Table Of Content2246_FM_i-xxxii 04/05/13 10:38 AM Page i
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Maternal-
Newborn
Nursing Care
BEST EVIDENCE-BASED PRACTICES
Jamille Nagtalon-Ramos, MSN, CRNP, WHNP-BC
Associate Director
University of Pennsylvania School of Nursing
Women’s Health Nurse Practitioner Program
Philadelphia, PA
Women’s Health Nurse Practitioner
Hospital of the University of Pennsylvania
Department of Obstetrics and Gynecology
Philadelphia, PA
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F. A. Davis Company
1915 Arch Street
Philadelphia, PA 19103
www.fadavis.com
Copyright © 2014 by F. A. Davis Company
Copyright © 2014 by F. A. Davis Company. All rights reserved. This book is protected by
copyright. No part of it may be reproduced, stored in a retrieval system, or transmitted in
any form or by any means, electronic, mechanical, photocopying, recording, or otherwise,
without written permission from the publisher.
Printed in the United States of America
Last digit indicates print number: 10 9 8 7 6 5 4 3 2 1
Publisher, Nursing:Lisa B. Houck
Developmental Editor:Jamie Elfrank
Director of Content Development:Darlene D. Pedersen
Project Editor:Jamie Elfrank/Christina Snyder
Design and Illustration Manager:Carolyn O’Brien
As new scientific information becomes available through basic and clinical research, rec-
ommended treatments and drug therapies undergo changes. The author(s) and publisher
have done everything possible to make this book accurate, up to date, and in accord with
accepted standards at the time of publication. The author(s), editors, and publisher are not
responsible for errors or omissions or for consequences from application of the book, and
make no warranty, expressed or implied, in regard to the contents of the book. Any prac-
tice described in this book should be applied by the reader in accordance with professional
standards of care used in regard to the unique circumstances that may apply in each situa-
tion. The reader is advised always to check product information (package inserts) for
changes and new information regarding dose and contraindications before administering
any drug. Caution is especially urged when using new or infrequently ordered drugs.
Library of Congress Cataloging-in-Publication Data
Nagtalon-Ramos, Jamille.
Maternal-newborn nursing care / Jamille Nagtalon-Ramos. -- 1st ed.
p. ; cm. -- (Best evidence-based practices)
Includes bibliographical references and index.
ISBN 978-0-8036-2246-3
I. Title.
[DNLM: 1. Maternal-Child Nursing--methods--Handbooks. 2. Evidence-Based Nursing--
methods--Handbooks. 3. Infant, Newborn. 4. Perinatal Care--methods--Handbooks. 5.
Pregnancy--Handbooks. WY 49]
RG951
618.2'0231--dc23
2013011141
Authorization to photocopy items for internal or personal use, or the internal or personal
use of specific clients, is granted by F. A. Davis Company for users registered with the
Copyright Clearance Center (CCC) Transactional Reporting Service, provided that the fee
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those organizations that have been granted a photocopy license by CCC, a separate system
of payment has been arranged. The fee code for users of the Transactional Reporting
Service is: 8036-2246-3/13 0 + $.25.
2246_FM_i-xxxii 04/05/13 10:38 AM Page v
This book is dedicated to one of the most compassionate nurses
I know, Alissa Ferri, who served as my main inspiration for this
book. While leading Alissa’s orientation at her first nursing job
years ago, I gave her a little notebook to serve as her “Pocket
Brain” and in which to write important information she learned.
I encouraged her to keep this notebook in her pocket and have it
accessible at all times. While writing this book, I thought of Alissa
and all my wonderful nursing students, past, present, and future,
and asked myself what they would need to know in order to give
the best care to their patients. I wrote this reference manual with
the hope that it would serve as a reliable and handy resource, a
“Pocket Brain,” for nursing students as well as new-to-practice and
expert nurses who share my passion in caring for women.
And, of course, this book is dedicated to Reg, my husband, who
has taught me that the key to communication is listening; to my son
Leo, whom I truly admire for the way he stays calm and intensely
focused under pressure (especially at baseball!); to my fearless
Leilani, who is always curious and who proudly refers to anatomi-
cal parts correctly and is not afraid to say “vagina!”; and to our
Baby Leah, a warm snuggler who commands a room with her
laughter. I dedicate this book and my heart to you.
