Index
b indicates boxes, f indicates illustrations, and t indicates tables.
A
Abbreviations
to avoid, 420t
commonly used, 421
dangerous, 420
do not use list of, 420t
ABO incompatibility, 258–259
classification of, 250–251
elective, 363
management of, 250–251
spontaneous, 251f
management of, 252t
types of, 252t
assessment of, 256–257
complications of, 256
management of, 256–257
placenta previa v., 256t
preeclampsia and, 260
Abstinence, 373
Acceleration, 123
Acceptance, grief stage of, 276
Accessory glands, 26
ACHES, 381b
Acini, 22
Acme, 97
Acquired conditions in newborn, 320–341
See also specific conditions
See also specific conditions
common, 324–332
Acquired immunodeficiency syndrome (AIDS), 401t
Acupressure, 409
contraindications to, 409
definition of, 409
goals of, 409
performing, 409
side effects of, possible, 409
Acupuncture, 409–410
contraindications to, 410
definition of, 409–410
goals of, 410
performing, 410
side effects of, possible, 410
ADE, See Adverse drug event
Admission assessments, pharmacologic pain management and, 157b
Adolescent(s)
See also Pregnant adolescents
See also Pregnant adolescents
community influences on behavior of, 356t
confidentiality and, 358
contraception and, 362
date rape prevention and, 358b
development, 355–357
early adolescence, 356
fathers, 359–360
interviewing, 363b
during labor, care of, 360
late adolescence, 356–357
legal considerations for, 362b
middle adolescence, 356
nurse as counselor for, 364b
as obstetric patient, 355–363
problems, coping with, 364t
sexual activity in, 357t
STIs in, 361–362
teaching sessions for, 363b
UTIs in, 361–362
ADU, See Automated drug-dispensing unit
Adverse drug event (ADE), 7
Advice telephone lines, 365
Afebrile, 232
AFI, See Amniotic fluid index
AFP, See Alpha-fetoprotein test
African American cultural beliefs, 12t
labor and delivery, 108t
Afterpains, 228
AGA, See Appropriate for gestational age
Age of viability, 37
AIDS, See Acquired immunodeficiency syndrome
Allopathic care, 407
Alpha-fetoprotein test (AFP), 67t
Alveoli, 22
Ambulation, postpartum, 240
Amenorrhea, 393
American Indian cultural considerations, for labor and delivery, 108t
oligohydramnios, 294
Amnion, 32–33
Amniotic cavity, 32
Amniotic fluid, 32–33
embolism, 346
monitoring status of, 127
testing for
purpose of, 128
steps in, 128
Amniotic fluid index (AFI), 67t
Amniotomy, 290
Analgesia, 152
BP, maternal and, 157b
pregnancy and, physiology of, 151–155
Anaphylactoid syndrome of pregnancy, 346
Anemia
folic acid deficiency, 267
iron deficiency, 267
sickle cell, 267–268
Anemia in pregnancy, 266–268
general, 155
headaches with, 155
perineal topical application of, 241
pregnancy and, physiology of, 151–155
nurse’s role in, 155
side effects of, 155
toxicity with, 155
Anger, grief stage of, 276
Antepartum care, adolescent, 360
Anterior position, fetal, 93
Antibiotics contraindicated in pregnancy, 273b
Aortocaval compression, 151
Apnea monitoring, 368
Appearance
newborn’s general, 167–168
during pregnancy, 55
SGA and physical, 304
AquaMEPHYTON, 188
Arabic, glossary of symptoms in, 425–427
Arabic cultural considerations, for labor and delivery, 108t
Armenian, glossary of symptoms in, 425–427
AROM, See Artificial rupture of membranes
definition of, 410
goals of, 410
performing, 410
side effects of, possible, 411
ART, See Assisted reproductive technology
Artificial insemination, 386
Artificial rupture of membranes (AROM), 290
