Clinical Handbook for Maternal Newborn

Pocket-sized quick reference providing information to guide maternal-newborn nurses from pregnancy to the postpartum and newborn stages. This edition includes chapters on the at-risk client, a new chapter on home care, updated drug guides and procedures, common abbreviations, lab values, and a resource guide. Previous edition: c1996. Trim size: 7 x 4 inches. Softcover.

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The Antepartum Client

1

(34)

Overview

1

(1)

Normal Physical Changes of Pregnancy

2

(3)

Signs of Pregnancy

5

(1)

Psychologic Responses of the Mother to Pregnancy

5

(1)

Psychologic Tasks of the Mother

6

(1)

Antepartal Assessment

7

(11)

Prenatal Nutrition

18

(1)

Critical Information in Counseling about Nutrition

19

(2)

Relief of the Common Discomforts of Pregnancy

21

(2)

Promotion of Self-Care During Pregnancy

23

(3)

Charting

26

(1)

Assessment of Fetal Well-Being

27

(7)

References

34

(1)

The At-Risk Antepartal Client

35

(30)

Diabetes Mellitus

35

(5)

Pregnancy-Induced Hypertension (PIH)

40

(7)

Preterm Labor

47

(5)

Placenta Previa

52

(2)

Additional Complications

54

(1)

References

54

(11)

The Intrapartal Client

65

(30)

Overview

65

(1)

Nursing Care During Admission

65

(15)

Nursing Care During Labor

80

(10)

Nursing Care at the Time of Birth

90

(1)

Nursing Care Immediately After the Birth of the Baby

90

(3)

Nursing Care in the Immediate Recovery Period (Fourth Stage)

93

(1)

References

94

(1)

The At-Risk Intrapartal Client

95

(33)

Failure To Progress in Labor

95

(4)

Precipitous Birth

99

(1)

Gestational Age-Related Problems

100

(2)

Labor Complicated by Malpresentation or Malposition

102

(1)

Prolapsed Umbilical Cord

102

(5)

Amniotic Fluid-Related Complication: Hydramnios

107

(2)

Amniotic Fluid-Related Complication: Oligohydramnios

109

(1)

Amniotic Fluid Embolism

110

(2)

Abruptio Placenta in the Intrapartal Area

112

(5)

Placenta Previa in the Intrapartal Period

117

(2)

Diabetes Mellitus in the Intrapartal Period

119

(1)

Pregnancy-Induced Hypertension in the Intrapartal Period

120

(1)

Induction of Labor

121

(4)

Obstetric Procedure: External Version

125

(1)

Obstetric Procedure: Forceps-Assisted Birth

126

(1)

Obstetric Procedure: Vacuum Extraction

127

(1)

References

127

(1)

The Normal Newborn

128

(24)

Transitional Period

128

(12)

Post-Transitional Nursing Care

140

(11)

References

151

(1)

The At-Risk Newborn

152

(38)

Hypoglycemia

152

(4)

Cold Stress

156

(3)

Respiratory Distress Syndrome

159

(4)

Special Newborns and Their Associated Clinical Problems

163

(4)

Hematologic Problems of the Newborn

167

(2)

Jaundice

169

(4)

Nursing Care Needs of Newborns of Substance-Abuse Mothers

173

(1)

Congenital Heart Disease in the Newborn Period

174

(5)

Congenital Anomalies: Indentification and Care in Newborn Period

179

(6)

Perinatally Acquired Newborn Infections

185

(4)

References

189

(1)

The Postpartum Client

190

(23)

Overview

190

(1)

Nursing Interventions for Postpartum Discomfort

190

(11)

Infant Feeding

201

(7)

The Rh-Negative Mother

208

(1)

Rubella Vaccine

208

(1)

Postpartum Education: Selected Topics

208

(1)

Care of the Woman Following Cesarean Birth

209

(4)

The At-Risk Postpartal Client

213

(25)

Postpartal Hemorrhage

213

(6)

Subinvolution

219

(3)

Types of Reproductive Tract Infections

222

(3)

Thromboembolic Disease

225

(4)

Mastitis

229

(4)

Urinary Tract Infection

233

(3)

Ongoing Management of Selected Perinatal Complications

236

(2)

Home Care of the Postpartal Family

238

(110)

Overview

238

(2)

Home Care for the Newborn

240

(2)

Home Care---Assessment of the Mother and Family

242

(1)

Contraception

243

(8)

Drug Guide

1. Betamethasone (Celestone Soluspan)

251

(2)

2. Dinoprostone (Cervidil) Vaginal Insert

253

(2)

3. Erythromycin Ophthalmic Ointment (Ilotycin Ophthalmic)

255

(1)

4. Magnesium Sulfate (MgSO4)

256

(3)

5. Methylergonovine Maleate (Methergine)

259

(1)

6. Naloxone Hydrochloride (Narcan)

260

(1)

7. Oxytocin (Pitocin)

261

(5)

8. Postbirth Epidural Morphine

266

(2)

9. Recombinant Hepatitis B Vaccine

268

(1)

10. Vitamin K1 Phytonadione (AquaMEPHYTON)

269

(2)

Procedures

Administering Rh Immune Globulin (RhIgG, RhoGAM, HypRho-D)

271

(3)

Assessing Deep Tendon Reflexes and Clonus

274

(2)

Assessing the Fundus Following Vaginal Birth

276

(2)

Assisting During Amniocentesis

278

(4)

Assisting with a Pelvic Examination

282

(3)

Ausculatating Fetal Heart Rate

285

(4)

Electronic Fetal Monitoring

289

(4)

Evaluating Lochia After Birth

293

(2)

Instilling Ophthalmic Ilotycin Ointment

295

(2)

Performing a Heelstick for Glucose Testing

297

(3)

Performing an Intrapartal Vaginal Examination

300

(3)

Performing Gavage Feeding

303

(5)

Performing Nasal Pharyngeal Suctioning

308

(2)

Thermoregulation of the Newborn

310

(4)

References

314

(1)

Resource Guide

Maternal-Child Health Care

315

(3)

Appendices

A Common Abbreviations in Maternal-Newborn Nursing

318

(4)

B Conversion of Pounds and Ounces to Grams

322

(1)

C Cervical Dilatation Assessment Aid

323

(1)

D Actions and Effects of Selected Drugs During Breastfeeding

324

(3)

E Selected Maternal Laboratory Values

327

(1)

F Selected Newborn Laboratory Values

328

(1)

G Projected Recommendations for Isolation Precautions (CDC 1995)

329

(6)

H Spanish Translations of English Phrases

335

(7)

I Guidelines for Working with a Deaf Client and an Interpreter

342

(6)

Index

348

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Clinical Handbook for Maternal Newborn Nursing: A Family and Community-Based Approach

Summary

Table of Contents

Supplemental Materials