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

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

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ISBN: 9780805356229 | 0805356223
Cover: Hardcover
Copyright: 1/1/1998

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PART ONE: BASIC CONCEPTS

(150)

1 Contemporary Maternal-Newborn Care

(14)

Contemporary Childbirth

(1)

Nursing Roles

(1)

Legal Considerations

(1)

Ethical Issues

(3)

Tools for Critical Thinking in Maternal-Newborn Practice

(2)

Statistics

(1)

Nursing Research

(1)

Critical Thinking: A Case Study

(2)

2 Reproductive Anatomy and Physiology

(23)

Female Reproductive System

(12)

The Female Reproductive Cycle

(5)

Male Reproductive System

(5)

3 Conception and Fetal Development

(24)

Cellular Division

(1)

Gametogenesis

(2)

The Process of Fertilization

(3)

Intrauterine Development

(8)

Embryo and Fetal Development and Organ Formation

(6)

Factors Influencing Embryonic and Fetal Development

(4)

4 Families with Special Reproductive Concerns

(30)

Infertility

(13)

Genetic Disorders

(16)

5 Women's Health Care

(45)

The Nurse's Role in Addressing Issues of Sexuality

(1)

Menstruation

(3)

Contraception

(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

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

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