GRBQ384-3663G-FM[i-xx].qxd 2/28/08 8:24AM Page i Aptara, Inc. Intrapartum Management Modules A Perinatal FOURTH EDITION Education Program GRBQ384-3663G-FM[i-xx].qxd 2/28/08 8:24AM Page ii Aptara, Inc. GRBQ384-3663G-FM[i-xx].qxd 2/28/08 8:24AM Page iii Aptara, Inc. Intrapartum Management Modules A Perinatal FOURTH EDITION Education Program E D I TO R S B E T S Y B . K E N N E D Y , RN, MSN Assistant Professor Vanderbilt University School of Nursing Nashville, Tennessee D O N N A J E A N R U T H , RN, MSN Clinical Learning Consultant Nursing Education and Development Vanderbilt University Medical Center Nashville, Tennessee E . J E A N M A R T I N , RN, MS, MSN, CNM Professor Emeritus College of Nursing, Graduate Nurse-Midwifery Medical University of South Carolina Charleston, South Carolina GRBQ384-3663G-FM[i-xx].qxd 2/28/08 8:24AM Page iv Aptara, Inc. Senior Acquisitions Editor:Margaret Zuccarini Managing Editor:Annette Ferran Editorial Assistant:Brandi Spade Production Project Manager:Cynthia Rudy Director of Nursing Production:Helen Ewan Senior Managing Editor / Production:Erika Kors Design Coordinator:Holly Reid McLaughlin Cover Designer:Bess Kiethas Interior Designer:Lisa Delgado Manufacturing Coordinator:Karin Duffield Production Services / Compositor:Aptara,Inc. 4th edition Copyright ©2009 Wolters Kluwer Health | Lippincott Williams & Wilkins. Copyright ©2002 and ©1996 Lippincott Williams & Wilkins. Copyright ©1990 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 our website at lww.com (products and services). 9 8 7 6 5 4 3 2 1 Printed in the United States of America Library of Congress Cataloging-in-Publication Data Intrapartum management modules :a perinatal education program / editors, Betsy B. Kennedy,Donna Jean Ruth,and E. Jean Martin. — 4th ed. p. ; cm. Includes bibliographical references and index. ISBN-13:978-0-7817-8168-8 (alk. paper) ISBN-10:0-7817-8168-X (alk. paper) 1. Maternity nursing—Programmed instruction. 2. Labor (Obstetrics)—Programmed instruction. 3. Delivery (Obstetrics)—Programmed instruction. I. Kennedy,Betsy B. II. Ruth,Donna Jean. III. Martin,E. Jean (Elizabeth Jean) [DNLM:1. Labor,Obstetric—Programmed Instruction. 2. Delivery, Obstetric—nursing—Programmed Instruction. 3. Maternal-Child Nursing—methods—Programmed Instruction. 4. Prenatal Care—methods—Programmed Instruction. WY 18.2 I61 2009] RG951.I57 2009 618.407—dc22 2008004767 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 con- sequences 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 infor- mation 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 GRBQ384-3663G-FM[i-xx].qxd 2/28/08 8:24AM Page v Aptara, Inc. T his edition continues to be dedicated to you,the reader,who in rendering care touches not only the body,but perhaps the soul. On behalf of the mothers and babies you care for in a knowledgeable,safe,and sensitive manner—“thank you.” v GRBQ384-3663G-FM[i-xx].qxd 2/28/08 8:24AM Page vi Aptara, Inc. GRBQ384-3663G-FM[i-xx].qxd 2/28/08 8:24AM Page vii Aptara, Inc. C O N T R I B U T O R S Julie M. Arafeh,RNC,MSN Elizabeth Howard,CNM,PhD Perinatal Outreach Coordinator Clinical Teaching Associate Assistant Director of the Center for Advanced Pediatric Brown Medical School and Perinatal Education Providence,Rhode Island Stanford University Anne Moore,MSN,RNC,FAANP Palo Alto,California Professor of Nursing/Women’s Health Nurse Practitioner Suzanne McMurtry Baird Vanderbilt University School of Nursing Assistant Professor Nashville,Tennessee Vanderbilt University School of Nursing Mary Copeland Myers,CNM,MSN,CDE Nashville,Tennessee Instructor Sarah Branan,MSN,RN University of South Carolina,Upstate Spartanburg,South Carolina Registered Nurse Greenville Hospital System University Medical Center Judith H. Poole,PhD,RNC Greenville,South Carolina Nurse Manager,Birthing Care/Special Maternity Care Presbyterian Hospital Angel Carter,MSN,APRN,NNP Charlotte,North Carolina Coordinator Neonatal Follow-Up Clinic Monroe Carell,Jr. Children’s Hospital at Vanderbilt Erin Rodgers,RN,BSN,MSN Nashville,Tennessee Instructor Vanderbilt University School of Nursing Susan Drummond,RN,MSN Nashville,Tennessee Assistant in Obstetrics Vanderbilt University Medical Center Nancy Webster Smith,RN,MSN,CNM Nashville,Tennessee Nurse-Midwife Mt. Pleasant,South Carolina Elizabeth Fritz,RN,MSN Francilla Thomas,RNC,MSN,EFMC Nurse Educator,Labor and Delivery Clinical Nurse III Vanderbilt University Medical Center Morgan Stanley Children’s Hospital of New York Nashville,Tennessee Presbyterian Columbia University Medical Center Kelly Gee,MSN,RNC,WHNP New York,New York Clinical Nurse Practitioner Penny Spencer Waugh,MSN,RNC Morgan Stanley Children’s Hospital of New York Clinical Instructor,Clinical Liaison Presbyterian Columbia University Medical Center Vanderbilt University School of Nursing New York,New York Nashville,Tennessee Mary Jo Gilmer,PhD,MBA,RN Ann Mogabgab Weathersby,RN,MSN,CNM Professor and Director,Clinical Management Program Assistant Manager of Obstetrics and Gynecology Co-Director,Pediatric Advanced Comfort Team Piedmont Practice Service Director Vanderbilt University School of Nursing Kaiser Permanente Nashville,Tennessee Atlanta,Georgia Marcella T. Hickey,RN,MSN,CNM Kimberly Yeager,RN,BSN Professor Emeritus Director of Training and Research Graduate Nurse–Midwifery,College of Nursing Center for Advanced Pediatric and Perinatal Education Medical University of South Carolina Stanford University Charleston,South Carolina Palo Alto,California vii GRBQ384-3663G-FM[i-xx].qxd 2/28/08 8:24AM Page viii Aptara, Inc. GRBQ384-3663G-FM[i-xx].qxd 2/28/08 8:24AM Page ix Aptara, Inc. R E V I E W E R S Carol Abrahams,RN,MS Mary Lou Moore,PhD,RNC,FACCE,FAAN Perinatal Clinical Nurse Specialist Associate Professor,Department of Obstetrics California Pacific Medical Center and Gynecology San Francisco,California Wake Forest University School of Medicine Winston-Salem,North Carolina Joanne E. Foresman,RNC,MSN Nurse Clinician Virginia Bradford Pearson,RN,MSN St. John’s Mercy Medical Center Maternal–Child Nursing Instructor St. Louis,Missouri Ellisville,Mississippi Ann C. Holden,RN,BScN,MSc,PNC Kathleen Simpson,PhD,RNC,FAAN Manager,Family Birthing Center and Childbirth Perinatal Clinical Nurse Specialist and Parenting Services St. John’s Mercy Medical Center St. Joseph’s Health Center St. Louis,Missouri Toronto,Ontario ix GRBQ384-3663G-FM[i-xx].qxd 2/28/08 8:24AM Page x Aptara, Inc.