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Maternal-newborn nursing demystified PDF

337 Pages·2010·2.98 MB·English
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D o w n lo a d e d b y [ F a c u lty o f N u rsin g , C h ia n g m a i U n iv e rsity 5 .6 2 .1 5 6 .8 6 ] a t [0 7 /1 8 /1 6 ]. C o p y rig h t © M c G ra w -H ill G lo b a l E d u c a tio n H o ld in g s, L L C . N o t to b e re d istrib u te d o r m o d ifie d in a n y w a y w ith o u t p e rm issio n . D o w n lo a d e d b y [ F a c u lty o f N u rsin g , C h ia n g m a i U n iv e rsity 5 .6 2 .1 5 6 .8 6 ] a Maternal-Newborn t [07 /1 8 /1 6 ]. C Nursing Demystified o p y rig h t © M c G ra w -H ill G lo b a l E d u c a tio n H o ld in g s, L L C . N o t to b e re d istrib u te d o r m o d ifie d in a n y w a y w ith o u t p e rm issio n . D o w n lo a d e d b y Notice [ F a Medicine is an ever-changing science. As new research and clinical cu lty experiencebroaden our knowledge, changes in treatment and drug therapy o f N are required. The author and the publisher of this work have checked u with sources believed to be reliable in their efforts to provide informa- rsing , C tion that is complete and generally in accord with the standards accepted h ia at the time of publication. However, in view of the possibility of human ng m a error or changes in medical sciences, neither the author nor the publisher i U n nor any other party who has been involved in the preparation or publi- iv e cation of this work warrants that the information contained herein is in rsity 5 every respect accurate or complete, and they disclaim all responsibility .6 2 .1 for any errors or omissions or for the results obtained from use of the 5 6 .8 information contained in this work. Readers are encouraged to confirm 6] a the information contained herein with other sources. For example and t [0 7 in particular, readers are advised to check the product information sheet /18 /1 included in the package of each drug they plan to administer to be certain 6]. C that the information contained in this work is accurate and that changes o p y have not been made in the recommended dose or in the contraindications rig h for administration. This recommendation is of particular importance in t © M connection with new or infrequently used drugs. cG ra w -H ill G lo b a l E d u c a tio n H o ld in g s, L L C . N o t to b e re d istrib u te d o r m o d ifie d in a n y w a y w ith o u t p e rm issio n . D o w n lo a d e d b y [ F a c u lty o f N u rsin g , C h ia n g m a i U n iv e rsity 5 .6 2 .1 5 6 .8 6 ] a t [0 7 Maternal-Newborn /1 8 /1 6 ]. C o p y Nursing Demystified rig h t © M c G ra w -H ill G lo b a l E d u c Joyce Y. Johnson, RN, PhD atio n H o Dean and Professor ld in g College of Sciences and Health Professions s, L L Albany State University C . N Albany, Georgia ot to b e re d istrib u te d o r m o d ifie d in a n y w a y w New York Chicago San Francisco Lisbon London ith o u Madrid Mexico City Milan New Delhi San Juan t p e Seoul Singapore Sydney Toronto rm issio n . D o w n lo a d e d Copyright © 2010 by The McGraw-Hill Companies, Inc. All rights reserved. Except as permitted under the United States Copyright Act of b y 1976, no part of this publication may be reproduced or distributed in any form or by any means, or stored in a database or retrieval system, [ F without the prior written permission of the publisher. ac u lty o ISBN: 978-0-07-181196-5 f N u MHID: 0-07-181196-6 rsin g , C h The material in this eBook also appears in the print version of this title: ISBN: 978-0-07-160914-2, ia