Maternal-Newborn Nursing : A Family and Community-Based Approach

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

• ISBN13: 9780805380705
• ISBN10: 0805380701
• Edition: 6th
• Format: Hardcover
• Copyright: 2000-01-01
• Publisher: Prentice Hall

Summary

For the Maternity or Obstetrics course in the nursing curriculum. Maternal-newborn nurses serve as a crucial link between the healthcare system and childbearing families. Maternal-Newborn Nursing: A Family and Community-Based Approach, by Sally Olds, Marcia London, and Patricia Ladewig, known for its comprehensive coverage, warm and caring writing style, dynamic full color design and visual program has set the standard for maternal-newborn nursing textbooks. Now in a revised sixth edition, the text retains the hallmark style and features that have made it one of nursing's best-loved texts. In addition, new content and pedagogy have been incorporated that will prepare nursing students to be flexible, creative, and professional in the face of the trends toward home healthcare and community-based nursing, a growing multi-cultural population, and increasingly sophisticated technology.

Table of Contents

Part One Contemporary Maternal Newborn Nursing	1	(37)
Current Issues in Maternal-Newborn Nursing	2	(19)
Contemporary Childbirth	4	(1)
The Self-Care Movement	5	(1)
Professional Options in Maternal-Newborn Nursing Practice	5	(1)
The Health Care Environment	6	(2)
Community-Based Nursing Care	8	(1)
Legal Considerations	9	(2)
Special Ethical Situations in Maternity Care	11	(4)
Statistical Data and Maternal-Infant Care	15	(2)
Nursing Research	17	(1)
Critical Thinking: An Example	18	(3)
Community-Based Teaching for Childbearing Families	21	(16)
Client Teaching in Community-Based Settings	22	(1)
Issues Impacting Client Teaching	22	(4)
Principles and Assumptions about Teaching and Learning	26	(3)
Teaching Guidelines and Strategies	29	(8)
Part Two Women's Health Throughout the Lifespan	37	(82)
Women's Health Care	38	(43)
Community-Based Nursing Care	39	(1)
The Nurse's Role in Addressing Issues of Sexuality	39	(1)
Menstruation	40	(3)
Contraception	43	(11)
Recommended Gynecologic Screening Procedures	54	(3)
Procedure 3-1 Assisting with a Pelvic Examination	57	(1)
Menopause	58	(3)
Care of the Woman with a Disorder of the Breast	61	(2)
Care of the Woman with Endometriosis	63	(1)
Care of the Woman with Toxic Shock Syndrome (TSS)	64	(1)
Care of the Woman with a Vaginal Infection	65	(1)
Care of the Woman with a Sexually Transmitted Infection	66	(6)
Care of the Woman with Pelvic Inflammatory Disease	72	(1)
Care of the Woman with an Abnormal Finding During Pelvic Examination	73	(2)
Care of the Woman with a Urinary Tract Infection	75	(2)
Pelvic Relaxation	77	(4)
Women's Care: Social Issues	81	(20)
Women and Poverty	82	(5)
Women in the Workplace	87	(1)
Maternity Leaves and Child Care Benefits	88	(2)
Environmental Hazards in the Workplace	90	(1)
Abortion	91	(1)
Family Violence	92	(9)
Violence Against Women	101	(18)
Historical and Societal Factors Contributing to Violence Against Women	102	(1)
Female Partner Abuse	102	(7)
Rape	109	(10)
Part Three Human Reproduction	119	(92)
The Reproductive System	120	(30)
Embryonic Development of Reproductive Structures and Processes	121	(2)
Puberty	123	(1)
Female Reproductive System	124	(14)
