Pub. Date:
Springer Publishing Company
Neonatal Nursing Care Handbook: An Evidence-Based Approach to Conditions and Procedures / Edition 2

Neonatal Nursing Care Handbook: An Evidence-Based Approach to Conditions and Procedures / Edition 2

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Neonatal nurses face an ever-changing practice landscape that requires swift decisions and actions. This is an up-to-date, comprehensive, quick reference resource written specifically for neonatal nurses throughout the globe. Designed for speedy information retrieval, it encompasses vital information about commonly encountered conditions and procedures on the neonatal unit. The handbook is written by outstanding neonatal practitioners in accessible language and consistently formatted for ease of use.

Illustrations, diagrams and flow charts enhance information, which is divided into sections covering Systems Assessment and Management of Disorders, Special Care Considerations, and Procedures and Diagnostic Tests. Appendices deliver such valuable tools for clinical practice as a list of common abbreviations and pertinent web resources. Also included are downloadable, digital, patient management tools, reusable templates, and quick-reference calculation tools.

Key Features:

  • Provides quick-access, current information about common neonatal conditions and procedures
  • Assists neonatal nurses in making sound clinical decisions
  • Written by prominent leaders in the neonatal field
  • Delivers information concisely and clearly for neonatal nursing staff and APs worldwide
  • Enhances content with illustrations, diagrams, and flow charts and digital patient management and calculation tools

Product Details

ISBN-13: 9780826171641
Publisher: Springer Publishing Company
Publication date: 06/28/2016
Edition description: New Edition
Pages: 720
Sales rank: 1,103,735
Product dimensions: 5.00(w) x 8.00(h) x (d)

About the Author

Carole Kenner, Ph.D., RN, FAAN, FNAP, ANEF, is the Carol Kuser Loser Dean/Professor of the School of Nursing, Health, and Exercise Science at the College of New Jersey. Dr. Kenner received a BS in nursing from the University of Cincinnati and her MS and PhD in nursing from Indiana University. She specialized in neonatal/perinatal nursing for her master’s and obtained a minor in higher education for her doctorate. She has authored more than 100 journal articles and 25 textbooks.

Her career is dedicated to nursing education and to the health of neonates and their families, as well as educational and professional development of healthcare practices in neonatology. Her dedication includes providing a healthcare standard for educating neonatal nurses nationally and internationally. Her passion led her to begin the journal Newborn and Infant Nursing Reviews, for which she served as an editor and then associate editor. She worked with the National Coalition on Health Professions Education in Genetics (NCHPEG) and the American Nurses Association to develop genetic competencies. She helped develop the End-of-Life Nursing Education Consortium (ELNEC) Neonatal/Pediatric modules. She served as the co-chair of the Oklahoma Attorney General’s Task Force on End-of-Life/Palliative care. She also helped development program recommendations for perinatal/neonatal palliative care as part of a family-centered/developmental care project sponsored by the National Perinatal Association. She serves on the Consensus Committee of Neonatal Intensive Care Design Standards, which sets recommendations for Neonatal Intensive Care Unit designs and serves on the March of Dimes Nursing Advisory Committee. She is a fellow of the American Academy of Nursing (FAAN), a fellow in the National Academies of Practice, a fellow in the Academy of Nursing Education, past president of the National Association of Neonatal Nurses (NANN), and founding president of the Council of International Neonatal Nurses (COINN), the first international organization representing neonatal nursing in setting standards globally. She is the 2011 recipient of the Audrey Hepburn Award for Contributions to the Health and Welfare of Children internationally.

Judy Wright Lott, PhD, BC-NNP, RN, FAAN, is Dean, Baylor University School of Nursing (TX) since 2002. She was a Neonatal NP (NNP) 2004-2005; Associate Professor of Nursing and Director of NNP Specialty, at the University of Cincinnati College of Nursing (1996-2002); and Assistant Professor, Neonatal Graduate specialty, University of Florida College of Nursing (1986-1990). She has worked in the clinical setting in various capacities since 1976. From 1992–1996, she was the NNP Service Director/Associate Professor of Nursing (joint appointment) at the Children’s Hospital Medical Center, University of Cincinnati College of Nursing, where she also was responsible for the administration of the NNP Service of the Level III NICU (1992-1996); and NNP Coordinator, Carolinas Medical Center, Charlotte, NC, where she was responsible for 12 NNPs. Dr. Lott was inducted into the AAN (2003), the AACN Fuld Leadership for Academic Nursing Program (2003-2004), and Visiting Professor for the Perinatal Society of Australia and New Zealand (2001). She has co-authored three editions of Comprehensive Neonatal Nursing with Dr. Kenner.

