Core Curriculum for Maternal-Newborn Nursing PDF
Preview Core Curriculum for Maternal-Newborn Nursing
Core Curriculum for Maternal- Newborn Nursing This page intentionally left blank Core Curriculum for Maternal- Newborn Nursing Fourth Edition Edited by: Susan Mattson, RNC-OB, CTN, PhD, FAAN Professor Emerita College of Nursing and Healthcare Innovation Arizona State University Tempe, Arizona Judy E. Smith, PhD, RNC-WHNP Professor School of Nursing California State University—Long Beach Long Beach, California 3251 Riverport Lane Saint Louis, MO 63043 CORE CURRICULUM FOR MATERNAL-NEWBORN NURSING ISBN: 978-1-4377-1576-7 Copyright © 2011 by Association of Women’s Health, Obstetric and Neonatal Nurses. Published by Saunders, an imprint of Elsevier Inc. All rights reserved. Copyright © 2004, 2000, 1993 by Saunders, an imprint of Elsevier Inc. All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Permissions may be sought directly from Elsevier’s Rights Department: phone: (+1) 215 239 3804 (US) or (+44) 1865 843830 (UK); fax: (+44) 1865 853333; e-mail: [email protected]. You may also complete your request on-line via the Elsevier website at http://www.elsevier.com/permissions. Notice Knowledge and best practice in this field are constantly changing. As new research and experience broaden our knowledge, changes in practice, treatment and drug therapy may become necessary or appropriate. Readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of the practitioner, relying on their own experience and knowledge of the patient, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions. To the fullest extent of the law, neither the Publisher nor the Editors assumes any liability for any injury and/or damage to persons or property arising out of or related to any use of the material contained in this book. Library of Congress Cataloging-in-Publication Data Core curriculum for maternal-newborn nursing/edited by Susan Mattson, Judy E. Smith. – 4th ed. p. ; cm. Includes bibliographical references and index. ISBN 978-1-4377-1576-7 (hardcover : alk. paper) 1. Maternity nursing—Outlines, syllabi, etc. 2. Nursing—Study and teaching—Outlines, syllabi, etc. I. Mattson, Susan. II. Smith, Judy E. [DNLM: 1. Maternal-Child Nursing—Outlines. 2. Curriculum—Outlines. WY 18.2 C7965 2011] RG951.N33 2011 618.2’0231—dc22 2010005124 Executive Editor: Robin Carter Managing Editor: Laurie K. Gower Publishing Services Manager: Jeff Patterson Project Manager: Jeanne Genz Design Direction: Charlie Seibel Printed in the United States of America Last digit is the print number: 9 8 7 6 5 4 3 2 Contributors Linda Bond, PhD, RNC S. Kim Genovese, PhD, MSN, MSA, Professor Emerita, Kirkhof College of RN-BC Nursing Executive Director, Nursing 2000 North, Grand Valley State University Inc. Allendale, Michigan La Porte, Indiana Beverly Bowers, PhD, RN, CNS Elizabeth Gilbert, RNC, MS, FNP-BC, Associate Professor, College of Nursing CNS University of Oklahoma Health Sciences Director of Professional Practice Center Banner Thunderbird Medical Center Oklahoma City, Oklahoma Glendale, Arizona Linda Callahan, CRNA, PhD Whitney Hardy, RN, BS Professor, School of Nursing Staff Nurse, Neonatal Intensive Care Unit California State University—Long Beach CJW Medical Center, Chippenham Long Beach, California Campus Richmond, Virginia Natalie Diane Cheffer, PhD, RN, CPNP Denise G. Link, PhD, WHNP, CNE, Associate Professor, Department of FNAP Nursing Associate Dean, Clinical Practice and California State University—Long Beach Community Partnerships Long Beach, California College of Nursing and Healthcare Innovation Catherine R. Coverston, PhD, RNC Arizona State University Associate Professor, College of Nursing Phoenix, Arizona Brigham Young University Provo, Utah Susan Mattson, RNC-OB, CTN, PhD, FAAN Dustine Dix, RN, MSN Professor Emerita Clinical Assistant Professor, School of College of Nursing and Healthcare Nursing Innovation University of North Carolina—Chapel Hill Arizona State University