Female Reproductive Cycle	138	(7)
Male Reproductive System	145	(5)
Conception and Fetal Development	150	(27)
Chromosomes	151	(1)
Cellular Division	151	(2)
Gametogenesis	153	(1)
The Process of Fertilization	154	(2)
Twins	156	(1)
Intrauterine Development	157	(11)
Embryonic and Fetal Development and Organ Formation	168	(6)
Factors Influencing Embryonic and Fetal Development	174	(3)
Special Reproductive Concerns	177	(34)
Infertility	178	(18)
Genetic Disorders	196	(7)
Nongenetic Conditions	203	(1)
Prenatal Diagnostic Tests	203	(3)
Postnatal Diagnosis	206	(5)
Part Four Pregnancy	211	(260)
Preparation for Parenthood	212	(14)
Preconception Counseling	213	(2)
Childbearing Decisions	215	(2)
Classes for Family Members During Pregnancy	217	(3)
Education of the Family Having Cesarean Birth	220	(1)
Preparations for Parents Desiring Vaginal Birth after Cesarean Birth (VBAC)	221	(1)
Methods of Childbirth Preparation	221	(5)
Physical and Psychologic Changes of Pregnancy	226	(25)
Anatomy and Physiology of Pregnancy	227	(7)
Signs of Pregnancy	234	(4)
Psychologic Response of the Expectant Family to Pregnancy	238	(8)
Cultural Diversity and Pregnancy	246	(5)
Antepartal Nursing Assessment	251	(31)
Initial Client History	252	(4)
Initial Antepartal Assessment	256	(3)
Assessment Guide: Initial Prenatal Assessment	259	(11)
Assessment of Pelvic Adequacy	270	(3)
Subsequent Client History	273	(3)
Subsequent Antepartal Assessment	276	(1)
Assessment Guide: Subsequent Prenatal Assessment	277	(5)
The Expectant Family: Needs and Care	282	(31)
Cultural Considerations in Pregnancy	284	(1)
Relief of the Common Discomforts of Pregnancy	285	(9)
Promotion of Self-Care During Pregnancy	294	(14)
Care of the Expectant Couple Over 35	308	(5)
Adolescent Pregnancy	313	(16)
Overview of Adolescence	314	(1)
Incidence of Adolescent Pregnancy	315	(1)
Factors Contributing to Adolescent Pregnancy	315	(3)
The Adolescent Mother	318	(2)
Partners of Adolescent Mothers	320	(1)
Reactions of Family and Social Supports to Adolescent Pregnancy	321	(5)
Prevention of Adolescent Pregnancy	326	(3)
Maternal Nutrition	329	(21)
Maternal Weight Gain	332	(1)
Nutritional Requirements	333	(6)
Vegetarianism	339	(1)
Factors Influencing Nutrition	339	(3)
The Pregnant Adolescent	342	(2)
Postpartum Nutrition	344	(6)
Pregnancy at Risk: Pregestational Problems	350	(34)
Care of the Woman Practicing Substance Abuse	351	(5)
Care of the Woman with Diabetes Mellitus	356	(9)
Critical Pathway for a Woman with Diabetes Mellitus	365	(1)
Care of the Woman with Anemia	366	(4)
Care of the Woman with Acquired Immune Deficiency Syndrome (AIDS)	370	(4)
Critical Pathway for a Woman with HIV/AIDS	374	(2)
Care of the Woman with Heart Disease	376	(3)
Other Medical Conditions and Pregnancy	379	(5)
Pregnancy at Risk: Gestational Onset	384	(54)
Care of the Woman with Hyperemesis Gravidarum	385	(1)
Care of the Woman with a Bleeding Disorder	386	(3)
Ectopic Pregnancy	389	(3)
Gestational Trophoblastic Disease	392	(2)
Placenta Previa	394	(1)
Abruptio Placentae	394	(1)
Care of the Woman with an Incompetent Cervix	394	(1)
Care of the Woman with Premature Rupture of Membranes	395	(3)
Care of the Woman at Risk Due to Preterm Labor	398	(7)
Care of the Woman with a Hypertensive Disorder	405	(8)
Critical Pathway for a Woman with Pregnancy-Induced Hypertension	413	(3)
