Factors	181	(1)
Clinical Manifestations and Diagnosis	182	(1)
Treatment	182	(1)
Nursing Management	183	(1)
Nursing Management for Women With Cancer of the Reproductive Tract	183	(6)
Assessment	183	(1)
Nursing Diagnosis	183	(1)
Nursing Interventions	183	(6)
Violence and Abuse	189	(20)
Intimate Partner Violence	190	(3)
Incidence	190	(1)
Background	190	(1)
Characteristics of Abuse	191	(1)
Types of Abuse	191	(1)
Myths and Facts About Intimate Partner Violence	192	(1)
Abuse Profiles	193	(1)
Violence During Pregnancy	193	(1)
Sexual Violence	193	(5)
Characteristics and Types of Sexual Violence	194	(3)
Impact of Sexual Violence	197	(1)
Nursing Management	198	(6)
Assessment	198	(3)
Nursing Diagnosis	201	(1)
Interventions	201	(3)
Summary	204	(5)
Unit 3 Pregnancy	209	(96)
Fetal Development and Genetics	211	(24)
Fetal Development	212	(7)
Preembryonic Stage	212	(2)
Embryonic Stage	214	(4)
Fetal Stage	218	(1)
Fetal Circulation	218	(1)
Genetics	219	(11)
Advances in Genetic Science	219	(2)
Basics of Genetics	221	(1)
Chromosomal Abnormalities	222	(3)
Inheritance Patterns	225	(2)
Nursing Management	227	(3)
Summary	230	(5)
Maternal Adaptation During Pregnancy	235	(18)
Signs and Symptoms of Pregnancy	236	(2)
Subjective (Presumptive) Signs	236	(1)
Objective (Probable) Signs	236	(2)
Positive Signs	238	(1)
Physiologic Adaptations During Pregnancy	238	(8)
Reproductive System Adaptations	238	(1)
General Body System Adaptations	239	(7)
Psychosocial Adaptations During Pregnancy	246	(7)
Maternal Emotional Responses	246	(1)
Maternal Role Tasks	247	(1)
Pregnancy and Sexuality	247	(1)
Pregnancy and the Partner	247	(1)
Pregnancy and Siblings	248	(5)
Nursing Management During Pregnancy	253	(52)
Preconception Care	254	(1)
Nursing Management	254	(1)
The First Prenatal Visit	255	(10)
Comprehensive Health History	255	(5)
Physical Examination	260	(3)
Laboratory Tests	263	(2)
Follow-Up Visits	265	(2)
Fundal Height Measurement	265	(1)
Fetal Movement Determination	265	(1)
Fetal Heart Rate Measurement	266	(1)
Follow-Up Visit Intervals and Assessments	266	(1)
Assessment of Fetal Well-Being	267	(7)
Ultrasonography	267	(1)
Doppler Flow Studies	268	(1)
Alpha-Fetoprotein Analysis	268	(1)
Marker Screening Tests	269	(1)
Amniocentesis	269	(2)
Chorionic Villus Sampling	271	(1)
Percutaneous Umbilical Blood Sampling	272	(1)
Nonstress Test	272	(1)
Contraction Stress Test	273	(1)
Biophysical Profile	274	(1)
Nursing Management to Promote Self-Care	274	(6)
Personal Hygiene	275	(1)
Clothing	276	(1)
Exercise	276	(1)
Sleep and Rest	277	(1)
Sexual Activity and Sexuality	277	(1)
Employment	278	(1)
Travel	278	(1)
Immunizations and Medications	279	(1)
Nursing Management for the Common Discomforts of Pregnancy	280	(8)
First-Trimester Discomforts	283	(2)
Second-Trimester Discomforts	285	(2)
Third-Trimester Discomforts	287	(1)
Nursing Management to Meet Nutritional Needs	288	(5)
Nutritional Requirements	288	(1)
Maternal Weight Gain	289	(2)
Nutrition Promotion	291	(1)
Special Nutritional Considerations	292	(1)
Perinatal Education	293	(12)
Childbirth Education Classes	293	(2)
Nursing Management and Childbirth Education	295	(1)
Options for Birth	295	(1)
Care Providers	296	(1)
Preparation for Bottle or Breastfeeding	297	(1)
Preparation for Labor and Birth	298	(1)
Danger Signs of Pregnancy	298	(7)
Unit 4 Labor and Birth	305	(72)
Labor and Birth Process	307	(24)
Initiation of Labor	308	(1)
Premonitory Signs of Labor	308	(1)
Cervical Changes	308	(1)
Lightening	308	(1)
Increased Energy Level	308	(1)
Bloody Show	309	(1)
Braxton Hicks Contractions	309	(1)
Spontaneous Rupture of Membranes	309	(1)
True Versus False Labor	309	(1)
Factors Affecting the Labor Process	310	(12)
Passageway	310	(1)
Passenger	311	(7)
Powers	318	(1)
Psychological Response	319	(1)
Position (Maternal)	319	(1)
Philosophy	320	(1)
Partners	320	(1)
Patience	321	(1)
Patient Preparation	321	(1)
Pain Control	321	(1)
Physiologic Responses to Labor	322	(1)
Maternal Responses	322	(1)
Fetal Responses	322	(1)
