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Overview

With an equal focus on community-based and acute care-based delivery systems, this comprehensive introduction to maternal-newborn nursing and pediatric nursing provides an integration of complementary care modalities, culturally sensitive care and evidenced-based practice into the discussion of nursing care. Designed to be user-friendly, the volume features extensive cross reference icons that reduce the redundancy often found in similar books and gives attention to various learning styles. Both examples of clinical paths and standard nursing care plans based on the nursing process model are presented and the NIC and NOC classification systems are incorporated. This comprehensive volume covers introductory concepts, the reproductive years and beyond, pregnancy and family, birth and the family, the postpartal childbearing family and newborn, care and needs of children, and caring for children with alterations in health status. For those wanting an overview of family centered care.
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Product Details

  • ISBN-13: 9780130994066
  • Publisher: Prentice Hall Professional Technical Reference
  • Publication date: 1/28/2003
  • Edition description: Older Edition
  • Edition number: 1
  • Pages: 1552
  • Product dimensions: 8.80 (w) x 11.20 (h) x 2.15 (d)

Table of Contents

Preface
Acknowledgments
Reviewers
About the Authors
A Guide to Maternal-Newborn and Child Nursing
Special Features
Unit I Introductory Concepts
1 Maternal, Newborn, and Child Health Nursing
Unit II The Reproductive Years and Beyond
2 Reproductive Anatomy and Physiology
3 Women's Health Care
4 Special Reproductive Issues for Families
Unit III Pregnancy and Family
5 Conception and Fetal Development
6 Preparation for Parenthood
7 Physical and Psychologic Changes of Pregnancy
8 Antepartal Nursing Assessment
9 The Expectant Family: Needs and Care
10 Adolescent Pregnancy
11 Maternal Nutrition
12 Pregnancy at Risk: Progestational Problems
13 Pregnancy at Risk: Gestational Onset
14 Assessment of Fetal Status
Unit IV Birth and the Family
15 Processes and Stages of Labor and Birth
16 Intrapartal Nursing Assessment
17 The Family in Childbirth: Needs and Care
18 Pain Relief Therapies During Birth
19 Childbirth at Risk
20 Birth-Related Procedures
Unit V The Postpartal Childbearing Family and Newborn
21 Postpartal Adaptation and Nursing Assessment
22 The Postpartum Family: Needs and Care
23 The Postpartal Family at Risk
24 The Physiologic Responses of the Newborn to Birth
25 Nursing Assessment of the Newborn
26 Normal Newborn: Needs and Care
27 Newborn Nutrition
28 The Newborn at Risk: Conditions Present at Birth
29 The Newborn at Risk: Birth-Related Stressors
30 Home Care of the Postpartum Family
Unit VI Care and Needs of Children
31 Infant, Child, and Adolescent Nutrition
32 Growth and Development
33 Pediatric Assessment
34 Nursing Considerations for the Hospitalized Child
35 Nursing Considerations for the Child in the Community
36 Social and Environmental Influences on the Child
37 The Child with a Life-Threatening Illness or Injury
38 Pain Assessment and Management in Children
Unit VII Caring for Children with Alterations in Health Status
39 The Child With Alterations in Fluid, Electrolyte, and Acid-Base Balance
40 The Child With Alterations in Immune Function
41 The Child With Infectious and Communicable Diseases
42 The Child With Alterations in Respiratory Function
43 The Child With Alterations in Cardiovascular Function
44 The Child With Alterations in Hematologic Function
45 The Child With Alterations in Cellular Growth
46 The Child With Alterations in Gastrointestinal Function
47 The Child With Alterations in Genitourinary Function
48 The Child With Alterations in Eye, Ear, Nose, and Throat Function
49 The Child With Alterations in Neurologic Function
50 The Child With Alterations in Musculoskeletal Function
51 The Child With Alterations in Endocrine Function
52 The Child With Alterations in Skin Integrity
53 The Child With Alterations in Mental Health Function
App. A Selected Maternal-Newborn Laboratory Values
App. B Selected Normal Pediatric Laboratory Values
App. C Physical Growth Charts
App. D Conversions and Equivalents
App. E Actions and Effects of Selected Drugs during Breastfeeding
App. F Common Abbreviations in Maternal-Newborn and Women's Health Nursing
App. G Common Abbreviations in Nursing Care of Children
App. H Family Assessment
App. I Guidelines for Working with Deaf Clients and Interpreters
App. J Recommended Dietary Allowances for Childhood and Adolescence
App. K Recommended Dietary Allowances for Females, Pregnancy, and Lactation
App. L Standards for Maternal-Newborn and Child Health Nursing
App. M West Nomogram - Body Surface Area
Credit List
Index
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Introduction

Today, more than ever before, nurses play a significant role in the care of families during pregnancy and the experience of birth, and then with the child's care through all stages of growth. Nurses working with childbearing and childrearing families are challenged by a variety of forces that effect the provision of nursing care. Our goal is a text that is accurate and readable, and one that helps students develop the skills and abilities they need now and in the future in an ever-changing health care environment. The underlying philosophy of Maternal-Newborn and Child Nursing: Family-Centered Care is that the family members are coparticipants in care, whether this is related to pregnancy and childbirth or to care of the infant or child at any age of development.

