Additional Information
Book Details
Abstract
Part of the popular LPN Threads series, Introduction to Maternity ; Pediatric Nursing provides a solid foundation in obstetrics and pediatric nursing. An easy-to-follow organization by developmental stages, discussion of disorders by body system from simple-to-complex and health-to-illness, and a focus on family health make it a complete guide to caring for maternity and pediatric patients. Written in a clear, concise style by Gloria Leifer, MA, RN, this edition reflects the current NCLEX test plan with additional material on safety, health promotion, nutrition, and related psychosocial care.
"... provides clinical information and insights in a concise, structured and informative way that encourages critical thinking." Reviewed by Kim Shrieves on behalf of Nursing Times, April 2015
- Concise, yet comprehensive, content is presented within the scope of practice for the LVN/LPN, but with sufficient depth to facilitate students in a ladder program allowing them to be successful with the ADN program requirements for the specialties.
- Step-by-step procedure lists throughout the text help you master important maternity and pediatric nursing processes with Skills Performance Checklists available on the Evolve website.
- Nursing Care Plans with Critical Thinking Questions reinforce the nursing process and strengthen problem-solving skills as applied to maternity nursing.
- Logical organization of content from simple-to-complex and health-to-illness makes locating and accessing information easy.
- Key terms with phonetic pronunciations and text page references help improve terminology and language skills of English-as-a-Second-Language (ESL) students and students with limited proficiency in English, before they enter clinical practice.
- Health Promotion boxes emphasize the importance of family-centered care, health promotion and illness prevention, women’s health issues, and growth and development of child and parent to help you understand and teach wellness and disease prevention to patients in your care.
- Nutrition content highlights the importance of proper nutrition for women before, during, and after pregnancy (for those who are breastfeeding), as well as critical information about the nutrition needs and problems of newborns, infants, and children.
- Nursing Tips throughout provide pertinent information applicable in the clinical setting that reinforces what you have just learned while building on previously learned information.
- NEW! Unfolding case studies with illustrations follow first-time parents Tess and Luis throughout the stages of pregnancy and birth of their twins, with a series of critical thinking questions.
- NEW! Updated NCLEX exam-style review questions have been revised to a higher cognitive level to better reflect the NCLEX examination.
- NEW! Expanded coverage of bioterrorism and natural disasters better reflects the evolving role of the nurse in disaster situations.
- NEW! Enhanced appendix includes Pediatric Lab Values for quick and easy reference.
