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Maternal-Newborn Nursing Care: Best Evidence-Based Practices PDF

372 Pages·2013·13.953 MB·English
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2246_FM_i-xxxii 04/05/13 10:38 AM Page i aber’s T ® 22 brings meanings to life! Think Taber’s is just a dictionary? Take anoTher look! Make care planning easy • 2012-2014 NANDA-I approved diagnoses • “Patient Care Statements,” and “Caution/Safety Statements,” and reusable “Nursing Assessment Tool” • Normal reference laboratory values Prepare for NCLEX success • 33,000 audio pronunciations • Concise descriptions of diseases and disorders • Full-color illustrations, photographs, and videos Taber’s is for nurses Buy yours today at www.Tabers.com www.FADavis.com 2246_FM_i-xxxii 04/05/13 10:38 AM Page ii 2246_FM_i-xxxii 04/05/13 10:38 AM Page iii Maternal- Newborn Nursing Care BEST EVIDENCE-BASED PRACTICES Jamille Nagtalon-Ramos, MSN, CRNP, WHNP-BC Associate Director University of Pennsylvania School of Nursing Women’s Health Nurse Practitioner Program Philadelphia, PA Women’s Health Nurse Practitioner Hospital of the University of Pennsylvania Department of Obstetrics and Gynecology Philadelphia, PA 2246_FM_i-xxxii 04/05/13 10:38 AM Page iv F. A. Davis Company 1915 Arch Street Philadelphia, PA 19103 www.fadavis.com Copyright © 2014 by F. A. Davis Company Copyright © 2014 by F. A. Davis Company. All rights reserved. This book is protected by copyright. No part of it may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without written permission from the publisher. Printed in the United States of America Last digit indicates print number: 10 9 8 7 6 5 4 3 2 1 Publisher, Nursing:Lisa B. Houck Developmental Editor:Jamie Elfrank Director of Content Development:Darlene D. Pedersen Project Editor:Jamie Elfrank/Christina Snyder Design and Illustration Manager:Carolyn O’Brien As new scientific information becomes available through basic and clinical research, rec- ommended treatments and drug therapies undergo changes. The author(s) and publisher have done everything possible to make this book accurate, up to date, and in accord with accepted standards at the time of publication. The author(s), editors, and publisher are not responsible for errors or omissions or for consequences from application of the book, and make no warranty, expressed or implied, in regard to the contents of the book. Any prac- tice described in this book should be applied by the reader in accordance with professional standards of care used in regard to the unique circumstances that may apply in each situa- tion. The reader is advised always to check product information (package inserts) for changes and new information regarding dose and contraindications before administering any drug. Caution is especially urged when using new or infrequently ordered drugs. Library of Congress Cataloging-in-Publication Data Nagtalon-Ramos, Jamille. Maternal-newborn nursing care / Jamille Nagtalon-Ramos. -- 1st ed. p. ; cm. -- (Best evidence-based practices) Includes bibliographical references and index. ISBN 978-0-8036-2246-3 I. Title. [DNLM: 1. Maternal-Child Nursing--methods--Handbooks. 2. Evidence-Based Nursing-- methods--Handbooks. 3. Infant, Newborn. 4. Perinatal Care--methods--Handbooks. 5. Pregnancy--Handbooks. WY 49] RG951 618.2'0231--dc23 2013011141 Authorization to photocopy items for internal or personal use, or the internal or personal use of specific clients, is granted by F. A. Davis Company for users registered with the Copyright Clearance Center (CCC) Transactional Reporting Service, provided that the fee of $.25 per copy is paid directly to CCC, 222 Rosewood Drive, Danvers, MA 01923. For those organizations that have been granted a photocopy license by CCC, a separate system of payment has been arranged. The fee code for users of the Transactional Reporting Service is: 8036-2246-3/13 0 + $.25. 