Maternal-Newborn Nursing: The Critical Components of Nursing Care
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A better way to learn maternal and newborn nursing!
This unique multi-media package presents tightly focused coverage in a highly structured book of 500 pages plus 10 hours of recorded content. All of the field’s must-have information is delivered in an easy-to-grasp, visually clear and precise print design, while the digital audio files on the enclosed CD enable students to download the material to their MP3 players or listen at their computers.
BONUS Audio Book on CD-ROM with 10 hours of narrated content from the text to play on a computer or download to an MP3 player or iPod.
affect 15% to 25% of couples experiencing infertility and have a very high success rate with appropriate treatment (Storment, 2006). ■ Tubal and pelvic pathology include (1) damage to the fallopian tubes most commonly related to previous pelvic inflammatory disease or endometriosis and (2) uterine f ibroids, benign growths of the muscular wall of the uterus, which can cause a narrowing of the uterine cavity and interfere with embryonic and fetal development causing a spontaneous abortion. ■
behavioral, and social risks to a woman’s health or pregnancy outcome through prevention and management (Centers for Disease Control and Prevention [CDC], 2006). Preconception care consists of health promotion, risk screening, and implementation of interventions for childbearing-aged women before a pregnancy with the goal of modifying risk factors that could negatively impact a pregnancy (CDC, 2006; Table 4-1).This care is critical because several risk behaviors (i.e., smoking) and exposures
impact her current or future health as well as the health of any future pregnancies, resulting in better health outcomes for women and families. (CDC, 2006) Routine Physical Examination and Screening Two of the primary components of a preconception health care visit are a physical examination and relevant health screening in the form of laboratory or diagnostic testing (see Table 4-1). ■ The physical examination includes: ■ Comprehensive physical examination ■ Breast examination ■ Pelvic
postpartum (Beeber & Canuso, 2005; Giurgescu et al., 2006; Logsdon, 2000; Logsdon et al., 2005; Mercer, 1995; Orr, 2004; Tilden, 1983). ■ Social support benefits the expectant mother the most when it matches the pregnant woman’s expectations (“perceived social 1754_Ch05_067-088.qxd 78 UNIT 2 10/12/09 ■ 7:53 PM Page 78 Antepartal Period support”). It is important that the woman identify and clarify her expectations and needs for support. Perceived support expectations that do not
remain largely unexplained (Creasy, Resnik, & Iams, 2004). Common risk factors include (Freda, Patterson, & Wieczorek, 2004): ■ Multiple gestation (50% of twins delivered preterm, ≥90% higher multiples delivered preterm) ■ Prior preterm birth (single most important factor) ■ Uterine/cervical abnormalities, diethylstilbestrol (DES) exposure ■ Infection, especially genitourinary infections and periodontal disease ■ Premature rupture of membranes ■ Stress ■ Domestic violence ■ Vaginal bleeding ■