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Intrapartum
Management
Modules
A Perinatal
FOURTH EDITION
Education
Program
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Intrapartum
Management
Modules
A Perinatal
FOURTH EDITION
Education
Program
E D I TO R S
B E T S Y B . K E N N E D Y ,
RN, MSN
Assistant Professor
Vanderbilt University School of Nursing
Nashville, Tennessee
D O N N A J E A N R U T H ,
RN, MSN
Clinical Learning Consultant
Nursing Education and Development
Vanderbilt University Medical Center
Nashville, Tennessee
E . J E A N M A R T I N ,
RN, MS, MSN, CNM
Professor Emeritus
College of Nursing, Graduate Nurse-Midwifery
Medical University of South Carolina
Charleston, South Carolina
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4th edition
Copyright ©2009 Wolters Kluwer Health | Lippincott Williams & Wilkins.
Copyright ©2002 and ©1996 Lippincott Williams & Wilkins. Copyright ©1990 Williams & Wilkins. All
rights reserved. This book is protected by copyright. No part of this book may be reproduced or transmitted in
any form or by any means,including as photocopies or scanned-in or other electronic copies,or utilized by any
information storage and retrieval system without written permission from the copyright owner,except for brief
quotations embodied in critical articles and reviews. Materials appearing in this book prepared by individuals as
part of their official duties as U.S. government employees are not covered by the above-mentioned copyright. To
request permission,please contact Lippincott Williams & Wilkins at 530 Walnut Street,Philadelphia,PA 19106,
via email at [email protected],or via our website at lww.com (products and services).
9 8 7 6 5 4 3 2 1
Printed in the United States of America
Library of Congress Cataloging-in-Publication Data
Intrapartum management modules :a perinatal education program / editors,
Betsy B. Kennedy,Donna Jean Ruth,and E. Jean Martin. — 4th ed.
p. ; cm.
Includes bibliographical references and index.
ISBN-13:978-0-7817-8168-8 (alk. paper)
ISBN-10:0-7817-8168-X (alk. paper)
1. Maternity nursing—Programmed instruction. 2. Labor
(Obstetrics)—Programmed instruction. 3. Delivery (Obstetrics)—Programmed
instruction. I. Kennedy,Betsy B. II. Ruth,Donna Jean. III. Martin,E.
Jean (Elizabeth Jean)
[DNLM:1. Labor,Obstetric—Programmed Instruction. 2. Delivery,
Obstetric—nursing—Programmed Instruction. 3. Maternal-Child
Nursing—methods—Programmed Instruction. 4. Prenatal
Care—methods—Programmed Instruction. WY 18.2 I61 2009]
RG951.I57 2009
618.407—dc22
2008004767
Care has been taken to confirm the accuracy of the information presented and to describe generally accepted
practices. However,the authors,editors,and publisher are not responsible for errors or omissions or for any con-
sequences from application of the information in this book and make no warranty,expressed or implied,with
respect to the currency,completeness,or accuracy of the contents of the publication. Application of this infor-
mation in a particular situation remains the professional responsibility of the practitioner; the clinical treatments
described and recommended may not be considered absolute and universal recommendations.
The authors,editors,and publisher have exerted every effort to ensure that drug selection and dosage set
forth in this text are in accordance with the current recommendations and practice at the time of publication.
However,in view of ongoing research,changes in government regulations,and the constant flow of information
relating to drug therapy and drug reactions,the reader is urged to check the package insert for each drug for any
change in indications and dosage and for added warnings and precautions. This is particularly important when
the recommended agent is a new or infrequently employed drug.
Some drugs and medical devices presented in this publication have Food and Drug Administration (FDA)
clearance for limited use in restricted research settings. It is the responsibility of the health care provider to
ascertain the FDA status of each drug or device planned for use in his or her clinical practice.
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T
his edition continues to be dedicated
to you,the reader,who in rendering care
touches not only the body,but perhaps the
soul. On behalf of the mothers and babies
you care for in a knowledgeable,safe,and
sensitive manner—“thank you.”
