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6 Genetics, Conception, and Fetal Development

Genetics

Genetic Counseling

Cell Division and Conception

The Embryo and Fetus

Multifetal Pregnancy

Nongenetic Factors Influencing Development

References

7 Anatomy and Physiology of Pregnancy

Gravidity and Parity

Pregnancy Tests

Adaptations to Pregnancy

References

8 Nursing Care of the Family During Pregnancy

Diagnosis of Pregnancy

Adaptation to Pregnancy

Care Management

Variations in Prenatal Care

Perinatal Education

Perinatal Care Choices

References

References

9 Maternal and Fetal Nutrition

Nutrient Needs Before Conception

Nutrient Needs During Pregnancy

References

Care Management

References

10 Assessment of High-Risk Pregnancy

Assessment of Risk Factors

Antepartum Testing

Biophysical Assessment

Biochemical Assessment

Fetal Care Centers

Antepartum Assessment Using Electronic Fetal Monitoring

Psychologic Considerations Related to High-Risk Pregnancy

The Nurse's Role in Assessment and Management of the High-Risk Pregnancy

References

11 High-Risk Perinatal Care

Diabetes Mellitus

Pregestational Diabetes Mellitus

Care Management

Gestational Diabetes Mellitus

Care Management

References

Thyroid Disorders

Maternal Phenylketonuria

Cardiovascular Disorders

Care Management

Other Medical Disorders in Pregnancy

Substance Abuse

Care Management

References

12 High-Risk Perinatal Care

Hypertension in Pregnancy

Preeclampsia

Care Management

References

Hyperemesis Gravidarum

Care Management

Hemorrhagic Disorders

Care Management

Infections Acquired During Pregnancy

Surgery During Pregnancy

Care Management

Trauma During Pregnancy

References

Unit 4 Childbirth

13 Labor and Birth Processes

Factors Affecting Labor

Process of Labor

Physiologic Adaptation to Labor

References

14 Maximizing Comfort for the Laboring Woman

Pain During Labor and Birth

Factors Influencing Pain Response

References

Nonpharmacologic Pain Management

Pharmacologic Pain Management

Care Management

References

15 Fetal Assessment During Labor

Basis for Monitoring

Monitoring Techniques

References

Fetal Heart Rate Patterns

Care Management

Documentation

References

16 Nursing Care of the Family During Labor and Birth

First Stage of Labor

Care Management

Second Stage of Labor

Care Management

Third Stage of Labor

References

Fourth Stage of Labor

Care Management

References

17 Labor and Birth Complications

Preterm Labor and Birth

Care Management

References

Premature Rupture of Membranes

Chorioamnionitis

Postterm Pregnancy, Labor, and Birth

Dysfunctional Labor (Dystocia)