Table of Contents
Section Title | Page | Action | Price |
---|---|---|---|
Front Cover | Cover | ||
Inside Front Cover | ES2 | ||
Contents in Brief | i | ||
Evolve Student Resources | ii | ||
Introduction to Maternity and Pediatric Nursing | iii | ||
Copyright | iv | ||
Dedication | v | ||
Acknowledgments | vi | ||
About the Author | vii | ||
Ancillary Contributors and Reviewers | viii | ||
LPN Threads and Advisory Board | x | ||
LPN Threads | x | ||
LPN Advisory Board | x | ||
To the Instructor | xi | ||
Education of the Licensed Practical/Vocational Nurse | xi | ||
About the Text | xi | ||
New and Updated Content | xii | ||
Hallmark Features | xii | ||
Teaching and Learning Package | xiii | ||
For the Instructor | xiii | ||
For the Student | xiii | ||
To the Student | xiv | ||
Reading and Review Tools | xiv | ||
Chapter Features | xiv | ||
Contents | xv | ||
Unit I: An Overview of Maternity and Pediatric Nursing | 1 | ||
Chapter 1: The Past, Present, and Future | 1 | ||
THE PAST | 2 | ||
OBSTETRICS | 2 | ||
PEDIATRICS | 2 | ||
OBSTETRIC AND PEDIATRIC CARE IN THE UNITED STATES | 3 | ||
Government Influences in Maternity and Pediatric Care | 3 | ||
Legislation | 3 | ||
The Childrens Bureau | 4 | ||
White House Conferences | 4 | ||
International Year of the Child | 4 | ||
Department of Public Health | 4 | ||
THE PRESENT | 6 | ||
FAMILY-CENTERED CARE | 6 | ||
FINANCIAL CONSIDERATIONS | 6 | ||
CHANGING PERCEPTIONS OF CHILDBEARING | 6 | ||
MIDWIVES | 6 | ||
ROLE OF THE CONSUMER | 6 | ||
CULTURAL CONSIDERATIONS | 6 | ||
TECHNOLOGY AND SPECIALTY EXPERTISE | 8 | ||
GENOMICS | 8 | ||
HEALTH CARE DELIVERY SYSTEMS | 8 | ||
NURSING CARE | 9 | ||
Pediatric Nurses as Advocates | 10 | ||
Health Promotion | 10 | ||
Advanced Practice Nurses | 10 | ||
Nursing Tools | 11 | ||
The Nursing Process | 11 | ||
Nursing Care Plans | 11 | ||
Clinical Pathways | 12 | ||
Statistics | 12 | ||
NIC, NOC, and NANDA | 12 | ||
NIC | 14 | ||
NOC | 14 | ||
Critical Thinking | 14 | ||
The nursing process and critical thinking | 15 | ||
Using critical thinking to improve test scores | 15 | ||
Documentation | 15 | ||
SBAR Communication | 16 | ||
HEALTHY PEOPLE 2020 | 16 | ||
THE FUTURE | 16 | ||
HEALTH CARE REFORM | 16 | ||
FUTURE ROLES FOR NURSES | 16 | ||
Community-Based Nursing | 16 | ||
THE BROADENING PARADIGM OF MATERNAL-CHILD CARE | 17 | ||
Unit II: Maternal-Newborn Nursing and Women's Health | 20 | ||
Chapter 2: Human Reproductive Anatomy and Physiology | 20 | ||
PUBERTY | 20 | ||
MALE | 20 | ||
FEMALE | 21 | ||
REPRODUCTIVE SYSTEMS | 21 | ||
MALE | 21 | ||
External Genitalia | 21 | ||
Penis | 21 | ||
Scrotum | 21 | ||
Internal Genitalia | 21 | ||
Testes | 21 | ||
Ducts | 22 | ||
Accessory Glands | 22 | ||
FEMALE | 22 | ||
External Genitalia | 22 | ||
Mons Pubis | 22 | ||
Labia Majora | 22 | ||
Labia Minora | 22 | ||
Fourchette | 22 | ||
Clitoris | 22 | ||
Vaginal Vestibule | 22 | ||
Perineum | 23 | ||
Internal Genitalia | 23 | ||
Vagina | 23 | ||
Uterus | 23 | ||
Nerve supply | 24 | ||
Anatomy | 24 | ||
