PERINATAL NURSING

Author: Kathleen Simpson, PhD, RNC, FAAN, Patricia Creehan, MSN, RNC
Affiliation: Perinatal Nurse Specialist, St. Louis, MO
Publisher: Lippincott Williams & Wilkins
Publication Date: 2014
ISBN 10: 1609136225
ISBN 13: 9781609136222
eISBN: 9781469800998
Edition: 4th

Description:

An official publication of the Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN), Perinatal Nursing, Fourth Edition presents up-to-date information based on the most rigorous evidence and offers suggestions for best practices. This new edition of the authoritative, comprehensive text used by perinatal nurses worldwide features a wealth of new content to keep practice current. New chapters related to patient safety aid the development of a highly reliable perinatal unit, inform nurses how to conduct team training and drills for obstetric emergencies, create checklists, and effectively handoff patients. It features expanded coverage of high-risk pregnancy, from bleeding in pregnancy to preterm labor and birth, diabetes, cardiac disease, pulmonary complications, multiple gestation, and maternal-fetal transport. An all-new chapter on obesity in pregnancy covers risks to the mother and fetus, care from preconception to postpartum, as well as bariatric surgery. An expanded chapter on newborn nutrition includes new sections on the infant feeding decision, benefits of breastfeeding, nutritional components, and preterm milk and lactation.

Table of Contents

Front Matter

  • ABOUT
  • DEDICATION
  • Contributors
  • Reviewers
  • Preface

Perinatal Patient Safety and Professional Liability Issues

  • PERINATAL HIGH RELIABILITY
  • LEADERSHIP
  • SHARED PHILOSOPHY OF CARE
  • PROFESSIONAL BEHAVIOR
  • COMMON AREAS OF LIABILITY AND PATIENT HARM IN CLINICAL PRACTICE
  • CONFLICT RESOLUTION
  • TEAM TRAINING AND DRILLS FOR OBSTETRIC EMERGENCIES
  • PATIENT HANDOFFS
  • CHECKLISTS
  • MEDICAL RECORD DOCUMENTATION
  • INCIDENT MANAGEMENT
  • METHODS OF MEASURING PATIENT SAFETY
  • PERINATAL PATIENT SAFETY NURSES
  • SUMMARY
  • REFERENCES

Integrating Cultural Beliefs and Practices When Caring for Childbearing Women and Families

  • CULTURAL FRAMEWORKS AND CULTURAL ASSESSMENT TOOLS
  • PRACTICES ASSOCIATED WITH CHILDBEARING
  • GENDER ROLES
  • CHILDBIRTH PAIN AND CULTURE
  • MAJOR CULTURAL GROUPS
  • HEALTH DIFFERENCES IN POPULATIONS OF CHILDBEARING WOMEN
  • BARRIERS TO CULTURALLY COMPETENT CARE
  • TECHNIQUES TO INTEGRATE CULTURE INTO NURSING CARE
  • SUMMARY
  • REFERENCES
  • APPENDIX 2–A Culturally Competent Care Resources

Physiologic Changes of Pregnancy

  • HORMONES AND OTHER MEDIATORS
  • CARDIOVASCULAR SYSTEM
  • HEMATOLOGIC CHANGES
  • RESPIRATORY SYSTEM
  • RENAL SYSTEM
  • GASTROINTESTINAL SYSTEM
  • METABOLIC CHANGES
  • ENDOCRINE SYSTEM
  • IMMUNE SYSTEM
  • NEUROMUSCULAR AND SENSORY SYSTEMS
  • INTEGUMENTARY SYSTEM
  • REPRODUCTIVE ORGANS
  • SUMMARY
  • REFERENCES

Antenatal Care

  • PRECONCEPTION CARE
  • PRENATAL CARE
  • PRENATAL RISK ASSESSMENT
  • ONGOING PRENATAL CARE
  • FETAL SURVEILLANCE
  • NURSING ASSESSMENT AND INTERVENTIONS
  • SUMMARY
  • REFERENCES
  • APPENDIX 4–A Vaccines and Immune Globulin During Pregnancy