Asian cultural beliefs, 12t
Assisted reproductive technology (ART)
legal/ethical factors in, 385
procedures, 385–386
Assisted vaginal delivery, 292–293
Attachment
See also Parent-newborn bonding
See also Parent-newborn bonding
high-risk pregnancy and delayed, 250
postpartum development of, 241–243
Augmentation of labor, 289–291
oxytocin, 290–291
Automated drug-dispensing unit (ADU), 7
Autosomes, 29–30
Awake state, of newborn, 179t
B
Babinski’s reflex, 180t
Bacteriuria, 272
assessment of, 272–273
management of, 272–273
Bar code medication administration (BCMA), 7
Bargaining, grief stage of, 276
Basal body temperature (BTT), 373
BAT, See Brown adipose tissue
Bathing
of newborn, 192–194
purpose of, 193
steps for, 193
during pregnancy, 66–69
BCMA, See Bar code medication administration
Betamethasone, 282t
Billings method, 373
Biofeedback, 411
contraindications to, 411
definition of, 411
goals of, 411
performing, 411
side effects of, possible, 411
Biophysical profile (BPP), 67t
Birth
cleansing of perineum before
purpose of, 134
steps for, 134
complications of, 280–300
cultural beliefs and, 12t
determining date of, 44
impending, 133b
signs of, 133b
infection prevention/control in, 129b
loss of expected birth experience, 275–276
nursing responsibilities during, 138b
physical care during, 129–132
nurse’s role in, 129
process of
passenger and, 92–95
pelvis and, 92
powers and, 95–98
psyche and, 98
variables in, 92–98
provision of care during, 133–138
psychological support during, 129–132
nurse’s role in, 129
Birth centers, 2
when to go to, 110–113
Birth certificates, 187
Birth defects, 320
blood, 321
chromosomal disorders, 321–322
classification of, 321b
examples of, 321b
malformation, 321
perinatal injury, 321
Birth rate, 7
birth centers, 2
freestanding centers, 107
LDR room, 2
Bladder
distended, signs of, 232b
postpartum changes in, 232
Blastocyst, 31
Bleeding disorders, pregnancy, 250–259
care of, 257b
early, 250–254
late, 254–259
nursing interventions for, 251–252
Blink (reflex), 180t
Blood
coagulation, postpartum, 231
disorders, 321
incompatibility, 258–259
ABO, 258–259
labor and changes in, 103t
Blood pressure (BP)
maternal, analgesia and, 157b
newborn, 169–170
postpartum, 232
in pregnancy, measuring
purpose of, 262
steps in, 262
prenatal visits and, 64
Blood values
postpartum, 231
pregnancy, 52t
Bloody show, 98
Body image, pregnancy and, 55
Bonding, with newborn
See also Parent-newborn bonding
See also Parent-newborn bonding
partner, 241–242
Bottle feeding, 219f
burping after, 221
frequency of, 221–222
nursing caries and, avoiding, 222
positioning for, 221
safety tips for, 219b
techniques for, teaching, 221–222
purpose of, 221
steps in, 221
BP, See Blood pressure
BPD, See Bronchopulmonary dysplasia
BPP, See Biophysical profile
Brachystasis, 96
Brazilian cultural considerations, for labor and delivery, 108t
breastfeeding and preparing, 208
cancer in, 397–398
disorders of, benign, 395
lobes, 22
lobules, 22
during pregnancy, 22–23
pregnancy and care of, 78
pregnancy-related changes in, 50
self-examination of, 395–396
purpose of, 396
steps in, 396
Breast milk, 207–208
formula v., 207t
freezing, 215
storing, 215
transitional, 207
tips for, 214b
use of, 214
CAM during, 216
classes, 86
contraception and, 381
contraindications for, 216
frequency/length of feedings, 208–209
home care for, 368–369
immunizations and, 216
infectious disease and, 216
initiating, 211
legislation for, 205–206