Fallopian Tubes | 25 | ||
Ovaries | 25 | ||
Pelvis | 25 | ||
Types of Pelves | 25 | ||
False and True Pelves | 26 | ||
Pelvic Diameters | 26 | ||
Pelvic inlet | 26 | ||
Pelvic outlet | 26 | ||
Breasts | 27 | ||
Reproductive Cycle and Menstruation | 27 | ||
THE HUMAN SEXUAL RESPONSE | 28 | ||
PHYSIOLOGY OF THE MALE SEX ACT | 29 | ||
PHYSIOLOGY OF THE FEMALE SEX ACT | 29 | ||
Chapter 3: Fetal Development | 31 | ||
CELL DIVISION AND GAMETOGENESIS | 31 | ||
FERTILIZATION | 33 | ||
SEX DETERMINATION | 33 | ||
INHERITANCE | 34 | ||
TUBAL TRANSPORT OF THE ZYGOTE | 34 | ||
IMPLANTATION OF THE ZYGOTE | 35 | ||
DEVELOPMENT | 35 | ||
CELL DIFFERENTIATION | 35 | ||
Chorion | 35 | ||
Amnion | 35 | ||
Yolk Sac | 35 | ||
Germ Layers | 35 | ||
PRENATAL DEVELOPMENTAL MILESTONES | 35 | ||
ACCESSORY STRUCTURES OF PREGNANCY | 38 | ||
PLACENTA | 38 | ||
Placental Transfer | 38 | ||
Placental Hormones | 39 | ||
Progesterone | 39 | ||
Estrogen | 39 | ||
Human Chorionic Gonadotropin | 39 | ||
Human Placental Lactogen | 39 | ||
UMBILICAL CORD | 39 | ||
FETAL CIRCULATION | 39 | ||
CIRCULATION BEFORE BIRTH | 40 | ||
CIRCULATION AFTER BIRTH | 40 | ||
Closure of Fetal Circulatory Shunts | 40 | ||
IMPAIRED PRENATAL DEVELOPMENT AND SUBSEQUENT ILLNESS | 40 | ||
MULTIFETAL PREGNANCY | 41 | ||
Chapter 4: Prenatal Care and Adaptations to Pregnancy | 44 | ||
GOALS OF PRENATAL CARE | 44 | ||
PRENATAL VISITS | 45 | ||
DEFINITION OF TERMS | 47 | ||
DETERMINING THE ESTIMATED DATE OF DELIVERY | 47 | ||
DIAGNOSIS OF PREGNANCY | 48 | ||
PRESUMPTIVE SIGNS OF PREGNANCY | 48 | ||
PROBABLE SIGNS OF PREGNANCY | 49 | ||
POSITIVE SIGNS OF PREGNANCY | 50 | ||
PHYSIOLOGICAL CHANGES IN PREGNANCY | 51 | ||
ENDOCRINE SYSTEM | 51 | ||
REPRODUCTIVE SYSTEM | 51 | ||
Uterus | 51 | ||
Cervix | 51 | ||
Ovaries | 51 | ||
Vagina | 51 | ||
Breasts | 51 | ||
RESPIRATORY SYSTEM | 52 | ||
CARDIOVASCULAR SYSTEM | 52 | ||
GASTROINTESTINAL SYSTEM | 54 | ||
URINARY SYSTEM | 54 | ||
Fluid and Electrolyte Balance | 54 | ||
INTEGUMENTARY AND SKELETAL SYSTEMS | 55 | ||
NUTRITION FOR PREGNANCY AND LACTATION | 55 | ||
RECOMMENDED DIETARY ALLOWANCES AND RECOMMENDED DIETARY INTAKES | 55 | ||
WEIGHT GAIN | 57 | ||
NUTRITIONAL REQUIREMENTS DURING PREGNANCY | 59 | ||
Protein | 60 | ||
Calcium | 60 | ||
Iron | 60 | ||
Vitamins and Minerals | 60 | ||
Folic Acid | 61 | ||
Fluids | 61 | ||
Sodium | 61 | ||
Special Nutrition Considerations | 61 | ||
Pregnant Adolescent | 61 | ||
Vegetarian or Vegan Diets | 61 | ||
Pica | 61 | ||
Lactose Intolerance | 62 | ||
Cultural Preferences | 62 | ||
Gestational Diabetes Mellitus | 62 | ||
NUTRITIONAL REQUIREMENTS DURING LACTATION | 62 | ||
EXERCISE DURING PREGNANCY | 62 | ||
ELEVATED TEMPERATURE | 64 | ||
HYPOTENSION | 64 | ||
CARDIAC OUTPUT | 64 | ||
HORMONES | 64 | ||
OTHER FACTORS | 64 | ||
TRAVEL DURING PREGNANCY | 64 | ||
COMMON DISCOMFORTS IN PREGNANCY | 65 | ||
PSYCHOSOCIAL ADAPTATION TO PREGNANCY | 67 | ||
IMPACT ON THE MOTHER | 67 | ||
First Trimester | 67 | ||
Second Trimester | 67 | ||
Third Trimester | 68 | ||
