Care of the Well Newborn

by BJ Snell, Sandra L Gardner

Overview

Care of the Well Newborn is a unique text that focuses on care of the term newborn for the first month of life. Written by distinguished experts in the field, it teaches students and professionals how and what to assess in the care of the nonverbal newborn, while also providing criteria for recognizing deviations from normal and strategies for managing complications that arise. The first text of its kind, it provides easily accessible information on evidence-based neonatal care that follows current guidelines, standards, and recommendations. Also explored are physiology and pathophysiology, data collection, differential diagnosis, cultural considerations, and parental education. An ideal resource for both students and professionals, each chapter includes multiple choice questions, case studies, or activities to facilitate critical thinking and learning.

Product Details

ISBN-13:	9781284093513
Publisher:	Jones & Bartlett Learning
Publication date:	07/29/2016
Edition description:	New Edition
Pages:	378
Product dimensions:	7.00(w) x 8.90(h) x 1.00(d)

About the Author

Dr. B. J. Snell is Professor Emeritus in the School of Nursing at California State University, Fullerton teaching in the midwifery and women’s health nurse practitioner Graduate Program. In addition, she is owner and clinical director of Beach Cities Midwifery and Women’s Health Care and the Beach Side Birth Centers in Laguna Hills, Long Beach, and Corona. She has experience in both hospital and out of hospital settings. She received her Bachelor’s of Science in Nursing from the University of Alabama, Birmingham; her Master’s of Science in Nursing and Women’s Health Nurse Practitioner education from the University of Colorado, Denver; and her PhD and Nurse-Midwifery Certification from the Oregon Health & Sciences University in Portland, Oregon. She is recognized nationally as a Fellow in the American College of Nurse-Midwives. She is a strong advocate for women’s health issues and has worked to decrease barriers to midwifery care and improve access to safe pregnancy and childbirth care. Dr. Snell is a member of the CNMA Health Policy Committee and is immediate past Health Policy Director for the association. Her proudest accomplishments have been following in her mother’s footsteps becoming a nurse, being married to a wonderful husband, Mike, for 37 years, having two amazing sons, Chris and Jeff, and being present for the birth of over 3,300 babies.

MsGardner is currently Director of Professional Outreach Consultation, a national and international consulting firm established in 1980. Ms Gardner plans, develops, teaches and coordinates workshops on perinatal/neonatal /pediatric topics. Ms Gardner has worked in neonatal/perinatal/pediatric care since 19657 as a clinician (37 years of direct patient care), practitioner, teacher, author and consultant. Ms Gardner was the first Perinatal Outreach Educator in the country funded by the March of Dimes and consulted with numerous March of Dimes grantees to help them establish perinatal outreach education programs. In her role as Perinatal Outreach Educator and Coordinator, she taught nurses and physicians in Colorado and the seven surrounding states how to recognize and stabilize at-risk pregnancies and sick neonates. In 1978 she won the Gerald Hencmann award from the March of Dimes for “outstanding service in the improvement of care to mothers and babies in Colorado” for her work as a Perinatal Outreach Educator. From 1985 to 2006 Ms Gardner co-edited with Gerald B Merenstein, MD six editions of Handbook of Neonatal Intensive Care. From 2010 to 2016, Ms Gardner is now the Senior Editor of Merenstein and Gardner’s Handbook of Neonatal Intensive Care. The first (1985), fifth (2002), seventh (2010) and the eighth (2016) editions of the Handbook have all won American Journal of Nursing: Book of the Year Awards. Ms Gardner is an active member of the Colorado Nurses Association/ The American Nurses Association, the National Association of Neonatal Nurses and the Academy of Neonatal Nurses.

Table of Contents

Preface xi

Foreword xiv

Contributors xvi

Reviewers xviii

Chapter 1 Professional Responsibilities in the Provision of Newborn Care Sandra L. Gardner B. J. Snell 1

Why Newborns Are Different 2

Defining the Healthcare Provider's Practice 17

Legal Issues 26

Professional Practice and Care of the Neonate 29

Conclusion 30

References 30

Chapter 2 Perinatal History: Influences on Newborn Outcome Pamela J. Reis Amy Jnah 35

Components of the Perinatal Health Record 36

Perinatally Acquired Infections 49

Perinatal Substance Abuse 51

Intrapartum History 56

Conclusion 61

Student Practice Activities 62

References 64

Chapter 3 Newborn Transition: The Journey from Fetal to Extrauterine Life Jenna Shaw-Battista Sandra L. Gardner 69

Epigenetics 70

The First Hour of Life 72

Labor and Birth in Water 81

Data Collection 82

Routine Care During Transition 89

Standards of Care 92

Cultural Considerations 94

Health Education 94

Conclusion 95

Student Practice Activities 95

References 97

Chapter 4 Physical Examination, Interventions, and Referrals Nicole Boucher Donna Marvicsin Sandra L. Gardner