n g MHID: 0-07-160914-8. m a i U All trademarks are trademarks of their respective owners. Rather than put a trademark symbol after every occurrence of a trademarked niv e tnraamdeem, awrek . uWseh enraem seusc hin d easni gendaittioorniasl afpapsehaior nin otnhliys ,b aonodk ,t oth ethye h bavene ebfie te no fp rthinet etdra wdeitmh airnkit ioawl cnaepr,s .with no intention of infringement of the rsity 5 .6 2 McGraw-Hill eBooks are available at special quantity discounts to use as premiums and sales promotions, or for use in corporate training .15 6 programs. To contact a representative please e-mail us at [email protected]. .8 6 ] a TERMS OF USE t [0 7 /1 8 This is a copyrighted work and The McGraw-Hill Companies, Inc. (“McGraw-Hill”) and its licensors reserve all rights in and to the work. /16 Use of this work is subject to these terms. Except as permitted under the Copyright Act of 1976 and the right to store and retrieve one copy ]. C o of the work, you may not decompile, disassemble, reverse engineer, reproduce, modify, create derivative works based upon, transmit, py distribute, disseminate, sell, publish or sublicense the work or any part of it without McGraw-Hill’s prior consent. You may use the work for rig h your own noncommercial and personal use; any other use of the work is strictly prohibited. Your right to use the work may be terminated t © if you fail to comply with these terms. M c G ra THE WORK IS PROVIDED “AS IS.” McGRAW-HILL AND ITS LICENSORS MAKE NO GUARANTEES OR WARRANTIES AS w -H TINOC TLHUED IANCGC AUNRYA CINY,F OARDMEQAUTIAOCNY TOHRA TC OCMANPL BEET EANCECSESS OSEFD O TRH RREOSUUGLHTS T THOE BWEO ORKBT VAIIAN EHDY PFERROLMIN UKS IONRG OTTHHEE RWWOIRSKE,, ill G lo AND EXPRESSLY DISCLAIM ANY WARRANTY, EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO IMPLIED ba WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. McGraw-Hill and its licensors do not l E d u warrant or guarantee that the functions contained in the work will meet your requirements or that its operation will be uninterrupted or c a error free. Neither McGraw-Hill nor its licensors shall be liable to you or anyone else for any inaccuracy, error or omission, regardless of tio n cause, in the work or for any damages resulting therefrom. McGraw-Hill has no responsibility for the content of any information accessed H o through the work. Under no circumstances shall McGraw-Hill and/or its licensors be liable for any indirect, incidental, special, punitive, ld in cpoonsssiebqiulietyn toiafl sourc hs idmaimlaarg deas.m Tahgiess l itmhaitt arteiosnu lot ff rloiambi ltihtye suhsael lo afp oprl yi ntoab ainliyty c ltaoi mus eo rt hcaeu wseo wrkh, aetvsoeenv iefr awnhye othfe trh seumch h calsa ibme eonr acdauvsisee adr iosfe st hine gs, LL C contract, tort or otherwise. . N o t to b e re d istrib u te d o r m o d ifie d in a n y w a y w ith o u t p e rm issio n . D o w n lo a d This book is dedicated to my mother Dorothy C. Young who has always been an inspiration ed b y to me, to my husband Larry, and to Virginia and Larry Jr. who are the wind beneath my wings. [ F a c This book is also dedicated to our students who are the reason we teach and write. Much u lty success in your nursing careers! of N u Joyce Y. Johnson rsin g , C h ia n g m a i U n iv e rsity 5 .6 2 .1 5 6 .8 6 ] a t [0 7 /1 8 /1 6 ]. C o p y rig h t © M c G ra w -H ill G lo b a l E d u c a tio n H o ld in g s, L L C . N o t to b e re d istrib u te d o r m o d ifie d in a n y w a y w ith o u t p e rm issio n . D o w n lo a d e d b y [ F a c u lty o f N u rsin g CONTRIBUTORS , C h ia