IMPACT ON THE FATHER | 68 | ||
IMPACT ON THE PREGNANT ADOLESCENT | 69 | ||
IMPACT ON THE OLDER COUPLE | 69 | ||
IMPACT ON THE SINGLE MOTHER | 70 | ||
IMPACT ON THE SINGLE FATHER | 70 | ||
IMPACT ON GRANDPARENTS | 70 | ||
IMPACT ON SIBLINGS | 70 | ||
PRENATAL EDUCATION | 70 | ||
THE EFFECT OF PREGNANCY AND LACTATION ON MEDICATION METABOLISM | 72 | ||
IMMUNIZATIONS DURING PREGNANCY | 72 | ||
NURSING CARE DURING PREGNANCY | 72 | ||
Chapter 5: Nursing Care of Women with Complications During Pregnancy | 78 | ||
ASSESSMENT OF FETAL HEALTH | 78 | ||
PREGNANCY-RELATED COMPLICATIONS | 79 | ||
HYPEREMESIS GRAVIDARUM | 79 | ||
Manifestations | 79 | ||
Treatment | 79 | ||
Nursing Care | 82 | ||
BLEEDING DISORDERS OF EARLY PREGNANCY | 82 | ||
Abortion | 82 | ||
Treatment | 82 | ||
Nursing Care | 83 | ||
Physical care | 83 | ||
Emotional care | 85 | ||
Ectopic Pregnancy | 86 | ||
Manifestations | 86 | ||
Treatment | 86 | ||
Unit III: The Growing Child and Family | 350 | ||
Chapter 15: An Overview of Growth, Development, and Nutrition | 350 | ||
GROWTH AND DEVELOPMENT | 350 | ||
THE IMPACT OF GROWTH AND DEVELOPMENT ON NURSING CARE | 351 | ||
TERMINOLOGY | 352 | ||
DIRECTIONAL PATTERNS | 353 | ||
SOME DEVELOPMENTAL DIFFERENCES BETWEEN CHILDREN AND ADULTS | 353 | ||
Height | 353 | ||
Weight | 353 | ||
Body Proportions | 353 | ||
Metabolic Rate | 353 | ||
Respirations | 353 | ||
Cardiovascular System | 353 | ||
Immunity | 355 | ||
Kidney Function | 355 | ||
Nervous System | 355 | ||
Sleep Patterns | 355 | ||
Bone Growth | 355 | ||
CRITICAL PERIODS | 356 | ||
INTEGRATION OF SKILLS | 356 | ||
GROWTH STANDARDS | 356 | ||
DEVELOPMENTAL SCREENING | 356 | ||
INFLUENCING FACTORS | 356 | ||
Hereditary Traits | 356 | ||
Nationality and Race | 356 | ||
Ordinal Position in the Family | 357 | ||
Gender | 358 | ||
Environment | 358 | ||
The Family | 359 | ||
The Family as Part of a Community | 360 | ||
The Homeless Family | 360 | ||
PERSONALITY DEVELOPMENT | 360 | ||
Cognitive Development | 367 | ||
Moral Development | 367 | ||
THE GROWTH AND DEVELOPMENT OF A PARENT | 368 | ||
NUTRITION | 369 | ||
NUTRITIONAL HERITAGE | 369 | ||
FAMILY NUTRITION | 369 | ||
NUTRITIONAL CARE PLAN | 371 | ||
NUTRITION AND HEALTH | 372 | ||
NUTRITION AND HEALTH PROMOTION | 373 | ||
FEEDING THE HEALTHY CHILD | 375 | ||
The Infant | 375 | ||
The Toddler | 377 | ||
The Preschool Child | 378 | ||
The School-Age Child | 378 | ||
The Adolescent | 379 | ||
FEEDING THE ILL CHILD | 379 | ||
Food-Drug Interactions | 380 | ||
THE TEETH | 380 | ||
Deciduous Teeth | 380 | ||
Permanent Teeth | 381 | ||
Oral Care in Health and Illness | 381 | ||
PLAY | 383 | ||
ONGOING HEATH SUPERVISION | 384 | ||
Chapter 16: The Infant | 386 | ||
GENERAL CHARACTERISTICS | 387 | ||
ORAL STAGE | 387 | ||
MOTOR DEVELOPMENT | 387 | ||
EMOTIONAL DEVELOPMENT | 387 | ||
NEED FOR CONSTANT CARE AND GUIDANCE | 388 | ||
DEVELOPMENT AND CARE | 388 | ||
COMMUNITY-BASED CARE: A MULTIDISCIPLINARY TEAM | 389 | ||
HEALTH PROMOTION | 394 | ||
Role of the Nurse | 394 | ||
Coping with the Irritable Infant | 394 | ||
