Maternity, newborn, and women's health nursing : comprehensive care across the lifespan /
Maternity, newborn, & women's health nursing
Susan A. Orshan.
- Philadelphia : Wolters Kluwer/Lippincott Williams & Wilkins, c2008.
- xxii, 1126 p. : ill. (chiefly col.) ; 29 cm. + 1 CD-ROM (4 3/4 in.)
Includes bibliographical references and index.
Contents UNIT 1 FOUNDATIONS OF MATERNAL, NEWBORN, AND WOMEN¿S HEALTH CARE CHAPTER 1 Philosophy and Framework for Women¿s Reproductive and Sexual Health SHIFTING PARADIGMS AND CURRENT CONTEXT Changes in Family Structures and Relationships Changes in Sociocultural Influences Changes in Political Viewpoints NORTH AMERICAN HEALTH CARE SYSTEMS Canadian Health Care System The U.S. Health Care System HEALTH PROMOTION AND HEALTH STATISTICS Nutritional Status and Body Weight Exercise Prenatal Care Birth and Fertility Rates Maternal Morbidity Maternal Mortality CRITICAL THINKING, ETHICAL PRACTICE, AND EVIDENCE-BASED CARE Ethical Decision Making Informed Consent Nursing and Women¿s Health Research Evidence-Based Practice CHAPTER 2 Health Promotion HEALTH PROMOTION Nursing Approaches to Health Promotion Health Theories and Models HEALTH ASSESSMENT AND SCREENING Diet, Exercise, and Lifestyle Psychosocial Health Cardiovascular Health Diabetes Mellitus Menstrual Health Sexual and Reproductive Health Cultural Beliefs Regarding Health Promotion Issues Environmental Factors Related to Health Issues PHYSICAL EXAMINATION NURSING AND COLLABORATIVE CARE ROLES RELATED TO HEALTH PROMOTION Health Screening Immunizations CHAPTER 3 Nutrition for Adolescent and Adult Women* NUTRIENTS Macronutrients Micronutrients NUTRITIONAL ASSESSMENT Assessing Dietary Intake Assessing Nutritional Status Assessing Factors That Influence Food Choices NUTRITIONAL VARIATIONS FOR VARIOUS GROUPS Pregnancy Lactation Adolescence Adulthood and Older Adulthood CHAPTER 4 Medical Alterations in Women During Adolescence and Adulthood GENETIC DISORDERS Assessment Findings Collaborative Management AUTOIMMUNE DISORDERS Assessment Findings Collaborative Management DIABETES MELLITUS Classification Assessment Findings Collaborative Management CARDIOVASCULAR DISEASE Assessment Findings Collaborative Management CEREBROVASCULAR ACCIDENT Assessment Findings Collaborative Management SEXUALLY TRANSMITTED INFECTIONS Assessment Findings Collaborative Management Assessment Findings Collaborative Management Assessment Findings Collaborative Management Assessment Findings Collaborative Management Assessment Findings Collaborative Management Assessment Findings Collaborative Management Assessment Findings Collaborative Management Hepatitis A Hepatitis B Hepatitis C BENIGN BREAST DISORDERS Assessment Findings Collaborative Management MALIGNANT BREAST DISORDERS Risk Factors Assessment Findings Treatment Assessment Findings Collaborative Management MENSTRUAL DISORDERS Etiology and Pathophysiology Assessment Findings Collaborative Management Etiology and Pathophysiology Assessment Findings Collaborative Management REPRODUCTIVE TRACT ALTERATIONS Etiology and Pathophysiology Assessment Findings Collaborative Management Etiology and Pathophysiology Assessment Findings Collaborative Management Etiology and Pathophysiology Assessment Findings Collaborative Management Etiology and Pathophysiology Assessment Findings Collaborative