n g m a i U n iv e Edna Boyd Davis, RN MN rsity 5 .6 Assistant Professor 2 .1 5 Department of Nursing 6.8 6 Albany State University ] a t [0 Albany, Georgia 7/1 8 (Chapter 12, Newborn Care) /16 ]. C o p y Cathy H. Williams, RN MSN DNP rig h Undergraduate Program Coordinator t © M Associate Professor cG ra w Department of Nursing -H Albany State University ill G lo Albany, Georgia ba l E (Chapter 11, Postpartum Care) du c a tio n H o ld in g s, L L C . N o t to b e re d istrib u te d o r m o d ifie d in a n y w a y w ith o u t p e rm issio n . D o w n lo a d e d b y [ F a c u lty o f N u rsin g , C h ia n CONTENTS gm a i U n iv e rsity 5 .6 2 .1 5 6 .8 6 ] a t [0 7 /1 8 /1 6 ]. C Preface xxi op y Acknowledgments xxiii righ t © M c UNIT I ROLES AND RELATIONSHIPS G ra w -H CHAPTER 1 Overview of Maternity Nursing 3 ill G The Nursing Process 5 lo b a Family Planning 6 l E d u Child or Adolescent Pregnancy 6 ca tio Pregnancy After the Age of 40 9 n H o Conclusion 10 ld in g s, L CHAPTER 2 Families and Communities 15 LC . N Overview 16 o t to Types of Families 17 b e Nursing Implications 17 red Social And Economic Factors 18 istrib u te Nursing Implications 18 d o Diversity Issues 19 r m o d Nursing Implications 20 ifie d Conclusion 21 in a n y w a CHAPTER 3 Health Assessment of the Pediatric Client 25 y w Overview 26 itho u Health Assessment: Client History 26 t p e rm Communication 26 issio n . viii Contents D o w n lo a d e Nursing History 28 d b y Nutritional Assessment 30 [ F a c Biochemical Tests 31 ulty Family History and Review of Systems 31 of N u Family Assessment 32 rsin g Family Function 32 , C h Physical Examination 34 ian g m General 34 a i U Skin 34 niv e Hair 34 rsity 5 Nails 35 .6 2 .1 Head and Neck 35 5 6 .8 Eyes and Vision 36 6] a Ears and Hearing 36 t [0 7 /1 Mouth, Throat, Nose, Sinuses, and Neck 36 8 /1 6 Chest 37 ]. C o Abdomen 38 py rig Genitourinary 38 ht © Back and Extremities 39 M c G Newborn Developmental Milestones 40 ra w Physical Milestones 40 -H Sensory Milestones 40 ill Glo b Social Milestones 40 al E d Emotional Growth 40 uc a Language Development 41 tion H Diagnostic Procedures 41 old in Laboratory Tests 41 gs, L Nursing Implications 43 LC . N Conclusion 44 o t to b e UNIT II SYSTEMATIC EXPLORATION OF red MATERNAL-NEWBORN CONDITIONS istrib u te AND NURSING CARE d o r m CHAPTER 4 Pre-pregnancy Preparation, Conception, 51 od and Genetic Considerations ified in Overview 52 an y Pre-pregnancy Preparation 52 wa y w Nutrition 52 ith o Age 52 ut p e rm issio n . Contents ix D o w n lo a d e Substance Abuse 53 d b y Toxin Exposure 53 [ F a c Conception 53 ulty o Testing 54 f N u Contraception 56 rsin g Genetic Considerations 57 , C h Sickle Cell Anemia 59 ian g m What Went Wrong? 59 ai U Signs and Symptoms 60 niv e Test Results 61 rsity 5 Treatments 61 .6 2 .1 Nursing Intervention 61 56 .8 Hemophilia 63 6] a What Went Wrong? 63 t [0 7 /1 Signs and Symptoms 63 8/1 6 Test Results 63 ]. C o Treatments 64 py rig Nursing Intervention 64 ht © β-Thalassemia 65 M c G What Went Wrong? 65 ra w Signs and Symptoms 66 -Hill G Test Results 66 lo b a Treatments 66 l E d u Nursing Intervention 67 c a tio Down Syndrome 67 n H o What Went Wrong? 67 ld in g Signs and Symptoms 68 s, L L Test Results 68 C . N Treatments 68 o t to Nursing Intervention 69 b e Conclusion 69 red istrib u te CHAPTER 5 Reproductive Health Issues 73 d o Overview 74 r m o d Infertility 74 ifie d What Went Wrong? 75 in a n y Signs and Symptoms 75 w a y Test Results 75 w ith Treatment 76 o u t p e rm issio n .

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