D o w n lo a d e d b y [ F a c u lty o f N u rsin g , C h ia n g m a i U n iv e rsity 5 .6 2 .1 5 6 .8 6 ] a t [0 7 /1 8 /1 6 ]. C o p y rig h t © M c G ra w -H ill G lo b a l E d u c a tio n H o ld in g s, L L C . N o t to b e re d istrib u te d o r m o d ifie d in a n y w a y w ith o u t p e rm issio n . D o w n lo a d e d b y [ F a c u lty o f N u rsin g , C h ia n g m a i U n iv e rsity 5 .6 2 .1 5 6 .8 6 ] a Maternal-Newborn t [07 /1 8 /1 6 ]. C Nursing Demystified o p y rig h t © M c G ra w -H ill G lo b a l E d u c a tio n H o ld in g s, L L C . N o t to b e re d istrib u te d o r m o d ifie d in a n y w a y w ith o u t p e rm issio n . D o w n lo a d e d b y Notice [ F a Medicine is an ever-changing science. As new research and clinical cu lty experiencebroaden our knowledge, changes in treatment and drug therapy o f N are required. The author and the publisher of this work have checked u with sources believed to be reliable in their efforts to provide informa- rsing , C tion that is complete and generally in accord with the standards accepted h ia at the time of publication. However, in view of the possibility of human ng m a error or changes in medical sciences, neither the author nor the publisher i U n nor any other party who has been involved in the preparation or publi- iv e cation of this work warrants that the information contained herein is in rsity 5 every respect accurate or complete, and they disclaim all responsibility .6 2 .1 for any errors or omissions or for the results obtained from use of the 5 6 .8 information contained in this work. Readers are encouraged to confirm 6] a the information contained herein with other sources. For example and t [0 7 in particular, readers are advised to check the product information sheet /18 /1 included in the package of each drug they plan to administer to be certain 6]. C that the information contained in this work is accurate and that changes o p y have not been made in the recommended dose or in the contraindications rig h for administration. This recommendation is of particular importance in t © M connection with new or infrequently used drugs. cG ra w -H ill G lo b a l E d u c a tio n H o ld in g s, L L C . N o t to b e re d istrib u te d o r m o d ifie d in a n y w a y w ith o u t p e rm issio n . D o w n lo a d e d b y [ F a c u lty o f N u rsin g , C h ia n g m a i U n iv e rsity 5 .6 2 .1 5 6 .8 6 ] a t [0 7 Maternal-Newborn /1 8 /1 6 ]. C o p y Nursing Demystified rig h t © M c G ra w -H ill G lo b a l E d u c Joyce Y. Johnson, RN, PhD atio n H o Dean and Professor ld in g College of Sciences and Health Professions s, L L Albany State University C . N Albany, Georgia ot to b e re d istrib u te d o r m o d ifie d in a n y w a y w New York Chicago San Francisco Lisbon London ith o u Madrid Mexico City Milan New Delhi San Juan t p e Seoul Singapore Sydney Toronto rm issio n . D o w n lo a d e d Copyright © 2010 by The McGraw-Hill Companies, Inc. All rights reserved. Except as permitted under the United States Copyright Act of b y 1976, no part of this publication may be reproduced or distributed in any form or by any means, or stored in a database or retrieval system, [ F without the prior written permission of the publisher. ac u lty o ISBN: 978-0-07-181196-5 f N u MHID: 0-07-181196-6 rsin g , C h The material in this eBook also appears in the print version of this title: ISBN: 978-0-07-160914-2, ia n g MHID: 0-07-160914-8. m a i U All trademarks are trademarks of their respective owners. 