Coping with Colic | 395 | ||
Coping with the Lethargic Infant | 395 | ||
Developing Positive Sleep Patterns | 395 | ||
Infants with Special Needs | 396 | ||
ILLNESS PREVENTION | 396 | ||
Immunizations | 397 | ||
Nutrition Counseling | 397 | ||
Parental Concerns | 397 | ||
Breastfeeding and Bottle Feeding | 397 | ||
Types of infant formula | 398 | ||
Safe bottle feeding | 399 | ||
Adding Solid Foods | 401 | ||
Recommended Fat Intake During Infancy | 402 | ||
Buying, Storing, and Serving Foods | 402 | ||
Weaning | 403 | ||
Organic and Natural Foods | 403 | ||
INFANT SAFETY | 403 | ||
CAR SAFETY | 403 | ||
FALL PREVENTION | 403 | ||
TOY SAFETY | 403 | ||
SUMMARY OF MAJOR DEVELOPMENTAL CHANGES IN THE FIRST YEAR | 403 | ||
Chapter 17: The Toddler | 406 | ||
GENERAL CHARACTERISTICS | 406 | ||
PHYSICAL DEVELOPMENT | 406 | ||
SENSORIMOTOR AND COGNITIVE DEVELOPMENT | 408 | ||
SPEECH DEVELOPMENT | 408 | ||
GUIDANCE AND DISCIPLINE | 408 | ||
DAILY CARE | 410 | ||
TOILET INDEPENDENCE | 412 | ||
NUTRITION COUNSELING | 413 | ||
THE PICKY EATER VERSUS A FEEDING DISORDER | 413 | ||
DAY CARE | 414 | ||
INJURY PREVENTION | 414 | ||
CONSUMER EDUCATION | 416 | ||
TOYS AND PLAY | 417 | ||
Chapter 18: The Preschool Child | 420 | ||
GENERAL CHARACTERISTICS | 420 | ||
PHYSICAL DEVELOPMENT | 420 | ||
COGNITIVE DEVELOPMENT | 421 | ||
EFFECTS OF CULTURAL PRACTICES | 421 | ||
LANGUAGE DEVELOPMENT | 421 | ||
DEVELOPMENT OF PLAY | 423 | ||
SPIRITUAL DEVELOPMENT | 423 | ||
SEXUAL CURIOSITY | 424 | ||
Masturbation | 424 | ||
BEDTIME HABITS | 424 | ||
PHYSICAL, MENTAL, EMOTIONAL, AND SOCIAL DEVELOPMENT | 424 | ||
THE THREE-YEAR-OLD | 424 | ||
THE FOUR-YEAR-OLD | 425 | ||
The Concept of Death | 425 | ||
THE FIVE-YEAR-OLD | 425 | ||
GUIDANCE | 426 | ||
DISCIPLINE AND LIMIT SETTING | 426 | ||
Timing the Time-Out | 426 | ||
Reward | 427 | ||
Consistency and Modeling | 427 | ||
JEALOUSY | 427 | ||
THUMB SUCKING | 428 | ||
ENURESIS | 428 | ||
Pathophysiology | 428 | ||
Treatment and Nursing Care | 428 | ||
PRESCHOOL | 429 | ||
DAILY CARE | 429 | ||
CLOTHING | 429 | ||
ACCIDENT PREVENTION | 429 | ||
PLAY DURING HEALTH AND ILLNESS | 430 | ||
VALUE OF PLAY | 430 | ||
THE NURSES ROLE | 430 | ||
TYPES OF PLAY | 431 | ||
Play and the Child with a Neurodevelopmental, Sensory, or Motor Disorder | 431 | ||
Therapeutic Play | 432 | ||
Play Therapy | 432 | ||
Art Therapy | 432 | ||
NURSING IMPLICATIONS OF PRESCHOOL GROWTH AND DEVELOPMENT | 432 | ||
Chapter 19: The School-Age Child | 434 | ||
GENERAL CHARACTERISTICS | 434 | ||
PHYSICAL GROWTH | 435 | ||
SEXUAL DEVELOPMENT | 435 | ||
Gender Identity | 435 | ||
Sex Education | 436 | ||
Sexually Transmitted Infections | 436 | ||
INFLUENCES FROM THE WIDER WORLD | 437 | ||
SCHOOL-RELATED TASKS | 437 | ||
PLAY | 438 | ||
Observing Play | 439 | ||
LATCHKEY CHILDREN | 439 | ||
PHYSICAL, MENTAL, EMOTIONAL, AND SOCIAL DEVELOPMENT | 439 | ||
THE SIX-YEAR-OLD | 439 | ||
THE SEVEN-YEAR-OLD | 440 | ||
THE EIGHT-YEAR-OLD | 440 | ||
THE NINE-YEAR-OLD | 440 | ||
PREADOLESCENCE | 441 | ||
