BOOK
Maternal-Child Nursing - E-Book
Emily Slone McKinney | Susan R. James | Sharon Smith Murray | Kristine Nelson | Jean Ashwill
(2017)
Additional Information
Book Details
Abstract
Easily master maternity and pediatric nursing care with Maternal-Child Nursing, 5th Edition. This easy-to-read text is filled with a wealth of user-friendly features to help you quickly master essential concepts and skills. It offers completely updated content — including expanded information on the late preterm infant, fetal heart rate pattern identification, obesity in the pregnant woman and children, and enhanced coverage of the QSEN initiative. It also features an abundance of active learning tools so you have ample opportunities to practice applying your knowledge and skills.
- Nursing care plans help you apply the nursing process to plan individualized care for the most common maternity and pediatric conditions.
- Critical to Remember boxes summarize and highlight essential, need-to-know information.
- Critical Thinking Exercises allow you to apply your knowledge to realistic clinical situations.
- Communication Cues provide practical tips for effective verbal and nonverbal communication with patients and families.
- Clinical Reference sections in pediatric chapters present information relevant to each body system, including anatomy and physiology, differences in the pediatric patient, and related laboratory and diagnostic tests.
- Safety Alerts call attention to important patient safety considerations for better outcomes of nursing care.
- Glossary at the end of the book offers quick access to all key terms and definitions presented in the text.
- Want to Know boxes provide teaching guidelines such as communication guides directed at patients and families.
- Pathophysiology boxes present an illustrated overview of disorders.
- Updated drug guides summarize key medication information.
- NEW! Completely updated content includes expanded information on the late preterm infant, fetal heart rate pattern identification, obesity in the pregnant woman and children, and the QSEN initiative.
- UPDATED! Evidence-Based Practice boxes with newly researched topics offer the most current practice guidelines to promote quality care.
- UPDATED! Online resources offer the best interactive tools to learn in the most effective way possible.
- NEW! Improved consistency between maternity and pediatric sections makes it easier to switch from one area to the other for more efficient learning.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | cover | ||
| Endsheet 2 | IFC2 | ||
| Evolve page | IFC3 | ||
| Maternal-Child Nursing | i | ||
| Copyright Page | ii | ||
| Section Editors | iii | ||
| Contributors | iv | ||
| Reviewers | v | ||
| Preface | vi | ||
| Concepts | vi | ||
| Features | vi | ||
| Objectives | vii | ||
| Nursing Process | vii | ||
| Critical Thinking Exercises | vii | ||
| Evidence-Based Practice | vii | ||
| Critical Alerts | vii | ||
| Want to Know | vii | ||
| Health Promotion | vii | ||
| Clinical Reference Pages | vii | ||
| Pathophysiology | viii | ||
| Procedures | viii | ||
| Drug Guides | viii | ||
| Key Concepts | viii | ||
| For Students | viii | ||
| For Instructors | viii | ||
| Acknowledgments | ix | ||
| In Memory of Emily S. McKinney | x | ||
| Table Of Contents | xi | ||
| Unit I Introduction to Maternal-Child Health Nursing | 1 | ||
| 1 Foundations of Maternity, Women’s Health, and Child Health Nursing | 1 | ||
| Learning Objectives | 1 | ||
| Historic Perspectives | 1 | ||
| Maternity Nursing | 1 | ||
| “Granny” Midwives | 1 | ||
| Emergence of Medical Management | 1 | ||
