AWHONN's Perinatal Nursing
760
AWHONN's Perinatal Nursing
760Paperback(Fifth, Revised Reprint)
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Overview
- NEW and expanded content on pregnancy complications – Bleeding in pregnancy, preterm labor and birth, diabetes, cardiac disease, pulmonary complications, multiple gestation, obesity and more
- NEW content on newborn nutrition – The infant feeding decision, breastfeeding benefits, nutritional components, and preterm milk and lactation
- NEW and updated content on patient safety and maternal morbidity and mortality in the United States – Instructions on how to make maternity units safer based on the most current evidence, and through application of various care bundles
- Evidence-based information on clinical conditions – Includes chapter on obesity that covers risks to the mother and fetus, care from preconception to postpartum, and bariatric surgery
- Text boxes emphasize crucial care standards and guidelines
- Practical guidance and current best practices for areas including:
- Perinatal patient safety and quality care
- Integrating patient cultural beliefs and practices into perinatal care
- Physiologic changes of pregnancy
- Antenatal care
- Hypertensive disorders of pregnancy
- Pregnancy complications
- Multiple gestation
- Maternal-fetal transport
- Labor and birth
- Fetal assessment
- Managing pain during labor
- Postpartum care
- Newborn care – Adaptation to extrauterine life, physical assessment and nutrition
- Common neonatal complications
- All chapters written by expert nurse clinicians and researchers to support positive perinatal outcomes
- Nursing staffing standards are included as they apply to each patient population
- Ideal for those seeking certification in obstetrics nursing (RNC-OB) and maternal newborn nursing (RN-MNN, RNC-LRN)
- Perfect on-the-job resource and review text for all perinatal nurses, maternal units, and students
- The ability to download the eBook on multiple devices at one time — providing a seamless reading experience online or offline
- Powerful search tools and smart navigation cross-links that allow you to search within this book, or across your entire library of VitalSource® eBooks
- Multiple viewing options that enable you to scale images and text to any size without losing page clarity, as well as responsive design
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Product Details
| ISBN-13: | 9781975174538 |
|---|---|
| Publisher: | LWW |
| Publication date: | 11/12/2020 |
| Edition description: | Fifth, Revised Reprint |
| Pages: | 760 |
| Sales rank: | 378,926 |
| Product dimensions: | 8.40(w) x 10.80(h) x 1.10(d) |
About the Author
Kathleen Rice Simpson, PhD, RNC, FAAN is Perinatal Clinical Nurse Specialist and Editor-in-Chief MCN, The American Journal of Maternal Child Nursing in Saint Louis, Missouri.
Patricia A. Creehan, MSN, RNC is Manager of Clinical Operations, Labor and Delivery at Advocate Christ Medical Center in Oak Lawn, Illinois.
Nancy O'Brien-Abel, MSN, RNC is Perinatal Clinical Nurse Specialist at Perinatal Consulting, LLC and Affiliate Instructor at the School of Nursing, University of Washington in Seattle, Washington.
Cheryl K. Roth, PhD, WHNP-BC, RNC-OB, RNFA is a Nurse Practitioner, Labor and Delivery at HonorHealth Scottsdale Shea/Osborn Medical Centers in Scottsdale, Arizona.
Annie J. Rohan, PhD, RN, NNP-BC, CPNP-PC, FAANP is Director of the Doctor of Nursing Practice Program and Director of Pediatric Research at the School of Nursing, Office of Nursing Research and Innovation at Stony Brook University (SUNY at Stony Brook) in Stony Brook, New York.