Management Assessment Findings Collaborative Management Etiology and Pathophysiology Assessment Findings Collaborative Management Assessment Findings Collaborative Management Assessment Findings Collaborative Management Etiology and Pathophysiology Assessment Findings Collaborative Management PELVIC RELAXATION ALTERATIONS URINARY TRACT DISORDERS Assessment Findings Collaborative Management Assessment Findings Collaborative Management Chapter 5 Mental Health Concerns for Women in Adolescence and Adulthood CONCEPTUAL MODELS IN MENTAL HEALTH CARE Psychoanalytic Models Behavioral Models Feminist Models Biologic Models COMMON PSYCHIATRIC CHALLENGES IN WOMEN Depression and Related Disorders Anxiety, Stress, and Anxiety Disorders Eating Disorders Intimate Partner Violence Substance Abuse PSYCHOPHARMACOLOGIC THERAPY DURING PREGNANCY OR LACTATION Determining Risks and Benefits Commonly Used Agents for Psychiatric Disorders NURSING CARE AND MENTAL HEALTH AND ILLNESS IN WOMEN Discussing Informed Consent Documenting Risks Versus Benefits Promoting Community and Psychosocial Interventions Teaching Stress Management Assisting With Access to Health Care Promoting Health Literacy: A Critical Role for Nurses CHAPTER 6 Sexuality and Reproduction SEXUAL AND REPRODUCTIVE DEVELOPMENT ACROSS THE LIFESPAN Conception Through Infancy Childhood Pubescence and Adolescence Adulthood Middle and Older Adulthood CULTURAL PERSPECTIVES White (Caucasian) Americans Asian Americans Hispanic Americans African Americans POSITIVE AND NEGATIVE ASPECTS OF SEXUAL PRACTICES AND BEHAVIORS SEXUAL ORIENTATION AND RELATED ISSUES Gay Identity Development Psychosocial and Cultural Issues SEXUAL AND REPRODUCTIVE RITES OF PASSAGE Female Circumcision Male Circumcision Chapter 7 Family Formation DEFINITIONS OF FAMILY Families Viewed as Systems Nonsystem Views of Family FAMILY ARRANGEMENTS AND STRUCTURES Traditional Nuclear and Two-Parent Families Single-Parent Families Families With Same-Sex Parents Adolescent Parents Blended Families Families of Mothers Older Than 35 Extended Families Grandparents as Primary Caregivers CULTURAL PERSPECTIVES Hispanic Culture Asian Culture Jewish Americans Native American Culture African American Culture Arab American Culture FAMILIES GROWING THROUGH ADOPTION Birth or Biological Parents Pre-Adoptive Parents Types of Adoption Special Circumstances With Adoption UNIT 2 SPECIAL REPRODUCTIVE AND HEALTH CONCERNS CHAPTER 8 Fertility Control and Contraception HISTORICAL PERSPECTIVES TYPES OF CONTRACEPTIVE METHODS Barrier Methods Hormonal Methods Intrauterine Methods Behavioral Methods Surgical Methods Emergency Contraception Chapter 9 Voluntary Pregnancy Termination HISTORICAL PERSPECTIVES Ancient Times Middle Ages and Beyond Modern Changes RELIGIOUS PERSPECTIVES CURRENT LEGAL AND POLITICAL CLIMATE The United States Canada NURSING PERSPECTIVES, ROLES, AND RESPONSIBILITIES Decision-Making Process Methods of Pregnancy Termination Aftercare CONCLUSION CHAPTER 10 Fertility Challenges HISTORICAL PERSPECTIVES RELIGIOUS AND CULTURAL PERSPECTIVES Jewish Perspectives Muslim Perspectives Catholic Perspectives MYTHS, FACTS, AND RESOURCES CAUSES OF INFERTILITY Biologic Factors Environmental Factors Lifestyle Factors Physical Factors and Classification Other Causes of Infertility Infertility of Unknown Cause Chapter 11 