Stages of Labor	322	(9)
First Stage	323	(1)
Second Stage	324	(1)
Third Stage	325	(1)
Fourth Stage	325	(6)
Nursing Management During Labor and Birth	331	(46)
Admission Assessments	332	(3)
Maternal Health History	333	(1)
Physical Examination	333	(2)
Laboratory Studies	335	(1)
Evaluation of Labor Progress	335	(12)
Maternal Assessment	335	(3)
Fetal Assessment	338	(9)
Comfort Promotion and Pain Management	347	(10)
Nonpharmacologic Measures	347	(5)
Pharmacologic Measures	352	(5)
Nursing Management During Labor and Birth	357	(20)
Nursing Management During the First Stage of Labor	357	(2)
Nursing Management During the Second Stage of Labor	359	(9)
Nursing Management During the Third Stage of Labor	368	(1)
Nursing Management During the Fourth Stage of Labor	369	(8)
Unit 5 Postpartum Period	377	(52)
Maternal Adaptation During the Postpartum Period	379	(14)
Maternal Physiologic Adaptations	380	(6)
Reproductive System Adaptations	380	(2)
Cardiovascular System Adaptations	382	(1)
Urinary System Adaptations	383	(1)
Gastrointestinal System Adaptations	383	(1)
Musculoskeletal System Adaptations	384	(1)
Integumentary System Adaptations	384	(1)
Respiratory System Adaptations	384	(1)
Endocrine System Adaptations	384	(2)
Psychological Adaptations	386	(7)
Maternal Adaptations	386	(1)
Paternal Adaptations	387	(6)
Nursing Management During the Postpartum Period	393	(36)
Nursing Management During the Postpartum Period	396	(33)
Assessment	396	(7)
Nursing Interventions	403	(26)
Unit 6 The Newborn	429	(68)
Newborn Adaptation	431	(16)
Physiologic Adaptations	432	(9)
Cardiovascular System Adaptations	432	(2)
Respiratory System Adaptations	434	(1)
Body Temperature Regulation	434	(3)
Hepatic System Function	437	(2)
Gastrointestinal System Adaptations	439	(1)
Renal System Changes	439	(1)
Immune System Adaptations	439	(1)
Integumentary System	440	(1)
Neurologic System Adaptations	440	(1)
Behavioral Adaptations	441	(6)
Behavioral Patterns	441	(1)
Newborn Behavioral Responses	442	(5)
Nursing Management of the Newborn	447	(50)
Nursing Management During the Immediate Newborn Period	449	(8)
Assessment	449	(4)
Nursing Interventions	453	(4)
Nursing Management During the Early Newborn Period	457	(40)
Assessment	457	(10)
Nursing Interventions	467	(30)
Unit 7 Childbearing at Risk	497	(138)
Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications	499	(44)
Bleeding During Pregnancy	500	(15)
Spontaneous Abortion	501	(2)
Ectopic Pregnancy	503	(3)
Gestational Trophoblastic Disease	506	(2)
Cervical Insufficiency	508	(1)
Placenta Previa	509	(3)
Abruptio Placenta	512	(3)
Hyperemesis Gravidarum	515	(3)
Causes	515	(1)
Clinical Manifestations	515	(1)
Treatment	516	(1)
Nursing Management	517	(1)
Gestational Hypertension	518	(8)
Classifications	518	(1)
Causes	518	(1)
Pathophysiologic Events	519	(1)
Clinical Manifestations	519	(1)
Treatment	520	(1)
Nursing Management	521	(5)
HELLP Syndrome	526	(1)
Causes	526	(1)
Clinical Manifestations	526	(1)
Treatment	527	(1)
Nursing Management	527	(1)
Gestational Diabetes	527	(1)
Blood Incompatibility	527	(1)
Nursing Management	528	(1)
Hydramnios	528	(1)
Causes	528	(1)
Clinical Manifestations	528	(1)
Treatment	528	(1)
Nursing Management	529	(1)
Oligohydramnios	529	(1)
Causes	529	(1)
Clinical Manifestations	529	(1)
Treatment	529	(1)
Nursing Management	529	(1)
Multiple Gestation	529	(1)
Clinical Manifestations	530	(1)
Treatment	530	(1)
Nursing Management	530	(1)
Premature Rupture of Membranes	530	(2)
Cause	531	(1)
Clinical Manifestations	531	(1)
Treatment	531	(1)
Nursing Management	531	(1)
Preterm Labor	532	(11)
Cause	532	(1)
Clinical Manifestations	533	(1)
Treatment	533	(1)
Nursing Management	533	(10)
Nursing Management of the Pregnancy at Risk: Preexisting Conditions	543	(42)
Diabetes Mellitus	544	(8)
Classification of Diabetes	544	(1)
Effects of Diabetes on Pregnancy	545	(1)
Pregestational Diabetes	546	(3)
Gestational Diabetes	549	(1)
Nursing Management	550	(2)
Cardiovascular Disorders	552	(6)