Chapel Hill, North Carolina Phoenix, Arizona Makeba B. Felton, RN, MSN, FNPC, Jacqueline M. McGrath, PhD, RN, WHNP FNAP, FAAN Clinical Assistant Professor Associate Professor, School of Nursing College of Nursing and Healthcare Department of Family and Community Innovation Health Arizona State University Virginia Commonwealth University Phoenix, Arizona Richmond, Virginia v vi Contributors Barbara A. Moran, PhD, CNM, Keiko L. Torgersen, BSN, MS, RNC FACCE Perinatal Educator Assistant Professor, School of Nursing MatSu Regional Medical Center The Catholic University of America Palmer, Alaska Washington, DC Gail M. Turley, MSN, RNC-OB, Susan Saffer Orr, PT, PCS, IBCLC NEA-BC Lactation Consultant Administrative Director, Nursing Services Torrance Memorial Medical Center Crozer-Chester Medical Center Torrance, California; Upland, Pennsylvania Columbia Pediatrics Long Beach, California Lucy R. Van Otterloo, RNC, MSN Assistant Professor, Department of Debra Ann Rannalli, RN, MSN, Nursing CPNP California State University—Long Beach Lecturer Long Beach, California California State University—Long Beach Long Beach, California Connie Sampson von Köhler, Children’s Hospital—Los Angeles RNC-OB, MSN, C-EFM, CPHQ Los Angeles, California Clinical Nursing Instructor Long Beach Memorial Medical Center/ Kathryn Records, PhD, RN Miller Children’s Hospital Associate Professor Adjunct Faculty, School of Nursing Core Director, Research Mentoring and California State University—Long Beach Collaboration Long Beach, California College of Nursing and Healthcare Innovation Tamara Whitmer, MS, NPD, RN-BC Arizona State University Clinical Educator, Women’s Center Phoenix, Arizona Banner Desert Medical Center Mesa, Arizona Mary Ann Rhode, RN, MS, CNM Clinical Practice Coordinator Margaret Yancy, RN, MS, WHNP, Exempla Certified Nurse-Midwives ANP-C Exempla Saint Joseph Hospital Clinical Associate Professor Denver, Colorado Advanced Practice Nursing of Adults in Primary Care Charlotte Stephenson, RN, DSN, College of Nursing and Healthcare CLNC Innovation Clinical Professor, Nelda C. Stark College Arizona State University of Nursing Phoenix, Arizona Texas Woman’s University Houston, Texas Judy E. Smith, PhD, RNC-WHNP Professor, Department of Nursing California State University—Long Beach Long Beach, California Reviewers Beverly Bowers, PhD, RN, CNS JoAnne M. Pearce, RNC, MS, FNP-C Associate Professor, College of Nursing ADRN Instructor, College of Technology University of Oklahoma Health Sciences Idaho State University Center Pocatello, Idaho Oklahoma City, Oklahoma Elizabeth J.W. Scott, RN, MSN Kathleen Haubrich, PhD, RN Lead Clinical Development Specialist Associate Professor, Department of Erlanger Health System Nursing Chattanooga, Tennessee Miami University—Hamilton Campus Hamilton, Ohio Charlotte Stephenson, RN, DSN, CLNC Janet Massoglia, BSN, MSN, FNP Clinical Professor, Nelda C. Stark College Instructor, Department of Nursing of Nursing Delta College Texas Woman’s University University Center, Michigan Houston, Texas Administrator, VA Health Care Saginaw, Michigan Sandra L. Walker, PhD, RN Instructor, ADN Program Barbara Pascoe, RN, BA, MA Southwest Georgia Technical College Director, The Family Place Thomasville, Georgia Concord Hospital Concord, New Hampshire Sarah E. Whitaker, DNS, RN Program Director, Nursing Danielle Patrick, MSN, RN, WHCNP Dona Ana Community College at New OB/GYN Nurse Practitioner Mexico State University Today’s Women’s Health Specialists Las Cruces, New Mexico Chandler, Arizona vii Preface This book is intended to be used by practicing This will make it easier for the maternal-newborn nurses for several purposes. First, it can be a or LDR nurse to identify the high-risk infant and study guide for those wishing to sit for the care required until the baby stabilizes or can certification examinations in maternal-newborn be transferred (if necessary). Theoretical nursing. Basic and complex information is information about the continued care of