Brief Contents UNIT 1 Maternal and Child Health Nursing Practice 1 A Framework for Maternal and Child Health Nursing 2 Diversity and Maternal Child Nursing 3 The Childbearing and Childrearing Family in the Community 4 Home Care and the Childbearing and Childrearing Family UNIT 2 The Nursing Role in Preparing Families for Childbearing and Childrearing 5 The Nursing Role in Reproductive and Sexual Health 6 Nursing Care for the Family in Need of Reproductive Life Planning 7 Nursing Care of the Family Having Difficulty Conceiving a Child 8 The Nursing Role in Genetic Assessment and Counseling UNIT 3 The Nursing Role in Caring for Families During Normal Pregnancy, Birth, the Postpartum, and Newborn Period 9 Nursing Care During Normal Pregnancy and Care of the Developing Fetus 10 Nursing Care Related to Psychological and Physiologic Changes of Pregnancy 11 Nursing Care Related to Assessment of a Pregnant Family 12 Nursing Care to Promote Fetal and Maternal Health 13 The Nursing Role in Promoting Nutritional Health During Pregnancy 14 Preparing a Family for Childbirth and Parenting 2 15 Nursing Care of a Family During Labor and Birth 16 The Nursing Role in Providing Comfort During Labor and Birth 17 Nursing Care of a Postpartal Family 18 Nursing Care of a Family With a Newborn 19 Nutritional Needs of a Newborn UNIT 4 The Nursing Role in Caring for a Family During Complications of Pregnancy, Birth, or the Postpartal Period 20 Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness 21 Nursing Care of a Family Experiencing a Sudden Pregnancy Complication 22 Nursing Care of a Pregnant Family With Special Needs 23 Nursing Care of a Family Experiencing a Complication of Labor or Birth 24 Nursing Care of a Family During a Surgical Intervention for Birth 25 Nursing Care of a Family Experiencing a Postpartum Complication 26 Nursing Care of a Family With a High-Risk Newborn 27 Nursing Care of the Child Born With a Physical or Developmental Challenge UNIT 5 The Nursing Role in Health Promotion for Childrearing Family 28 Principles of Growth and Development 29 Nursing Care of a Family With an Infant 30 Nursing Care of a Family With a Toddler 31 Nursing Care of a Family With a Preschool Child 32 Nursing Care of a Family With a School-Age Child 33 Nursing Care of a Family With an Adolescent 34 Child Health Assessment 35 Communication and Teaching With Children and Families UNIT 6 The Nursing Role in Supporting the Health of Ill Children and Their Families 3 36 Nursing Care of a Family With an Ill Child 37 Nursing Care of a Family When a Child Needs Diagnostic or Therapeutic Modalities 38 Nursing Care of a Family When a Child Needs Medication Administration or Intravenous Therapy 39 Pain Management in Children UNIT 7 The Nursing Role in Restoring and Maintaining the Health of Children and Families With Physiologic Disorders 40 Nursing Care of a Family When a Child Has a Respiratory Disorder 41 Nursing Care of a Family When a Child Has a Cardiovascular Disorder 42 Nursing Care of a Family When a Child Has an Immune Disorder 43 Nursing Care of a Family When a Child Has an Infectious Disorder 44 Nursing Care of a Family When a Child Has a Hematologic Disorder 45 Nursing Care of a Family When a Child Has a Gastrointestinal Disorder 46 Nursing Care of a Family When a Child Has a Renal or Urinary Tract Disorder 47 Nursing Care of a Family When a Child Has a Reproductive Disorder 48 Nursing Care of a Family When a Child Has an Endocrine or a Metabolic Disorder 49 Nursing Care of a Family When a Child Has a Neurologic Disorder 50 Nursing Care of a Family When a Child Has a Vision or Hearing Disorder 51 Nursing Care of a Family When a Child Has a Musculoskeletal Disorder 52 Nursing Care of a Family When a Child Has an Unintentional Injury 53 Nursing Care of a Family When a Child Has a Malignancy UNIT 8 The Nursing Role in Restoring and Maintaining the Mental Health of Children and Families 54 Nursing Care of a Family When a Child Has an Intellectual or Mental Health Disorder 55 Nursing Care of a Family in Crisis: Maltreatment and Violence in the Family 4 56 Nursing Care of a Family When a Child Has a Long-Term or Terminal Illness 5 6 Acquisitions Editor: Natasha McIntyre Supervising Development Editor: Heather A. Rybacki Developmental Editor: Victoria White Editorial Coordinator: Lauren Pecarich Marketing Manager: Katie Schlesinger Production Project Manager: Marian Bellus Design Coordinator: Holly McLaughlin Art Director: Jennifer Clements Manufacturing Coordinator: Karin Duffield Prepress Vendor: Absolute Service, Inc. 8th edition Copyright © 2018 Wolters Kluwer Copyright © 2014, 2010, 2007, 2003, 1999, 1995, 1992 by Adele Pillitteri. 