Families experience the excitement and exhilaration of adding a healthy infant to the family, but they also experience sorrow and concern when a health problem occurs. Nurses play a vital role in helping families celebrate the normal life processes associated with birth and then foster the child's growth and development from infancy through adolescence. Infants and children are dependent upon their families for the care they need. Nursing care for pregnant women and children is a family-centered process. We are committed to providing a text that integrates the needs of families across the continuum from conception through adolescence.

NURSING CARE IN THE COMMUNITY

Most maternity and pediatric nursing care occurs in the community setting, especially since most pregnant women end children are healthy and have only episodic acute health conditions. Although pregnancy, birth, and thepostpartal period cover a timeframe of many months, in reality most women spend only two to three days in an acute care facility. Thus, by its very nature, maternal-newborn nursing is primarily community-based nursing. Moreover, because of the changes resulting from managed care, even women with high-risk pregnancies are receiving more care in their homes and in the community and are spending less time in hospital settings.

Dramatic health care system changes have resulted in community and home care for children with serious chronic health conditions, including children needing care with advanced technology. Short-stay surgical units and short-term observation units have replaced hospitalization for many acute conditions. The nurse's role in preparing a family for their child's discharge from an acute care facility is often the transitional step to nursing care in the home and community. Information on long-term management of complex health conditions is included as these problems are especially challenging to manage in community settings. Selected ambulatory pediatric conditions are also included because students will see them in everyday life and in the hospital where these conditions are secondary to the presenting problem.

Because many graduating nurses practice in acute care facilities, this text emphasizes the information necessary to prepare students to work in that setting. Students who understand how to care for families effectively in an acute care setting can readily transfer these skills to other nursing situations and environments. However, there is a strong emphasis on helping pregnant women, parents and families care for themselves and their children in community settings.

As educators and nurses, we have organized this text to flow logically and to integrate maternity and pediatric nursing concepts carefully. For example, Chapter 1 begins with introductory concepts important for maternal, newborn, and child nursing. Later chapters focus on reproductive issues and women's health, pregnancy, birth processes, postpartum care, newborn management, and then transition into the pediatric care chapters. The pediatric chapters first address general pediatric health care concepts, and then the nursing care of children with various disorders, organized by body system. We have made efforts to reduce duplication and potentially conflicting information throughout the text.

Throughout this text, several core elements have been emphasized.

  • Assessment is an essential and core role in the nursing process. Several chapters are dedicated to helping the student perform an assessment, at each stage along the pregnancy continuum, of the fetus and newborn, and then later of children.
  • Communication is one of the most important skills that students need to learn. Effective communication is the very fiber of nursing practice. This book integrates communication skills in an applied manner where students can most benefit.
  • We feel a strong commitment as nurses and educators to the importance of recognizing and honoring diversity and multiculturalism. The influence of the family's culture on health beliefs and health care practices cannot be underestimated. A brief introduction to cultural issues relevant to maternity and child nursing care is provided in Chapter 1. Content about specific cultural issues and their application to nursing care is integrated throughout the text, often made visible in Developing Cultural Competence boxes. We believe this integration of issues affecting maternal-newborn and pediatric nursing care—beyond the emphasis on ethnicity alone—provides the most accessible format.
  • Nursing care in community settings forms a dominant theme in this text. Two separate chapters, Home Care of the Postpartal Family, and Nursing Considerations for the Child in the Community provide a theoretical perspective and important tools in caring for childbearing and childrearing families in the community setting. We have also addressed this topic in focused, user-friendly features. Nursing Care in the Community is a special heading used throughout this text and indicated by an icon to help students recognize this content. Because we consider home care to be one form of community-based care, it often has a separate heading under Nursing Care in the Community.
  • Assuring appropriate nutrition during pregnancy and during infancy and childhood is important to promote growth and development, as well as the health of the pregnant woman, fetus, newborn, infant, child, and adolescent. Three chapters address nutrition for the pregnant woman, the newborn, and children.
  • Pain is now considered the fifth vital sign, and pain management is a priority in health care settings. Two chapters address pain assessment and management. Applicable pain management is discussed when appropriate in other chapters.

