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Doody's Review ServiceReviewer: Mary Jo McClure, RNC, MSN (Eastern Kentucky University)
Description: This third edition of a well-known text discusses basic concepts of electronic fetal monitoring and fetal well-being surveillance tests. Medical management, nursing care, and protocols concerning selected obstetrical clients are covered. The principles of antepartal and intrapartal assessment are presented in a clear and understandable manner. Expanding medical-legal risk management concepts related to the assessment of obstetrical clients is timely. Minimal emphasis on research related to this population of clients places this resource into a practical pocket guide category.
Purpose: This updated edition provides obstetrical clinicians with state-of-the-art practical information for use in antepartal, intrapartal, and fetal intensive care units. The author's objectives have been met concisely. Additional content, concerning biochemical monitoring of the fetus, broadens the scope of its use.
Audience: The pocket guide is aimed at new and experienced obstetrical clinicians, medical and nursing students, midwives, and resident staff concerned with the care of obstetrical clients. Because the content is in a well-organized format with appropriate language, the guide can be used easily by the intended audience.
Features: The author has used appropriate numbers and types of illustrations for clarity. Use of pleasing-to-the-eye color gives greater emphasis for key points. The multicolored cover is not as esthetically pleasing as the previous edition. The reader's ease of use is enhanced by the well-organized table of contents and index. The type size makes for easy reading. Referencing is expansive but is highly physician oriented, although some nursing resources are used. Some sources, aside from classic articles, might be considered outdated. The use of nursing diagnoses strengthens the appropriateness for nursing clinicians. The overall size and appearance makes the guide useful and attractive for purchase. This edition's binding is less preferred than the spiral ring binder approach, which allows for easier use. The absence of learning activities, such as practice strips, weakens its use by new clinicians.
Assessment: The expansion of the discussion on biochemical monitoring principles adds to the discussion of the principles of fetal monitoring. Inclusion of additional protocols for selected clients provides a greater dimension for the reader. Overall, the pocket guide shows potential for use by previous and new readers. The expanded text makes a significant resource to be used by obstetrical clinicians.