Procedure 16--1 Assessing Deep Tendon Reflexes and Clonus	416	(3)
Care of the Woman at Risk for Rh Sensitization	419	(4)
Care of the Woman at Risk Due to ABO Incompatibility	423	(1)
Procedure 16--2 Administration of Rh Immune Globulin	424	(1)
Care of the Woman Requiring Surgery During Pregnancy	425	(1)
Care of the Woman Suffering Trauma from an Accident	426	(2)
Care of the Battered Pregnant Woman	428	(1)
Care of the Woman with a TORCH Infection	429	(3)
Other Infections in Pregnancy	432	(6)
Assessment of Fetal Well-Being	438	(33)
Indications for Antenatal Testing	439	(2)
Ultrasound	441	(8)
Antenatal Fetal Surveillance	449	(11)
Procedure 17--1 Assisting During Amniocentesis	460	(4)
Other Diagnostic Techniques	464	(3)
Psychologic Reactions to Diagnostic Testing	467	(4)
Part Five Birth	471	(208)
Processes and Stages of Labor and Birth	472	(25)
Critical Factors in Labor	473	(4)
Functional Relationships of Presenting Part and Maternal Pelvis	477	(3)
The Forces of Labor	480	(4)
Premonitory Signs of Labor	484	(1)
Differences Between True and False Labor	485	(1)
Stages of Labor and Birth	485	(5)
Maternal Systemic Response to Labor	490	(5)
Fetal Response to Labor	495	(2)
Intrapartal Nursing Assessment	497	(44)
Maternal Assessment	498	(4)
Assessment Guide: Intrapartal--First Stage of Labor	502	(6)
Procedure 19--1 Performing an Intrapartal Vaginal Examination	508	(6)
Procedure 19--2 Assessing for Amniotic Fluid	514	(1)
Fetal Assessment	514	(4)
Procedure 19--3 Auscultation of Fetal Heart Rate	518	(5)
Procedure 19--4 Electronic Fetal Monitoring	523	(14)
Additional Assessment Techniques	537	(4)
The Family in Childbirth: Needs and Care	541	(40)
Nursing Diagnosis during Labor and Birth	542	(1)
Nursing Care Management during Admission	542	(4)
Nursing Care Management during the First Stage of Labor	546	(2)
Critical Pathway for Intrapartal Stages	548	(15)
Nursing Care Management during the Second Stage of Labor	563	(6)
Nursing Care Management during the Third Stage of Labor	569	(1)
Procedure 20--1 Performing Nasal Pharyngeal Suctioning	570	(4)
Nursing Care Management during the Fourth Stage of Labor	574	(2)
Nursing Care Management during Nurse-Attended Birth	576	(1)
Procedure 20--2 Evaluating Lochia after Birth	577	(2)
Evaluation	579	(2)
Pain Management During Birth	581	(25)
Methods of Pain Relief	582	(1)
Pharmacologic Methods	582	(4)
Regional Analgesia and Anesthesia	586	(9)
Critical Pathway for Epidural Anesthesia	595	(7)
General Anesthesia	602	(1)
Analgesic and Anesthetic Considerations for the High-Risk Mother and Fetus	603	(3)
Childbirth at Risk	606	(45)
Care of the Woman at Risk Due to Anxiety and Fear	607	(3)
Care of the Woman Experiencing Dystocia Related to Dysfunctional Uterine Contractions	610	(3)
Precipitate Labor and Birth	613	(1)
Care of the Woman with Postterm Pregnancy	614	(1)
Care of the Woman and Fetus at Risk Due to Fetal Malposition	615	(2)
Care of the Woman and Fetus at Risk Due to Fetal Malpresentation	617	(7)
Care of the Woman and Fetus at Risk Due to Developmental Abnormalities	624	(2)
Care of the Woman with a Multiple Pregnancy	626	(4)
Care of the Woman and Fetus in the Presence of Fetal Distress	630	(2)
Care of the Family at Risk Due to Intrauterine Fetal Death	632	(2)
Care of the Woman and Fetus at Risk Due to Placental Problems	634	(6)
