11223-00_FMrev.qxd 8/5/08 2:42 PM Page vi 11223-00_FMrev.qxd 8/5/08 2:42 PM Page i ESSENTIALS OF MATERNITY, NEWBORN, & WOMEN’S HEALTH NURSING 11223-00_FMrev.qxd 8/5/08 2:42 PM Page ii 11223-00_FMrev.qxd 8/5/08 2:42 PM Page iii ESSENTIALS OF MATERNITY, NEWBORN, & WOMEN’S HEALTH NURSING Second Edition Susan Scott Ricci, ARNP, MSN, MEd Nursing Faculty University of Central Florida Orlando, Florida Former Nursing Program Director and Faculty Lake Sumter Community College Leesburg, Florida 11223-00_FMrev.qxd 8/5/08 2:42 PM Page iv Acquisitions Editor:Jean Rodenberger Development Editor:Danielle DiPalma Director of Nursing Production:Helen Ewan Senior Production Editor:Tom Gibbons Art Director,Design:Joan Wendt Art Director,Illustration:Brett MacNaughton Manufacturing Coordinator:Karin Duffield Indexer:Katherine Pitcoff Compositor:Circle Graphics 2nd Edition Copyright © 2009 Wolters Kluwer Health| Lippincott Williams & Wilkins. Copyright © 2007 by Lippincott Williams & Wilkins.All rights reserved.This book is protected by copyright.No part of this book may be reproduced or transmitted in any form or by any means,including as photocopies or scanned-in or other electronic copies,or utilized by any information storage and retrieval system without written permission from the copyright owner,except for brief quotations embodied in critical articles and reviews.Materials appearing in this book prepared by individuals as part of their official duties as U.S.government employees are not covered by the above-mentioned copyright. To request permission,please contact Lippincott Williams & Wilkins at 530 Walnut Street,Philadelphia PA 19106,via email at [email protected] or via website at lww.com (products and services). 9 8 7 6 5 4 3 2 1 Printed in China Library of Congress Cataloging-in-Publication Data Ricci,Susan Scott. Essentials of maternity,newborn,and women’s health nursing / Susan Scott Ricci.—2nd ed. p. ; cn. Includes bibliographical references and index. ISBN 978-0-7817-8722-2 (cloth : alk.paper) 1.Maternity nursing. 2.Gynecologic nursing. I.Title. [DNLM: 1.Maternal-Child Nursing. 2.Obstetrical Nursing. 3.Pregnancy Complications—nursing. WY 157.3 R491e 2009] RG951.R53 2008 618.2'0231—dc22 2008029332 Care has been taken to confirm the accuracy of the information presented and to describe generally accepted practices. However,the authors,editors,and publisher are not responsible for errors or omissions or for any consequences from application of the information in this book and make no warranty,expressed or implied,with respect to the currency, completeness, or accuracy of the contents of the publication.Application of this information in a particular situation remains the professional responsibility of the practitioner;the clinical treatments described and recommended may not be considered absolute and universal recommendations. The authors,editors,and publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accordance with the current recommendations and practice at the time of publication.However,in view of ongoing research,changes in government regulations,and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any change in indications and dosage and for added warnings and precautions.This is particularly important when the recommended agent is a new or infrequently employed drug. Some drugs and medical devices presented in this publication have Food and Drug Administration (FDA) clearance for limited use in restricted research settings.It is the responsibility of the health care provider to ascertain the FDA status of each drug or device planned for use in his or her clinical practice. LWW.com 11223-00_FMrev.qxd 8/5/08 2:42 PM Page v T his book is dedicated to my loving husband Glenn,who has shown me the joy of learning—and living—who continues to support me in all of my professional pursuits and whose patience and understanding have meant the world to me.And also to my children,Brian and Jennifer,who have always inspired me throughout their lives. Susan Scott Ricci 11223-00_FMrev.qxd 8/5/08 2:42 PM Page ii 11223-00_FMrev.qxd 8/5/08 2:42 PM Page vii A CKNOWLEDGMENTS I would like to thank so many people who have helped bring this textbook into being. My appreciation goes to Jean Rodenberger for approaching me with this second project and believing that I could assist in achieving her vision.I would also like to especially thank Danielle DiPalma for her editorial expertise and for her steadfastness to this project and Erin Sweeney for gently prodding me to complete revisions.They have been ever patient through chapter drafts and revisions.In addition,I would like to thank Maryann Foley for her professional collaboration and attention to detail within the chapters.Her nursing background has been invaluable from the start.Special thanks to Sarah Kyle for her continued dedication to the vision and format of this textbook,as well as for her expert editing, and to Tom Gibbons for his skillful production of the text. I would like to thank photographer Gus Freedman and photo producer Amy Geller for their dedicated work on the photo shoot.I would like to thank the following institutions for their help in getting the photos for this book: UMass Memorial Health Care The Birthplace at Wellesley Brigham and Women’s Hospital Newton-Wellesley Hospital Also thanks to the many nurses,midwives,doctors,and families for their partici- pation in this book,especially Debbie Turner,Paula McGarr,Susan Martinson, Grace Jackson,and Marianne Cummings.I’m sure I have overlooked several other people who played a role in the development of this textbook,so a global appreciation is extended to the Lippincott Williams & Wilkins staff. S.S.R. vii 11223-00_FMrev.qxd 8/5/08 2:42 PM Page viii