Obesity

Obstetric Procedures

Obstetric Emergencies

References

Unit 5 Postpartum Period

18 Postpartum Physiologic Changes

Reproductive System and Associated Structures

Endocrine System

Urinary System

Gastrointestinal System

Breasts

Cardiovascular System

Respiratory System

Neurologic System

Musculoskeletal System

Integumentary System

Immune System

References

19 Nursing Care of the Family During the Postpartum Period

Transfer From the Recovery Area

Planning for Discharge

References

References

20 Transition to Parenthood

Parental Attachment, Bonding, and Acquaintance

References

Parent-Infant Contact

Communication Between Parent and Infant

Parental Role After Birth

Diversity in Transitions to Parenthood

Parental Sensory Impairment

Sibling Adaptation

Grandparent Adaptation

Care Management

References

21 Postpartum Complications

Postpartum Hemorrhage

Care Management

Hemorrhagic (Hypovolemic) Shock

Care Management

Coagulopathies

Venous Thromboembolic Disorders

Postpartum Infection

Care Management

Postpartum Mood Disorders

References

Care Management

Bipolar Disorder

Postpartum Anxiety Disorders

Maternal Death

References

Unit 6 Newborn

22 Physiologic and Behavioral Adaptations of the Newborn

Transition to Extrauterine Life

Physiologic Adjustments

Behavioral Adaptations

References

23 Nursing Care of the Newborn and Family

Care Management: Birth Through the First 2 Hours

Care Management: From 2 Hours After Birth Until Discharge

References

References

24 Newborn Nutrition and Feeding

Recommended Infant Nutrition

Infant Feeding Decision-Making

Cultural Influences on Infant Feeding

Nutrient Needs

Anatomy and Physiology of Lactation

Care Management

References

Formula-Feeding

References

25 The High-Risk Newborn

Birth Injuries

Neonatal Infections

Congenital Infections

Drug-Exposed Infants*

References

Hemolytic Disorders

Infants of Diabetic Mothers

Congenital Anomalies

Preterm and Postterm Infants

References

Care of the High Risk Newborn and Family

Newborn Screening for Disease

Neonatal Loss

References

Part 2 Pediatric Nursing

Unit 7 Children, Their Families, and the Nurse

26 21st Century Pediatric Nursing

Health Care for Children

Infant Mortality

The Art of Pediatric Nursing

The Process of Providing Nursing Care to Children and Families

Quality Outcome Measures

References

27 Family, Social, Cultural, and Religious Influences on Child Health

General Concepts

Family Structure and Function

Family Roles and Relationships

Parental Roles

Parenting

Special Parenting Situations

Sociocultural Influences Upon the Child and Family

Influences in the Surrounding Environment

Broader Sociocultural Influences Upon the Child and Family

Understanding Cultures in the Health Care Encounter

Health Beliefs and Practices

References

28 Developmental and Genetic Influences on Child Health Promotion

Growth and Development

Role of Play in Development

Developmental Assessment

Genetic Factors That Influence Development

References

Unit 8 Assessment of the Child and Family

29 Communication and Physical Assessment of the Child and Family

Guidelines for Communication and Interviewing

Resources for Telephone Triage Protocols

Communicating With Families

History Taking

General Approaches Toward Examining the Child

References

References

References

30 Pain Assessment and Management in Children

Pain Assessment

Behavioral Pain Measures

Self-Report Pain Rating Scales

Multidimensional Measures

Chronic and Recurrent Pain Assessment

Assessment of Pain in Specific Populations

Pain Management

Consequences of Untreated Pain in Infants

Common Pain States in Children

References

Unit 9 Health Promotion and Special Health Problems

31 The Infant and Family

Promoting Optimal Growth and Development

Promoting Optimal Health During Infancy

References

Special Health Problems

References

32 The Toddler and Family

Promoting Optimal Growth and Development

Promoting Optimal Health During Toddlerhood

Skin Disorders Related to Animal Contacts

Ingestion of Injurious Agents

Safety Promotion and Injury Prevention

Anticipatory Guidance Care of Families

References

33 The Preschooler and Family

Promoting Optimal Growth and Development

Promoting Optimal Health During the Preschool Years

Infectious Conditions: Communicable Diseases

Intestinal Parasitic Diseases

Child Maltreatment

References

34 The School-Age Child and Family

Promoting Optimal Growth and Development

Promoting Optimal Health During the School Years

Infections of the Skin

School-Age Disorders With Behavioral Components

References

35 The Adolescent and Family

Promoting Optimal Growth and Development

Promoting Optimal Health During Adolescence

Special Health Problems

Nutritional and Eating Disorders

Health Problems With a Behavioral Component

References

Unit 10 Special Needs, Illness, and Hospitalization

36 Impact of Chronic Illness, Disability, or End-of-Life Care for the Child and Family

Care of Children and Families Living With or Dying From Chronic or Complex Diseases