| Government Involvement in Maternal–Infant Care | 2 | ||
| Impact of Consumer Demands on Healthcare | 2 | ||
| Development of Family-Centered Maternity Care | 2 | ||
| Current Settings for Childbirth | 2 | ||
| Traditional Hospital Setting | 3 | ||
| Labor, delivery, and recovery rooms. | 3 | ||
| Labor, delivery, recovery, and postpartum rooms. | 3 | ||
| Birth Centers | 3 | ||
| Home Births | 3 | ||
| Nursing of Children | 4 | ||
| Historic Perspectives | 4 | ||
| Societal Changes | 4 | ||
| Hygiene and Hospitalization | 4 | ||
| Development of Family-Centered Child Care | 4 | ||
| Current Trends in Child Healthcare | 5 | ||
| Cost Containment | 5 | ||
| Diagnosis-Related Groups | 5 | ||
| Managed Care | 5 | ||
| Capitated Care | 5 | ||
| Effects of Cost Containment | 5 | ||
| Case Management | 6 | ||
| Evidence-Based Nursing Care | 6 | ||
| Outcomes Management | 6 | ||
| Nurse-sensitive indicators. | 6 | ||
| Variances. | 7 | ||
| Clinical pathways. | 7 | ||
| Home Care | 7 | ||
| Community Care | 7 | ||
| Access to Care | 7 | ||
| Public Health Insurance Programs | 7 | ||
| Preventive Health | 8 | ||
| Healthcare Assistance Programs | 8 | ||
| Statistics on Maternal, Infant, and Child Health | 8 | ||
| Maternal and Infant Mortality | 8 | ||
| Pregnancy-Related Mortality | 9 | ||
| Infant Mortality | 9 | ||
| Racial disparity for mortality. | 9 | ||
| International infant mortality. | 9 | ||
| Adolescent Births | 9 | ||
| Childhood Mortality | 10 | ||
| Morbidity | 10 | ||
| Ethical Perspectives on Maternity, Women’s Health, and Child Nursing | 10 | ||
| Ethics and Bioethics | 10 | ||
| Ethical Dilemmas | 11 | ||
| Ethical Principles | 11 | ||
| Solving Ethical Dilemmas | 11 | ||
| Ethical Concerns in Reproduction | 11 | ||
| Elective Pregnancy Termination | 11 | ||
| Belief that induced abortion is a private choice. | 11 | ||
| Belief that elective pregnancy termination is taking a life. | 11 | ||
| Implications for nurses. | 11 | ||
| Fetal Injury | 12 | ||
| Ethical Concerns in Child Health Nursing | 12 | ||
| Withholding or Ceasing Life-Sustaining Treatment | 12 | ||
| Terminating Life Support | 13 | ||
| Social Issues | 13 | ||
| Poverty | 13 | ||
| Homelessness | 14 | ||
| Prenatal Care in the United States | 14 | ||
| Government Programs for Healthcare: Medicaid | 14 | ||
| Allocation of Healthcare Resources | 14 | ||
| Care versus Cure | 15 | ||
| Healthcare Rationing | 15 | ||
| Violence | 15 | ||
| Legal Issues | 15 | ||
| Safeguards for Healthcare | 15 | ||
| Nurse Practice Acts | 15 | ||
| Standards of Care | 16 | ||
| Agency Policies | 16 | ||
| Accountability | 16 | ||
| Malpractice | 16 | ||
| Prevention of Malpractice Claims | 16 | ||
| Informed consent. | 17 | ||
| Competence. | 17 | ||
| Full disclosure. | 17 | ||
| Understanding information. | 17 | ||
| Voluntary consent. | 17 | ||
| Refusal of Care | 17 | ||
| Adoption | 18 | ||
| Documentation | 18 | ||
| Documenting discharge teaching. | 18 | ||
| Documenting incidents. | 18 | ||
| The Nurse as an Advocate | 18 | ||
| Maintaining Expertise | 19 | ||
| Current Trends and Their Legal and Ethical Implications | 19 | ||
| Use of Unlicensed Assistive Personnel | 19 | ||
| Concerns About Early Discharge | 19 | ||
| Dealing With Early Discharge | 20 | ||
| Key Concepts | 20 | ||
| References and Readings | 20 | ||
| 2 The Nurse’s Role in Maternity, Women’s Health, and Pediatric Nursing | 23 | ||
| Learning Objectives | 23 | ||
| The Role of the Professional Nurse | 23 | ||
| Care Provider | 23 | ||
| Teacher | 24 | ||
| Factors Influencing Learning | 24 | ||
| Principles of Teaching and Learning | 25 | ||
| Collaborator | 25 | ||
| Researcher | 25 | ||
