CONTENTS
Chapter 1 - Perinatal Patient Safety and Professional Liability Issues
Perinatal High Reliability
Leadership
Shared Philosophy of Care
Professional Behavior
Common Areas of Liability and Patient Harm in Clinical Practice
Conflict Resolution
Team Training and Drills for Obstetric Emergencies
Patient Handoffs
Checklists
Medical Record Documentation
Incident Management
Methods of Measuring Patient Safety
Perinatal Patient Safety Nurses
Summary
Chapter 2 - Integrating Cultural Beliefs and Practices When Caring for Childbearing Women and Families
Cultural Frameworks and Cultural Assessment Tools
Practices Associated with Childbearing
Gender Roles
Childbirth Pain and Culture
Major Cultural Groups
Health Differences in Populations of Childbearing Women
Barriers to Culturally Competent Care
Techniques to Integrate Culture into Nursing Care
Summary
Chapter 3 - Physiologic Changes of Pregnancy
Hormones and Other Mediators
Cardiovascular System
Respiratory System
Renal System
Gastrointestinal System
Metabolic Changes
Endocrine System
Immune System
Integumentary System
Reproductive Organs
Chapter 4 - Antenatal Care
Preconception Care
Prenatal Care
Prenatal Risk Assessment
Ongoing Prenatal Care
Fetal Surveillance
Nursing Assessment and Interventions
Summary
Chapter 5 - Hypertensive Disorders of Pregnancy
Classification and Definitions
Significance and Incidence
Morbidity and Mortality
Risk Factors
Prevention Strategies
Pathophysiology of Preeclampsia
Clinical Manifestations of Preeclampsia–Eclampsia
Preeclampsia versus Severe Preeclampsia
Nursing Assessment and Interventions for Preeclampsia
HELLP Syndrome
Eclampsia
Summary
Chapter 6 - Bleeding in Pregnancy
Significance and Incidence
Definitions and Clinical Manifestations
Nursing Interventions
Summary
Chapter 7 - Preterm Labor and Birth
Significance and Incidence
Late Preterm Births
Early Term Births
Why Has the Rate of Preterm Birth Increased?
What Is Preterm Labor?
Pathophysiology of Preterm Labor and Birth
Risk Factors for Preterm Labor and Birth
Preterm Birth Risk in the Context of the Life Course
Can Preterm Labor and Birth Be Prevented?
Is There Any Good News?
Nursing Care for the Prevention of Preterm Birth
Intrapartum Nursing Care of the Woman in Preterm Labor
Summary
Chapter 8 - Diabetes in Pregnancy
Significance and Incidence
Definitions and Classification
Pathophysiology of Diabetes in Pregnancy
Screening and Diagnosis of Gestational Diabetes Mellitus
Clinical Manifestations
Nursing Assessments and Interventions for Diabetes Mellitus
Ambulatory and Home Care Management
Timing and Mode of Birth
Inpatient Management
Postpartum Management
Summary
Chapter 9 - Cardiac Disease in Pregnancy
Significance and Incidence
Cardiovascular Physiology
Cardiac Adaptations of Pregnancy
Obstetric Outcomes and Assessment of Risk
Congenital Heart Disease in Pregnancy
Acquired Cardiac Disease in Pregnancy
Clinical Management
Nursing Care
Summary
Chapter 10 - Pulmonary Complications in Pregnancy
Anatomic and Physiologic Changes of Pregnancy That Affect the Respiratory System
Recognizing Respiratory Compromise
Fetal Surveillance with Maternal Pulmonary Complications
Asthma
Pneumonia
Influenza and H1N1
Pulmonary Edema
Amniotic Fluid Embolism
Venous Thromboembolism
Cystic Fibrosis
Special Considerations for the Respiratory System in Pregnancy
Summary
Chapter 11 - Multiple Gestation
Epidemiology
Physiology of Twinning
Role of Infertility and Assisted Reproductive Technology
Diagnosis of Multiple Gestations
Maternal Adaptation
Perinatal Complications
Antepartum Management
