Assessment and Care of the Well Newborn / Edition 2

by Patti J. Thureen MD, Jane Deacon RNC, MS, NNP, Jacinto A. Hernandez MD, PhD, MHA, FAAP, Daniel Hall MD

Overview

Offering a multidisciplinary approach in an accessible outline format, this practical handbook covers all aspects of care for the full-term, well newborn. Written and reviewed by both physicians and nurses, this new edition presents explanations of the events surrounding delivery, the processes necessary to identify newborns that deviate from the norm, the immediate interventions and care required in these situations, and routine care considerations frequently encountered in caring for these infants. Detailed guidance is provided on assessment, delivery room management, transition and post-transition care, and commonly seen problems. Readers will also find information on the assessment of infections, nursery protocols, standardized physician standing orders, and common drugs and their effect on breastfeeding.

• A multi-disciplinary approach to care of the well newborn features contributions from both nurses and physicians.
• Discussions cover the processes necessary to identify newborns who deviate from normal, as well as the immediate interventions and care required in these situations.
• Comprehensive, up-to-date coverage is provided on the assessment and management of viral and bacterial infections.
• An outline format is used for easy referencing and clinical guidance.

• The latest updates on guidelines and procedures are provided — including neonatal hearing screening and resuscitation.
• Up-to-date reference information includes growth charts, current immunization recommendations, and genetic screening.
• The most current recommended therapies are presented for viral and bacterial infection diagnosis, management, and treatment.
• The latest technology information for fetal assessment includes the fetal doppler and fetal pulse oximeter.
• Content addresses the most up-to-date effects of epidurals on maternal temperature and the implication for newborn infection evaluations.

Product Details

ISBN-13:	9780721603933
Publisher:	Elsevier Health Sciences
Publication date:	05/11/2004
Edition description:	REV
Pages:	432
Product dimensions:	7.50(w) x 9.25(h) x (d)

About the Author

Table of Contents

Section I: Obstetrical Considerations in the Management of the Well Newborn
1. Maternal Factors Affecting the Newborn
2. Fetal Assessment, Labor, and Delivery
Section II: Delivery Room Management
3. Resuscitation of the Newborn Infant
4. Recognition and Management of Neonatal Emergencies
Section III: Evaluation and Care of the Newborn Infant during the Transitional Period
5. Adaptation to Extrauterine Life and Management During Normal and Abnormal Transition
6. Birth Injury
7. Physical Assessment of the Newborn
Section IV: Post-Transition Care
8. Feeding the Newborn
9. Routine Care
10. Genetic Screening
11. Circumcision
12. Immunizations
13. Legal Issues
Section V: Common Problems of the Term Newborn
14. Jaundice
15. Plethora and Pallor
16. Approach to the Infant at Risk for Hypoglycemia
17. The Large-for-Gestational Age and the Small-for-Gestational-Age Infant
18. Perinatal Drug Exposure
Section VI: Management of the Infant at risk for Perinatal Infections
19. Bacterial Infections
20. Viral Infections
21. Isolation Procedures
Section VII: Discharge Planning and Follow-Up Care
22. Parental Preparation
23. Discharge Assessment
24. Post Discharge Care
Section VIII: Appendix
A. Parent Advice Guidelines for Newborn Care
B. Medications and Breast Feeding
C. Normal Laboratory Values and Conversion Guides
D. Standard Normal Newborn Orders

What People are Saying About This

From the Publisher

Written by doctors and nurses, this reference covers all aspects of care for the full-term, well newborn

Editorial Reviews

Reviewer: Toni L. Earleywine, RN, BS, BSN (Union Hospital)
Description: This is the second edition of a book, written in outline form, designed as a reference tool and guide for those providing care in the newborn nursery. It describes norms as well as common anomalies, and it addresses standard care practices of well newborns as well as recognition and management of common neonatal problems.
Purpose: The purpose of the book, according to the editors, is to provide a handbook to guide the care of essentially well newborns. According to the editors, this book is needed because the focus of most of today's neonatology textbooks is the care and treatment of critically ill infants. This book does meet the editors' worthy objectives. In addition, royalties from the book's sale will benefit "maternal-neonatal health education projects in developing countries" via a nonprofit organization established by the editors.
Audience: The intended audience is all healthcare professionals who provide care to newborns in the well-baby setting throughout their hospitalization. It is an excellent resource and guide for those professionals as well as a textbook for students. The editors are credible authorities in this field.
Features: The book begins with common maternal factors that can foretell neonatal problems and then briefly describes fetal assessment and the stages and presentation of birth. It includes chapters on neonatal resuscitation and immediate care of emergencies until transport arrives. Offered are guidelines that include placement of chest tubes, insertion of peripheral and central lines, and placement of nasogastric tubes and urinary catheters. The book then addresses transition to extra-uterine life, physical assessment, and recognition of abnormalities. It provides valuable information on feeding, circumcision, drug exposure, common infections, and discharge teaching, and it touches on legal issues. Numerous helpful diagrams, pictures, and charts are placed throughout the book.
Assessment: I cannot agree with the editors that books concerning normal, newborn management and care are lacking as I have read and own a good number of them. To me, however, this book is valuable for its organization and guidelines and for its wealth of diagrams, pictures, graphs, and charts. It is a welcome addition and an excellent resource, particularly for practitioners in smaller, community hospital settings.

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