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N o t to b e re d istrib u te d o r m o d ifie d in a n y w a y w ith o u t p e rm issio n . D o w n lo a d This book is dedicated to my mother Dorothy C. Young who has always been an inspiration ed b y to me, to my husband Larry, and to Virginia and Larry Jr. who are the wind beneath my wings. [ F a c This book is also dedicated to our students who are the reason we teach and write. Much u lty success in your nursing careers! of N u Joyce Y. Johnson rsin g , C h ia n g m a i U n iv e rsity 5 .6 2 .1 5 6 .8 6 ] a t [0 7 /1 8 /1 6 ]. C o p y rig h t © M c G ra w -H ill G lo b a l E d u c a tio n H o ld in g s, L L C . N o t to b e re d istrib u te d o r m o d ifie d in a n y w a y w ith o u t p e rm issio n . D o w n lo a d e d b y [ F a c u lty o f N u rsin g CONTRIBUTORS , C h ia n g m a i U n iv e Edna Boyd Davis, RN MN rsity 5 .6 Assistant Professor 2 .1 5 Department of Nursing 6.8 6 Albany State University ] a t [0 Albany, Georgia 7/1 8 (Chapter 12, Newborn Care) /16 ]. C o p y Cathy H. Williams, RN MSN DNP rig h Undergraduate Program Coordinator t © M Associate Professor cG ra w Department of Nursing -H Albany State University ill G lo Albany, Georgia ba l E (Chapter 11, Postpartum Care) du c a tio n H o ld in g s, L L C . N o t to b e re d istrib u te d o r m o d ifie d in a n y w a y w ith o u t p e rm issio n . D o w n lo a d e d b y [ F a c u lty o f N u rsin g , C h ia n CONTENTS gm a i U n iv e rsity 5 .6 2 .1 5 6 .8 6 ] a t [0 7 /1 8 /1 6 ]. C Preface xxi op y Acknowledgments xxiii righ t © M c UNIT I ROLES AND RELATIONSHIPS G ra w -H CHAPTER 1 Overview of Maternity Nursing 3 ill G The Nursing Process 5 lo b a Family Planning 6 l E d u Child or Adolescent Pregnancy 6 ca tio Pregnancy After the Age of 40 9 n H o Conclusion 10 ld in g s, L CHAPTER 2 Families and Communities 15 LC . N Overview 16 o t to Types of Families 17 b e Nursing Implications 17 red Social And Economic Factors 18 istrib u te Nursing Implications 18 d o Diversity Issues 19 r m o d Nursing Implications 20 ifie d Conclusion 21 in a n y w a CHAPTER 3 Health Assessment of the Pediatric Client 25 y w Overview 26 itho u Health Assessment: Client History 26 t p e rm Communication 26 issio n . viii Contents D o w n lo a d e Nursing History 28 d b y Nutritional Assessment 30 [ F a c Biochemical Tests 31 ulty Family History and Review of Systems 31 of N u Family Assessment 32 rsin g Family Function 32 , C h Physical Examination 34 ian g m General 34 a i U Skin 34 niv e Hair 34 rsity 5 Nails 35 .6 2 .1 Head and Neck 35 5 6 .8 Eyes and Vision 36 6] a Ears and Hearing 36 t [0 7 /1 Mouth, Throat, Nose, Sinuses, and Neck 36 8 /1 6 Chest 37 ]. C o Abdomen 38 py rig Genitourinary 38 ht © Back and Extremities 39 M c G Newborn Developmental Milestones 40 ra w Physical Milestones 40 -H Sensory Milestones 40 ill Glo b Social Milestones 40 al E d Emotional Growth 40 uc a Language Development 41 tion H Diagnostic Procedures 41 old in Laboratory Tests 41 gs, L Nursing Implications 43 LC . N Conclusion 44 o t to b e UNIT II SYSTEMATIC EXPLORATION OF red MATERNAL-NEWBORN CONDITIONS istrib u te AND NURSING CARE d o r m CHAPTER 4 Pre-pregnancy Preparation, Conception, 51 od and Genetic Considerations ified in Overview 52 an y Pre-pregnancy Preparation 52 wa y w Nutrition 52 ith o Age 52 ut p e rm issio n . Contents ix D o w n lo a d e Substance Abuse 53 d b y Toxin Exposure 53 [ F a c Conception 53 ulty o Testing 54 f N u Contraception 56 rsin g Genetic Considerations 57 , C h Sickle Cell Anemia 59 ian g m What Went Wrong? 59 ai U Signs and Symptoms 60 niv e Test Results 61 rsity 5 Treatments 61 .6 2 .1 Nursing Intervention 61 56 .8 Hemophilia 63 6] a What Went Wrong? 63 t [0 7 /1 Signs and Symptoms 63 8/1 6 Test Results 63 ]. C o Treatments 64 py rig Nursing Intervention 64 ht © β-Thalassemia 65 M c G What Went Wrong? 65 ra w Signs and Symptoms 66 -Hill G Test Results 66 lo b a Treatments 66 l E d u Nursing Intervention 67 c a tio Down Syndrome 67 n H o What Went Wrong? 67 ld in g Signs and Symptoms 68 s, L L Test Results 68 C . N Treatments 68 o t to Nursing Intervention 69 b e Conclusion 69 red istrib u te CHAPTER 5 Reproductive Health Issues 73 d o Overview 74 r m o d Infertility 74 ifie d What Went Wrong? 75 in a n y Signs and Symptoms 75 w a y Test Results 75 w ith Treatment 76 o u t p e rm issio n .