Table of Contents
Contributors vi
Reviewers viii
Previous Edition Contributors x
Previous Edition Reviewers xi
Preface xii
Chapter 1 Perinatal Patient Safety and Quality Kathleen Rice Simpson 1
Introduction 1
Maternal-Infant Outcomes in the United States 2
Threats to Patient Safety 9
Evolving Solutions 9
Summary 15
Chapter 2 Integrating Cultural Beliefs and Practices When Caring for Childbearing Women and Families Lynn Clark Callister 18
Introduction 18
Cultural Frameworks and Cultural Assessment Tools 21
Practices Associated with Childbearing 24
Gender Roles 26
Childbirth Pain and Culture 26
Major Cultural Groups 27
Barriers to Culturally Competent Care 33
Techniques to Integrate Culture into Nursing Care 35
Summary 42
Chapter 3 Physiologic Changes of Pregnancy Susan Tucker Blackburn 48
Introduction 48
Hormones and Other Mediators 48
Cardiovascular System 50
Hematologic Changes 52
Respiratory System 53
Renal System 55
Gastrointestinal System 57
Metabolic Changes 58
Endocrine System 59
Immune System 61
Neuromuscular and Sensory Systems 62
Integumentary System 62
Reproductive Organs 63
Summary 64
Chapter 4 Antenatal Care Ellise D. Adams 66
Introduction 66
Preconception Care 66
Prenatal Care 68
Prenatal Risk Assessment 71
Ongoing Prenatal Care 85
Fetal Surveillance 90
Nursing Assessment and Interventions 91
Summary 94
Chapter 5 Hypertensive Disorders of Pregnancy Adriane Burgess 99
Hypertensive Disorders 99
Current Classification and Definitions 99
Significance and Incidence 101
Morbidity and Mortality 102
Risk Factors 104
Prevention Strategies 104
Pathophysiology of Preeclampsia 105
Clinical Manifestations of Preeclampsia-Eclampsia 108
Preeclampsia without Severe Features versus Preeclampsia with Severe Features 109
Nursing Assessment and Interventions for Preeclampsia 110
HELLP Syndrome 118
Eclampsia 119
Cardiovascular Implications of Preeclampsia 119
Quality Care of Women with Preeclampsia 120
Summary 120
Chapter 6 Bleeding in Pregnancy Jean Salera-Vieira 124
Significance and Incidence 124
Definitions and Clinical Manifestations 126
Nursing Assessment 133
Nursing Interventions 135
Hemorrhagic and Hypovolemic Shock 136
Thrombophilias in Pregnancy 137
Maternal Trauma 138
Summary 139
Chapter 7 Preterm Labor and Birth Sheryl E. Parfitt 142
Significance and Incidence 142
Late Preterm Births 144
Early Term Births 145
Why Has the Rate of Preterm Birth Increased? 146
What Is Preterm Labor? 148
Pathophysiology of Preterm Labor and Birth 149
Risk Factors for Preterm Labor and Birth 150
Preterm Birth Risk in the Context of the Life Course 152
Can Preterm Labor and Birth Be Prevented? 154
Is There Any Good News? 168
Nursing Care for the Prevention of Preterm Birth 168
Intrapartum Nursing Care of the Woman in Preterm Labor 173
Further Research 174
Summary 174
Chapter 8 Diabetes in Pregnancy Cheryl K. Roth 182
Significance and Incidence 182
Definitions and Classification 184
Screening and Diagnosis of Gestational Diabetes Mellitus 185
Clinical Manifestations 186
Nursing Assessments and Interventions for Diabetes Mellitus 187
Ambulatory and Home Care Management 187
Timing and Mode of Birth 193
Inpatient Management 193
Postpartum Management 196
Summary 197
Chapter 9 Cardiac Disease in Pregnancy Julie Arafeh 200
Significance and Incidence 200
The Cardiovascular System 201
Cardiac Adaptations of Pregnancy 203
Obstetric Outcomes and Assessment of Risk 205
Congenital Heart Disease in Pregnancy 208
Acquired Cardiac Disease in Pregnancy 209
Clinical Management 211
Nursing Care 218
Summary 219
Chapter 10 Pulmonary Complications in Pregnancy Cheryl K. Roth 221
Introduction 221
Anatomic and Physiologic Changes of Pregnancy that Affect the Respiratory System 221
Recognizing Respiratory Compromise 222
Fetal Surveillance with Maternal Pulmonary Complications 222
Asthma 225
Pneumonia 231
Pulmonary Edema 236
Amniotic Fluid Embolism 238
Venous Thromboembolism 239
Cystic Fibrosis 244
Special Considerations for the Respiratory System in Pregnancy 245
Summary 246
Chapter 11 Multiple Gestation Nancy A. Bowers 249
Introduction 249
Epidemiology 249
Physiology of Twinning 249
Role of Infertility and Assisted Reproductive Technology 251
Diagnosis of Multiple Gestations 254
Maternal Adaptation 255
Perinatal Complications 256
Antepartum Management 264
Intrapartum Management 268
Postpartum Care 273
Multiple Birth Infants 274
Psychological Issues with Multiple Gestations 281
Summary 286