Genetics, Embryology, and Preconceptual/Prenatal Assessment and Screening GENETICS AND CELL BIOLOGY Chromosomes, Genes, and DNA Mitosis and Meiosis Gametogenesis Fertilization and Implantation EMBRYOLOGY AND FETAL DEVELOPMENT Pre-embryonic Development Embryonic Development Fetal Development PRECONCEPTION HEALTH ASSESSMENT AND SCREENING Genetic Services Health History Assessment Information Sharing Anticipatory Care PRENATAL SCREENING AND DIAGNOSTIC PROCEDURES Maternal Serum Marker Screening Ultrasound Evaluation Evaluation of the Placenta and Fetal Well-Being POSTNATAL SCREENING AND DIAGNOSTIC PROCEDURES Newborn Screening Programs Dysmorphology Assessment UNIT 3 PREGNANCY Chapter 12 Process of Pregnancy VARIATIONS IN RESPONSES TO PREGNANCY Age-Related Variations Sociocultural Variations Religious Variations PHYSIOLOGIC CHANGES IN PREGNANCY Weight Cardiovascular System Hematologic System Respiratory System Gastrointestinal System Integumentary System Endocrine System Reproductive System Urinary System Musculoskeletal System Physiologic Differences Related to Age and Race/Ethnicity PSYCHOLOGICAL AND EMOTIONAL CHANGES IN PREGNANCY Reactions of Woman and Partner Reactions of Grandparents-to-Be Reactions of Other Children SIGNS OF PREGNANCY Presumptive Signs Probable Signs Positive Signs ANTEPARTAL HEALTH ASSESSMENT Initial Prenatal Maternal Health Assessment Follow-Up Maternal Assessments Assessment of Fetal Activity and Well-Being ANTICIPATORY GUIDANCE RELATED TO PREGNANCY Urinary Frequency Fatigue and Sleep Problems Breast Sensitivity and Other Discomforts Gastrointestinal Problems Vascular Problems Dyspnea Leukorrhea and Vaginal Problems Round Ligament Pain Carpal Tunnel Syndrome Supine Hypotension Syndrome Backache Bathing Working Travel Exercise Dental Care Sexual Concerns Clothing Nutrition Pets Teratogens COMMUNITY AND HOME CONCERNS Chapter 13 High-Risk Pregnancy PREGNANCY RISK ASSESSMENT Psychosocial Risk Factors Economic Risk Factors Nutrition-Related Risk Factors Family-Related Considerations COMMON INTERVENTIONS IN HIGH-RISK PREGNANCY Fetal Surveillance Bedrest MEDICAL COMPLICATIONS IN PREGNANCY Etiology and Pathophysiology Types Collaborative Management: Pregnancy Collaborative Management: Labor and Birth Iron-Deficiency Anemia Sickle Cell Anemia Systemic Lupus Erythematosus Antiphospholipid Syndrome HIV Sexually Transmitted Infections Group B Streptococcus Rubella Toxoplasmosis Cytomegalovirus Parvovirus UTIs and Pyelonephritis Acute Renal Failure Depression in Pregnancy Bipolar Disorder Domestic Violence Substance Use Eating Disorders COMMON OBSTETRIC COMPLICATIONS Assessment Findings Collaborative Management Assessment Findings Collaborative Management Assessment Findings Collaborative Management Placenta Previa Invasive Placentas Circumvallate Placenta Placental Abruption Early Pregnancy Loss Late Pregnancy Loss Chapter 14 Educational Preparation for Pregnancy, Childbirth, and Parenthood CHILDBIRTH EDUCATION Historical Perspectives Modern Approaches to Childbirth COMMON THEMES IN CHILDBIRTH EDUCATION AND PREPARATION Pain Assessment Research Investigations VARIATIONS IN CHILDBIRTH EDUCATION Childbirth Education Programs, Providers, and Approaches Media, Internet, and Other Resources Access to Childbirth Education Continuity of Health Promotion UNIT 4 Labor and Childbirth