Apgar Scoring and Gestational Age 101

Anthropometric Measurements 104

Physical Examination 104

Neurologic Examination 125

Student Practice Activities 133

References 134

Chapter 5 Newborn and Neonatal Nutrition B. J. Snell Sandra L. Gardner 135

Introduction 135

Influences on Breastfeeding Success: Prenatal, Intrapartal, and Postpartal 136

Physiology and Pathophysiology of Breastfeeding 139

Common Problems with Breastfeeding 146

Standard of Care/National Guidelines for Care 164

Teaching/Counseling About Breastfeeding 165

Formula Feeding 165

Normal Neonatal Physiology, Pathology, or Formula Intolerance? 176

Summary 182

Student Practice Activities 182

References 182

Chapter 6 Developmental Care of the Well Newborn Barbara A. Overman Dorinda L. Welle 191

Conceptual Foundations of Developmental Care of the Well Newborn 192

Developmental Care and Neonatal Behavioral Transition 198

The Predictable Behavioral Sequence 199

Newborn States: Co-regulation for Process Completion 201

"Co-regulation Boot Camp": Bringing in the Milk 205

Newborn Growth Spurt: Expanding and Maturing the Milk 207

Co-regulation for Conformity: Days, Nights, and Elimination 208

Saying Goodbye to the Neonatal Period: Colic, Fatigue, and Mother/Baby Blues 209

Conclusion 212

Student Practice Activities 213

References 214

Chapter 7 Newborn Discharge Timing Katrina Wu Rachel Stapleton 219

Introduction 219

Historical Perspective 220

Ethical Considerations 220

Data Collection 220

Teaching and Counseling 222

Standards of Care 223

Birth Center and Home Settings 225

Risk of Readmission 226

Cultural Considerations 228

Conclusion 229

Student Practice Activities 229

References 231

Chapter 8 Discharge Teaching Cara Busenhart 235

Timing of Discharge 235

Standard of Care/National Guidelines for Care 236

Preparation for Discharge 238

Follow-Up Care 247

Student Practice Activities 248

References 250

Chapter 9 Hyperbilirubinemia of the Newborn Born After 35 Weeks' Gestation Susan Dragoo 253

Incidence 255

Bilirubin Metabolism 256

Current Guidelines for Management 259

Pathologic Jaundice 268

Student Practice Activities 271

References 272

Chapter 10 Infection in the Neonate Sandra L. Gardner B. J. Snell 275

Definition and Etiology 275

Prevention 278

Data Collection 278

Differential Diagnoses 301

Standard of Care for Treatment 302

Cultural Considerations 304

Parent Education 305

Student Practice Activities 306

References 308

Chapter 11 General Considerations of the Newborn with Complications Shewn Bautista Curry J. Bordelon 313

Factors Affecting the Developing Fetus 313

Fetal Growth 316

Delivery Complications 319

Genetic Complications 321

Structural Complications 323

Conclusion 326

Student Practice Activities 327

References 329

Chapter 12 Health Maintenance Visits in the First Month of Life Karla Reinhart Sandra L. Gardner 331

Introduction 331

Outpatient Visits 332

Newborn Development 333

Health Maintenance Visits 336

Standard of Care/National Guidelines for Care 348

Cultural Considerations 348

Conclusion 350

Student Practice Activities 351

References 353

Appendix A Answers to Student Practice Activities 355

Appendix B Resources for Parents 363

Index 371

Editorial Reviews

Reviewer: Sherita K Etheridge, MSN (University of Alabama at Birmingham)
Description: This book clearly presents assessment findings and management of newborns from birth to one month old. It is well organized, with useful charts and graphs in several of the chapters and case study and application review questions at the end of each section.
Purpose: The purpose is to discuss normal and abnormal assessment findings in newborns from birth to one month of age and management of care according to evidence-based practice. The objectives are relevant and this is a much-needed resource, especially for midwives and advanced practice nursing students with plans to provide care to newborns. The book adequately meets these objectives.
Audience: The intended audience is nurse practitioner and midwife students, but the book is also useful for medical and physician assistant students, as well as family practice practitioners who provide pediatric care. The authors have over 90 combined years of maternal-child experience, including practice, writing, and education.
Features: The book covers assessment findings in newborns as well as abnormal findings, along with detailed descriptions of clinical management for advanced practice nurses based on the evidence. It also incorporates family centered care. The book covers a minimum amount of anatomy and pathophysiology, but it is a useful reference for students during their clinical practicum. The review questions are great application questions but do not include rationales, which many advanced practice nursing students prefer. The case study assignments, at the end of each chapter, are useful tools as well.
Assessment: This is a very useful reference specific to newborns. It offers more detailed information for this population than most maternal-child books.

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