maternal illness and, 216
multiple births and, 213–214
nipple soreness and, 215
nursing care plan for, 217b
preparing breasts for, 208
preterm birth and, 214
for preterm newborn, 313
special situations for, 213–216
sucking patterns, 210–211
supplemental feedings and, 214–215
techniques for
evaluating, 212–213
purpose of, 211
steps in, 211
weaning from, 216
Breathing
See also Respiratory system
See also Respiratory system
labor and, 86–87
newborn
onset of, 160
preparatory events for, 160
second-stage, 87
during childbirth, 84
second-stage breathing, 87
mechanism of labor in, 288f
Broad ligaments, 19
Bromocriptine (Parlodel), 386t
Bronchopulmonary dysplasia (BPD), 314
Brow fetal presentation, 287
BTT, See Basal body temperature
Bulbourethral glands (Cowper’s glands), 26
Burping, 214f
bottle feeding and, 221
breastfeeding and, 211
Butorphanol (Stadol), 152
BV, See Bacterial vaginosis
C
Calendar method, 374
Cambodian
cultural considerations, labor and delivery, 108t
glossary of symptoms in, 425–427
Cancer
breast, 397–398
adjuvant therapy for, 397–398
discharge planning after surgery for, 398b
nursing care for, 397–398
risk factors for, 397–398
self-examination for, 395–396
treatment of, 397–398
mammography, 397
Pap test for, 395
screening tests for detecting, 395–397
vulvar self-examination for, 395
Candidiasis, 401t
Cardiopulmonary resuscitation (CPR)
newborn, 198
for pregnant women
purpose of, 267
steps in, 267
Cardiovascular system
disorders of, in pregnancy, 259–268
labor and changes in, 103t
postpartum changes in, 230–232
Carpal tunnel syndrome, 53
Cavernous bodies, 23
Cell division
gametogenesis and, 30
meiosis, 30
mitosis, 30
Celsius, conversion tables for, 428t
Central American cultural considerations, for labor and delivery, 108t
Certified nurse-midwives (CNMs), 3
Cervical cap, 376–378
Cervical cerclage, 252–253
Cervical mucus method, 373
Cervical ripening, 290
nonpharmacologic methods for, 290
pharmacologic methods for, 290
Cervix, 19
change in, 99
incompetent, 252–253
pregnancy-related changes in, 50
uterine contraction effects on, 96
Cesarean birth, 295–300
complications of, 296
on demand, 296
diabetes mellitus and, maternal, 270
nursing care for, 297–300
newborn care, 297
postoperative, 297–300
summary of, 299b
preparation for, 296–297
risk of, 296
Chemical predictor test, 374
Chemical stimulus, breathing onset in newborn, 160
Childbirth education, 84–87
prenatal classes and, types of, 86b
Childbirth preparation classes, 86
Chinese
cultural considerations for, labor and delivery, 108t
glossary of symptoms in, 425–427
Chlamydia, 401t
Chloasma, 53–54
Chorioamnionitis, 284
Chorion, 32–33
Chorionic villi, 31
sampling of, 67t
Chromosomal disorders, 321–322
Down syndrome, 321–322
Chronic hypertensive disease, 263–265
postpartum management of, 265
with superimposed preeclampsia, 265
Circulation
embryonic, 35
emergency equipment needed for, 161b
preterm, 310
persistent fetal, 335
Circulatory shunts, fetal, 35–36
home care of, 198b
pain relief during, 197b
Cleft lip and palate, 325t
Climacteric, 393
Clindamycin, 273–274
Clinical pathways, 3–4
Clitoris, 17
Clomid, See Clomiphene citrate
Clomiphene citrate (Clomid), 386t
Clothing, during pregnancy, 77–78
Clubfoot, 325t
CNMs, See Certified nurse-midwives
Coaxial technique, 154
Cognitive stimulation, 150
Coitus interruptus, 381
Cold foods, 81b
Collaborative care, 3
pregnancy and, 62
Communication, 8
SBAR and, 8
Community