Table of Contents
Preface xi
Foreword xiv
Contributors xvi
Reviewers xviii
Chapter 1 Professional Responsibilities in the Provision of Newborn Care Sandra L. Gardner B. J. Snell 1
Why Newborns Are Different 2
Defining the Healthcare Provider's Practice 17
Legal Issues 26
Professional Practice and Care of the Neonate 29
Conclusion 30
References 30
Chapter 2 Perinatal History: Influences on Newborn Outcome Pamela J. Reis Amy Jnah 35
Components of the Perinatal Health Record 36
Perinatally Acquired Infections 49
Perinatal Substance Abuse 51
Intrapartum History 56
Conclusion 61
Student Practice Activities 62
References 64
Chapter 3 Newborn Transition: The Journey from Fetal to Extrauterine Life Jenna Shaw-Battista Sandra L. Gardner 69
Epigenetics 70
The First Hour of Life 72
Labor and Birth in Water 81
Data Collection 82
Routine Care During Transition 89
Standards of Care 92
Cultural Considerations 94
Health Education 94
Conclusion 95
Student Practice Activities 95
References 97
Chapter 4 Physical Examination, Interventions, and Referrals Nicole Boucher Donna Marvicsin Sandra L. Gardner
Apgar Scoring and Gestational Age 101
Anthropometric Measurements 104
Physical Examination 104
Neurologic Examination 125
Student Practice Activities 133
References 134
Chapter 5 Newborn and Neonatal Nutrition B. J. Snell Sandra L. Gardner 135
Introduction 135
Influences on Breastfeeding Success: Prenatal, Intrapartal, and Postpartal 136
Physiology and Pathophysiology of Breastfeeding 139
Common Problems with Breastfeeding 146
Standard of Care/National Guidelines for Care 164
Teaching/Counseling About Breastfeeding 165
Formula Feeding 165
Normal Neonatal Physiology, Pathology, or Formula Intolerance? 176
Summary 182
Student Practice Activities 182
References 182
Chapter 6 Developmental Care of the Well Newborn Barbara A. Overman Dorinda L. Welle 191
Conceptual Foundations of Developmental Care of the Well Newborn 192
Developmental Care and Neonatal Behavioral Transition 198
The Predictable Behavioral Sequence 199
Newborn States: Co-regulation for Process Completion 201
"Co-regulation Boot Camp": Bringing in the Milk 205
Newborn Growth Spurt: Expanding and Maturing the Milk 207
Co-regulation for Conformity: Days, Nights, and Elimination 208
Saying Goodbye to the Neonatal Period: Colic, Fatigue, and Mother/Baby Blues 209
Conclusion 212
Student Practice Activities 213
References 214
Chapter 7 Newborn Discharge Timing Katrina Wu Rachel Stapleton 219
Introduction 219
Historical Perspective 220
Ethical Considerations 220
Data Collection 220
Teaching and Counseling 222
Standards of Care 223
Birth Center and Home Settings 225
Risk of Readmission 226
Cultural Considerations 228
Conclusion 229
Student Practice Activities 229
References 231
Chapter 8 Discharge Teaching Cara Busenhart 235
Timing of Discharge 235
Standard of Care/National Guidelines for Care 236
Preparation for Discharge 238
Follow-Up Care 247
Student Practice Activities 248
References 250
Chapter 9 Hyperbilirubinemia of the Newborn Born After 35 Weeks' Gestation Susan Dragoo 253
Incidence 255
Bilirubin Metabolism 256
Current Guidelines for Management 259
Pathologic Jaundice 268
Student Practice Activities 271
References 272
Chapter 10 Infection in the Neonate Sandra L. Gardner B. J. Snell 275
Definition and Etiology 275
Prevention 278
Data Collection 278
Differential Diagnoses 301
Standard of Care for Treatment 302
Cultural Considerations 304
Parent Education 305
Student Practice Activities 306
References 308
Chapter 11 General Considerations of the Newborn with Complications Shewn Bautista Curry J. Bordelon 313
Factors Affecting the Developing Fetus 313
Fetal Growth 316
Delivery Complications 319
Genetic Complications 321
Structural Complications 323
Conclusion 326
Student Practice Activities 327
References 329
Chapter 12 Health Maintenance Visits in the First Month of Life Karla Reinhart Sandra L. Gardner 331
Introduction 331
Outpatient Visits 332
Newborn Development 333
Health Maintenance Visits 336
Standard of Care/National Guidelines for Care 348
Cultural Considerations 348
Conclusion 350
Student Practice Activities 351
References 353
Appendix A Answers to Student Practice Activities 355
Appendix B Resources for Parents 363
Index 371