Hypertensive Disorders of Pregnancy

  • CLASSIFICATION AND DEFINITIONS
  • SIGNIFICANCE AND INCIDENCE
  • MORBIDITY AND MORTALITY
  • RISK FACTORS
  • PREVENTION STRATEGIES
  • PATHOPHYSIOLOGY OF PREECLAMPSIA
  • CLINICAL MANIFESTATIONS OF PREECLAMPSIA–ECLAMPSIA
  • PREECLAMPSIA VERSUS SEVERE PREECLAMPSIA
  • NURSING ASSESSMENT AND INTERVENTIONS FOR PREECLAMPSIA
  • HELLP SYNDROME
  • ECLAMPSIA
  • SUMMARY
  • REFERENCES

Bleeding in Pregnancy

  • SIGNIFICANCE AND INCIDENCE
  • DEFINITIONS AND CLINICAL MANIFESTATIONS
  • NURSING ASSESSMENT
  • NURSING INTERVENTIONS
  • HEMORRHAGIC AND HYPOVOLEMIC SHOCK
  • THROMBOPHILIAS IN PREGNANCY
  • MATERNAL TRAUMA
  • SUMMARY
  • REFERENCES

Preterm Labor and Birth

  • SIGNIFICANCE AND INCIDENCE
  • LATE PRETERM BIRTHS
  • EARLY TERM BIRTHS
  • WHY HAS THE RATE OF PRETERM BIRTHS INCREASED?
  • WHAT IS PRETERM LABOR?
  • PATHOPHYSIOLOGY OF PRETERM LABOR AND BIRTH
  • RISK FACTORS FOR PRETERM LABOR AND BIRTH
  • PRETERM BIRTH RISK IN THE CONTEXT OF THE LIFE COURSE
  • CAN PRETERM LABOR AND BIRTH BE PREVENTED?
  • IS THERE ANY GOOD NEWS?
  • NURSING CARE FOR THE PREVENTION OF PRETERM BIRTH
  • INTRAPARTUM NURSING CARE OF THE WOMAN IN PRETERM LABOR
  • SUMMARY
  • REFERENCES

Diabetes in Pregnancy

  • SIGNIFICANCE AND INCIDENCE
  • DEFINITIONS AND CLASSIFICATION
  • PATHOPHYSIOLOGY OF DIABETES IN PREGNANCY
  • SCREENING AND DIAGNOSIS OF GESTATIONAL DIABETES MELLITUS
  • CLINICAL MANIFESTATIONS
  • NURSING ASSESSMENTS AND INTERVENTIONS FOR DIABETES MELLITUS
  • AMBULATORY AND HOME CARE MANAGEMENT
  • TIMING AND MODE OF BIRTH
  • INPATIENT MANAGEMENT
  • POSTPARTUM MANAGEMENT
  • SUMMARY
  • REFERENCES

Cardiac Disease in Pregnancy

  • SIGNIFICANCE AND INCIDENCE
  • CARDIOVASCULAR PHYSIOLOGY
  • CARDIAC ADAPTATIONS OF PREGNANCY
  • OBSTETRIC OUTCOMES AND ASSESSMENT OF RISK
  • CONGENITAL HEART DISEASE IN PREGNANCY
  • ACQUIRED CARDIAC DISEASE IN PREGNANCY
  • CLINICAL MANAGEMENT
  • NURSING CARE
  • SUMMARY
  • REFERENCES

Pulmonary Complications in Pregnancy

  • ANATOMIC AND PHYSIOLOGIC CHANGES OF PREGNANCY THAT AFFECT THE RESPIRATORY SYSTEM
  • RECOGNIZING RESPIRATORY COMPROMISE
  • FETAL SURVEILLANCE WITH MATERNAL PULMONARY COMPLICATIONS
  • ASTHMA
  • PNEUMONIA
  • PULMONARY EDEMA
  • AMNIOTIC FLUID EMBOLISM
  • VENOUS THROMBOEMBOLISM
  • CYSTIC FIBROSIS
  • SPECIAL CONSIDERATIONS FOR THE RESPIRATORY SYSTEM IN PREGNANCY
  • SUMMARY
  • REFERENCES