Table of Contents


Foreword Shahirose Sadrudin Premji, PhD, BSc, BScN, MScN, RN



Section I: Systems Assessment and Management of Disorders

1 Respiratory System

Katherine M. Newnam


Respiratory Distress Syndrome

Transient Tachypnea of the Newborn

Apnea and Apena of Prematurity

Air Leak Syndrome

Meconium Aspiration Syndrome


Persistent Pulmonary Hypertension of the Newborn

Congenital Airway Defects

Pulmonary Hypoplasia

Pulmonary Hemorrhage

Congenital Anomalies That Affect the Respiratory System

Congenital Diaphragmatic Hernia

Choanal Atresia

Pierre Robin Sequence

Congenital Pulmonary Malformations

Congenital Pulmonary Airway Malformation

2 Cardiovascular System

Samual L. Mooneyham


Atrial Septal Defect

Samual L. Mooneyham

Ventricular Septal Defect

Samual L. Mooneyham

Patent Ductus Arteriosus

Judy Wright Lott

Tetralogy of Fallot

Samual L. Mooneyham

Coarctation of the Aorta

Samual L. Mooneyham

3 Neurologic System

Georgia R. Ditzenberger, Susan T. Blackburn, Beth Brown, and Leslie B. Altimier


Central Nervous System Development

Neurologic Assessment

Neural Tube Defects

Disorders of Primary Neurulation



Spina Bifida

Disorders of Proencephalic Development



Congenital Hydrocephalus

Disorders of Neuronal Proliferation



Disorders of Neuronal Migration

Neonatal Seizures

Brain Injury in Preterm Infants

Germinal Matrix-Intraventricular Hemorrhage

White Matter Injury in Preterm Infants

Brain Injury in Term Infants

Hypoxic–Ischemic Encephalopathy

Birth Injuries

Extracranial Hemorrhage

Intracranial Hemorrhage

Primary Subarachnoid Hemorrhage

Subdural Hemorrhage

Perinatal Stroke

Spinal Cord Injury

Peripheral Nerve Injuries

Radial Nerve Injury

Median and Sciatic Nerve Injuries

Facial Nerve Palsy

Phrenic Nerve Palsy

Brachial Plexus Injury

4 Gastrointestinal System

Ann Gibbons Phalen


Anatomy and Physiology of the Gastrointestinal System

Assessment of the GI Tract

Diagnostic Procedures for Evaluation of the GI Tract

Common Nursing Management Interventions Related to GI System Alterations

Selected Gastrointestinal Problems in the Neonate

Cleft Lip and Palate

Gastroesophageal Reflux and Gastroesophageal Reflux Disease

5 Renal System

Leslie A. Parker


Anatomy and Physiology

Urinary Tract Infection

Acute Renal Failure


6 Hematologic and Immune System

Carole Kenner


Blood Group Incompatibilities

ABO Incompatibility

Rh Incompatibility

Erythroblastosis Fetalis


Ann Schwoebel

Neonatal Infection

Tamara Wallace


Fungal Infections

Congenital Infections

Human Immunodeficiency Virus

Emerging Threats

Section II: Special Care Considerations in Neonatal Nursing

7 Nutrition


Ruth Lucas and Carrie-Ellen Briere


Oral Feedings

Ksenia Zukowsky


Premature Neonates

Parenteral Nutrition

8 Surgical Care for the Neonate

Michele DeGrazia


General Considerations in the Management of the Surgical Neonate

Denise Casey and Donna Armstrong



Family-Centered Care

Fluid and Electrolyte Management

Pain Management

Surgical Drains, Tubes, Lines, and Airway

Caitlin Bradley and Melissa Roberts

Abdominal Drains

Central Venous Lines

Chest Tubes

Gastrostomy Tubes

Gastro-Jejunal Tubes


Surgical Disorders of the Brain and Spinal Canal

Eileen C. Dewitt and Noel Dwyer



Tethered Cord

Surgical Disorders of the Bronchopulmonary Tree and Diaphragm