| Advocate | 25 | ||
| Manager of Care | 25 | ||
| Advanced Preparation for Maternity and Pediatric Nurses | 26 | ||
| Certified Nurse Midwives | 26 | ||
| Nurse Practitioners | 26 | ||
| Clinical Nurse Specialists | 26 | ||
| Clinical Nurse Leaders | 26 | ||
| Implications of Changing Roles for Nurses | 26 | ||
| Therapeutic Communication | 26 | ||
| Guidelines for Therapeutic Communication | 27 | ||
| Therapeutic Communication Techniques | 27 | ||
| Critical Thinking | 27 | ||
| The Purpose of Critical Thinking | 27 | ||
| Steps in Critical Thinking | 27 | ||
| A. Recognizing assumptions. | 27 | ||
| B. Examining biases. | 27 | ||
| C. Analyzing the need for closure. | 27 | ||
| D. Managing data. | 27 | ||
| Collecting data. | 27 | ||
| Validating data. | 28 | ||
| Organizing and analyzing data. | 28 | ||
| E. Evaluating other factors. | 28 | ||
| The Nursing Process in Maternity and Pediatric Care | 29 | ||
| Assessment | 29 | ||
| Screening Assessment | 29 | ||
| Focused Assessment | 29 | ||
| Nursing Diagnosis | 29 | ||
| Planning | 30 | ||
| Setting Priorities | 30 | ||
| Establishing Goals and Expected Outcomes | 31 | ||
| Implementation | 31 | ||
| Evaluation | 31 | ||
| Complementary and Integrative Health | 31 | ||
| Nursing Research and Evidence-Based Practice | 32 | ||
| Key Concepts | 32 | ||
| References and Readings | 33 | ||
| 3 The Childbearing and Child-Rearing Family | 34 | ||
| Learning Objectives | 34 | ||
| Family-Centered Care | 34 | ||
| Family Structure | 34 | ||
| Types of Families | 34 | ||
| Traditional Families | 34 | ||
| Nontraditional Families | 35 | ||
| Single-parent families. | 35 | ||
| Blended families. | 35 | ||
| Adoptive families. | 35 | ||
| Multigenerational families. | 35 | ||
| Same-sex–parent families. | 35 | ||
| Communal families. | 35 | ||
| Characteristics of Healthy Families | 35 | ||
| Factors That Interfere With Family Functioning | 36 | ||
| High-Risk Families | 36 | ||
| Marital Conflict and Divorce | 37 | ||
| Adolescent Parenting | 37 | ||
| Violence | 37 | ||
| Substance Abuse | 37 | ||
| Child With Special Needs | 37 | ||
| Healthy Versus Dysfunctional Families | 37 | ||
| Coping With Stress | 37 | ||
| Coping Strategies | 38 | ||
| Cultural Influences on Maternity and Pediatric Nursing | 38 | ||
| Implications of Cultural Diversity for Nurses | 40 | ||
| Western Cultural Beliefs | 40 | ||
| Cultural Influences on the Care of People From Specific Groups | 41 | ||
| Asians and Pacific Islanders | 41 | ||
| Hispanics | 41 | ||
| African-Americans | 41 | ||
| American Indians and Alaska Natives | 41 | ||
| Middle Easterners | 42 | ||
| Cross-Cultural Health Beliefs | 42 | ||
| Traditional Methods of Preventing Illness | 42 | ||
| Traditional Practices to Maintain Health | 42 | ||
| Traditional Practices to Restore Health | 42 | ||
| Cultural assessment. | 42 | ||
| Parenting | 42 | ||
| Parenting Styles | 43 | ||
| Parent–Child Relationship Factors | 43 | ||
| Parental Characteristics | 43 | ||
| Characteristics of the Child | 43 | ||
| Temperament and Parental Expectations | 43 | ||
| Discipline | 43 | ||
| Dealing With Misbehavior | 44 | ||
| Redirection | 44 | ||
| Reasoning | 44 | ||
| Time-Out | 44 | ||
| Consequences | 45 | ||
| Behavior Modification | 45 | ||
| Corporal Punishment | 45 | ||
| Nursing Process and the Family | 45 | ||
| Family Assessment | 45 | ||
| Nursing Diagnosis and Planning | 45 | ||
| Intervention and Evaluation | 46 | ||
| Key Concepts | 46 | ||
| References and Readings | 46 | ||
| 4 Communicating With Children and Families | 48 | ||
| Learning Objectives | 48 | ||
| Components of Effective Communication | 48 | ||
