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Introduction to Maternity and Pediatric Nursing - E-Book

Introduction to Maternity and Pediatric Nursing - E-Book

Gloria Leifer

(2014)

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