Core Curriculum for Maternal-Newborn Nursing

732 Pages·2010·7.114 MB·English

by  Susan Mattson, Judy E. Smith

Core Curriculum for
Maternal-
Newborn
Nursing
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Core Curriculum for
Maternal-
Newborn
Nursing
Fourth Edition
Edited by:
Susan Mattson, RNC-OB, CTN, PhD, FAAN
Professor Emerita
College of Nursing and Healthcare Innovation
Arizona State University
Tempe, Arizona
Judy E. Smith, PhD, RNC-WHNP
Professor
School of Nursing
California State University—Long Beach
Long Beach, California
3251 Riverport Lane
Saint Louis, MO 63043
CORE CURRICULUM FOR MATERNAL-NEWBORN NURSING ISBN: 978-1-4377-1576-7
Copyright © 2011 by Association of Women’s Health, Obstetric and Neonatal Nurses.
Published by Saunders, an imprint of Elsevier Inc. All rights reserved.
Copyright © 2004, 2000, 1993 by Saunders, an imprint of Elsevier Inc.
All rights reserved. No part of this publication may be reproduced or transmitted in any form or by
any means, electronic or mechanical, including photocopying, recording, or any information storage
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Notice
Knowledge and best practice in this field are constantly changing. As new research and experience broaden
our knowledge, changes in practice, treatment and drug therapy may become necessary or appropriate.
Readers are advised to check the most current information provided (i) on procedures featured or (ii) by the
manufacturer of each product to be administered, to verify the recommended dose or formula, the method and
duration of administration, and contraindications. It is the responsibility of the practitioner, relying on their
own experience and knowledge of the patient, to make diagnoses, to determine dosages and the best treatment
for each individual patient, and to take all appropriate safety precautions. To the fullest extent of the law,
neither the Publisher nor the Editors assumes any liability for any injury and/or damage to persons or
property arising out of or related to any use of the material contained in this book.
Library of Congress Cataloging-in-Publication Data
Core curriculum for maternal-newborn nursing/edited by Susan Mattson, Judy E.
Smith. – 4th ed.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-1-4377-1576-7 (hardcover : alk. paper)
1. Maternity nursing—Outlines, syllabi, etc. 2. Nursing—Study and teaching—Outlines, syllabi, etc.
I. Mattson, Susan. II. Smith, Judy E.
[DNLM: 1. Maternal-Child Nursing—Outlines. 2. Curriculum—Outlines. WY 18.2 C7965
2011]
RG951.N33 2011
618.2’0231—dc22 2010005124
Executive Editor: Robin Carter
Managing Editor: Laurie K. Gower
Publishing Services Manager: Jeff Patterson
Project Manager: Jeanne Genz
Design Direction: Charlie Seibel
Printed in the United States of America
Last digit is the print number: 9 8 7 6 5 4 3 2
Contributors
Linda Bond, PhD, RNC S. Kim Genovese, PhD, MSN, MSA,
Professor Emerita, Kirkhof College of  RN-BC
Nursing  Executive Director, Nursing 2000 North, 
Grand Valley State University  Inc.
Allendale, Michigan La Porte, Indiana
Beverly Bowers, PhD, RN, CNS Elizabeth Gilbert, RNC, MS, FNP-BC,
Associate Professor, College of Nursing CNS
University of Oklahoma Health Sciences  Director of Professional Practice
Center Banner Thunderbird Medical Center
Oklahoma City, Oklahoma Glendale, Arizona
Linda Callahan, CRNA, PhD Whitney Hardy, RN, BS
Professor, School of Nursing Staff Nurse, Neonatal Intensive Care Unit
California State University—Long Beach CJW Medical Center, Chippenham 
Long Beach, California Campus
Richmond, Virginia
Natalie Diane Cheffer, PhD, RN,
CPNP Denise G. Link, PhD, WHNP, CNE,
Associate Professor, Department of  FNAP
Nursing Associate Dean, Clinical Practice and 
California State University—Long Beach Community Partnerships
Long Beach, California College of Nursing and Healthcare 
Innovation
Catherine R. Coverston, PhD, RNC Arizona State University
Associate Professor, College of Nursing Phoenix, Arizona
Brigham Young University
Provo, Utah Susan Mattson, RNC-OB, CTN, PhD,
FAAN
Dustine Dix, RN, MSN Professor Emerita
Clinical Assistant Professor, School of  College of Nursing and Healthcare 
Nursing Innovation
University of North Carolina—Chapel Hill Arizona State University
Chapel Hill, North Carolina Phoenix, Arizona
Makeba B. Felton, RN, MSN, FNPC, Jacqueline M. McGrath, PhD, RN,
WHNP FNAP, FAAN
Clinical Assistant Professor Associate Professor, School of Nursing