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C O N T R I B U T O R S
Julie M. Arafeh,RNC,MSN Elizabeth Howard,CNM,PhD
Perinatal Outreach Coordinator Clinical Teaching Associate
Assistant Director of the Center for Advanced Pediatric Brown Medical School
and Perinatal Education Providence,Rhode Island
Stanford University
Anne Moore,MSN,RNC,FAANP
Palo Alto,California
Professor of Nursing/Women’s Health Nurse Practitioner
Suzanne McMurtry Baird Vanderbilt University School of Nursing
Assistant Professor Nashville,Tennessee
Vanderbilt University School of Nursing Mary Copeland Myers,CNM,MSN,CDE
Nashville,Tennessee
Instructor
Sarah Branan,MSN,RN University of South Carolina,Upstate
Spartanburg,South Carolina
Registered Nurse
Greenville Hospital System University Medical Center Judith H. Poole,PhD,RNC
Greenville,South Carolina Nurse Manager,Birthing Care/Special Maternity Care
Presbyterian Hospital
Angel Carter,MSN,APRN,NNP
Charlotte,North Carolina
Coordinator Neonatal Follow-Up Clinic
Monroe Carell,Jr. Children’s Hospital at Vanderbilt Erin Rodgers,RN,BSN,MSN
Nashville,Tennessee Instructor
Vanderbilt University School of Nursing
Susan Drummond,RN,MSN Nashville,Tennessee
Assistant in Obstetrics
Vanderbilt University Medical Center Nancy Webster Smith,RN,MSN,CNM
Nashville,Tennessee Nurse-Midwife
Mt. Pleasant,South Carolina
Elizabeth Fritz,RN,MSN
Francilla Thomas,RNC,MSN,EFMC
Nurse Educator,Labor and Delivery
Clinical Nurse III
Vanderbilt University Medical Center
Morgan Stanley Children’s Hospital of New York
Nashville,Tennessee
Presbyterian Columbia University Medical Center
Kelly Gee,MSN,RNC,WHNP New York,New York
Clinical Nurse Practitioner Penny Spencer Waugh,MSN,RNC
Morgan Stanley Children’s Hospital of New York
Clinical Instructor,Clinical Liaison
Presbyterian Columbia University Medical Center
Vanderbilt University School of Nursing
New York,New York
Nashville,Tennessee
Mary Jo Gilmer,PhD,MBA,RN Ann Mogabgab Weathersby,RN,MSN,CNM
Professor and Director,Clinical Management Program Assistant Manager of Obstetrics and Gynecology
Co-Director,Pediatric Advanced Comfort Team Piedmont Practice Service Director
Vanderbilt University School of Nursing Kaiser Permanente
Nashville,Tennessee Atlanta,Georgia
Marcella T. Hickey,RN,MSN,CNM Kimberly Yeager,RN,BSN
Professor Emeritus Director of Training and Research
Graduate Nurse–Midwifery,College of Nursing Center for Advanced Pediatric and Perinatal Education
Medical University of South Carolina Stanford University
Charleston,South Carolina Palo Alto,California
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R E V I E W E R S
Carol Abrahams,RN,MS Mary Lou Moore,PhD,RNC,FACCE,FAAN
Perinatal Clinical Nurse Specialist Associate Professor,Department of Obstetrics
California Pacific Medical Center and Gynecology
San Francisco,California Wake Forest University School of Medicine
Winston-Salem,North Carolina
Joanne E. Foresman,RNC,MSN
Nurse Clinician Virginia Bradford Pearson,RN,MSN
St. John’s Mercy Medical Center Maternal–Child Nursing Instructor
St. Louis,Missouri Ellisville,Mississippi
Ann C. Holden,RN,BScN,MSc,PNC Kathleen Simpson,PhD,RNC,FAAN
Manager,Family Birthing Center and Childbirth Perinatal Clinical Nurse Specialist
and Parenting Services St. John’s Mercy Medical Center
St. Joseph’s Health Center St. Louis,Missouri
Toronto,Ontario
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