Home / Nursing / AWHONN's Perinatal Nursing
9781975110536
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9781975110536
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December 30, 2019
2019-12-30
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9781975110536
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  • Description
  • Specs
    Edition
    5
    ISBN/ISSN
    9781975110536
    Product Format
    VST ePub3
    Table
    0
    Edition
    5
    Publication Date
    December 30, 2019
  • Kathleen Rice Simpson PhD, RNC, FAAN
    Kathleen Rice Simpson, PhD, RNC, FAAN
    Perinatal Clinical Nurse Specialist
    Mercy Hospital
    St. Louis, Missouri
    Patricia A. Creehan MSN, RNC

    Patricia A. Creehan, MSN, RNC
    Manager of Clinical Operations Labor and Delivery
    Advocate Christ Medical Center
    Oak Lawn, Illinois
  • Table of contents
    Contents
    xiii
    CHAPTER 3
    Physiologic Changes of Pregnancy . . .48
    S u s a n T uc k er B l ac k b ur n
    I n tr o d uc tio n 48
    Hormones and Other Mediators 48
    C a r dio vas c ula r S y st em 50
    H ema t o logic Cha n g es 52
    Resp ira t o r y S y st em 53
    Renal S y st em 55
    Gastr o in t estinal S y st em 57
    M et a b o lic Cha n g es 58
    Endo cr ine S y st em 59
    I m m u ne S y st em 61
    Neuromuscular and Sensory Systems 62
    I n t egumen t a r y S y st em 62
    Rep r o d uc ti v e Or ga n s 63
    S umma r y 64
    CHAPTER 4
    Antenatal Care . . . . . . . . . . . . . . . . . . . .66
    E l lis e D . A d a m s
    I n tr o d uc tio n 66
    P r eco n cep tio n C a r e 66
    P r ena t al C a r e 68
    Prenatal Risk Assessment 71
    Ongoing Prenatal Care 85
    F e t a l S ur v eilla n ce 90
    Nursing Assessment and Interventions 91
    S umma r y 94
    CHAPTER 5
    H y p er t en si v e Dis o r der s
    of Pregnancy . . . . . . . . . . . . . . . . . . . . . .99
    A dr i ane Burgess
    H yp er t en si v e Dis o r der s 99
    C ur r en t Classifi cation and Defi nitions 99
    Contributors vi
    Reviewers viii
    Previous Edition Contributors x
    Previous Edition Reviewers xi
    Preface xii
    CHAPTER 1
    Perinatal Patient Safety and Quality . . .1
    K a t h leen Rice S im p s o n
    I n tr o d uc tio n 1
    Maternal–Infant Outcomes in the United States 2
    Th reats to Patient Safety 9
    E v o l v in g S o l u t io n s 9
    S umma r y 15
    CHAPTER 2
    I n t egra t in g C u l t ural B e liefs
    and Practices When Caring for
    Childbearing Women and Families . . .18
    L y nn Cla r k C allist er
    I n tr o d uc tio n 18
    C u l t ural F ra m e w o r ks a n d C u l t ural
    Assessment Tools 20
    Practices Associated with Childbearing 23
    G ender Ro les 23
    Childbirth Pain and Culture 24
    Major Cultural Groups 24
    H e a l t h D iff erences in Populations of
    Childbearing Women 33
    Barriers to Culturally Competent Care 34
    T e c hniq ues t o I n t egra t e C u l t ur e in t o
    Nursing Care 36
    S umma r y 42 xiv Contents
    CHAPTER 8
    Diabetes in Pregnancy . . . . . . . . . . . . .182
    Cher y l K. Ro t h
    S ig nifi cance and Incidence 182
    D e fi nitions and Classifi cation 184
    S c r e enin g a n d Diagnosis o f G est a t io nal
    Diabetes Mellitus 185
    Clinical M a nif est a tio n s 186
    N ur sin g A s s essmen ts a n d I n t er v en tio n s f o r
    Diabetes Mellitus 187
    Ambulatory and Home Care Management 187
    Timing and Mode of Birth 193
    I n pa tien t M a nag emen t 193
    P ost pa r t um M a nag emen t 196
    S umma r y 197
    CHAPTER 9
    Cardiac Disease in Pregnancy . . . . . .200
    J u lie Ara f e h
    S ig nifi cance and Incidence 200
    Th e 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 M a nag emen t 211
    N ur sin g C a r e 218
    S umma r y 219
    CHAPTER 10
    Pulmo n a r y C o m p lica t io n s in
    Pregnancy . . . . . . . . . . . . . . . . . . . . . . .221
    Cher y l K. Ro t h
    I n tr o d uc tio n 221
    Anatomic and Physiologic Changes of Pregnancy
    that Aff ect the Respiratory System 221
    Recognizing Respiratory Compromise 222
    F et a l S u r v eilla n ce wi t h M a t er n al Pulmo n a r y
