Maternal-Newborn Nursing Care : The Nurse, the Family, and the Community, with Student Disk

by Ladewig, Patricia W.; London, Marcia L.; Olds, Sally B.

• ISBN13: 9780805356229
• ISBN10: 0805356223
• Edition: 4th
• Format: Hardcover
• Copyright: 1998-01-01
• Publisher: Prentice Hall

Table of Contents

PART ONE: BASIC CONCEPTS	1	(150)
1 Contemporary Maternal-Newborn Care	2	(14)
Contemporary Childbirth	4	(1)
Nursing Roles	5	(1)
Legal Considerations	6	(1)
Ethical Issues	7	(3)
Tools for Critical Thinking in Maternal-Newborn Practice	10	(2)
Statistics	12	(1)
Nursing Research	13	(1)
Critical Thinking: A Case Study	14	(2)
2 Reproductive Anatomy and Physiology	16	(23)
Female Reproductive System	17	(12)
The Female Reproductive Cycle	29	(5)
Male Reproductive System	34	(5)
3 Conception and Fetal Development	39	(24)
Cellular Division	40	(1)
Gametogenesis	40	(2)
The Process of Fertilization	42	(3)
Intrauterine Development	45	(8)
Embryo and Fetal Development and Organ Formation	53	(6)
Factors Influencing Embryonic and Fetal Development	59	(4)
4 Families with Special Reproductive Concerns	63	(30)
Infertility	64	(13)
Genetic Disorders	77	(16)
5 Women's Health Care	93	(45)
The Nurse's Role in Addressing Issues of Sexuality	94	(1)
Menstruation	95	(3)
Contraception	98	(10)
Recommended Gynecologic Screening Procedures	108	(4)
Menopause	112	(1)
Procedure 5-1: Assisting with a Pelvic Examination	113	(2)
Violence Against Women	115	(4)
Community in Focus: The SANE Program	119	(1)
Care of the Woman with a Disorder of the Breast	120	(1)
Care of the Woman with Endometriosis	121	(1)
Care of the Woman with Toxic Shock Syndrome (TSS)	122	(1)
Care of the Woman with a Vaginal Infection	123	(2)
Care of the Woman with a Sexually Transmitted Infection	125	(4)
Care of the Woman with Pelvic Inflammatory Disease	129	(1)
Care of the Woman with an Abnormal Finding During Pelvic Examination	130	(2)
Care of the Woman with a Urinary Tract Infection	132	(2)
Cystocele and Pelvic Relaxation	134	(4)
6 Preparation for Parenthood	138	(13)
Preconception Counseling	139	(1)
Childbearing Decisions	140	(3)
Classes for Family Members During Pregnancy	143	(2)
Education of the Family Having Cesarean Birth	145	(1)
Preparation for Parents Desiring Vaginal Birth After Cesarean Birth (VBAC)	146	(1)
Methods of Childbirth Preparation	146	(3)
Client Education	149	(2)
PART TWO: PREGNANCY	151	(186)
7 Physical and Psychologic Changes of Pregnancy	152	(18)
Anatomy and Physiology of Pregnancy	153	(5)
Signs of Pregnancy	158	(3)
Psychologic Response of the Expectant Family to Pregnancy	161	(5)
Cultural Values and Reproductive Behavior	166	(4)
8 Antepartal Nursing Assessment	170	(28)
Initial Client History	171	(5)
Community in Focus: Baby Network	176	(1)
Initial Antepartal Assessment	176	(1)
Determination of Due Date	177	(1)
Initial Prenatal Assessment Guide	178	(9)
Assessment of Pelvic Adequacy (Clinical Pelvimetry)	187	(2)
Subsequent Client History	189	(3)
Subsequent Antepartal Assessment	192	(1)
Subsequent Prenatal Assessment Guide	193	(5)
9 The Expectant Family: Needs and Care	198	(23)
Nursing Diagnosis During Pregnancy	199	(1)
Nursing Plan and Implementation During Pregnancy	199	(2)
Cultural Considerations in Pregnancy	201	(1)
Relief of the Common Discomforts of Pregnancy	202	(2)
Community in Focus: The Pregnancy Wellness Program	204	(3)
Promotion of Self-Care During Pregnancy	207	(12)
Evaluation	219	(2)
10 The Expectant Family: Age-Related Considerations	221	(15)
Care of the Pregnant Adolescent	222	(4)
Community in Focus: The School Community Sexual Risk Reduction Model	226	(5)
Care of the Expectant Couple over Age 35	231	(5)
11 Maternal Nutrition	236	(19)
Maternal Weight Gain	237	(3)
Nutritional Requirements	240	(5)
Vegetarianism	245	(1)
Factors Influencing Nutrition	246	(2)
Nutritional Care of the Pregnant Adolescent	248	(1)