| Touch | 48 | ||
| Physical Proximity and Environment | 48 | ||
| Listening | 49 | ||
| Attentiveness | 49 | ||
| Clarification Through Reflection | 49 | ||
| Empathy | 49 | ||
| Impartiality | 49 | ||
| Visual Communication | 50 | ||
| Tone of Voice | 50 | ||
| Body Language | 50 | ||
| Timing | 50 | ||
| Family-Centered Communication | 51 | ||
| Establishing Rapport | 51 | ||
| Availability and Openness to Questions | 51 | ||
| Family Education and Empowerment | 52 | ||
| Effective Management of Conflict | 52 | ||
| Feedback From Children and Families | 52 | ||
| Spirituality | 52 | ||
| Transcultural Communication: Bridging the Gap | 53 | ||
| Therapeutic Relationships: Developing and Maintaining Trust | 53 | ||
| Nursing Care | 53 | ||
| Communicating With Children and Families | 53 | ||
| Assessment | 53 | ||
| Nursing Diagnosis and Planning | 54 | ||
| Unit II Maternity Nursing Care | 183 | ||
| 11 Reproductive Anatomy and Physiology | 183 | ||
| Learning Objectives | 183 | ||
| Sexual Development | 183 | ||
| Prenatal Development | 183 | ||
| Childhood | 183 | ||
| Sexual Maturation | 183 | ||
| Initiation of Sexual Maturation | 183 | ||
| Female Puberty Changes | 185 | ||
| Breast changes. | 185 | ||
| Body contours. | 185 | ||
| Unit III Pediatric Nursing Care | 718 | ||
| 33 Physical Assessment of Children | 718 | ||
| Learning Objectives | 718 | ||
| General Approaches to Physical Assessment | 718 | ||
| Infants From Birth to 6 Months | 718 | ||
| Infants From 6 to 12 Months | 718 | ||
| Toddlers | 718 | ||
| Preschoolers | 719 | ||
| School-Age Children | 719 | ||
| Adolescents | 719 | ||
| Techniques for Physical Examination | 719 | ||
| Inspection | 719 | ||
| Palpation | 719 | ||
| Percussion | 720 | ||
| Auscultation | 720 | ||
| Smell | 720 | ||
| Sequence of Physical Examination | 720 | ||
| General Appearance | 720 | ||
| History Taking | 720 | ||
| Recording Data | 721 | ||
| Vital Signs | 721 | ||
| Temperature | 721 | ||
| Pulse | 722 | ||
| Respirations | 722 | ||
| Blood Pressure | 723 | ||
| Pain Assessment | 723 | ||
| Anthropometric Measurement | 723 | ||
| Use of Growth Charts | 723 | ||
| Height | 724 | ||
| Weight | 724 | ||
| Head Circumference | 724 | ||
| Chest Circumference | 724 | ||
| Midarm Circumference | 724 | ||
| Triceps Skinfold | 724 | ||
| Skin, Hair, and Nails | 725 | ||
| Skin | 725 | ||
| Inspection. | 725 | ||
| Palpation. | 725 | ||
| Hair | 725 | ||
| Nails | 725 | ||
| Lymph Nodes | 725 | ||
| Head, Neck, and Face | 726 | ||
| Head | 726 | ||
| Neck | 727 | ||
| Face | 727 | ||
| Nose, Mouth, and Throat | 727 | ||
| Nose | 727 | ||
| Mouth and Throat | 728 | ||
| Eyes | 729 | ||
| External Eye | 729 | ||
| Ophthalmoscopic Examination | 730 | ||
| Binocular Vision and Strabismus | 730 | ||
| Corneal light reflex test. | 730 | ||
| Field-of-vision test. | 730 | ||
| Tests for eye muscle function. | 730 | ||
| Peripheral Vision | 731 | ||
| Visual Acuity | 731 | ||
| Color Vision | 732 | ||
| Ears | 732 | ||
| External Ear | 732 | ||
| Otoscopic Examination | 732 | ||
| Hearing Acuity | 732 | ||
| Infant assessment. | 732 | ||
| Preschool and school-age assessment by audiometry. | 732 | ||
| Preschool, school-age, and adolescent assessment: the whisper test. | 732 | ||
| Conduction tests (tuning fork hearing tests). | 732 | ||
| Thorax and Lungs | 733 | ||
| Inspection | 733 | ||
| Palpation | 734 | ||
| Auscultation | 735 | ||
| Adventitious Breath Sounds | 735 | ||
| Heart | 735 | ||
| Inspection | 736 | ||
| Palpation | 736 | ||
| Auscultation | 736 | ||
| Normal rate and rhythm. | 737 | ||
| Extra heart sounds, including murmurs. | 737 | ||
