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Copyright, ii
About the Authors, iii
Thank You, iv
Preface, vii
Acknowledgments, xvi
Guide to Special Features, xx
Part 1. Introductory Concepts, 1
Chapter 1. Contemporary Maternal-Newborn Care, 2
Nursing Roles, 3
Contemporary Childbirth, 4
Legal Considerations, 7
Special Ethical Issues in Maternity Care, 8
Critical Thinking in Contemporary Care, 11
Chapter 2. Culture and the Childbearing Family, 17
The Family, 18
Cultural Influences Affecting the Family, 20
Complementary and Alternative Therapies and the Childbearing Family, 23
Nursing Care of the Childbearing Family Using Complementary Therapies, 26
Chapter 3. Reproductive Anatomy and Physiology, 29
Female Reproductive System, 30
The Female Reproductive Cycle, 42
Male Reproductive System, 45
Chapter 4. Conception and Fetal Development, 51
Cellular Division, 52
Gametogenesis, 53
The Process of Fertilization, 53
Preembryonic Development, 56
Embryonic and Fetal Development, 66
Factors Influencing Embryonic and Fetal Development, 72
Part 2. Women’s Health: The Reproductive Years, 77
Chapter 5. Health Promotion for Women, 78
Community-Based Nursing Care, 79
Menstruation, 80
Contraception, 83
Health Promotion for Women, 95
Menopause, 99
Violence Against Women, 104
Chapter 6. Common Gynecologic Problems, 111
Care of the Woman with a Benign Disorder of the Breast, 112
Care of the Woman with Endometriosis, 113
Care of the Woman with Polycystic Ovarian Syndrome, 115
Care of the Woman with Toxic Shock Syndrome, 116
Care of the Woman with a Vaginal Infection, 116
Care of the Woman with a Sexually Transmitted Infection, 119
Care of the Woman with Pelvic Inflammatory Disease, 124
Care of the Woman with an Abnormal Finding During Pelvic Examination, 125
Care of the Woman with a Urinary Tract Infection, 127
Care of the Woman with Pelvic Relaxation, 129
Care of the Woman Requiring a Hysterectomy, 130
Chapter 7. Families with Special Reproductive Concerns, 133
Infertility, 134
Genetic Disorders, 151
Chapter 8. Preparation for Parenthood, 166
Preconception Counseling, 167
Childbearing Decisions, 168
Classes for Family Members During Pregnancy, 171
Education of the Family Having Cesarean Birth, 174
Preparation for Parents Desiring Vaginal Birth After Cesarean Birth (VBAC), 174
Childbirth Preparation Methods, 175
Preparation for Childbirth That Supports Individuality, 178
Part 3. Pregnancy and Family, 181
Chapter 9. Physical and Psychologic Changes of Pregnancy, 182
Anatomy and Physiology of Pregnancy, 183
Signs of Pregnancy, 188
Psychologic Response of the Expectant Family to Pregnancy, 191
Cultural Values and Pregnancy, 197
Chapter 10. Antepartal Nursing Assessment, 199
Initial Client History, 200
Initial Prenatal Assessment, 204
Subsequent Client History, 217
Chapter 11. The Expectant Family: Needs and Care, 225
Nursing Care During the Prenatal Period, 226
Care of the Pregnant Woman’s Family, 227
Cultural Considerations in Pregnancy, 229
Relief of the Common Discomforts of Pregnancy, 231
Promotion of Self-Care During Pregnancy, 237
Care of the Expectant Couple over Age 35, 250
Chapter 12. Maternal Nutrition, 255
Maternal Weight Gain, 257
Nutritional Requirements, 259
Vegetarianism, 265
Factors Influencing Nutrition, 266
Nutritional Care of the Pregnant Adolescent, 270
Postpartum Nutrition, 271
Chapter 13. Adolescent Pregnancy, 276
Overview of Adolescence, 277
Factors Contributing to Adolescent Pregnancy, 278
Risks to the Adolescent Mother, 279
Partners of Adolescent Mothers, 280
Reactions of Family and Social Network to Adolescent Pregnancy, 282
Prevention of Adolescent Pregnancy, 287
Chapter 14. Assessment of Fetal Well-Being, 290
Maternal Assessment of Fetal Activity, 292
Ultrasound, 292
Nuchal Translucency Testing, 293
Doppler Blood Flow Studies (Umbilical Velocimetry), 296
Nonstress Test, 296
Fetal Acoustic Stimulation Test and Vibroacoustic Stimulation Test, 299