Effects of Heart Disease on Pregnancy	552	(1)
Classification of Heart Disease	553	(1)
Clinical Manifestations	553	(1)
Congenital Heart Conditions	553	(2)
Acquired Heart Disease	555	(1)
Treatment	556	(1)
Nursing Management	556	(1)
Chronic Hypertension	557	(1)
Respiratory Conditions	558	(2)
Asthma	558	(1)
Tuberculosis	559	(1)
Hematologic Conditions	560	(2)
Iron Deficiency Anemia	560	(1)
Thalassemia	561	(1)
Sickle Cell Anemia	561	(1)
Infections	562	(5)
Cytomegalovirus	562	(1)
Rubella	563	(1)
Herpes Simplex Virus	564	(1)
Hepatitis B Virus	564	(1)
Varicella Zoster virus	565	(1)
Parvovirus B19	565	(1)
Group B Streptococcus	566	(1)
Toxoplasmosis	566	(1)
Special Populations at Risk	567	(18)
Pregnant Adolescent	567	(3)
The Pregnant Woman Over Age 35	570	(1)
Women Who Are HIV Positive	571	(3)
The Pregnant Woman With Substance Abuse	574	(11)
Nursing Management of Labor and Birth at Risk	585	(28)
Dysfunctional Labor	586	(9)
Problems With the Powers	587	(1)
Problems With the Passenger	588	(3)
Problems With the Passageway	591	(1)
Problems With Psyche	592	(1)
Nursing Management	592	(3)
Postterm Labor and Birth	595	(1)
Nursing Management	595	(1)
Women Requiring Induction and Augmentation of Labor	596	(6)
Considerations for Induction	596	(3)
Nursing Management	599	(3)
Intrauterine Fetal Demise	602	(1)
Nursing Management	602	(1)
Obstetric Emergencies	603	(2)
Umbilical Cord Prolapse	603	(1)
Placental Abruption	604	(1)
Uterine Rupture	604	(1)
Amniotic Fluid Embolism	604	(1)
Women Requiring Birth-Related Procedures	605	(8)
Amnioinfusion	605	(1)
Forceps- or Vacuum-Assisted Birth	606	(1)
Cesarean Birth	606	(2)
Vaginal Birth After Cesarean	608	(5)
Nursing Management of the Postpartum Woman at Risk	613	(22)
Postpartum Hemorrhage	614	(4)
Etiology	614	(2)
Nursing Management	616	(2)
Thromboembolic Conditions	618	(3)
Etiology	620	(1)
Nursing Management	620	(1)
Postpartum Infection	621	(6)
Etiology	622	(1)
Clinical Manifestations	622	(1)
Metritis	622	(1)
Wound Infections	622	(1)
Urinary Tract Infections	622	(2)
Mastitis	624	(1)
Nursing Management	624	(3)
Postpartum Emotional Disorders	627	(8)
Postpartum or Baby Blues	627	(1)
Postpartum Depression	627	(1)
Postpartum Psychosis	628	(1)
Nursing Management	629	(6)
Unit 8 The Newborn at Risk	635	(82)
Nursing Management of the Newborn With Special Needs: Variations in Gestational Age and Birthweight	637	(26)
Birthweight Variations	638	(4)
Small-for-Gestational-Age Newborns	639	(2)
Large-for-Gestational-Age Newborns	641	(1)
Nursing Management of the Newborn With Birthweight Variations	642	(1)
Gestational Age Variations	642	(21)
Postterm Newborn	643	(1)
Preterm Newborn	644	(2)
Nursing Management of the Newborn With Gestational Age Variations	646	(17)
Nursing Management of the Newborn at Risk: Acquired and Congenital Newborn Conditions	663	(54)
Acquired Disorders	664	(31)
Neonatal Asphyxia	664	(2)
Transient Tachypnea of the Newborn	666	(1)
Respiratory Distress Syndrome	667	(2)
Meconium Aspiration Syndrome	669	(1)
Persistent Pulmonary Hypertension of the Newborn	670	(1)
Bronchopulmonary Dysplasia	671	(1)
Retinopathy of Prematurity	672	(1)
Periventricular-Intraventricular Hemorrhage	672	(1)
Necrotizing Enterocolitis	673	(1)
Infants of Diabetic Mothers	674	(5)
Birth Trauma	679	(2)
Newborns of Substance-Abusing Mothers	681	(6)
Hyperbilirubinemia	687	(6)
Newborn Infections	693	(2)
Congenital Conditions	695	(22)
Congenital Heart Disease	695	(3)
Inborn Errors of Metabolism	698	(1)
Congenital CNS Structural Defects	698	(3)
Respiratory System Structural Anomalies	701	(2)
Gastrointestinal System Structural Anomalies	703	(3)
Genitourinary System Structural Anomalies	706	(1)
Musculoskeletal System Structural Anomalies	707	(10)
Glossary	717	(12)
Answers to Worksheet Questions	729	(40)
Appendix A Standard Laboratory Values	769	(3)
Appendix B Clinical Paths	772	(6)
Appendix C Cervical Dilation Chart	778	(2)
Appendix D Weight Conversion Charts	780	(2)
Appendix E Breast-Feeding and Medication Use	782	(3)
Index	785