Chapter 12 Obesity in Pregnancy Mary Ann Maher 296
Significance and Incidence 296
Obesity-Related Risks to the Mother and Fetus 298
Preconception Care 300
Antenatal Care 301
Intrapartum Care 302
Intraoperative Care 305
Postpartum Care 307
Bariatric Surgery and Pregnancy 308
Summary 310
Chapter 13 Maternal-Fetal Transport Judy Wilson-Griffin 315
Introduction 315
Emergency Medical Treatment and Active Labor Act 315
Types of Inter-Maternal-Fetal Transport 316
Mode of Transport 317
Transport Equipment 317
Transport Personnel 318
Communication Plan 318
Transport Plan and Patient Preparation 318
Summary 325
Chapter 14 Labor and Birth Kathleen Rice Simpson Nancy O'Brien-Abel 326
Introduction 326
Overview of Labor and Birth 326
Emotional and Physical Support during Labor and Birth 363
Clinical Interventions for Women in Labor 367
Dosage and Rate Increase Intervals 380
Administration 381
Vaginal Birth 389
Cesarean Birth 389
Summary 400
Chapter 15tFetal Assessment during Labor Nancy O'Brien-Abel Kathleen Rice Simpson 413
Introduction 413
Historical Perspectives 413
Definitions and Appropriate Use of Terms Describing Fetal Heart Rate Patterns 415
Techniques of Fetal Heart Rate Monitoring 418
Physiologic Basis for Fetal Heart Rate Monitoring 424
Characteristics of the Normal Fetal Heart Rate 428
Interventions for Indeterminate or Abnormal Fetal Heart Rate Patterns 430
Fetal Heart Rate Patterns 434
Clinical Implications for Monitoring the Fetus Less Than 32 Weeks' Gestation during Labor 445
Assessment of Pattern Evolution 448
Ancillary Methods for Assessing Fetal Acid-Base Status 450
Nursing Assessment and Management Strategies 453
Issues in the Use of Fetal Heart Rate Monitoring during Labor 457
Summary 459
Chapter 16 Pain in Labor: Nonpharmacologic and Pharmacologic Management Carol Burke 466
Introduction 466
Physiologic Basis for Pain 466
Nonpharmacologic Approaches 470
Pharmacologic Approaches 485
Summary 499
Chapter 17 Postpartum Care Dotti C. James Patricia D. Suplee 509
Introduction 509
Planning for the Transition to Parenthood 509
Anatomic and Physiologic Changes during the Postpartum Period 515
Nursing Assessment and Care during Postpartum 521
Complications during Postpartum 526
Individualizing Care for Women with Special Needs 544
Postpartum Learning Needs 547
Psychological Adaptation to the Postpartum Period 550
Fatigue 552
Family Transition to Parenthood 552
Postpartum Discharge Follow-up 554
Summary 561
Chapter 18 Newborn Adaptation to Extrauterine Life Debbie Fraser 564
Introduction 564
Maternal Medical and Obstetric Conditions Influencing Newborn Adaptation 564
Unique Mechanisms of Newborn Physiologic Adaptation 564
Apgar Score 572
Physical Assessment 572
Newborn Identification 574
Vitamin K 574
Eye Prophylaxis 574
Umbilical Cord Care 575
Psychological Adaptation 575
Complications Affecting Transition 576
Hepatitis B 577
Summary 577
Chapter 19 Newborn Physical Assessment Annie J. Rohan 579
Introduction 579
State, Weight, and Gestational Age Assessment 579
Skin Assessment 581
Head Assessment 584
Eye Assessment 586
Ear Assessment 588
Nose Assessment 589
Mouth Assessment 590
Neck Assessment 591
Chest and Lung Assessment 592
Cardiovascular Assessment 593
Abdominal Assessment 595
Genitourinary Assessment 597
Musculoskeletal Assessment 599
Neurologic Assessment 602
Summary 604
Chapter 20 Newborn Nutrition Jill Janke 609
Overview 609
Infant Feeding Decision 609
Benefits of Breastfeeding 609
Incidence of Breastfeeding 610
Breastfeeding Promotion 615
Physiology of Milk Production 615
Biospecificity of Human Milk 617
Nutritional Components 617
Preterm Milk and Lactation 618
Breastfeeding Process 619
Breastfeeding Management 623
Potential Breastfeeding Problems 631
Late Preterm 638
Medications and Breastfeeding 638
Postpartum Surgery and Breastfeeding 639
Formula Feeding 639
Lactation Suppression 642
Summary 643
Chapter 21 Common Neonatal Complications Annie J. Rohan 651
Introduction 651
Neonatal Resuscitation and Stabilization 651
Respiratory Distress 652
Congenital Heart Disease 655
Hypoglycemia 658
Hyperbilirubinemia 660
Neonatal Sepsis 665
Perinatal HIV Infection 667
Neonatal Substance Exposure 670
Pathophysiology 671
Late Preterm Infants 674
Hypoxic Ischemic Encephalopathy 680
Transport and Return Transport 683
Summary 683
Appendix Item Bank Questions and Answer Key Nancy O'Brien-Abel 689
Index 732
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