College of Nursing and Healthcare  Department of Family and Community 
Innovation Health
Arizona State University Virginia Commonwealth University
Phoenix, Arizona Richmond, Virginia
v
vi Contributors
Barbara A. Moran, PhD, CNM, Keiko L. Torgersen, BSN, MS, RNC
FACCE Perinatal Educator
Assistant Professor, School of Nursing MatSu Regional Medical Center
The Catholic University of America Palmer, Alaska
Washington, DC
Gail M. Turley, MSN, RNC-OB,
Susan Saffer Orr, PT, PCS, IBCLC NEA-BC
Lactation Consultant Administrative Director, Nursing Services
Torrance Memorial Medical Center Crozer-Chester Medical Center
Torrance, California; Upland, Pennsylvania
Columbia Pediatrics
Long Beach, California Lucy R. Van Otterloo, RNC, MSN
Assistant Professor, Department of 
Debra Ann Rannalli, RN, MSN, Nursing
CPNP California State University—Long Beach
Lecturer Long Beach, California
California State University—Long Beach
Long Beach, California Connie Sampson von Köhler,
Children’s Hospital—Los Angeles RNC-OB, MSN, C-EFM, CPHQ
Los Angeles, California Clinical Nursing Instructor
Long Beach Memorial Medical Center/
Kathryn Records, PhD, RN Miller Children’s Hospital
Associate Professor Adjunct Faculty, School of Nursing
Core Director, Research Mentoring and  California State University—Long Beach
Collaboration Long Beach, California
College of Nursing and Healthcare 
Innovation Tamara Whitmer, MS, NPD, RN-BC
Arizona State University Clinical Educator, Women’s Center
Phoenix, Arizona Banner Desert Medical Center
Mesa, Arizona
Mary Ann Rhode, RN, MS, CNM
Clinical Practice Coordinator Margaret Yancy, RN, MS, WHNP,
Exempla Certified Nurse-Midwives ANP-C
Exempla Saint Joseph Hospital Clinical Associate Professor
Denver, Colorado Advanced Practice Nursing of Adults in 
Primary Care
Charlotte Stephenson, RN, DSN, College of Nursing and Healthcare 
CLNC Innovation
Clinical Professor, Nelda C. Stark College  Arizona State University
of Nursing Phoenix, Arizona
Texas Woman’s University
Houston, Texas
Judy E. Smith, PhD, RNC-WHNP
Professor, Department of Nursing
California State University—Long Beach
Long Beach, California
Reviewers
Beverly Bowers, PhD, RN, CNS JoAnne M. Pearce, RNC, MS, FNP-C
Associate Professor, College of Nursing ADRN Instructor, College of Technology 
University of Oklahoma Health Sciences  Idaho State University 
Center Pocatello, Idaho
Oklahoma City, Oklahoma
Elizabeth J.W. Scott, RN, MSN
Kathleen Haubrich, PhD, RN Lead Clinical Development Specialist
Associate Professor, Department of  Erlanger Health System
Nursing Chattanooga, Tennessee
Miami University—Hamilton Campus
Hamilton, Ohio Charlotte Stephenson, RN, DSN,
CLNC
Janet Massoglia, BSN, MSN, FNP Clinical Professor, Nelda C. Stark College 
Instructor, Department of Nursing of Nursing
Delta College Texas Woman’s University
University Center, Michigan Houston, Texas
Administrator, VA Health Care
Saginaw, Michigan Sandra L. Walker, PhD, RN
Instructor, ADN Program
Barbara Pascoe, RN, BA, MA Southwest Georgia Technical College
Director, The Family Place Thomasville, Georgia
Concord Hospital
Concord, New Hampshire Sarah E. Whitaker, DNS, RN
Program Director, Nursing
Danielle Patrick, MSN, RN, WHCNP Dona Ana Community College at New 
OB/GYN Nurse Practitioner Mexico State University
Today’s Women’s Health Specialists Las Cruces, New Mexico
Chandler, Arizona
vii
Preface
This book is intended to be used by practicing  This will make it easier for the maternal-newborn 
nurses for several purposes. First, it can be a  or LDR nurse to identify the high-risk infant and 
study  guide  for  those  wishing  to  sit  for  the care required until the baby stabilizes or can 
certification examinations in maternal-newborn  be  transferred  (if  necessary).  Theoretical 
nursing.  Basic  and  complex  information  is  information about the continued care of high-
presented  and  accompanied  by  an  extensive  risk neonates with selected conditions has also 
reference list to augment the knowledge base. been reconfigured into one chapter titled “The 
Second, the text may be used by development  Newborn at Risk.” The information is included 
personnel and educators as an orientation for  to provide a basis from which the maternal-
new staff, a source of information for nurses  newborn nurse may give answers to parents’ 
entering  or  returning  to  maternal-newborn  questions and provide anticipatory guidance to 
nursing, and a reference for nurses on those  new parents of sick neonates.