Multiple Gestation

  • EPIDEMIOLOGY
  • PHYSIOLOGY OF TWINNING
  • ROLE OF INFERTILITY AND ASSISTED REPRODUCTIVE TECHNOLOGY
  • DIAGNOSIS OF MULTIPLE GESTATIONS
  • MATERNAL ADAPTATION
  • PERINATAL COMPLICATIONS
  • ANTEPARTUM MANAGEMENT
  • INTRAPARTUM MANAGEMENT
  • POSTPARTUM MANAGEMENT
  • MULTIPLE BIRTH INFANTS
  • PSYCHOLOGICAL ISSUES WITH MULTIPLE GESTATIONS
  • MULTIPLE BIRTH RESOURCES AND SUPPORT ORGANIZATIONS
  • SUMMARY
  • REFERENCES

Obesity in Pregnancy

  • SIGNIFICANCE AND INCIDENCE
  • OBESITY-RELATED RISKS TO THE MOTHER AND FETUS
  • PRECONCEPTION CARE
  • ANTENATAL CARE
  • INTRAPARTUM CARE
  • INTRAOPERATIVE CARE
  • POSTPARTUM CARE
  • BARIATRIC SURGERY AND PREGNANCY
  • SUMMARY
  • REFERENCES

Maternal–Fetal Transport

  • EMTALA
  • TYPES OF MATERNAL–FETAL TRANSPORT
  • MODE OF TRANSPORT
  • TRANSPORT EQUIPMENT
  • TRANSPORT PERSONNEL
  • TRANSPORT PLAN AND PATIENT PREPARATION
  • SUMMARY
  • REFERENCES

Labor and Birth

  • OVERVIEW OF LABOR AND BIRTH
  • EMOTIONAL AND PHYSICAL SUPPORT DURING LABOR AND BIRTH
  • CLINICAL INTERVENTIONS FOR WOMEN IN LABOR
  • DOSAGE AND RATE INCREASE INTERVALS
  • ADMINISTRATION
  • VAGINAL BIRTH
  • CESAREAN BIRTH
  • SUMMARY
  • REFERENCES
  • APPENDIX 14–A Second-Stage Labor Care
  • APPENDIX 14–B Induction/Augmentation of Labor with Oxytocin

Fetal Assessment during Labor

  • INTRODUCTION
  • HISTORICAL PERSPECTIVES
  • DEFINITIONS AND APPROPRIATE USE OF TERMS DESCRIBING FETAL HEART RATE PATTERNS
  • TECHNIQUES OF FETAL HEART RATE MONITORING
  • PHYSIOLOGIC BASIS FOR FETAL HEART RATE MONITORING
  • CHARACTERISTICS OF THE NORMAL FETAL HEART RATE
  • INTERVENTIONS FOR INDETERMINATE OR ABNORMAL FETAL HEART RATE PATTERNS
  • FETAL HEART RATE PATTERNS
  • CLINICAL IMPLICATIONS FOR MONITORING THE FETUS LESS THAN 32 WEEKS’ GESTATION DURING LABOR
  • ASSESSMENT OF PATTERN EVOLUTION
  • ANCILLARY METHODS FOR ASSESSING FETAL ACID–BASE STATUS
  • NURSING ASSESSMENT AND MANAGEMENT STRATEGIES
  • ISSUES IN THE USE OF FETAL HEART RATE MONITORING DURING LABOR
  • SUMMARY
  • REFERENCES

Pain in Labor: Nonpharmacologic and Pharmacologic Management

  • PHYSIOLOGIC BASIS FOR PAIN
  • PSYCHOSOCIAL FACTORS INFLUENCING PAIN PERCEPTION
  • THE NONPHARMACOLOGIC MODEL
  • THE PHARMACOLOGIC MODEL
  • SUMMARY
  • REFERENCES