The Ten-Year-Old | 441 | ||
Eleven- and Twelve-Year-Olds | 442 | ||
Chores as Teaching Tools | 442 | ||
GUIDANCE AND HEALTH SUPERVISION | 443 | ||
HEALTH EXAMINATIONS | 443 | ||
Pet Ownership | 443 | ||
Chapter 20: The Adolescent | 450 | ||
GENERAL CHARACTERISTICS | 450 | ||
GROWTH AND DEVELOPMENT | 451 | ||
PHYSICAL DEVELOPMENT | 451 | ||
Boys | 451 | ||
Girls | 453 | ||
PSYCHOSOCIAL DEVELOPMENT | 456 | ||
Sense of Identity | 456 | ||
Sense of Intimacy | 456 | ||
Cultural and Spiritual Considerations | 456 | ||
Body Image | 457 | ||
Peer Relationships | 457 | ||
Career Plans | 458 | ||
Responsibility | 458 | ||
COGNITIVE DEVELOPMENT | 459 | ||
Daydreams | 459 | ||
SEXUAL DEVELOPMENT | 459 | ||
Sexual Behavior | 459 | ||
Sex Education | 460 | ||
Concerns About Being ``Different´´ | 460 | ||
Homosexuality | 460 | ||
PARENTING THE ADOLESCENT | 461 | ||
HEALTH PROMOTION AND GUIDANCE | 462 | ||
NUTRITION | 462 | ||
Vegetarian Diets | 462 | ||
Sports and Nutrition | 463 | ||
Nutrition and School Examinations | 463 | ||
PERSONAL CARE | 463 | ||
Hygiene | 463 | ||
Dental Health | 463 | ||
Sunbathing | 464 | ||
SAFETY | 464 | ||
Sports Injuries | 464 | ||
COMMON PROBLEMS OF ADOLESCENCE | 464 | ||
DRUG USE | 465 | ||
DEPRESSION | 465 | ||
ADOLESCENT PREGNANCY | 465 | ||
THE NURSING APPROACH TO ADOLESCENTS | 465 | ||
Unit IV: Adapting Care to the Pediatric Patient | 469 | ||
Chapter 21: The Child's Experience of Hospitalization | 469 | ||
HEALTH CARE DELIVERY SETTINGS | 469 | ||
OUTPATIENT CLINIC | 469 | ||
Types of Outpatient Clinics | 469 | ||
Promoting a Positive Experience | 470 | ||
Preparing the Child for a Treatment or Procedure | 470 | ||
HOME | 470 | ||
CHILDRENS HOSPITAL UNIT | 470 | ||
THE CHILDS REACTION TO HOSPITALIZATION | 471 | ||
SEPARATION ANXIETY | 471 | ||
PAIN | 472 | ||
RESPONSE TO DRUGS | 472 | ||
Drugs Used for Pain Relief in Infants and Children | 474 | ||
Conscious Sedation | 474 | ||
FEAR | 474 | ||
REGRESSION | 474 | ||
CULTURAL RESPONSE | 475 | ||
INTERCULTURAL COMMUNICATION: RESPONSES TO HOSPITALIZATION | 476 | ||
Personal Space | 476 | ||
Smiling | 476 | ||
Eye Contact | 476 | ||
Touch | 476 | ||
Focus | 476 | ||
THE PARENTS' REACTIONS TO THE CHILDS HOSPITALIZATION | 476 | ||
THE NURSE'S ROLE IN THE CHILDS HOSPITALIZATION | 477 | ||
ADMISSION | 477 | ||
DEVELOPING A PEDIATRIC NURSING CARE PLAN | 478 | ||
CLINICAL PATHWAYS | 478 | ||
MEETING THE NEEDS OF THE HOSPITALIZED CHILD | 479 | ||
The Hospitalized Infant | 479 | ||
The Hospitalized Toddler | 479 | ||
The Hospitalized Preschooler | 481 | ||
The Hospitalized School-Age Child | 482 | ||
The Hospitalized Adolescent | 482 | ||
Early Adolescence | 482 | ||
Middle Adolescence | 482 | ||
Late Adolescence | 483 | ||
Adjustment to Illness | 483 | ||
Roommate Selection | 483 | ||
CONFIDENTIALITY AND LEGALITY | 483 | ||
DISCHARGE PLANNING | 483 | ||
HOME CARE | 484 | ||
Chapter 22: Health Care Adaptations for the Child and Family | 486 | ||
ADMISSION TO THE PEDIATRIC UNIT | 486 | ||
INFORMED CONSENT | 486 | ||
IDENTIFICATION | 486 | ||
