10995-00_FMrev.qxd 6/27/08 3:38 PM Page ii This page intentionally left blank. 10995-00_FMrev.qxd 6/27/08 3:38 PM Page i MATERNITY AND PEDIATRIC NURSING 10995-00_FMrev.qxd 6/27/08 3:38 PM Page ii This page intentionally left blank. 10995-00_FMrev.qxd 6/27/08 3:38 PM Page iii MATERNITY AND PEDIATRIC NURSING Susan Scott Ricci, Terri Kyle, ARNP, MSN, MEd MSN, CPNP Nursing Faculty Nursing Faculty University of Central Florida Herzing College Orlando, Florida Orlando, Florida Former Nursing Program Director and Faculty Lake Sumter Community College Leesburg, Florida 10995-00_FMrev.qxd 6/27/08 3:38 PM Page iv Acquisitions Editor:Jean Rodenberger Development Editor:Danielle DiPalma Editorial Assistant:Erin Sweeney Senior Production Editor:Tom Gibbons Director of Nursing Production:Helen Ewan Senior Managing Editor/Production:Erika Kors Art Director,Design:Joan Wendt Art Director,Illustration:Brett MacNaughton Manufacturing Coordinator:Karin Duffield Indexer:Katherine Pitcoff Compositor:Circle Graphics Copyright © 2009 Wolters Kluwer Health| 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.govern- ment 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. Maternity and pediatric nursing / Susan Scott Ricci,Terri Kyle. p. ; cm. Includes bibliographical references and index. ISBN 978-0-7817-8055-1 (cloth :alk.paper) 1.Maternity nursing—Textbooks. 2. Pediatric nursing—Textbooks. I.Kyle,Terri. II.Title. [DNLM: 1.Maternal-Child Nursing. 2.Pediatric Nursing. 3.Women’s Health. WY 157.3 R4912e 2009] RG951.R538 2009 618.92'00231—dc22 2008025030 ISBN-13:978-0-7817-8055-1 Care has been taken to confirm the accuracy of the information presented and to describe generally accepted prac- tices.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,com- pleteness,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 consid- ered 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 ongo- ing 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 10995-00_FMrev.qxd 6/27/08 3:38 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 T his text is dedicated to my awesome family.My husband John has consistently encouraged and persuaded me to continue moving forward.My wonderful children, Christian and Caitlin,constantly delight and surprise me. I thank them for their support and faith in me. Terri Kyle 10995-00_FMrev.qxd 6/27/08 3:38 PM Page vi This page intentionally left blank. 10995-00_FMrev.qxd 6/27/08 3:38 PM Page vii A CKNOWLEDGMENTS W e would like to thank so many people who have helped bring the exciting prospect of this textbook into being.Our appreciation goes to Jean Rodenberger for her ongoing leadership and Elizabeth Nieginski for approaching us with this project and believing that we could assist in achieving her vision.We would also like to especially thank Danielle DiPalma for her editorial expertise and for her steadfastness to this project.She has been ever patient through chapter drafts and revisions.In addition,we 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 also to Sarah Kyle for her con- tinued dedication to the vision and format of this textbook,as well as for her expert editing,and to Erin Sweeney for gently prodding us to complete revisions. We would like to thank Tom Gibbons for his skillful production of the text. We would also like to thank Brett MacNaughton for his role in the beautiful illustrations and photographs,as well as photographer Gus Freedman and photo producer Amy Geller for their dedicated work on the photo shoot.We would like to thank the following institutions for their help in obtaining the photos for this book: Boston Shriners Hospital 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 participation in this book,especially Debbie Turner,Paula McGarr,Susan Martinson,Grace Jackson,and Marianne Cummings.As always,special thanks to Terri’s close friend and colleague Susan Carman for all of the physical work she performed on this text and,even more importantly,the emotional and moral support she so unfailingly provides. S.S.R.,T. 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