The Family of the Child With a Chronic or Complex Condition

The Child With a Chronic or Complex Condition

Nursing Care of the Family and Child With a Chronic or Complex Condition

Perspectives on the Care of Children at the End of Life

References

Nursing Care of the Child and Family at the End of Life

References

37 Impact of Cognitive or Sensory Impairment on the Child and Family

Cognitive Impairment

Sensory Impairment

Communication Impairment

References

References

38 Family-Centered Care of the Child During Illness and Hospitalization

Stressors of Hospitalization and Children's Reactions

Stressors and Reactions of the Family of the Child Who Is Hospitalized

Nursing Care of the Child Who Is Hospitalized

Nursing Care of the Family

Care of the Child and Family in Special Hospital Situations

References

39 Pediatric Variations of Nursing Interventions

General Concepts Related to Pediatric Procedures

Skin Care and General Hygiene

Safety

Positioning for Procedures

Collection of Specimens

References

Administration of Medication

References

Maintaining Fluid Balance

Alternative Feeding Techniques

References

Procedures Related to Elimination

Procedures for Maintaining Respiratory Function

References

References

Unit 11 Health Problems of Children

40 The Child With Respiratory Dysfunction

Respiratory Infection

Upper Respiratory Tract Infections

Croup Syndromes

Infections of the Lower Airways

References

Other Respiratory Tract Infections

Pulmonary Dysfunction Caused by Noninfectious Irritants

Long-Term Respiratory Dysfunction

Respiratory Emergency

References

41 The Child With Gastrointestinal Dysfunction

Distribution of Body Fluids

Gastrointestinal Dysfunction

Disorders of Motility

Nutritional Disorders

Recurrent and Functional Abdominal Pain

Hepatic Disorders

Structural Defects

Obstructive Disorders

Malabsorption Syndromes

References

42 The Child With Cardiovascular Dysfunction

Cardiovascular Dysfunction

Congenital Heart Disease

Clinical Consequences of Congenital Heart Disease

Nursing Care of the Family and Child With Congenital Heart Disease

Acquired Cardiovascular Disorders

References

Heart Transplantation

Vascular Dysfunction

References

43 The Child With Hematologic or Immunologic Dysfunction

Hematologic and Immunologic Dysfunction

Red Blood Cell Disorders

References

Defects in Hemostasis

Immunologic Deficiency Disorders

Technologic Management of Hematologic and Immunologic Disorders

References

44 The Child With Cancer

Cancer in Children

Care Management

Cancers of Blood and Lymph Systems

Nervous System Tumors

Bone Tumors

Other Solid Tumors

The Childhood Cancer Survivor

References

45 The Child With Genitourinary Dysfunction

Genitourinary Dysfunction

Problems Related to Elimination

External Defects of the Genitourinary Tract

Glomerular Disease

Miscellaneous Renal Disorders

Renal Failure

Technologic Management of Renal Failure

References

46 The Child With Cerebral Dysfunction

Cerebral Dysfunction

Neurologic Examination

Nursing Care of the Unconscious Child

Cerebral Trauma

Intracranial Infections

References

Seizure Disorders

Cerebral Malformations

References

47 The Child With Endocrine Dysfunction

The Endocrine System

Disorders of Pituitary Function

Disorders of Thyroid Function

Disorders of Parathyroid Function

Hypoparathyroidism

Disorders of Adrenal Function

Disorders of Pancreatic Hormone Secretion

References

48 The Child With Musculoskeletal or Articular Dysfunction

The Immobilized Child

Traumatic Injury

Sports Participation and Injury

Birth and Developmental Defects

Acquired Defects

Infections of Bones and Joints

Disorders of Joints

References

49 The Child With Neuromuscular or Muscular Dysfunction

Congenital Neuromuscular or Muscular Disorders

Acquired Neuromuscular Disorders

References

Index

Special Features

Atraumatic Care

Clinical Reasoning Case Study

Community Focus

Cultural Considerations

Emergency Treatment

Evidence-Based Practice

Family-Centered Care

Guidelines

Medication Guide

Nursing Care Plan

Patient Teaching

Copyright

3251 Riverport Lane St. Louis, Missouri 63043

MATERNAL CHILD NURSING CARE, SIXTH EDITION ISBN: 978-0323-54938-7

Copyright © 2018 by Elsevier Inc. All rights reserved.