Chapter 15 Labor and Childbirth PRELABOR Signs of Approaching Labor True Versus ¿False¿ Labor Emotional Experience of Impending Labor Sociocultural Aspects Related to Impending Labor and Birth Collaborative Management LABOR AND BIRTH Etiology of Labor Processes of Labor and Birth Mechanisms of Labor Maternal Responses to Labor Fetal Responses to Labor Stages and Phases of Labor CHAPTER 16 High-Risk Labor and Childbirth RISK ASSESSMENT AND IDENTIFICATION DYSFUNCTIONAL LABOR (DYSTOCIA) Hypertonic Uterine Contractions Hypotonic Uterine Contractions Pathologic Retraction and Constriction Rings Inadequate Voluntary Expulsive Forces Precipitous Labor Breech Presentation Other Malpresentations Occipitoposterior Position Shoulder Dystocia Excessive Fetal Size or Fetal Abnormalities Pelvic Shape Problems Contracted Pelvis PRETERM LABOR Etiology and Risk Factors Assessment Findings POSTTERM PREGNANCY AND LABOR HEMORRHAGIC PROBLEMS Placenta Previa Placental Abruption Other Placental Anomalies PROLAPSED UMBILICAL CORD AMNIOTIC FLUID EMBOLISM MULTIPLE PREGNANCY MATERNAL OBESITY FEMALE CIRCUMCISION BIRTH-RELATED PROCEDURES COMMON IN HIGH-RISK LABOR AND BIRTH Cervical Ripening and Labor Induction Amnioinfusion Forceps-Assisted Birth Vacuum-Assisted Birth Cesarean Birth Vaginal Birth After Cesarean Chapter 17 Pharmacologic Pain Management of Labor PHYSIOLOGY OF LABOR PAIN Pain Terminology Variations in Labor Pain PSYCHOLOGY OF PAIN THEORIES OF PAIN Gate Control Theory Chemical Pain Control Theory INFLUENCES ON PAIN AND PAIN MANAGEMENT Cultural Considerations Legal and Ethical Perspectives Drug Pharmacokinetics TYPES OF PHARMACOLOGIC PAIN MANAGEMENT Sedative Hypnotics Analgesic Compounds Anesthesia UNIT 5 POSTPARTUM PERIOD Chapter 18 Fourth Stage of Labor and Postpartum Period PHYSIOLOGIC CHANGES Weight Cardiovascular System Hematologic System Respiratory System Gastrointestinal System Integumentary System Endocrine System Reproductive System Urinary System PSYCHOLOGICAL CHANGES AND MATERNAL ADJUSTMENT Immediate Reactions Theories of Change Sleep Deprivation and Exhaustion Emotional State REFERENCES Chapter 19 The High-Risk Postpartum Woman FOCUSED ASSESSMENTS FOR CLIENTS WITH POSTPARTUM COMPLICATIONS BLEEDING COMPLICATIONS Early Postpartum Hemorrhage Assessment Late Postpartum Hemorrhage POSTPARTUM INFECTIONS Infection of the Uterus and Surrounding Tissues Other Genital Tract Infections Septic Pelvic Thrombophlebitis Wound Infections Urinary Tract Infection Mastitis Assessment THROMBOEMBOLIC COMPLICATIONS PERIPARTUM CARDIOMYOPATHY REPRODUCTIVE ANATOMIC COMPLICATIONS Pelvic Problems Uterine Alterations Cystocele and Rectocele Postpartum Blues Postpartum Depression Postpartum Panic Disorder Postpartum Psychosis Chapter 20 The Healthy Newborn FROM FETUS TO NEWBORN Review of Fetal Circulation Respiratory and Circulatory Transitions at Birth IMMEDIATE NURSING MANAGEMENT OF THE NEWBORN Prenatal and Intrapartal History Preparedness for Resuscitation Assessment During the First Moments After Birth Apgar Scoring EARLY NEWBORN CARE PROCEDURES Identification Weight Measurements Gestational Age Assessment Infant Classification The First Bath Medication Administration Full Physical Examination THE NEWBORN TRANSITIONAL PERIOD Behavioral Changes Behavioral States Behavioral Cues Neonatal Sensory Abilities Physiologic