Postpartum Nutrition	249	(6)
12 Pregnancy at Risk: Pregestational Problems	255	(26)
Care of the Woman with Heart Disease	256	(3)
Community in Focus: Gestational Diabetes Program	259	(1)
Care of the Woman with Diabetes Mellitus	259	(6)
Critical Pathway for a Woman with Diabetes Mellitus	265	(2)
Care of the Woman with Anemia	267	(1)
Care of the Woman with HIV Infection	268	(2)
Critical Pathway for a Woman with HIV AIDS	270	(4)
Care of the Woman Practicing Substance Abuse	274	(5)
Other Medical Conditions and Pregnancy	279	(2)
13 Pregnancy at Risk: Gestational Onset	281	(39)
Care of the Woman with Hyperemesis Gravidarum	282	(1)
Care of the Woman with a Bleeding Disorder	282	(6)
Community in Focus: Healthy Beginnings	288	(1)
Care of the Woman with an Incompetent Cervix	289	(1)
Care of the Woman with Premature Rupture of Membranes	289	(2)
Care of the Woman at Risk Due to Preterm Labor	291	(4)
Care of the Woman with a Hypertensive Disorder	295	(6)
Procedure 13-1: Assessing Deep Tendon Reflexes and Clonus	301	(3)
Critical Pathway for a Woman with Pregnancy-Induced Hypertension	304	(2)
Care of the Woman at Risk for Rh Sensitization	306	(3)
Care of the Woman at Risk Due to ABO Incompatibility	309	(1)
Care of the Woman Requiring Surgery During Pregnancy	309	(1)
Procedure 13-2: Administration of Rh Immune Globulin (RhlgG, RhoGAM, HypRho-D)	310	(1)
Care of the Woman Suffering Trauma from an Accident	311	(1)
Care of the Battered Pregnant Woman	311	(1)
Care of the Woman with a TORCH Infection	312	(5)
Other Infections in Pregnancy	317	(3)
14 Assessment of Fetal Well-Being	320	(17)
Using the Nursing Process During Diagnostic Testing	321	(1)
Maternal Assessment of Fetal Activity	322	(1)
Ultrasound	323	(3)
Nonstress Test	326	(2)
Biophysical Profile	328	(1)
Contraction Stress Test	329	(3)
Amniotic Fluid Analysis	332	(1)
Procedure 14-1: Assisting During Amniocentesis	333	(3)
Other Fetal Diagnostic Techniques	336	(1)
PART THREE: BIRTH	337	(160)
15 Processes and Stages of Birth	338	(23)
Critical Factors in Labor	339	(1)
The Birth Passage	339	(1)
The Fetus	339	(5)
The Forces of Labor	344	(2)
Psychosocial Considerations	346	(1)
The Physiology of Labor	347	(2)
Premonitory Signs of Labor	349	(1)
Differences Between True and False Labor	350	(1)
Stages of Labor and Birth	351	(4)
Maternal Systemic Response to Labor	355	(4)
Fetal Response to Labor	359	(2)
16 Intrapartal Nursing Assessment	361	(30)
Maternal Assessment	362	(1)
One Family's Story Maternal-Fetal Development Chart follows page	362	(3)
Intrapartal Assessment Guide: First Stage of Labor	365	(7)
Fetal Assessment	372	(2)
Procedure 16-1: Performing an Intrapartal Vaginal Examination	374	(4)
Procedure 16-2: Auscultating Fetal Heart Rate	378	(3)
Procedure 16-3: Electronic Fetal Monitoring	381	(10)
17 The Family in Childbirth: Needs and Care	391	(33)
Nursing Diagnosis During Labor and Birth	392	(1)
Nursing Plan and Implementation During Admission	392	(1)
Community in Focus: Midwifery Services in Rural New York	393	(3)
Intrapartal Critical Pathway	396	(2)
Nursing Plan and Implementation During the First Stage of Labor	398	(10)
Nursing Plan and Implementation During the Second Stage of Labor	408	(6)
Nursing Plan and Implementation During the Third and Fourth Stages	414	(2)
Procedure 17-1: Performing Nasal Pharyngeal Suctioning	416	(3)
Procedure 17-2: Evaluating Lochia After Birth	419	(1)
Nursing Plan and Implementation During Nurse-Attended Birth	420	(2)
Evaluation	422	(2)
18 Maternal Analgesia and Anesthesia	424	(17)
Methods of Pain Relief	425	(1)
Systemic Drugs	425	(3)
Regional Analgesia for Labor	428	(1)
Regional Anesthesia	428	(5)
Critical Pathway for Regional Anesthesia--Lumbar Epidural	433	(5)
General Anesthesia	438	(1)
Neonatal Neurobehavioral Effects of Anesthesia and Analgesia	439	(2)
19 Intrapartal Family at Risk	441	(37)