ESSENTIAL SAFETY MEASURES IN THE HOSPITAL SETTING | 487 | ||
PREPARATION STEPS FOR PERFORMING PROCEDURES | 488 | ||
TRANSPORTING, POSITIONING, AND RESTRAINING | 488 | ||
ASSESSMENT AND BASIC DATA COLLECTION | 488 | ||
ORGANIZING THE INFANT ASSESSMENT | 488 | ||
BASIC DATA COLLECTION | 490 | ||
THE HISTORY SURVEY | 490 | ||
THE PHYSICAL SURVEY | 490 | ||
Pulse and Respirations | 491 | ||
Blood Pressure | 492 | ||
Auscultation | 492 | ||
Palpation | 492 | ||
Electronic or Ultrasonographic Measurement | 492 | ||
Temperature | 492 | ||
Pathogenesis of Fever and the Use of Antipyretics | 492 | ||
Temperature Measurement | 494 | ||
Oral temperature | 494 | ||
Axillary temperature | 494 | ||
Temporal artery temperature | 495 | ||
Tympanic temperature | 495 | ||
Pain | 495 | ||
Weight | 495 | ||
Height | 496 | ||
Head Circumference | 497 | ||
SPECIMEN COLLECTION | 497 | ||
Urine Specimens | 497 | ||
Obtaining a Clean-Catch Specimen | 497 | ||
Obtaining a 24-Hour Specimen | 497 | ||
Testing for Albumin | 497 | ||
Stool Specimens | 497 | ||
Blood Specimens | 497 | ||
Positioning the Child | 497 | ||
Lumbar Puncture | 498 | ||
PHYSIOLOGICAL RESPONSES TO MEDICATIONS IN INFANTS AND CHILDREN | 499 | ||
ABSORPTION OF MEDICATIONS IN INFANTS AND CHILDREN | 500 | ||
Gastric Influences | 500 | ||
Intestinal Influences | 500 | ||
Topical Medications (Ointments) | 500 | ||
Parenteral Medications | 500 | ||
METABOLISM OF MEDICATIONS IN INFANTS AND CHILDREN | 500 | ||
EXCRETION OF MEDICATIONS IN INFANTS AND CHILDREN | 500 | ||
NURSING RESPONSIBILITIES IN ADMINISTERING MEDICATIONS TO INFANTS AND CHILDREN | 500 | ||
PARENT TEACHING | 500 | ||
ADMINISTERING ORAL MEDICATIONS | 501 | ||
ADMINISTERING PARENTERAL MEDICATIONS | 502 | ||
Nose Drops, Ear Drops, and Eyedrops | 502 | ||
Nose Drops | 502 | ||
Ear Drops | 502 | ||
Eyedrops and Creams | 502 | ||
Rectal Medications | 503 | ||
Subcutaneous and Intramuscular Injections | 503 | ||
The Subcutaneous Route | 503 | ||
The Intramuscular Route | 503 | ||
Intramuscular Sites | 503 | ||
Reducing the Pain of Injections | 504 | ||
Intravenous Medications | 504 | ||
Long-Term Peripheral Venous Access Devices | 506 | ||
Saline lock | 506 | ||
Central Venous Access Devices (CVAD) | 506 | ||
Total parenteral nutrition | 506 | ||
Nursing Care of a Child Receiving Parenteral Fluids | 506 | ||
PREVENTING MEDICATION ERRORS | 507 | ||
Calculating Pediatric Drug Dosages | 507 | ||
Body Surface Area | 507 | ||
Calculating the Safe Drug Dose | 509 | ||
Milligrams per Kilogram (mg/kg) | 509 | ||
Dimensional Analysis | 509 | ||
Determining Whether a Dose Is Safe for an Infant | 509 | ||
Preventing Drug Interactions | 513 | ||
Selected Drug-Environment Interactions | 513 | ||
Selected Drug-Drug Interactions | 513 | ||
Selected Drug-Food Interactions | 513 | ||
SELECTED PROCEDURES AND THEIR ADAPTATION TO CHILDREN | 513 | ||
NUTRITION, DIGESTION, AND ELIMINATION | 513 | ||
Gavage Feedings | 513 | ||
Gastrostomy | 513 | ||
Enema | 513 | ||
RESPIRATION | 516 | ||
Tracheostomy Care | 516 | ||