Adaptations Promoting Normal Transition ONGOING ASSESSMENTS BASIC CARE OF THE HEALTHY NEWBORN Cultural Aspects Care of the Newborn Following Home Birth Infant Security Temperature Assessment Use of the Bulb Syringe Voiding and Stooling Diapering Cord Care Clothing Wrapping Holding Comforting Parental Stress Sleep Positioning and Sudden Infant Death Syndrome Bathing the Newborn ADDITIONAL PARENT EDUCATION Circumcision Immunizations Signs of Newborn Illness Car Seats Siblings Pet Safety Dangers of Secondhand Smoke Household Safety READINESS FOR HOSPITAL DISCHARGE Newborn Metabolic Screening Auditory Screening Postdischarge Follow-Up Chapter 21 Newborn NutritionAQ THE FEEDING DECISION Practical Considerations Sexual and Emotional Considerations Racial, Ethnic, and Cultural Influences Client Teaching and Collaborative Interventions BREASTFEEDING Benefits of Breastfeeding Contraindications to Breastfeeding and Conditions Requiring Adjustments Physiology of Milk Production Composition Medicinal Supplementation for Breastfed Infants Donor Human Milk FORMULA FEEDING Composition Considerations Related to Formula Type Additives Client Teaching and Collaborative Interventions OTHER FEEDING DELIVERY STRATEGIES Parenteral and Enteral Nutrition Cup Feeding Finger Feeding Nursing Supplementer Syringe Feeding MEASURES OF SUCCESSFUL FEEDING Fluid Intake Wet Diapers Stools Weight Gain and Growth PROBLEMS RELATED TO FEEDING Jaundice Thrush Gastroesophageal Reflux Colic Water Intoxication The High-risk Newborn NEWBORN RISK IDENTIFICATION PROBLEMS RELATED TO SIZE AND GESTATIONAL AGE SGA Newborn LGA Newborns Preterm Newborn Postterm Newborns HYPERBILIRUBINEMIA FETAL ALCOHOL SYNDROME CONGENITAL ANOMALIES Congenital Heart Disease Congenital Diaphragmatic Hernia Neural Tube Defects Congenital Defects of the Abdominal Wall Cleft Lip and Cleft Palate Esophageal and Tracheal Defects Imperforate Anus Skeletal Anomalies Developmental Dysplasia of the Hip Genitourinary Anomalies UNIT 6 MENOPAUSE AND BEYOND CHAPTER 23 The Menopausal Experience PHYSIOLOGIC BASIS OF NATURALLY OCCURRING PERIMENOPAUSE AND MENOPAUSE POTENTIAL CHANGES RELATED TO PERIMENOPAUSE AND MENOPAUSE Menstrual Cycle Vasomotor Symptoms Genitourinary Symptoms Fertility Mental Health Changes Cardiovascular Disease Osteopenia and Osteoporosis Breast Cancer Other Alterations Chapter 24 The Older Postmenopausal Woman COMMUNICATING WITH THE OLDER WOMAN Using Interviewing Skills Obtaining a Health History Addressing Barriers to Communication COMPREHENSIVE ASSESSMENT FOR THE OLDER WOMAN Lifestyle Nutrition Medications Function Social Aspects Sexuality Prevention and Screening Sleep Long-Term Health Care Wishes AGE-ASSOCIATED PHYSIOLOGIC CHANGES IN OLDER WOMEN General Appearance Gait Changes Vital Signs Cardiovascular System Respiratory System Gastrointestinal System Genitourinary System Peripheral Vascular System Neurologic System Musculoskeletal System AGING PHARMACOLOGY COMMON CONDITIONS FOUND IN OLDER WOMEN Types Etiology and Pathophysiology Assessment Findings Collaborative Management Etiology and Pathophysiology Complications Assessment Findings Collaborative Management Assessment Findings Collaborative Management Assessment Findings Collaborative Management NURSING CARE OF THE HOMEBOUND WOMAN NURSING CARE OF THE OLDER WOMAN IN OTHER ENVIRONMENTS