Care of the Woman at Risk Due to Anxiety and Fear	442	(1)
Care of the Woman with Dysfunctional Labor	443	(4)
Care of the Woman with Postterm Pregnancy	447	(2)
Care of the Woman with a Ruptured Uterus	449	(1)
Care of the Woman and Fetus at Risk Due to Fetal Malposition	449	(1)
Care of the Woman and Fetus at Risk Due to Fetal Malpresentation	450	(5)
Care of the Woman and Fetus at Risk Due to Developmental Abnormalities	455	(2)
Care of the Woman with a Twin Pregnancy	457	(2)
Care of the Woman and Fetus in the Presence of Fetal Distress	459	(1)
Care of the Family at Risk Due to Intrauterine Fetal Death	459	(2)
Critical Pathway for Fetal Stress	461	(2)
Care of the Woman and Fetus at Risk Due to Placental Problems	463	(5)
Critical Pathway for Hemorrhage in Third Trimester and at Birth	468	(2)
Care of the Woman and Fetus with a Prolapsed Umbilical Cord	470	(2)
Care of the Woman and Fetus at Risk Due to Amniotic Fluid-Related Complications	472	(2)
Care of the Woman with Cephalopelvic Disproportion (CPD)	474	(1)
Care of the Woman at Risk Due to Complications of Third and Fourth Stages	475	(3)
20 Obstetric Procedures: The Role of the Nurse	478	(19)
Care of the Woman During Version	479	(1)
Care of the Woman During an Amniotomy	480	(1)
Care of the Woman During Prostaglandin Administration at Term	481	(1)
Care of the Woman During Labor Induction	481	(2)
Care of the Woman During Amnioinfusion	483	(2)
Care of the Woman During an Episiotomy	485	(2)
Critical Pathway for Induction of Labor	487	(1)
Care of the Woman During Forceps-Assisted Birth	487	(4)
Care of the Woman During Vacuum Extraction	491	(1)
Care of the Family During Cesarean Birth	491	(1)
Community in Focus: ICAN (International Cesarean Awareness Network)	492	(3)
Care of the Woman Undergoing Vaginal Birth After Cesarean Birth (VBAC)	495	(2)
PART FOUR: THE NEWBORN	497	(210)
21 The Physiologic Responses of the Newborn to Birth	498	(22)
Respiratory Adaptations	499	(3)
Cardiovascular Adaptations	502	(3)
Hematopoietic System	505	(1)
Temperature Regulation	506	(3)
Hepatic Adaptation	509	(3)
Gastrointestinal Adaptation	512	(2)
Urinary Adaptations	514	(1)
Immunologic Adaptations	514	(1)
Neurologic and Sensory Perceptual Functioning	515	(5)
22 Nursing Assessment of the Newborn	520	(47)
Timing of Newborn Assessments	521	(1)
Estimation of Gestational Age	522	(10)
Physical Assessment	532	(17)
Newborn Physical Assessment Guide	549	(1)
Newborn Behavioral Assessment	549	(1)
Newborn Physical Assessment Guide	550	(17)
23 The Normal Newborn: Needs and Care	567	(26)
Nursing Diagnosis During Admission and First 4 Hours	568	(1)
Nursing Plan and Implementation During Admission and First 4 Hours	568	(2)
Newborn Critical Pathway	570	(5)
Procedure 23-1: Thermoregulation of the Newborn	575	(1)
Procedure 23-2: Installing Ophthalmic Ilotycin Ointment	576	(2)
Nursing Diagnosis for Newborn Care During Stay in Birthing Unit	578	(1)
Nursing Plan and Implementation of Newborn Care During Stay in Birthing Unit	578	(5)
Community in Focus: Center on Fathering	583	(8)
Documentation	591	(1)
Evaluation	591	(2)
24 Newborn Nutrition	593	(23)
Nutritional Needs of the Newborn	594	(4)
Newborn Feeding	598	(2)
Community-Based Nursing Care	600	(13)
Nutritional Assessment of the Infant	613	(3)
25 The Newborn at Risk: Conditions Present at Birth	616	(56)
Identification of At-Risk Newborns	617	(1)
Care of the Small-for-Gestational-Age (SGA) Newborn	618	(3)
Care of the Large-for-Gestational-Age (LGA) Newborn	621	(1)
Critical Pathway for Small-for-Gestational-Age Newborns	622	(2)
Care of the Infant of a Diabetic Mother (IDM)	624	(2)
Care of the Postterm Infant	626	(2)
Care of the Preterm (Premature) Newborn	628	(1)
Community in Focus: Follow-up Neonatal Home Care	629	(4)
Procedure 25-1: Performing Gavage Feeding	633	(7)
Care of the Newborn of a Substance-Abusing Mother	640	(4)