Postpartum Care

  • PLANNING FOR THE TRANSITION TO PARENTHOOD
  • ANATOMIC AND PHYSIOLOGIC CHANGES DURING THE POSTPARTUM PERIOD
  • INDIVIDUALIZING CARE FOR WOMEN WITH SPECIAL NEEDS
  • POSTPARTUM LEARNING—NEEDS ASSESSMENT AND EDUCATION
  • PSYCHOLOGICAL ADAPTATION TO THE POSTPARTUM PERIOD
  • FATIGUE
  • FAMILY TRANSITION TO PARENTHOOD
  • POSTPARTUM DISCHARGE FOLLOW-UP
  • EVALUATION OF POSTPARTUM SERVICES
  • SUMMARY
  • REFERENCES

Newborn Adaptation to Extrauterine Life

  • MATERNAL MEDICAL AND OBSTETRIC CONDITIONS INFLUENCING NEWBORN ADAPTATION
  • UNIQUE MECHANISMS OF NEWBORN PHYSIOLOGIC ADAPTATION
  • APGAR SCORE
  • PHYSICAL ASSESSMENT
  • NEWBORN IDENTIFICATION
  • VITAMIN K
  • EYE PROPHYLAXIS
  • UMBILICAL CORD CARE
  • PSYCHOLOGICAL ADAPTATION
  • COMPLICATIONS AFFECTING TRANSITION
  • HEPATITIS B
  • SUMMARY
  • REFERENCES

Newborn Physical Assessment

  • GESTATIONAL AGE ASSESSMENT
  • SKIN ASSESSMENT
  • HEAD ASSESSMENT
  • EYE ASSESSMENT
  • EAR ASSESSMENT
  • NOSE ASSESSMENT
  • MOUTH ASSESSMENT
  • NECK ASSESSMENT
  • CHEST AND LUNG ASSESSMENT
  • CARDIOVASCULAR ASSESSMENT
  • ABDOMINAL ASSESSMENT
  • GENITOURINARY SYSTEM
  • MUSCULOSKELETAL ASSESSMENT
  • NEUROLOGIC ASSESSMENT
  • SUMMARY
  • REFERENCES
  • APPENDIX 19–A Characteristics of Infant State
  • APPENDIX 19–B Characteristics of the Ballard Gestation Age Assessment Tool
  • APPENDIX 19–C Developmental (Primitive) Reflexes

Newborn Nutrition

  • INFANT FEEDING DECISION
  • BENEFITS OF BREASTFEEDING
  • INCIDENCE OF BREASTFEEDING
  • BREASTFEEDING PROMOTION
  • PHYSIOLOGY OF MILK PRODUCTION
  • BIOSPECIFICITY OF HUMAN MILK
  • NUTRITIONAL COMPONENTS
  • PRETERM MILK AND LACTATION
  • BREASTFEEDING PROCESS
  • BREASTFEEDING MANAGEMENT
  • POTENTIAL BREASTFEEDING PROBLEMS
  • LATE PRETERM
  • MEDICATIONS AND BREASTFEEDING
  • POSTPARTUM SURGERY AND BREASTFEEDING
  • FORMULA FEEDING
  • LACTATION SUPPRESSION
  • SUMMARY
  • REFERENCES

Common Neonatal Complications

  • NEONATAL RESUSCITATION AND STABILIZATION
  • RESPIRATORY DISTRESS
  • CONGENITAL HEART DISEASE
  • HYPOGLYCEMIA
  • HYPERBILIRUBINEMIA
  • NEONATAL SEPSIS
  • PERINATAL HUMAN IMMUNODEFICIENCY VIRUS (HIV) INFECTION
  • NEONATAL SUBSTANCE EXPOSURE
  • LATE PRETERM INFANTS
  • SUMMARY
  • HYPOXIC ISCHEMIC ENCEPHALOPATHY
  • PATHOPHYSIOLOGY
  • INTERVENTION
  • TRANSPORT AND RETURN TRANSPORT
  • SUMMARY
  • REFERENCES

APPENDIX Item Bank Questions and Answer Key