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 2001 Market Street, Philadelphia, PA 19103, 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 China Library of Congress Cataloging-in-Publication Data Names: Silbert-Flagg, JoAnne, author. | Preceded by (work): Pillitteri, Adele. Maternal & child health nursing. Title: Maternal & child health nursing : care of the childbearing & childrearing family / JoAnne Silbert-Flagg. Other titles: Maternal and child health nursing Description: Eighth edition. | Philadelphia : Wolters Kluwer, [2018] | Preceded by Maternal & child health nursing / Adele Pillitteri. 7th edition. 2014. | Includes bibliographical references and index. Identifiers: LCCN 2017035586 | ISBN 9781496348135 Subjects: | MESH: Maternal-Child Nursing | Family Health | Holistic Nursing Classification: LCC RG951 | NLM WY 157.3 | DDC 618.2/0231--dc23 LC record available at https://lccn.loc.gov/2017035586 This work is provided “as is,” and the publisher disclaims any and all warranties, express or implied, including any warranties as to accuracy, comprehensiveness, or currency of the content of this work. This work is no substitute for individual patient assessment based upon healthcare professionals’ examination of each patient and consideration of, among other things, age, weight, gender, current or prior medical conditions, medication history, laboratory data, and other factors unique to the patient. The publisher does not provide medical advice or guidance, and this work is merely a reference tool. Healthcare professionals, and not the publisher, are solely responsible for the use of this work including all medical judgments and for any resulting diagnosis and treatments. Given continuous, rapid advances in medical science and health information, independent professional verification of medical diagnoses, indications, appropriate pharmaceutical selections and dosages, and treatment options should be made, and healthcare professionals should consult a variety of sources. When prescribing medication, healthcare professionals are advised to consult the product information sheet (the manufacturer’s package insert) accompanying each drug to verify, among other things, conditions of use, warnings, and side effects and identify any changes in dosage schedule or contraindications, particularly if the medication to be administered is new, infrequently used, or has a narrow therapeutic range. To the maximum extent permitted under applicable law, no responsibility is assumed by the publisher for any injury and/or damage to persons or property, as a matter of products liability, negligence law or otherwise, or from any reference to or use by any person of this work. 7 LWW.com 8 I dedicate this book to all the children I have cared for over the years. I hope I have touched your lives as you have touched mine. — JoAnne Silbert-Flagg 9 Contributors Nasreen Bahreman, MSN, RN, PCNS-BC Nurse at Rales Health Center at KIPP Baltimore The Ruth and Norman Rales Center for the Integration of Health and Education Johns Hopkins University School of Medicine Baltimore, Maryland Chapter 38: Nursing Care of a Family When a Child Needs Medication Administration or Intravenous Therapy Chapter 50: Nursing Care of a Family When a Child Has a Vision or Hearing Disorder Chapter 56: Nursing Care of a Family When a Child Has a Long-Term or Terminal Illness Cheri Barber, DNP, RN, PPCNP-BC, FAANP Clinical Assistant Professor Pediatric Nurse Practitioner Programs Coordinator UMKC School of Nursing and Health Studies Kansas City, Missouri Chapter 49: Nursing Care of a Family When a Child Has a Neurologic Disorder Pamela Brandy-Webb, RN, MSN Assistant Clinical Professor Prairie View College of Nursing Prairie View, Texas Chapter 48: Nursing Care of a Family When a Child Has an Endocrine or a Metabolic Disorder Deborah Busch, DNP, CPNP, IBCLC Assistant Professor Johns Hopkins University School of Nursing Baltimore, Maryland Chapter 2: Diversity and Maternal Child Nursing 10