Biophysical Profile, 299
Contraction Stress Test, 300
Amniotic Fluid Analysis, 302
Chorionic Villus Sampling, 305
Chapter 15. Pregnancy at Risk: Pregestational Problems, 308
Care of the Woman with Substance Abuse Problems, 309
Care of the Woman with Diabetes Mellitus, 313
Care of the Woman with Anemia, 323
Care of the Woman with HIV Infection, 323
Care of the Woman with Heart Disease, 330
Other Medical Conditions and Pregnancy, 333
Chapter 16. Pregnancy at Risk: Gestational Onset, 338
Care of the Woman with a Bleeding Disorder, 339
Care of the Woman with Hyperemesis Gravidarum, 345
Care of the Woman with a Hypertensive Disorder, 346
Care of the Woman at Risk for Rh Alloimmunization, 359
Care of the Woman at Risk Because of ABO Incompatibility, 363
Care of the Woman Requiring Surgery During Pregnancy, 363
Care of the Woman Suffering Trauma from an Accident, 364
Care of the Battered Pregnant Woman, 364
Care of the Woman with a Perinatal Infection Affecting the Fetus, 365
Part 4. Birth and the Family, 373
Chapter 17. Processes and Stages of Labor and Birth, 374
Critical Factors in Labor, 375
The Physiology of Labor, 384
Stages of Labor and Birth, 387
Maternal Systemic Response to Labor, 393
Fetal Response to Labor, 396
Chapter 18. Intrapartal Nursing Assessment, 398
Maternal Assessment, 399
Fetal Assessment, 410
Chapter 19. The Family in Childbirth: Needs and Care, 430
Nursing Diagnosis During Labor and Birth, 431
Nursing Care During Admission, 431
Nursing Care During the First Stage of Labor, 437
Nursing Care During the Second Stage of Labor, 447
Nursing Care During the Third and Fourth Stages of Labor, 453
Support of the Adolescent During Birth, 459
Nursing Care During Precipitous Birth, 461
Evaluation, 462
Chapter 20. Pharmacologic Management of Pain, 464
Systemic Medications, 465
Regional Anesthesia and Analgesia, 468
General Anesthesia, 478
Chapter 21. Childbirth at Risk: Pre-Labor Complications, 481
Care of the Woman with Premature Rupture of Membranes, 482
Care of the Woman at Risk Because of Preterm Labor, 484
Care of the Woman at Risk Because of Bleeding During Pregnancy, 489
Care of the Woman with Multiple Gestation, 493
Care of the Woman with Abnormal Amniotic Fluid Volume, 498
Chapter 22. Childbirth at Risk: Labor-Related Complications, 502
Care of the Woman with a Psychologic Disorder, 503
Care of the Woman with Dystocia Related to Dysfunctional Uterine Contractions, 504
Care of the Woman Experiencing Precipitous Labor, 508
Care of the Woman with Postterm Pregnancy, 509
Care of the Woman and Fetus at Risk Because of Fetal Malposition, 510
Care of the Woman and Fetus at Risk Because of Fetal Malpresentation, 512
Care of the Woman and Fetus at Risk for Macrosomia, 517
Care of the Woman and Fetus in the Presence of Nonreassuring Fetal Status, 518
Care of the Woman and Fetus with a Prolapsed Umbilical Cord, 520
Care of the Woman and Fetus at Risk Because of Amniotic Fluid Embolism, 521
Care of the Woman with Cephalopelvic Disproportion (CPD), 521
Care of the Woman with a Complication of the Third or Fourth Stage of Labor, 522
Care of the Family Experiencing Perinatal Loss, 523
Chapter 23. Birth-Related Procedures, 534
Care of the Woman During Version, 535
Care of the Woman During Amniotomy, 536
Care of the Woman During Cervical Ripening, 537
Care of the Woman During Labor Induction, 539
Care of the Woman During Amnioinfusion, 541
Care of the Woman During an Episiotomy, 543
Care of the Woman During Forceps-Assisted Birth, 548
Care of the Woman During Vacuum-Assisted Birth, 550
Care of the Family During Cesarean Birth, 550
Care of the Woman Undergoing Vaginal Birth After Cesarean (VBAC), 555
Part 5. The Newborn, 559
Chapter 24. The Physiologic Responses of the Newborn to Birth, 560
Respiratory Adaptations, 561
Cardiovascular Adaptations, 565
Hematopoietic System, 568