Maura Heckmann and Mary-Jeanne Manning

Bronchopulmonary Sequestration

Congenital Diaphragmatic Hernia in the Neonate

Congenital Pulmonary Airway Malformation

Surgical Disorders of the Trachea and Esophagus

Patricia Fleck and Monica A. Carleton

Esophageal Atresia

EA with Tracheoesophageal Fistula

Tracheoesophageal Fistula (Isolated)

Gastrointestinal Surgical Conditions in the Neonate

Julie Briere and Michelle LaBrecque

GI Surgery General Considerations

Duodenal Atresia


Hirschsprung Disease

Imperforate Anus

Intestinal Atresia


Meconium Ileus

Meconium Plug Syndrome

Necrotizing Enterocolitis


Surgical Disorders of the Lower Abdomen and Genitals

Stephanie Packard and Tricia Grandinetti


Inguinal Hernia

Testicular Torsion

Undescended Testes

9 Skin Care

Carolyn Lund


Physiologic and Anatomic Variations in Newborn, Young Infant, and Premature Infant Skin

Skin Care Practices

10 Developmental Care

Xiaomei Cong


Kangaroo Mother Care

Step-by-step KMC Procedure


11 The Neonatal Intensive Care Unit Environment

Leslie B. Altimier


Neuroprotective Care

Neonatal Integrative Developmental Care Model

Core Measure # 1: Healing Environment

Core Measure # 2: Partnering With Families

Core Measure # 3: Positioning and Handling

Core Measure # 4: Safeguarding Sleep

Core Measure # 5: Minimizing Stress and Pain

Core Measure # 6: Protecting Skin

Core Measure # 7: Optimizing Nutrition

12 Palliative Care

Charlotte Wool and Anita Catlin


Background and Incidence

13 Transition to Home and Primary Care

Marina Boykova and Carole Kenner


Follow-Up and Postdischarge Care for High-Risk Infants

Care for Parents Postdischarge

Section III: Common Procedures, Diagnostic Tests, and Lab Values

14 Common Procedures

Patricia Johnson


Blood Draws

Patricia Johnson

Blood Draw by Arterial Stick

Blood Draw From Venipuncture

Blood Draw From a Central or Peripheral Arterial Catheter

Blood Draw by Heel Stick

Intravascular Cannulation

Insertion of Intravenous Catheter

Patricia Johnson

Chest Tube Insertion

Katherine M. Newnam

Needle Aspiration

Katherine M. Newnam

Endotracheal Intubation

Katherine M. Newnam

Insertion of Percutaneous Intravenous Central Catheter

Elizabeth (Liz) Sharpe

Insertion of Umbilical Catheter

Patricia Johnson

Urinary Catheter

Patricia Johnson

Resuscitation and Stabilization

Jana L. Pressler

Whole Body Cooling

Georgia R. Ditzenberger and Susan T. Blackburn

15 Diagnostic Tests

Samual L. Mooneyham


Types of Diagnostic Imaging

X-Ray Imaging (Roentgenology)

Ultrasonic Imaging

Magnetic Resonance Imaging

Cardiac Procedures

Genetic Testing

GI Procedures

Genitourinary Procedures

Respiratory Procedures

Expanded Newborn Screening: Critical Congenital Heart Disease

Wakako Eklund

16 Common Laboratory Values

Samual L. Mooneyham

17 Common Drugs: Medication Guide

Beth Shields


Medication Guide

Section IV: Appendices

Appendix A Common Abbreviations

Carole Kenner

Appendix B Expected Increases in Weight, Length/Height, and Head Circumference in the First Year of Life

Appendix C Conversion Table to Standard International (SI) Units

Appendix D International Standards for Newborn Weight, Length, and Head Circumference by Gestational Age and Sex

Appendix E Web Resources

Appendix F Trauma-Informed Age-Appropriate Care

Mary Coughlin


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