Critical Pathway for Newborn of a Substance-Abusing Mother	644	(4)
Care of the Newborn with AIDS	648	(2)
Critical Pathway for Newborn at Risk for HIV AIDS	650	(2)
Care of the Newborn with Congenital Anomalies	652	(3)
Care of the Newborn with Congenital Heart Defect	655	(3)
Care of the Newborn with Inborn Errors of Metabolism	658	(3)
Care of the Family with Birth of an At-Risk Newborn	661	(11)
26 The Newborn at Risk: Birth-Related Stressors	672	(35)
Care of the Newborn at Risk Due to Asphyxia	673	(4)
Care of the Newborn with Respiratory Distress	677	(6)
Critical Pathway for Care of Newborn with Respiratory Distress	683	(3)
Care of Newborn with Meconium Aspiration Syndrome	686	(2)
Care of the Newborn with Cold Stress	688	(1)
Care of the Newborn with Hypoglycemia	688	(2)
Procedure 26-1: Performing a Heelstick for Glucose Testing	690	(2)
Care of the Newborn with Jaundice	692	(5)
Critical Pathway for Care of Newborn with Hyperbilirubinemia	697	(2)
Care of the Newborn with Hemorrhagic Disease	699	(1)
Care of the Newborn with Anemia	699	(1)
Care of the Newborn with Polycythemia	700	(1)
Care of the Newborn with Infection	701	(6)
PART FIVE: POSTPARTUM	707	(84)
27 Postpartal Adaptation and Nursing Assessment	708	(21)
Postpartal Physical Adaptations	709	(3)
Postpartal Psychologic Adaptations	712	(4)
Postpartal Nursing Assessment	716	(1)
Postpartal Assessment Guide: First 24 Hours After Birth	717	(5)
Procedure 27-1: Assessing the Fundus Following Vaginal Birth	722	(4)
Assessment of Physical and Developmental Tasks	726	(3)
28 The Postpartal Family: Needs and Care	729	(20)
Nursing Diagnosis During the Postpartal Period	730	(1)
Nursing Plan and Implementation During the Postpartal Period	730	(3)
Postpartal Critical Pathway	733	(8)
Nursing Plan and Implementation After Cesarean Birth	741	(4)
Nursing Plan and Implementation for the Postpartal Adolescent	745	(1)
Nursing Plan and Implementation for the Woman Who Is Relinquishing Her Baby	745	(1)
Nursing Plan and Implementation for Discharge Information	746	(1)
Evaluation	747	(2)
29 Home Care of the Postpartal Family	749	(17)
Considerations for the Home Visit	751	(1)
Purpose of the Home Visit	751	(1)
Fostering a Caring Relationship with the Family	751	(1)
Planning the Home Visit	752	(1)
Maintaining Safety	752	(1)
Carrying Out the Home Visit	752	(1)
Home Care: The Newborn	752	(2)
Community in Focus: Postpartum Home Care Program	754	(6)
Home Care: The Mother and Family	760	(1)
Postpartal Assessment Guide: First Home Visit and Anticipated Progress at Six Weeks	761	(5)
30 The Postpartal Family at Risk	766	(25)
Home Care of Postpartal Women	767	(1)
Care of the Woman with Postpartal Hemorrhage	767	(5)
Care of the Woman with a Postpartal Reproductive Tract Infection	772	(3)
Critical Pathway for the Woman with a Puerperal Infection	775	(2)
Care of the Woman with Postpartal Thromboembolic Disease	777	(1)
Tear-Out Teaching Cards follow page	778	(1)
Pulmonary Embolism	779	(1)
Critical Pathway for the Woman with Thromboembolic Disease	780	(3)
Care of the Woman with a Urinary Tract Infection (UTI)	783	(2)
Care of the Woman with Mastitis	785	(2)
Care of the Woman with a Postpartal Psychiatric Disorder	787	(4)
APPENDICES	791	(18)
A Common Abbreviations in Maternal-Newborn and Women's Health Nursing	792	(2)
B Conversions and Equivalents	794	(1)
C The Pregnant Patient's Bill of Rights	795	(2)
D AWHONN's (NAACOG's) Standards for the Nursing Care of Women and Newborns	797	(4)
E Clinical Estimation of Gestational Age	801	(1)
F Actions and Effects of Selected Drugs During Breastfeeding	802	(2)
G Projected Recommendations for Isolation Precautions (CDC 1995)	804	(2)
H Suggested Answers to Critical Thinking in Action Questions	806	(3)
Glossary	809	(13)
Art and Photography Credits	822	(3)
Index	825
Student Tutorial Instructions inside back cover