Temperature Regulation, 569
Hepatic Adaptations, 572
Gastrointestinal Adaptations, 577
Urinary Tract Adaptations, 578
Immunologic Adaptations, 579
Neurologic and Sensory-Perceptual Functioning, 580
Chapter 25. Nursing Assessment of the Newborn, 586
Timing of Newborn Assessments, 587
Estimation of Gestational Age, 588
Physical Assessment, 596
Chapter 26. Normal Newborn: Needs and Care, 630
Nursing Care During Admission and the First Four Hours of Life, 631
Nursing Care of the Newborn Following Transition, 641
Nursing Management in Preparation for Discharge, 648
Chapter 27. Newborn Nutrition, 658
Nutritional Needs and Milk Composition, 659
Choice of Feeding: Breast versus Formula, 664
The Feeding Process, 670
Community-Based Nursing Care, 687
Nutritional Assessment, 690
Chapter 28. The Newborn at Risk: Conditions Present at Birth, 695
Identification of At-Risk Newborns, 696
Care of the Small-for-Gestational-Age/Intrauterine Growth Restriction Newborn, 698
Care of the Large-for-Gestational-Age (LGA) Newborn, 701
Care of the Infant of a Diabetic Mother, 704
Care of the Postterm Newborn, 706
Care of the Preterm (Premature) Newborn, 708
Care of the Newborn with Congenital Anomalies, 724
Care of the Infant of a Substance-Abusing Mother, 724
Care of the Newborn Exposed to HIV/AIDS, 737
Care of the Newborn with Congenital Heart Defect, 740
Care of the Newborn with an Inborn Error of Metabolism, 743
Chapter 29. The Newborn at Risk: Birth-Related Stressors, 747
Care of the Newborn at Risk Because of Asphyxia, 748
Care of the Newborn with Respiratory Distress, 753
Care of the Newborn with Cold Stress, 765
Care of the Newborn with Hypoglycemia, 766
Care of the Newborn with Jaundice, 770
Care of the Newborn with Anemia, 781
Care of the Newborn with Polycythemia, 782
Care of the Newborn with Infection, 783
Care of Family with Birth of an At-Risk Newborn, 788
Part 6. Postpartum, 799
Chapter 30. Postpartal Adaptation and Nursing Assessment, 800
Postpartal Physical Adaptations, 801
Postpartal Psychologic Adaptations, 807
Development of Family Attachment, 809
Postpartal Nursing Assessment, 811
Discharge Assessment and Follow-Up, 826
Chapter 31. The Postpartal Family: Needs and Care, 828
Nursing Care During the Early Postpartal Period, 829
Promotion of Effective Parent Learning, 832
Promotion of Maternal Comfort and Well-Being, 833
Promotion of Maternal Rest and Activity, 840
Promotion of Family Wellness, 841
Nursing Care Following Cesarean Birth, 846
Nursing Care of the Postpartal Adolescent, 849
Nursing Care of the Woman Who Relinquishes Her Infant, 849
Preparation for Discharge, 850
Evaluation, 854
Chapter 32. Home Care of the Postpartal Family, 856
Role of Length of Stay in Postpartal Home Care, 857
Considerations for the Home Visit, 857
Home Care: The Newborn, 860
Home Care: The Mother and Family, 868
Other Types of Follow-Up Care, 881
Postpartal Classes and Support Groups, 881
Chapter 33. The Postpartal Family at Risk, 884
Care of the Woman with Postpartal Hemorrhage, 885
Care of the Woman with a Reproductive Tract Infection or Wound Infection, 892
Care of the Woman with a Urinary Tract Infection, 895
Care of the Woman with Mastitis, 899
Care of the Woman with Postpartal Thromboembolic Disease, 902
Care of the Woman with a Postpartum Psychiatric Disorder, 907
Appendices, 917
Appendix A. Common Abbreviations in Maternal-Newborn and Women’s Health Nursing, 918
Appendix B. Conversions and Equivalents, 921
Appendix C. Guidelines for Working with Deaf Clients and Interpreters, 922
Appendix D. Sign Language for Healthcare Professionals, 923
Appendix E. Selected Maternal-Newborn Laboratory Values, 926
Appendix F. Suggested Answers to Critical Thinking Case Study Questions, 927
Glossary, 930
Index, 947
Maternal-Fetal Development, EP-2
A Day in the Life of a Nurse-Midwife, EP-4
Teaching Tip Cards, EP-8

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