2246_FM_i-xxxii 04/05/13 10:38 AM Page v This book is dedicated to one of the most compassionate nurses I know, Alissa Ferri, who served as my main inspiration for this book. While leading Alissa’s orientation at her first nursing job years ago, I gave her a little notebook to serve as her “Pocket Brain” and in which to write important information she learned. I encouraged her to keep this notebook in her pocket and have it accessible at all times. While writing this book, I thought of Alissa and all my wonderful nursing students, past, present, and future, and asked myself what they would need to know in order to give the best care to their patients. I wrote this reference manual with the hope that it would serve as a reliable and handy resource, a “Pocket Brain,” for nursing students as well as new-to-practice and expert nurses who share my passion in caring for women. And, of course, this book is dedicated to Reg, my husband, who has taught me that the key to communication is listening; to my son Leo, whom I truly admire for the way he stays calm and intensely focused under pressure (especially at baseball!); to my fearless Leilani, who is always curious and who proudly refers to anatomi- cal parts correctly and is not afraid to say “vagina!”; and to our Baby Leah, a warm snuggler who commands a room with her laughter. I dedicate this book and my heart to you. To all the beautiful, strong, and brave women for whom I have had the privilege of caring and who allowed me to be part of their lives, this book is for you. 2246_FM_i-xxxii 04/05/13 10:38 AM Page vi 2246_FM_i-xxxii 04/05/13 10:38 AM Page vii Preface Maternal-Newborn Nursing Care: Best Evidence-Based Practicesis in- tended to serve as a reliable reference book for nurses working in the area of women’s health. This book was written with the nursing student as well as new-to-practice and experienced nurses in mind and is meant to be used as a dynamic “Pocket Brain” to help guide nurses in diverse hospital and community settings in providing safe, proficient, quality care to mothers, newborns, and their families. Chapter content includes an examination of normal and abnormal pathophysiology of the childbearing woman and newborn and an overview of the components of care for normal and high-risk pregnant and postpartum women and neonates. Other chapters are dedicated to teaching nurses to provide culturally competent care in the women’s health setting and to training nurses to recognize signs of abuse and assess, counsel, and follow up with compromised mothers. This book contains unique features, such as sample scripts for nurses who are dis- cussing with their patients potentially sensitive situations surrounding contraception, sexually transmitted infections, and abuse as well as a chart of common medical terms translated from English to Spanish. Nurses who share a passion for and commitment to the care of mothers and their newborns will appreciate the inclusion of concise, comprehensive assessments; discussion of disease processes; easy-to- understand tables of laboratory work-ups and values; common treatment guidelines and modalities; and the steps to implement and evaluate nurs- ing care specific to women’s health. Preface vii 2246_FM_i-xxxii 04/05/13 10:38 AM Page viii 2246_FM_i-xxxii 04/05/13 10:38 AM Page ix Reviewers Rebecca L. Allen, RN, MNA Assistant Professor Clarkson College Omaha, NE Amy Cosimano, EdD (c), RNC Assistant Professor Creighton University School of Nursing Omaha, NE JoAnn G. Crownover, RN, MSN, CNE Assistant Professor, Nursing Colorado State University-Pueblo Pueblo, CO Laurie A. Downes, PhD, RN Associate Professor Elms College Chicopee, MA Cynthia A. Dyson, MSN, RN, BC, CNE Assistant Professor of Nursing Charleston Southern University Hanahan, SC Karen Ferguson, PhD, RNC-OB, SANE-A Assistant Professor, Division of Nursing Martin Methodist College Pulaski, TN Alissa Ferri, RN, BA, BSN Clinical Nurse III Hospital of the University of Pennsylvania Philadelphia, PA Sarah Fuchs, MS, RNC Assistant Professor of Nursing Jamestown College Jamestown, ND L. Sue Gabriel, EdD, MSN, MFS, RN, SANE-A, CFN Associate Professor BryanLGH College of Health Sciences, School of Nursing Lincoln, NE Reviewers ix 2246_FM_i-xxxii 04/05/13 10:38 AM Page x Allyssa L. Harris, RN, PhD, WHNP-BC Clinical Instructor Boston College Chestnut Hill, MA Jill Holmstrom, RN, MS Associate Professor Concordia College Moorhead, MN Judith Ingrasin, MS, RN Assistant Professor of Nursing Kansas City Community College Kansas City, KS Terri Kahle, MSN, RNC, CNE Instructor Southeast Missouri Hospital College of Nursing and Health Sciences Cape Girardeau, MO Beverly Kawa, RN, MS Instructor Morton College Cicero, IL Mona P. Klose, RN, MS, CPHQ Assistant Professor Jamestown College Jamestown, ND Michele Lamar-Suggs, BS, BSN, MSN Clinical Nurse II Hospital of the University of Pennsylvania Philadelphia, PA Deborah MacMillan, RN, CNM Assistant Professor Georgia College & State University Milledgeville, GA Dolores A. Minchhoff, RN, MSN, FNP-BC Assistant Professor Lancaster General College Lancaster, PA Pertice Moffitt, RN, BSN, MN, PhD Senior Instructor, Nursing Aurora College Yellowknife, NT, Canada x Reviewers

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