Maternal-Newborn and Child Nursing : Family-Centered Care

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  • Edition: 2nd
  • Format: Hardcover
  • Copyright: 2007-01-01
  • Publisher: Prentice Hall
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This text offers complete preparation for meeting the needs of families across the continuum - from conception through adolescence. Using a consistent nursing process framework, Maternal-Newborn and Child Nursing provides the essential information for providing accurate, safe nursing care. Special focus is given to cultural influences, community settings, communication, nutrition, pain management, and fostering critical thinking skills essential for adapting to an ever-changing health care environment.

Table of Contents

Prefacep. xxix
Acknowledgmentsp. xxxiii
Reviewersp. xxxv
About the Authorsp. xxxvii
A Guide to Maternal-Newborn and Child Nursingp. xxxix
Special Featuresp. xliii
Introductory Conceptsp. 1
Maternal, Newborn, and Child Health Nursingp. 3
The Reproductive Years and Beyondp. 19
Reproductive Anatomy and Physiologyp. 21
Women's Health Carep. 43
Special Reproductive Issues for Familiesp. 81
Pregnancy and Familyp. 107
Conception and Fetal Developmentp. 109
Preparation for Parenthoodp. 131
Physical and Psychologic Changes of Pregnancyp. 142
Antepartal Nursing Assessmentp. 159
The Expectant Family: Needs and Carep. 181
Adolescent Pregnancyp. 206
Maternal Nutritionp. 218
Pregnancy at Risk: Pregestational Problemsp. 234
Pregnancy at Risk: Gestational Onsetp. 259
Assessment of Fetal Statusp. 292
Birth and the Familyp. 307
Processes and Stages of Labor and Birthp. 309
Intrapartal Nursing Assessmentp. 331
The Family in Childbirth: Needs and Carep. 354
Pain Relief Therapies During Birthp. 381
Childbirth at Riskp. 393
Birth-Related proceduresp. 425
The Postpartal Childbearing Family and Newbornp. 443
Postpartal Adaptation and Nursing Assessmentp. 445
The Postpartum Family: Needs and Carep. 463
The Postpartal Family at Riskp. 482
The Physiologic Responses of the Newborn to Birthp. 506
Nursing Assessment of the Newbornp. 526
Normal Newborn: Needs and Carep. 566
Newborn Nutritionp. 586
The Newborn at Risk: Conditions Present at Birthp. 605
The Newborn at Risk: Birth-Related Stressorsp. 641
Home Care of the Postpartum Familyp. 682
Care and Needs of Childrenp. 703
Infant, Child, and Adolescent Nutritionp. 705
Growth and Developmentp. 727
Pediatric Assessmentp. 764
Nursing Considerations for the Hospitalized Childp. 815
Nursing Considerations for the Child in the Communityp. 838
Social and Environmental Influences on the Childp. 861
The Child with a Life-Threatening Illness or Injuryp. 894
Pain Assessment and Management in Childrenp. 913
Caring for Children with Alterations in Health Statusp. 993
The Child with Alterations in Fluid, Electrolyte, and Acid-Base Balancep. 935
The Child with Alterations in Immune Functionp. 969
The Child with Infectious and Communicable Diseasesp. 992
The Child with Alterations in Respiratory Functionp. 1022
The Child with Alterations in Cardiovascular Functionp. 1065
The Child with Alterations in Hematologic Functionp. 1101
The Child with Alterations in Cellular Growthp. 1121
The Child with Alterations in Gastrointestinal Functionp. 1159
The Child with Alterations in Genitourinary Functionp. 1209
The Child with Alterations in Eye, Ear, Nose, and Throat Functionp. 1242
The Child with Alterations in Neurologic Functionp. 1272
The Child with Alterations in Musculoskeletal Functionp. 1317
The Child with Alterations in Endocrine Functionp. 1349
The Child with Alterations in Skin Integrityp. 1383
The Child with Alterations in Mental Health Functionp. 1418
Selected Maternal-Newborn Laboratory Valuesp. 1446
Selected Normal Pediatric Laboratory Valuesp. 1447
Physical Growth Chartsp. 1453
Conversions and Equivalentsp. 1463
Actions and Effects of Selected Drugs during Breastfeedingp. 1464
Common Abbreviations in Maternal-Newborn and Women's Health Nursingp. 1466
Common Abbreviations in Nursing Care of Childrenp. 1468
Family Assessmentp. 1470
Guidelines for Working with Deaf Clients and Interpretersp. 1471
Recommended Dietary Allowances for Childhood and Adolescencep. 1472
Recommended Dietary Allowances for Females, Pregnancy, and Lactationp. 1474
Standards for Maternal-Newborn and Child Health Nursingp. 1475
West Nomogram-Body Surface Areap. 1476
Credit Listp. 1479
Indexp. 1481
Table of Contents provided by Syndetics. All Rights Reserved.


Today, more than ever before, nurses play a significant role in the care of families during pregnancy and the experience of birth, and then with the child's care through all stages of growth. Nurses working with childbearing and childrearing families are challenged by a variety of forces that effect the provision of nursing care. Our goal is a text that is accurate and readable, and one that helps students develop the skills and abilities they need now and in the future in an ever-changing health care environment. The underlying philosophy ofMaternal-Newborn and Child Nursing: Family-Centered Careis that the family members are coparticipants in care, whether this is related to pregnancy and childbirth or to care of the infant or child at any age of development. Families experience the excitement and exhilaration of adding a healthy infant to the family, but they also experience sorrow and concern when a health problem occurs. Nurses play a vital role in helping families celebrate the normal life processes associated with birth and then foster the child's growth and development from infancy through adolescence. Infants and children are dependent upon their families for the care they need. Nursing care for pregnant women and children is a family-centered process. We are committed to providing a text that integrates the needs of families across the continuum from conception through adolescence. NURSING CARE IN THE COMMUNITY Most maternity and pediatric nursing care occurs in the community setting, especially since most pregnant women end children are healthy and have only episodic acute health conditions. Although pregnancy, birth, and the postpartal period cover a timeframe of many months, in reality most women spend only two to three days in an acute care facility. Thus, by its very nature, maternal-newborn nursing is primarily community-based nursing. Moreover, because of the changes resulting from managed care, even women with high-risk pregnancies are receiving more care in their homes and in the community and are spending less time in hospital settings. Dramatic health care system changes have resulted in community and home care for children with serious chronic health conditions, including children needing care with advanced technology. Short-stay surgical units and short-term observation units have replaced hospitalization for many acute conditions. The nurse's role in preparing a family for their child's discharge from an acute care facility is often the transitional step to nursing care in the home and community. Information on long-term management of complex health conditions is included as these problems are especially challenging to manage in community settings. Selected ambulatory pediatric conditions are also included because students will see them in everyday life and in the hospital where these conditions are secondary to the presenting problem. Because many graduating nurses practice in acute care facilities, this text emphasizes the information necessary to prepare students to work in that setting. Students who understand how to care for families effectively in an acute care setting can readily transfer these skills to other nursing situations and environments. However, there is a strong emphasis on helping pregnant women, parents and families care for themselves and their children in community settings. As educators and nurses, we have organized this text to flow logically and to integrate maternity and pediatric nursing concepts carefully. For example, Chapter 1 begins with introductory concepts important for maternal, newborn, and child nursing. Later chapters focus on reproductive issues and women's health, pregnancy, birth processes, postpartum care, newborn management, and then transition into the pediatric care chapters. The pediatric chapters first address general pediatric health care concepts, and then the nursing care of children with various disorders,

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