units. A change for the 4th edition has been the 
Third, this  book can be  a classroom text,  deletion  of  nursing  diagnoses  as a  basis  for 
particularly for students requiring a resource or  interventions.  It  became  apparent  that  using 
reference. It is not designed to be a primary text  that approach led to repetitiveness in each chap-
for undergraduate students, but it could be a  ter. Additionally, certain terminology fits more 
resource for those graduate students in women’s  appropriately in some settings than in others 
health nurse practitioner programs who want to  and can be used to express the needs of a partic-
review some of the material relating to pregnancy  ular client at that time. Core curriculum for acute 
that will be needed for their practice. care maternity nursing did not seem to be one of 
This edition has several significant changes  those settings in most cases. The new format of 
that should make the book more usable for a  the book is one of assessment/clinical practice 
wider audience yet keep the content directed  and interventions, with continued use of a sec-
toward the original audience. We carried forward  tion for health education, and the case studies 
the  changes  regarding  complications  of  the  and questions. 
newborn from the 3rd edition, in that most of the  We hope this text will be helpful to those of 
content is integrated into those chapters dealing  you using it for all purposes. Its editing contin-
with maternal complications, with reference to  ues to be an educational and a character- building 
how the condition affects the fetus or neonate.  experience for us both.
Susan Mattson
Judy E. Smith
viii
Acknowledgments
We would like to acknowledge the contributors  Denise G. Link, RNC, DNSc
to the previous edition: Reproductive Anatomy, Physiology, and the
Menstrual Cycle
Linda Bond, PhD, RNC Family Planning
Physiology of Pregnancy
Susan Mattson, PhD, RNC-OB, CTN,
Linda Callahan, CRNA, PhD FAAN
Genetics Ethnocultural Considerations in the
Fetal and Placental Development and Childbearing Period
Functioning Intimate Partner Violence
Surgery in Pregnancy
Jacqueline M. McGrath, PhD, RN,
Natalie Diane Cheffer, RN, CPNP, NNP, CCNS
PhD Identification of the Sick Newborn
Adaptation to Extrauterine Life and
Immediate Nursing Care Barbara A. Moran, MS, MPH, CNM
Newborn Biologic/Behavioral Maternal Infections
Characteristics and Psychosocial Substance Abuse in Pregnancy
Adaptations
Susan Saffer Orr, PT, CLC, IBCLC
Diana E. Clokey, MS, RD, RPh, CDE Breastfeeding
Endocrine and Metabolic Disorders
Judith H. Poole, PhD, BSN, BA, MN
Catherine R. Coverston, PhD, RNC Hypertensive Disorders in Pregnancy
Psychology of Pregnancy Hemorrhagic Disorders
Sandra L. Gardner, RN, MS, CNS, Margaret A. Putman, RN, MS, NNP
PNP Risks Associated with Gestational Age and
Ethics Birth Weight
Elizabeth Gilbert, RNC, MS, CFNP Debra Ann Rannalli, RN, PNP, MSN
Labor and Delivery at Risk Newborn Biologic/Behavioral
Characteristics and Psychosocial
Starre Haney, RN, MS, TNCC-I, Adaptations
ENPC
Trauma in Pregnancy Janet Scoggin, PhD, CNM
Physical and Psychologic Changes
Patricia Grant Higgins, PhD, RN,
BSHEd, BSN, MN Judy E. Smith, PhD, RNC-WHNP
Postpartum Complications Age-Related Changes
Marcia Liden Jasper, BSN, MS, RNC Kathleen V. Smith, RNC, BSN, MSN
Antepartum Fetal Assessment Normal Childbirth
ix