Intrapartum Management
Postpartum Management
Multiple Birth Infants
Psychologic Issues with Multiple Gestations
Multiple Birth Resources and Support Organizations
Summary
Chapter 12 - Obesity in Pregnancy
Significance and Incidence
Obesity Related Risks to the Mother and Fetus
Preconception Care
Antenatal care
Intrapartum care
Intraoperative care
Postpartum Care
Bariatric Surgery and Pregnancy
Summary
Chapter 13 - Maternal-Fetal Transport
EMTALA
Types of Maternal-Fetal Transport
Mode of Transport
Transport Equipment
Transport Personnel
Transport Plan and Patient Preparation
Summary
Chapter 14 - Labor and Birth
Overview of Labor and Birth
Emotional and Physical Support during Labor and Birth
Clinical Interventions for Women in Labor
Vaginal Birth
Cesarean Birth
Summary
Chapter 15 - Fetal Assessment during Labor
Historical Perspectives
Definitions and Appropriate Use of Terms Describing Fetal Heart Rate Patterns
Techniques of Fetal Heart Rate Monitoring
Physiologic Basis for Fetal Heart Rate Monitoring
Characteristics of the Normal Fetal Heart Rate
Interventions for Indeterminate or Abnormal Fetal Heart Rate Patterns
Fetal Heart Rate Patterns
Clinical Implications for Monitoring the Fetus Less than 32 weeks Gestation during Labor
Assessment of Pattern Evolution
Ancillary Methods for Assessing Fetal Acid-Base Status
Nursing Assessment and Management Strategies
Issues in the Use of Fetal Heart Rate Monitoring During Labor
Summary
Chapter 16 - Pain in Labor: Nonpharmacologic and Pharmacologic Management
Physiologic Basis for Pain
Psychosocial Factors Influencing Pain Perception
The Nonpharmacologic Model
The Pharmacologic Model
Summary
Chapter 17 - Postpartum Care
Planning for the Transition to Parenthood
Anatomic and Physiologic Changes during the Postpartum Period
Individualizing Care for Women with Special Needs
Postpartum Learning—Needs Assessment and Education
Psychological Adaptation to the Postpartum Period
Fatigue
Family Transition to Parenthood
Postpartum Discharge Follow-up
Evaluation of Postpartum Services
Summary
Chapter 18 - Newborn Adaptation to Extrauterine Life
Maternal Medical and Obstetric Conditions Influencing Newborn Adaptation
Unique Mechanisms of Newborn Physiologic Adaptation
APGAR Score
Physical Assessment
Newborn Identification
Vitamin K
Eye Prophylaxis
Umbilical Cord Care
Psychological Adaptation
Complications Affecting Transition
Hepatitis B
Summary
Chapter 19 - Newborn Physical Assessment
Gestational Age Assessment
Skin Assessment
Head Assessment
Eye Assessment
Ear Assessment
Nose Assessment
Mouth Assessment
Neck Assessment
Chest and Lung Assessment
Cardiovascular Assessment
Abdominal Assessment
Genitourinary System
Musculoskeletal Assessment
Neurological Assessment
Summary
Chapter 20 - Newborn Nutrition
Infant Feeding Decision
Benefits of Breastfeeding
Incidence of Breastfeeding
Breastfeeding Promotion
Physiology of Milk Production
Biospecificity of Human Milk
Nutritional Components
Preterm Milk and Lactation
Breastfeeding Process
Breastfeeding Management
Potential Breastfeeding Problems
Medications and Breastfeeding
Postpartum Surgery and Breastfeeding
Formula Feeding
Lactation Suppression
Summary
Chapter 21 - Common Neonatal Complications
Neonatal Resuscitation and Stabilization
Respiratory Distress
Congenital Heart Disease
Hypoglycemia
Hyperbilirubinemia
Neonatal Sepsis
Perinatal Human Immune Deficiency Infection
Neonatal Substance Exposure
Late Preterm Infants
Hypoxic Ischemic Encephalopathy
Transport and Return Transport
Summary
APPENDIX
Item Bank Questions and Answer Key