Critical Pathway for Hemorrhage in Third Trimester and at Birth	640	(3)
Care of the Woman and Fetus at Risk Due to Problems Associated with the Umbilical Cord	643	(2)
Care of the Woman and Fetus at Risk Due to Amniotic Fluid-Related Complications	645	(2)
Care of the Woman with Cephalopelvic Disproportion	647	(1)
Care of the Woman at Risk Due to Complications of Third and Fourth Stages of Labor	648	(3)
Birth-Related Procedures	651	(28)
Care of the Woman during Version	652	(3)
Care of the Woman during an Amniotomy	655	(1)
Care of the Woman during Prostaglandin Administration at Term	656	(1)
Care of the Woman during Misoprostol (Cytotec) Administration	657	(1)
Care of the Woman during Induction of Labor	658	(5)
Critical Pathway for Induction of Labor	663	(2)
Care of the Woman during Amnionfusion	665	(1)
Care of the Woman during an Episiotomy	665	(2)
Care of the Woman during Forceps-Assisted Birth	667	(4)
Care of the Woman during Vacuum Extraction	671	(2)
Care of the Family during Cesarean Birth	673	(3)
Care of the Woman Undergoing Vaginal Birth after Cesarean (VBAC)	676	(3)
Part Six The Newborn	679	(226)
Physiologic Responses of the Newborn to Birth	680	(25)
Respiratory Adaptations	681	(4)
Cardiovascular Adaptations	685	(4)
Hematologic Adaptations	689	(4)
Hepatic Adaptations	693	(4)
Gastrointestinal Adaptations	697	(1)
Urinary Adaptations	698	(1)
Immunologic Adaptations	699	(1)
Neurologic and Sensory/Perceptual Functioning	700	(5)
Nursing Assessment of the Newborn	705	(47)
Timing of Newborn Assessments	706	(1)
Estimation of Gestational Age	706	(8)
Physical Assessment	714	(19)
Newborn Physical Assessment Guide	733	(1)
Assessment Guide: Newborn Physical Assessment	734	(15)
Newborn Behavioral Assessment	749	(3)
The Normal Newborn: Needs and Care	752	(26)
Nursing Care Management During Admission and the First Four Hours of Life	753	(1)
Critical Pathway for Newborn Care	754	(6)
Procedure 26--1 Thermoregulation of the Newborn	760	(2)
Nursing Care Management of Newborn during Stay in Birthing Unit	762	(1)
Procedure 26--2 Instilling Ophthalmic Ilotycin Ointment	763	(4)
Nursing Plan and Implementation in Preparation for Discharge	767	(8)
Evaluation	775	(3)
Newborn Nutrition	778	(26)
Nutritional Needs of the Newborn	779	(4)
Newborn Feeding	783	(2)
Community-Based Nursing Care	785	(15)
Nutritional Assessment of the Infant	800	(4)
The Newborn at Risk: Conditions Present at Birth	804	(58)
Identification of At-Risk Newborns	805	(1)
Care of the Small-for-Gestational-Age Newborn	806	(4)
Critical Pathway for Small-for-Gestational-Age Newborn	810	(2)
Care of the Large-for-Gestational-Age Newborn	812	(1)
Care of the Infant of a Diabetic Mother	813	(2)
Care of the Postterm Newborn	815	(2)
Care of the Preterm (Premature) Newborn	817	(6)
Procedure 28--1 Performing Gavage Feeding	823	(9)
Care of the Infantof a Substance-Abusing Mother	832	(5)
Critical Pathway for Newborn of a Substance-Abusing Mother	837	(3)
Care of the Newborn Exposed to HIV/AIDS	840	(1)
Care of the Newborn with Congenital Anomalies	841	(1)
Critical Pathway for Newborn at Risk for HIV/AIDS	842	(2)
Care of the Newborn with Congenital Heart Defect	844	(3)
Care of the Newborn with Inborn Errors of Metabolism	847	(5)
Care of the Family of the At-Risk Newborn	852	(10)
The Newborn at Risk: Birth Related Stressors	862	(43)