| Peripheral Vascular System | 737 | ||
| Breast | 739 | ||
| Abdomen | 739 | ||
| Inspection | 740 | ||
| Auscultation | 740 | ||
| Percussion | 740 | ||
| Palpation | 740 | ||
| Male Genitalia | 741 | ||
| Female Genitalia | 742 | ||
| Musculoskeletal System | 742 | ||
| Infants | 742 | ||
| Toddlers, Preschoolers, and School-Age Children | 743 | ||
| Adolescents | 743 | ||
| Range of Motion | 743 | ||
| Muscle Strength and Mass | 743 | ||
| Joints | 743 | ||
| Gait | 743 | ||
| Neurologic System | 743 | ||
| Cerebral Function | 744 | ||
| Cranial Nerves | 744 | ||
| Cerebellar Function | 746 | ||
| Motor System | 746 | ||
| Sensory System | 746 | ||
| Reflex Status | 746 | ||
| Neurologic “Soft” Signs | 746 | ||
| Conclusion and Documentation | 746 | ||
| Key Concepts | 750 | ||
| References and Readings | 751 | ||
| 34 Emergency Care of the Child | 752 | ||
| Learning Objectives | 752 | ||
| Clinical Reference | 752 | ||
| General Guidelines for Emergency Nursing Care | 752 | ||
| Growth and Development Issues in Emergency Care | 755 | ||
| The Infant | 755 | ||
| The Toddler | 756 | ||
| The Preschooler | 756 | ||
| The School-Age Child | 756 | ||
| The Adolescent | 756 | ||
| The Family of a Child in Emergency Care | 756 | ||
| Emergency Assessment of Infants and Children | 757 | ||
| Primary Assessment | 757 | ||
| Airway Assessment | 757 | ||
| Breathing Assessment | 757 | ||
| Cardiovascular Assessment | 759 | ||
| Disability: Neurologic Assessment | 759 | ||
| Exposure | 759 | ||
| Secondary Assessment | 759 | ||
| Vital Signs | 759 | ||
| History and Head-to-Toe Assessment | 760 | ||
| Diagnostic Tests | 760 | ||
| Weight | 760 | ||
| Parent-Child Relationship | 760 | ||
| Cardiopulmonary Resuscitation of the Child | 760 | ||
| Airway and Breathing | 760 | ||
| Initial Assessment and Intervention | 760 | ||
| Obstructed Airway Management | 761 | ||
| Circulation | 761 | ||
| The Child in Shock | 763 | ||
| Etiology | 763 | ||
| Hypovolemic Shock | 763 | ||
| Distributive Shock | 763 | ||
| Cardiogenic Shock | 763 | ||
| Manifestations | 764 | ||
| Diagnostic Evaluation | 764 | ||
| Therapeutic Management | 764 | ||
| Hypovolemic Shock | 765 | ||
| Distributive Shock | 765 | ||
| Cardiogenic Shock | 765 | ||
| Nursing Care | 765 | ||
| The Child in Shock | 765 | ||
| Assessment | 765 | ||
| Hypovolemic shock. | 765 | ||
| Distributive shock. | 765 | ||
| Cardiogenic shock. | 765 | ||
| Nursing Diagnosis and Planning | 765 | ||
| Appendix A NANDA-I Diagnoses and Definitions | 1370 | ||
| References and Readings | 1371 | ||
| Glossary | 1372 | ||
| A | 1372 | ||
| B | 1373 | ||
| C | 1373 | ||
| D | 1374 | ||
| E | 1375 | ||
| F | 1376 | ||
| G | 1376 | ||
| H | 1376 | ||
| I | 1377 | ||
| J | 1378 | ||
| K | 1378 | ||
| L | 1378 | ||
| M | 1378 | ||
| N | 1379 | ||
| O | 1379 | ||
| P | 1379 | ||
| Q | 1381 | ||
| R | 1381 | ||
| S | 1381 | ||
| T | 1382 | ||
| U | 1383 | ||
| V | 1383 | ||
| W | 1383 | ||
| Z | 1383 | ||
| Index | 1384 | ||
| A | 1384 | ||
| B | 1387 | ||
| C | 1389 | ||
| D | 1393 | ||
| E | 1395 | ||
| F | 1397 | ||
| G | 1399 | ||
| H | 1400 | ||
| I | 1403 | ||
| J | 1406 | ||
| K | 1406 | ||
| L | 1406 | ||
| M | 1407 | ||
| N | 1409 | ||
| O | 1411 | ||
| P | 1412 | ||
| Q | 1417 | ||
| R | 1417 | ||
| S | 1418 | ||
| T | 1421 | ||
| U | 1423 | ||
| V | 1424 | ||
| W | 1425 | ||
| X | 1425 | ||
| Y | 1425 | ||
| Z | 1425 | ||
| Features 1 | 1432 | ||
| Features | IBC1 | ||
| Patient-Centered Teaching | IBC1 | ||
| Pathophysiology | IBC1 | ||
| Procedure | IBC2 | ||
| Safety Alert | IBC2 | ||
| Want to Know | IBC2 | ||
| Inside Back Cover | ibc1 |