    Complications 222
    A s t hma 225
    P n eumo nia 231
    Pulmo n a r y Edema 236
    Amniotic Fluid Embolism 238
    V e n o u s Th romboembolism 239
    C y stic Fib r osis 244
    Special Considerations for the Respiratory System
    in Pregnancy 245
    S umma r y 246
    S ig nifi cance and Incidence 101
    Morbidity and Mortality 102
    Risk F ac t o r s 104
    P r e v en tio n S t ra t e gies 104
    Pathophysiology of Preeclampsia 105
    Clinical M a nif est a tio n s o f
    Preeclampsia–Eclampsia 108
    P r eec la m psia wi t h o u t S e v er e F e a t ur es v er s us
    Preeclampsia with Severe Features 109
    N ur sin g A s s essmen t a n d I n t er v en tio n s f o r
    Preeclampsia 110
    HELLP S y ndr o me 118
    Ec la m psia 119
    Cardiovascular Implications of Preeclampsia 119
    Quality Care of Women with Preeclampsia 120
    S umma r y 120
    CHAPTER 6
    Bleeding in Pregnancy . . . . . . . . . . . . .124
    J e a n Salera-V ieira
    S ig nifi cance and Incidence 124
    D efi nitions and Clinical Manifestations 126
    N u r sin g A s s essmen t 133
    N ur sin g I n t er v en tio n s 135
    Hemorrhagic and Hypovolemic Shock 136
    Th rombophilias in Pregnancy 137
    M a t er n al T r a uma 138
    S umma r y 139
    CHAPTER 7
    Preterm Labor and Birth . . . . . . . . . . .142
    S h er y l E. P a r fi tt
    S ig nifi cance 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
    I s Th ere Any Good News? 168
    Nursing Care for the Prevention of
    Preterm Birth 168
    Intrapartum Nursing Care of the Woman in
    Preterm Labor 173
    F ur t her Res e a r c h 174
    S umma r y 174 Contents xv
    CHAPTER 14
    Labor and Birth . . . . . . . . . . . . . . . . . .326
    Kathleen Rice Simpson and Nancy O’Brien-Abel
    I n tr o d uc tio n 326
    Overview of Labor and Birth 326
    Emo t io nal a n d Ph ysical S u p p o r t d ur in g
    Labor and Birth 363
    Clinical Interventions for Women in Labor 367
    Dosage and Rate Increase Intervals 380
    A dministra tio n 381
    V a ginal B ir t h 389
    C es a r e a n B ir t h 389
    S umma r y 400
    CHAPTER 15
    Fetal Assessment during Labor . . . . .413
    Nancy O’Brien-Abel and Kathleen Rice Simpson
    I n tr o d uc tio n 413
    H i st o r ical P er s p e c t i v es 413
    D e fi nitions 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
    Cha rac t e r i stics o f t h e N o r m al F e t a l
    Heart Rate 428
    I n t er v en tio n s f o r I n det er mina t e o r A b no r m al
    Fetal Heart Rate Patterns 430
    Fetal Heart Rate Patterns 434
    Clinical I m p lica t io n s f o r M o ni t o r in g t h e
    Fetus Less Th an 32 Weeks’ Gestation
    during Labor 445
    Assessment of Pattern Evolution 448
    Ancillary Methods for Assessing Fetal Acid–Base
    Status 450
    N ur sin g A s s e ssmen t a n d M a nag e men t
    Strategies 453
    Issues in the Use of Fetal Heart Rate Monitoring
    during Labor 457
    S umma r y 459
    CHAPTER 16
    P a in in L a b o r : N o n p ha r m aco logic
    and Pharmacologic Management. . . .466
    C a r o l B urk e
    I n tr o d uc tio n 466
    Physiologic Basis for Pain 466
    N o n p ha r m aco logic A p p r oac h es 470
    Pha r maco logic A p p r oac h es 485
    S umma r y 499
    CHAPTER 11
    Multiple Gestation . . . . . . . . . . . . . . . .249
    N a nc y A. B o w er s
    I n tr o d uc tio n 249
    E p idemio log y 249
    Physiology of Twinning 249
    Role of Infertility and Assisted Reproductive
    Technology 251
    Diagnosis of Multiple Gestations 254
    M a t er n al A d a p t a tio n 255
    P e r ina t a l C o m p lica t io n s 256
    An t epa r t um M a nag e men t 264
    I n tra p a r t um M a nag e men t 268
    P ost pa r t um C a r e 273
    Multiple Birth Infants 274
    P sy c ho logical I ssues wi t h M u l t i p le
    Gestations 281
    S umma r y 286
    CHAPTER 12
    Obesity in Pregnancy . . . . . . . . . . . . . .296
    M a r y Ann M a her
    S ig nifi cance and Incidence 296
    Obesity-Related Risks to the Mother and
    Fetus 298
    P r eco n cep tio n C a r e 300
    An t e na t a l C a r e 301