Tracheostomy Tube | 516 | ||
Suctioning | 516 | ||
Tracheal Stoma | 516 | ||
Observing for Complications | 517 | ||
Additional Nursing Measures | 517 | ||
Discharge | 517 | ||
Oxygen Therapy | 517 | ||
Safety Considerations | 517 | ||
Methods of Administration | 518 | ||
Mist tent | 518 | ||
Low-flow oxygen | 519 | ||
Management of Airway Obstruction | 519 | ||
Older Child Standing or Sitting | 519 | ||
Older Child Lying Down (Conscious or Unconscious) | 519 | ||
Infant | 519 | ||
PREOPERATIVE AND POSTOPERATIVE CARE | 520 | ||
Surgery and Body Piercing, Body Jewelry, and Tattoos | 522 | ||
Unit V: The Child Needing Nursing Care | 524 | ||
Chapter 23: The Child with a Sensory or Neurological Condition | 524 | ||
THE EARS | 524 | ||
DISORDERS AND DYSFUNCTION OF THE EAR | 525 | ||
Otitis Externa | 525 | ||
Acute Otitis Media | 525 | ||
Pathophysiology | 525 | ||
Manifestations | 526 | ||
Treatment | 527 | ||
Surgical Treatment | 527 | ||
Comfort Measures | 527 | ||
Hearing Impairment | 527 | ||
Pathophysiology | 527 | ||
Diagnosis and Treatment | 528 | ||
Nursing Care | 528 | ||
Barotrauma | 529 | ||
THE EYES | 529 | ||
VISUAL ACUITY TESTS | 530 | ||
DISORDERS AND DYSFUNCTION OF THE EYE | 530 | ||
Dyslexia | 530 | ||
Amblyopia | 530 | ||
Unit VI: The Changing Health Care Environment | 760 | ||
Chapter 34: Complementary and Alternative Therapies in Maternity and Pediatric Nursing | 760 | ||
COMPLEMENTARY AND ALTERNATIVE THERAPIES | 760 | ||
PEDIATRIC USE | 760 | ||
THE NURSE'S ROLE | 761 | ||
FEDERAL REGULATIONS | 762 | ||
COMMON ALTERNATIVE HEALTH CARE PRACTICES | 763 | ||
Massage | 763 | ||
Osteopathy | 763 | ||
Energy Healing | 763 | ||
Reflexology | 763 | ||
Acupuncture and Acupressure | 764 | ||
Homeopathy | 765 | ||
Ayurveda | 765 | ||
Aromatherapy | 765 | ||
Hypnotherapy | 765 | ||
Hydrotherapy | 765 | ||
Guided Imagery | 765 | ||
Biofeedback | 765 | ||
Chiropractic Care | 765 | ||
Herbal Remedies | 765 | ||
Herbs and Obstetrics | 766 | ||
Herbs and Pediatrics | 767 | ||
Herbs and Menopause | 767 | ||
Hyperbaric Oxygen Therapy | 769 | ||
Sauna/Heat Therapy | 769 | ||
Appendix A: Standard Precautions and Transmission-Based Isolation Precautions | 771 | ||
Appendix B: Sequence for Donning and Removing Personal Protective Equipment (PPE) | 772 | ||
Appendix C: The Joint Commissions List of Dangerous Abbreviations, Acronyms, and Symbols | 773 | ||
Appendix D: Commonly Used Abbreviations in Maternity and Pediatric Nursing | 774 | ||
Appendix E: Common Spanish Phrases for Maternity and Pediatric Nursing | 776 | ||
Appendix F: Multilingual Glossary of Symptoms | 780 | ||
Appendix G: Conversion of Pounds and Ounces to Grams for Newborn Weights* | 782 | ||
Appendix H: Normal Vital Signs and Temperature Equivalents of Infants and Children | 783 | ||
Appendix I: Pediatric Laboratory Values Reference | 784 | ||
Appendix J: Blood Pressure Classifications in Children | 787 | ||
Complete Bibliography and Reader References | 788 | ||
Glossary | 805 | ||
Index | 816 | ||
NANDA-I Nursing Diagnoses, 2012-2014* | ES3 |