USE OF THE NURSING PROCESS

The nursing process is emphasized throughout the nursing care chapters. We use the heading Nursing Management to highlight nursing actions. Selected health issues or conditions have an expanded section on nursing management to help students understand and apply the nursing process more completely. We present sections on Nursing Assessment and Diagnosis, Planning and Implementation, and Evaluation. The health issues and conditions in this comprehensive presentation were chosen because they are seen frequently or because of their high-risk nature.

In keeping with the changing approaches to nursing care management, Nursing Care Plans and Clinical Pathways are featured throughout the text. The nursing care plans are designed to help students approach care from the nursing process perspective. They have integrated the new nursing diagnosis features of Nursing Intervention Classifications (NIC) and Nursing Outcome Classifications (NOC). The clinical pathways are designed to help students plan and manage care within normally anticipated time frames. The plans and pathways help students become familiar with these two approaches to managing care so that they are better equipped for variations in clinical settings.

Client education remains a critical element of effective nursing care, one that is emphasized and highlighted in this text. Our focus is on the teaching that nurses do at all stages of pregnancy and the childbearing process, and during the child's health visits and care for specific conditions. There is a significant emphasis on helping pregnant women, parents, and family members care for themselves and their children after leaving the hospital and also the various community settings. A special patient education feature is integrated into many chapters of the text—Teaching About a special health care issue or problem includes the key teaching points for care by the family.

CRITICAL THINKING

Nurses today must be able to think critically and problem solve effectively. To support the development of critical thinking skills, Thinking Critically boxes provide brief scenarios that ask students to determine the appropriate response. Suggested answers to the scenarios are provided on the Student CD-ROM and the Instructor's Resource Manual so that students have feedback on their decision-making skills. Additionally, students can access a variety of critical thinking exercises and case studies on the textbook's companion website.

RESEARCH AND EVIDENCE-BASED PRACTICE

Additionally, health care professionals are increasingly aware of the importance of using reliable information as the basis for planning and providing effective care. This approach, called evidence-based practice, draws on information from a variety of sources including nursing research. To help nurses become more comfortable integrating new knowledge into their nursing practice, we have included a brief discussion of evidence-based practice in Chapter 1. While the text uses current literature and research findings, we have chosen to present our research features on the text's website. This allows the information to be updated easily and makes it possible to provide links for further research so students can maximize their understanding of research and evidence-based practice.

NOTABLE FEATURES

Instructors and students both value in-text learning aids. We have developed a text that is easy to learn from and easy to use as a reference. In keeping with our theme of family-centered care, each chapter begins with a Family Quote that helps set the stage for content that follows from the family's perspective. This is followed by a list of Key Terms. Page numbers are included with each key term to identify the place where the term first appears in the chapter. Media related to the chapter content is highlighted in features called MediaLink at the beginning of each chapter. Each chapter ends with a chapter review that consists of a summary of Chapter Highlights, a list of References, and a section entitled EXPLORE MediaLink. This last section encourages students to use the additional chapter-specific NCLEX review, interactive exercises, and resources available on the accompanying free Student CD-ROM and the Companion Website. Finally, a Glossary of terms commonly used in the field of maternal-newborn and child nursing can be found on the Student CD-ROM and the Companion Website, with audio pronunciations of the terms as well as printed definitions.

Students may notice a "voice" change within chapters. For example, within the more theoretical/knowledge sections of the chapters, we address the students as "the nurse". Within the nursing management sections we speak to the students directly (e.g., "Assess . . .", "Manage . . .", etc.). This way, students have a very clear understanding of their responsibilities, and can put themselves in the role of the nurse more easily. Explicit second person address ("you") is used only in boxed features.

Other features found in the text include the following:

  • Nursing Practice features offer hands-on suggestions and clinical tips. These are placed at locations in the text that will help students apply them. They include topics such as legal and ethical considerations, nursing alerts, and home and community care considerations.
  • Developing Cultural Competence provides information about the potential responses of different ethnic groups to health conditions or to medical or nursing care interventions.Complementary Care features present information about commonly used alternative and complementary measures to treat or provide comfort for various conditions.
  • Thinking Critically boxes provide brief scenarios that ask students to determine the appropriate response.
  • Teaching About is a special patient education feature that highlights a special health care issue or problem and includes the key teaching points for care by the family.
  • Drug Guides for selected medications commonly used in maternal-newborn and child nursing are included to guide students in correctly administering the medications and evaluating their action.
  • Important lab values are highlighted within the chapters as a tool for students to assess their patients' conditions. In addition, an appendix presents normal ranges for children by age group. The information is presented in one location because many conditions are evaluated with the same lab values.
  • Cross-reference icons help the student to correlate related information in other chapters.
  • CD-ROM and Skills icons remind the student that comprehensive information related to specific skills can be found on the accompanying CD-ROM and/or the supplemental Clinical Skills Manual.
  • Assessment Guides, found in the maternal-newborn chapters, assist students with diagnoses by incorporating physical assessment and normal findings, alterations and possible causes, as well as guidelines for nursing interventions.
  • Pathophysiology Illustrated provides information about the pathophysiologic process associated with a health condition using art, graphics, and photography to enhance the student's understanding.
  • Clinical Manifestations tables help students understand the association between the pathophysiology and the signs and symptoms of a particular condition. In some cases, these tables present several similar conditions so that students can see the differentiation between conditions. In some cases, the table includes treatment for the clinical manifestations and conditions.
  • As They Grow, found in the pediatric-specific chapters, illustrates the anatomic and physiologic differences in infants and children from adults.
  • Growth and Development, also found exclusively in the pediatric chapters, features provide information about the different responses of children at various ages to health conditions.

COMPREHENSIVE TEACHING AND LEARNING PACKAGE

To enhance the teaching and learning process, the following supplements have been developed in close correlation with this new textbook. The full complement of supplemental teaching materials is available to all qualified instructors from your Prentice Hall Sales Representative.

Student CD-ROM. The Student CD-ROM includes many valuable learning supplements. It is packaged free with every copy of the textbook.

  • The audio glossary helps review key terms used throughout the textbook.
  • Most of the nursing skills included in the supplemental Clinical Skills Manual for the care of the pregnant woman, newborn, and children are on the CD-ROM. The skills show the step-by-step process for performing a procedure and the rationale for specific actions.
  • NCLEX-style multiple-choice questions emphasize the application of nursing care. Students can test their knowledge and gain immediate feedback through rationales for right and wrong answers.
  • The CD-ROM also provides animations to help students understand and visualize difficult concepts in maternal-newborn and pediatric nursing care. CDROM icons indicate when the student should refer to the CD-ROM to view these animations.
  • Students can access the answers to the Thinking Critically questions found in the textbook.
  • Finally, the CD-ROM allows access to the website described later in this section.

Clinical Skills Manual. The clinical skills manual describes commonly performed maternal, newborn, women's health, and pediatric nursing skills. This colorful and highly visual manual clearly shows students the steps required to perform each skill. It is assumed that students have already had a basic skills course so the material presented focuses on techniques specific to maternal-newborn nursing and pediatrics. Both hospital-based and community-based skills are included. Margin boxes emphasize material such as clinical tips and safety considerations. The protocols for performing skills contain rationales when needed to clarify recommended actions.

Instructor's Resource Manual. This effective teaching aid guides instructors on how to use Maternal-Newborn and Child Nursing: Family-Centered Care for their courses. It includes lecture suggestions, objectives, test questions, answers to the textbook Thinking Critically exercises, a guide to PowerPoint images and animations on the Instructor's Resource CD-ROM, and a guide to using the Companion Website and Syllabus Manger. Finally, it includes a test bank of items that follow the NCLEX format and are classified by cognitive level, nursing process step, and client need.

Instructor's Resource CD-ROM. This practical CD-ROM provides three resources in an electronic format. First, the CDROM includes the complete test bank in a PC-compatible format. Second, it includes a comprehensive collection of images from the textbook in PowerPoint format, so faculty can easily import these photographs and illustrations into their own classroom lecture presentations. Finally, instructors can access the animations found on the Student CD-ROM so they can incorporate them into their lectures.

Companion Website and Syllabus Manager®. Faculty and students using this textbook may access the free Companion Website. This website serves as a text-specific, interactive online workbook to Maternal-Newborn and Child Nursing: Family-Centered Care. The website includes modules for objectives, chapter outlines, audio glossary with definitions, discussion questions with essay responses, research activities, NCLEX review questions with automatic grading, links to other sites for student research and essay responses, additional nursing care plans and clinical pathways, and more. Instructors adopting this textbook for their courses have free access to an online Syllabus Manager with a whole host of features that facilitate the students' use of this Companion Website and allow faculty to post their syllabi online for their students. For more information or a demonstration of Syllabus Manager, please contact your Prentice Hall Sales Representative or go online to www.prenhall.com/demo.

Marcia L. London
Patricia W. Ladewig
Jane W. Ball
Ruth C. Bindler

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