To all the beautiful, strong, and brave women for whom I have
had the privilege of caring and who allowed me to be part of their
lives, this book is for you.
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Preface
Maternal-Newborn Nursing Care: Best Evidence-Based Practicesis in-
tended to serve as a reliable reference book for nurses working in the
area of women’s health. This book was written with the nursing student
as well as new-to-practice and experienced nurses in mind and is meant
to be used as a dynamic “Pocket Brain” to help guide nurses in diverse
hospital and community settings in providing safe, proficient, quality
care to mothers, newborns, and their families.
Chapter content includes an examination of normal and abnormal
pathophysiology of the childbearing woman and newborn and an
overview of the components of care for normal and high-risk pregnant
and postpartum women and neonates. Other chapters are dedicated to
teaching nurses to provide culturally competent care in the women’s
health setting and to training nurses to recognize signs of abuse and
assess, counsel, and follow up with compromised mothers. This book
contains unique features, such as sample scripts for nurses who are dis-
cussing with their patients potentially sensitive situations surrounding
contraception, sexually transmitted infections, and abuse as well as a
chart of common medical terms translated from English to Spanish.
Nurses who share a passion for and commitment to the care of
mothers and their newborns will appreciate the inclusion of concise,
comprehensive assessments; discussion of disease processes; easy-to-
understand tables of laboratory work-ups and values; common treatment
guidelines and modalities; and the steps to implement and evaluate nurs-
ing care specific to women’s health.
Preface vii
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Reviewers
Rebecca L. Allen, RN, MNA
Assistant Professor
Clarkson College
Omaha, NE
Amy Cosimano, EdD (c), RNC
Assistant Professor
Creighton University School of Nursing
Omaha, NE
JoAnn G. Crownover, RN, MSN, CNE
Assistant Professor, Nursing
Colorado State University-Pueblo
Pueblo, CO
Laurie A. Downes, PhD, RN
Associate Professor
Elms College
Chicopee, MA
Cynthia A. Dyson, MSN, RN, BC, CNE
Assistant Professor of Nursing
Charleston Southern University
Hanahan, SC
Karen Ferguson, PhD, RNC-OB, SANE-A
Assistant Professor, Division of Nursing
Martin Methodist College
Pulaski, TN
Alissa Ferri, RN, BA, BSN
Clinical Nurse III
Hospital of the University of Pennsylvania
Philadelphia, PA
Sarah Fuchs, MS, RNC
Assistant Professor of Nursing
Jamestown College
Jamestown, ND
L. Sue Gabriel, EdD, MSN, MFS, RN, SANE-A, CFN
Associate Professor
BryanLGH College of Health Sciences, School of Nursing
Lincoln, NE
Reviewers ix
2246_FM_i-xxxii 04/05/13 10:38 AM Page x
Allyssa L. Harris, RN, PhD, WHNP-BC
Clinical Instructor
Boston College
Chestnut Hill, MA
Jill Holmstrom, RN, MS
Associate Professor
Concordia College
Moorhead, MN
Judith Ingrasin, MS, RN
Assistant Professor of Nursing
Kansas City Community College
Kansas City, KS
Terri Kahle, MSN, RNC, CNE
Instructor
Southeast Missouri Hospital College of Nursing and Health Sciences
Cape Girardeau, MO
Beverly Kawa, RN, MS
Instructor
Morton College
Cicero, IL
Mona P. Klose, RN, MS, CPHQ
Assistant Professor
Jamestown College
Jamestown, ND
Michele Lamar-Suggs, BS, BSN, MSN
Clinical Nurse II
Hospital of the University of Pennsylvania
Philadelphia, PA
Deborah MacMillan, RN, CNM
Assistant Professor
Georgia College & State University
Milledgeville, GA
Dolores A. Minchhoff, RN, MSN, FNP-BC
Assistant Professor
Lancaster General College
Lancaster, PA
Pertice Moffitt, RN, BSN, MN, PhD
Senior Instructor, Nursing
Aurora College
Yellowknife, NT, Canada
x Reviewers