    I n tra p a r t um C a r e 302
    I n trao p era ti v e C a r e 305
    P ost pa r t um C a r e 307
    Bariatric Surgery and Pregnancy 308
    S umma r y 310
    CHAPTER 13
    Maternal–Fetal Transport . . . . . . . . . .315
    J ud y W i ls o n-G r i ffi n
    I n tr o d uc tio n 315
    Emer g enc y M e dical T r e a tmen t a n d A c ti v e
    Labor Act 315
    Types of Inter-Maternal–Fetal Transport 316
    Mode of Transport 317
    T ra n sp o r t Eq ui p m en t 317
    T r a n sp o r t P er s o nnel 318
    C o mm unica t io n Pla n 318
    Transport Plan and Patient Preparation 318
    S umma r y 325 xvi Contents
    C a r dio vas c ula r A s s essmen t 593
    A b do minal A s s essmen t 595
    G eni t o ur ina r y A s s essmen t 597
    M u s c ulosk e let al A s s essmen t 599
    N eur o logic A s s essmen t 602
    S umma r y 604
    CHAPTER 20
    Newborn Nutrition . . . . . . . . . . . . . . .609
    J ill J a nk e
    O v er vie w 609
    Infant Feeding Decision 609
    B e n e fi ts of Breastfeeding 609
    Incidence of Breastfeeding 610
    B r e a stf eedin g P r o m o t io n 615
    Physiology of Milk Production 615
    B iosp e cifi city of Human Milk 617
    N u tr i t io nal C o m p o n en ts 617
    Preterm Milk and Lactation 618
    B r e a stf eedin g P r o cess 619
    B r e a stf eedin g M a nag emen t 623
    Potential Breastfeeding Problems 631
    L a t e P r et er m 638
    Medications and Breastfeeding 638
    Postpartum Surgery and Breastfeeding 639
    F o r m ula F eedin g 639
    L ac t a t io n S u p p r essio n 642
    S umma r y 643
    CHAPTER 21
    Co m m o n N e o n a t al Co m p l i c a t i o n s . . . 651
    Annie J . Ro ha n
    I n tr o d uc tio n 651
    Neonatal Resuscitation and Stabilization 651
    Resp ira t o r y Distr ess 652
    Congenital Heart Disease 655
    H yp o g l y cemia 658
    H yp erb ilir ub inemia 660
    N e o n a t al S epsis 665
    Perinatal HIV Infection 667
    Neonatal Substance Exposure 670
    P a t h o p h ysio log y 671
    Late Preterm Infants 674
    Hypoxic Ischemic Encephalopathy 680
    Transport and Return Transport 683
    S umma r y 683
    APPENDIX
    I t em B a nk Questio n s a n d
    Answer Key . . . . . . . . . . . . . . . . . . . . . .689
    N a nc y O ’ B r ien-A b e l
    Index . . . . . . . . . . . . . . . . . . . . . . . . . . .732
    CHAPTER 17
    Postpartum Care . . . . . . . . . . . . . . . . . .509
    Dotti C. James and Patricia D. Suplee
    I n tr o d uc tio n 509
    Planning for the Transition to Parenthood 509
    Anatomic and Physiologic Changes during the
    Postpartum Period 515
    N ur sin g A s s essmen t a n d C a r e d ur in g
    Postpartum 521
    Complications during Postpartum 526
    I n di vid u alizin g C a r e f o r W o men wi t h
    Special Needs 544
    Postpartum Learning Needs 547
    P sy c ho logical A d a p t a tio n t o t h e
    Postpartum Period 550
    F a tigue 552
    Family Transition to Parenthood 552
    Postpartum Discharge Follow-up 554
    S umma r y 561
    CHAPTER 18
    N e w b or n A d a p t a t ion t o
    Extrauterine Life . . . . . . . . . . . . . . . . . .564
    D e bb ie F ras er
    I n tr o d uc tio n 564
    M a t er n al M e dical a n d Obst etr ic C o ndi t io n s
    Infl uencing Newborn Adaptation 564
    U niq ue M e c h a nism s o f N e w b o r n Ph ysio logic
    Adaptation 564
    A pga r S co r e 572
    Ph ysical A s s essmen t 572
    N e w b o r n I den tifi cation 574
    V i t a min K 574
    E y e P r o p h y laxis 574
    Umbilical Cord Care 575
    P sy c ho logical A d a p t a tio n 575
    C o m p lica t io n s Aff ecting Transition 576
    H e pa ti tis B 577
    S umma r y 577
    CHAPTER 19
    Newborn Physical Assessment . . . . . .579
    Annie J . Ro ha n
    I n tr o d uc tio n 579
    S t a t e , W eig h t, a n d G e st a t io nal A g e
    Assessment 579
    S k in A s s essmen t 581
    H e ad A s s essmen t 584
    E y e A s s e ssmen t 586
    E a r A s s e ssmen t 588
    N os e A s s essmen t 589
    M o u t h A s s essmen t 590
    N e c k A s s essmen t 591
    Chest and Lung Assessment 592
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