high- presented and accompanied by an extensive risk neonates with selected conditions has also reference list to augment the knowledge base. been reconfigured into one chapter titled “The Second, the text may be used by development Newborn at Risk.” The information is included personnel and educators as an orientation for to provide a basis from which the maternal- new staff, a source of information for nurses newborn nurse may give answers to parents’ entering or returning to maternal-newborn questions and provide anticipatory guidance to nursing, and a reference for nurses on those new parents of sick neonates. units. A change for the 4th edition has been the Third, this book can be a classroom text, deletion of nursing diagnoses as a basis for particularly for students requiring a resource or interventions. It became apparent that using reference. It is not designed to be a primary text that approach led to repetitiveness in each chap- for undergraduate students, but it could be a ter. Additionally, certain terminology fits more resource for those graduate students in women’s appropriately in some settings than in others health nurse practitioner programs who want to and can be used to express the needs of a partic- review some of the material relating to pregnancy ular client at that time. Core curriculum for acute that will be needed for their practice. care maternity nursing did not seem to be one of This edition has several significant changes those settings in most cases. The new format of that should make the book more usable for a the book is one of assessment/clinical practice wider audience yet keep the content directed and interventions, with continued use of a sec- toward the original audience. We carried forward tion for health education, and the case studies the changes regarding complications of the and questions. newborn from the 3rd edition, in that most of the We hope this text will be helpful to those of content is integrated into those chapters dealing you using it for all purposes. Its editing contin- with maternal complications, with reference to ues to be an educational and a character- building how the condition affects the fetus or neonate. experience for us both. Susan Mattson Judy E. Smith viii Acknowledgments We would like to acknowledge the contributors Denise G. Link, RNC, DNSc to the previous edition: Reproductive Anatomy, Physiology, and the Menstrual Cycle Linda Bond, PhD, RNC Family Planning Physiology of Pregnancy Susan Mattson, PhD, RNC-OB, CTN, Linda Callahan, CRNA, PhD FAAN Genetics Ethnocultural Considerations in the Fetal and Placental Development and Childbearing Period Functioning Intimate Partner Violence Surgery in Pregnancy Jacqueline M. McGrath, PhD, RN, Natalie Diane Cheffer, RN, CPNP, NNP, CCNS PhD Identification of the Sick Newborn Adaptation to Extrauterine Life and Immediate Nursing Care Barbara A. Moran, MS, MPH, CNM Newborn Biologic/Behavioral Maternal Infections Characteristics and Psychosocial Substance Abuse in Pregnancy Adaptations Susan Saffer Orr, PT, CLC, IBCLC Diana E. Clokey, MS, RD, RPh, CDE Breastfeeding Endocrine and Metabolic Disorders Judith H. Poole, PhD, BSN, BA, MN Catherine R. Coverston, PhD, RNC Hypertensive Disorders in Pregnancy Psychology of Pregnancy Hemorrhagic Disorders Sandra L. Gardner, RN, MS, CNS, Margaret A. Putman, RN, MS, NNP PNP Risks Associated with Gestational Age and Ethics Birth Weight Elizabeth Gilbert, RNC, MS, CFNP Debra Ann Rannalli, RN, PNP, MSN Labor and Delivery at Risk Newborn Biologic/Behavioral Characteristics and Psychosocial Starre Haney, RN, MS, TNCC-I, Adaptations ENPC Trauma in Pregnancy Janet Scoggin, PhD, CNM Physical and Psychologic Changes Patricia Grant Higgins, PhD, RN, BSHEd, BSN, MN Judy E. Smith, PhD, RNC-WHNP Postpartum Complications Age-Related Changes Marcia Liden Jasper, BSN, MS, RNC Kathleen V. Smith, RNC, BSN, MSN Antepartum Fetal Assessment Normal Childbirth ix
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