Care of the Newbornat Risk Due to Asphyxia	863	(4)
Care of the Newborn with Respiratory Distress	867	(6)
Care of the Newborn with Meconium Aspiration Syndrome	873	(1)
Critical Pathway for Care of a Newborn with Respiratory Distress	874	(4)
Care of the Newborn with Persistent Pulmonary Hypertension	878	(2)
Care of the Newborn with Complications Due to Respiratory Therapy	880	(2)
Care of the Newborn with Cold Stress	882	(2)
Care of the Newborn with Hypoglycemia	884	(1)
Procedure 29--1 Performing a Heelstick on a Newborn	885	(2)
Care of the Newborn with Jaundice	887	(5)
Critical Pathway for Care of a Newborn with Hyperbilirubinemia	892	(2)
Care of the Newborn with Anemia	894	(1)
Care of the Newborn with Polycythemia	895	(1)
Care of the Newborn with Infection	896	(4)
Care of the Family of a Newborn with a Complication	900	(5)
Part Seven Postpartum	905	(131)
Postpartal Adaptation and Nursing Assessment	906	(25)
Postpartal Physical Adaptations	907	(4)
Postpartal Psychologic Adaptations	911	(5)
Postpartal Nursing Assessment	916	(1)
Assessment Guide: Postpartal--First 24 Hours After Birth	917	(5)
Procedure 30--1 Assessing the Fundus Following Vaginal Birth	922	(4)
Psychologic Assessment	926	(1)
Assessment of Physical and Developmental Tasks	927	(1)
Early Discharge Postpartal Care	928	(1)
Postpartal Home Care	929	(2)
The Postpartal Family: Needs and Care	931	(29)
Community-Based Nursing Care	932	(1)
Nursing Care Management during the Early Postpartal Period	932	(1)
Critical Pathway for the Postpartal Period	933	(17)
Nursing Care Management after Cesarean Birth	950	(3)
Nursing Care Management of the Postpartal Adolescent	953	(1)
Nursing Care Management for the Woman with an Unwanted Pregnancy	954	(1)
Nursing Care Management for the Woman Who Relinquishes Her Infant	954	(1)
Discharge Information	955	(5)
Home Care of the Postpartal Family	960	(19)
Considerations for the Home Visit	962	(2)
Home Care: The Newborn	964	(8)
Home Care: The Mother and Family	972	(2)
Assessment Guide: Postpartal--First Home Visit and Anticipated Progress at 6 Weeks	974	(5)
The Postpartal Family at Risk	979	(57)
Hospital-Based Care of At-Risk Women	980	(1)
Community-Based Care of At-Risk Women	980	(1)
Care of the Woman with Postpartal Hemorrhage	981	(7)
Care of the Woman with a Reproductive Tract Infection or Wound	988	(3)
Care of the Woman with a Urinary Tract Infection (UTI)	991	(1)
Critical Pathway for the Woman with a Puerperal Infection	992	(4)
Care of the Woman with Mastitis	996	(2)
Care of the Woman with Thromboembolic Disease	998	(3)
Critical Pathway for the Woman with Thromboembolic Disease	1001	(3)
Care of the Woman with Postpartal Psychiatric Disorder	1004	(6)
Appendices
A Common Abbreviations in Maternal-Newborn and Women's Health Nursing	1010	(3)
B Conversions and Equivalents	1013	(1)
C Spanish Translations of English Phrases	1014	(4)
D Guidelines for Working with Deaf Clients and Interpreters	1018	(1)
E Sign Language for Health Care Professionals	1019	(3)
F Clinical Estimation of Gestational Age	1022	(1)
G Actions and Effects of Selected Drugs During Breastfeeding	1023	(2)
H Selected Maternal-Newborn Laboratory Values	1025	(1)
I Suggested Answers to Critical Thinking in Practice Questions	1026	(4)
J Resource Directory	1030	(6)
Glossary	1036	(19)
Index	1055