NANDA International Nursing Diagnoses: Definitions and Classifications 2012-2014; Herdman T.H. (ED); copyright © 2012, 19942012 NANDA International; used by arrangement with John Wiley & Sons, Limited. In order to make safe and effective judgments using NANDA-I nursing diagnoses it is essential that nurses refer to the definitions and defining characteristics of the diagnoses listed in the work.

NCLEX®, NCLEX-RN®, and NCLEX-PN® are registered trademarks and service marks of the National Council of State Boards of Nursing, Inc.

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This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein).

Notices

Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds or experiments described herein. Because of rapid advances in the medical sciences, in particular, independent verification of diagnoses and drug dosages should be made. To the fullest extent of the law, no responsibility is assumed by Elsevier, authors, editors or contributors for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein.

Previous editions copyrighted 2014, 2010, 2006, 2002, and 1998.

Library of Congress Cataloging-in-Publication Data

Names: Perry, Shannon E., author. | Olshansky, Ellen Frances, 1949editor.

Title: Maternal child nursing care : maternity pediatrics / Shannon E. Perry, Marilyn J. Hockenberry, Deitra Leonard Lowdermilk, David Wilson, Kitty Cashion, Cheryl C. Rodgers, Kathryn Rhodes Alden ; associate editor, Ellen Olshansky.

Description: Sixth edition. | St. Louis, Missouri : Elsevier, [2018] | Includes bibliographical references and index.

Identifiers: LCCN 2017036656 | ISBN 9780323549387 (hardcover : alk. paper)

Subjects: | MESH: Maternal-Child Nursing–methods | Pediatric Nursing–methods | Maternal Health | Infant Health | Child Health

Classification: LCC RG951 | NLM WY 157.3 | DDC 618.92/00231–dc23

LC record available at https://lccn.loc.gov/2017036656

Senior Content Strategist: Sandra Clark

Senior Content Development Specialist: Heather Bays

Publishing Services Manager: Julie Eddy

Book Production Specialist: Clay S. Broeker

Design Direction: Brian Salisbury

Printed in Canada

Last digit is the print number: 9 8 7 6 5 4 3 2 1

Contributors

Debbie Fraser MN, RNC-NIC

Associate Professor Director

Nurse Practitioner Program

Faculty of Health Disciplines

Athabasca University

Advanced Practice Nurse

NICU St. Boniface Hospital

Winnipeg, Canada

Pat Mahaffee Gingrich MSN, RN, WHNP-BC

Assistant Professor

School of Nursing

University of North Carolina at Chapel Hill

Chapel Hill, North Carolina

Evolve Contributors

Key Points

Joanna Cain BSN, BA, RN

President and Founder, Auctorial Pursuits, Inc.

Austin, Texas

Review Questions

Daryle Wane PhD, ARNP, FNP-BC

Baccalaureate Degree Nursing Program Director

Professor of Nursing

BSN Faculty

Pasco-Hernando State College

New Port Richey, Florida Test Bank

Fairmont State University

Fairmont, West Virginia

Reviewers

Michael D. Aldridge PhD, RN, CNE

Assistant Professor of Nursing

Pediatric Nursing

Concordia University Texas

Austin, Texas

Sandy Barker RN, MSN Master Nursing Instructor Nursing

Tennessee College of Applied Technology Elizabethton, Tennessee

Judy Carlyle MSN, RN Faculty

Arkansas Rural Nursing Education Consortium Nashville, Arkansas

Brigit Carter PhD, RN, CCRN Assistant Professor School of Nursing

Duke University Durham, North Carolina

Janie Corbitt RN, MLS Instructor of Nursing (retired) Milledgeville, Georgia

Stephanie Evans PhD, APRN, PNP-PC Assistant Professor

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