Evidence-Based Obstetric Nursing
Edition: 1
Copyright: 2019
Edition: 1
Copyright: 2019
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Evidence-based Obstetric Nursing views pregnancy and birth as a normal life event that includes family members as a part of the health care team. It supports students to discover and apply new knowledge through the use of current evidence-based research. This text also provides a historical framework that illuminates the many opportunities for bedside nurses to positively impact patient outcomes in a changing healthcare environment.
Evidence-based Obstetric Nursing is designed to promote critical thinking in nursing care for pregnant, laboring and postpartum women and adolescents. Nursing interventions are presented for normal pregnancy, birth, and postpartum periods, and then, complications and evidence-based treatment are presented for each phase.
This text uses the American College of Obstetrics and Gynecology, the American College of Nurse-Midwives, the World Health Organization, and Healthy People 2020 recommendations to guide nursing interventions. In addition, the Institute of Medicine and Quality and Safety Education for Nurses (QSEN) competencies give context to the evidence-based interventions.
The text also comes with a code in the front of each new book that unlocks instructor and student resources. There are 300 questions to test student learning and further experience with NCLEX-style questions.
Chapter 1 Reproductive Health
Part I: Obstetric Nursing Considerations
A History of Childbirth
Statistical Trends in Maternal-Child Care
Analyzing Evidence
Cochrane Pregnancy and Childbirth Database
WHO Reproductive Health Library
The Mother–Baby Dyad
Legal Considerations in Obstetric Nursing
Cultural Competence versus Cultural Equity
Maternal Safety Bundles
Illinois Perinatal Quality Collaborative
Part II: Women’s Health
Fertility Awareness Method
Basal Body Temperature
Symptom-Based Method (Cervical Mucus)
Contraception
Barrier Methods
Male Condom
Diaphragm/Cervical Cap and Spermicide
Hormonal Methods
Combined Oral Contraceptives (COC)
Progestin-Only Pills (Minipill)
Emergency Oral Contraceptive (Plan B)
Transdermal Contraceptive Patch
Injectable Progestins
Contraceptive Vaginal Ring
Implantable Progestin
Intrauterine Device (IUD)
Transcervical Sterilization
Surgical Procedures
Female Sterilization
Male Sterilization (Vasectomy)
Infertility
Assessment
Diagnosis
Interventions
Psychosocial Nursing Interventions
Complications
Chapter Highlights
References
Chapter 2 Antenatal
The Menstrual Cycle
Conception
Stages of Growth: Month by Month
Month 1, Weeks 1–4
Month 2, Weeks 4–8
Month 3, Weeks 8–12
Month 4, Weeks 12–16
Month 5, Weeks 16–20
Month 6, Weeks 20–24
Month 7, Weeks 24–28
Month 8, Weeks 28–32
Month 9, Weeks 33–36
Month 10, Weeks 37–40
Normal Physiologic Pregnancy
Assessment
Nursing Interventions
Prenatal Care
Assessment
Nursing Interventions
Client Education
Nutrition in Pregnancy
Assessment and Interventions
Assessment of Fetal Well Being
Maternal Assessment of Fetal Well Being
Ultrasound
Nonstress Test
Quad Marker Screening
Maternal Serum Alpha-Fetoprotein (MSAFP)
Cell-Free Fetal DNA Testing
High-Risk Pregnancies: Biophysical Profile
High-Risk Pregnancies: Contraction Stress Test
High-Risk Pregnancy: Chorionic Villus Sampling
High-Risk Pregnancies: Amniocentesis
Doppler Blood Flow Studies
Chapter Highlights
References
Chapter 3 Intrapartum
The Hormones of Labor and Delivery
Stages of Labor
Nursing Interventions
Cardinal Movements
Pain Management Techniques
The Gate Theory of Pain
Fetal Assessment during Labor
Chapter Highlights
References
Chapter 4 Postpartum
Postpartum Physiologic Adaptation
Thermoregulation
Breastfeeding
Breast Care
Uterine Involution
Gastrointestinal Changes
Urinary Changes
Lochia
Lacerations
Cardiovascular System
Musculoskeletal Changes
Immune System Changes
Baby-Friendly Care
Postpartum Teaching
Wellness
Chapter Highlights
References
Chapter 5 Obstetric Complications
Antepartum Complications
Spontaneous Abortion
Ectopic Pregnancy
Gestational Trophoblastic Disease
Placenta Previa
Abruptio Placentae
Vasa Previa
Antenatal Infections
HIV/AIDS
TORCH Infections
Group B Streptococcus (GBS)
Chlamydia
Gonorrhea Neisseria
Syphilis
HPV
Trichomoniasis
Bacterial Vaginosis
Candidiasis
Medical Conditions
Cervical Insufficiency (premature cervical dilatation)
Hyperemesis Gravidarum
Iron-Deficiency Anemia
Gestational Diabetes Mellitus
Gestational Hypertension
Preeclampsia
Magnesium Sulfate
Eclampsia
HELLP
Preterm Labor
Preterm Labor Medications
Nifedipine
Indomethacin
Betamethasone
Premature Rupture of Membranes and Preterm Premature Rupture of Membranes
Ampicillin
Intrapartum Complications
External Cephalic Version (ECV)
Bishop Score
Cervical Ripening
Induction of Labor
Augmentation of Labor
Amnioinfusion
Vacuum-Assisted Delivery
Forceps-Assisted Birth
Cesarean Birth
Vaginal Birth After Cesarean (VBAC)
Prolapsed Umbilical Cord
Meconium-Stained Amniotic Fluid
Precipitous Labor
Uterine Rupture
Anaphylactoid Syndrome of Pregnancy (Amniotic Fluid Embolism)
Shoulder Dystocia
Postpartum Complications
Episiotomy
Deep-Vein Thrombosis
Pulmonary Embolus
Idiopathic Thrombocytopenic Purpura
Disseminated Intravascular Coagulation (DIC)
Postpartum Hemorrhage
Uterine Atony
Inversion of the Uterus
Retained Placenta
Lacerations and Hematomas
Maternal Infection
Endometritis
Wound infection
Mastitis
Urinary Tract Infection
Mood Disorders
Postpartum Blues
Postpartum Depression
Postpartum Psychosis
Chapter Highlights
References
Chapter 6 Newborn and High-Risk Newborn
Newborn Assessment
Normal Newborn Exam
Newborn Care
Neonatal Infections
Umbilical Cord Care
Medications
Erythromycin
Vitamin K (Phytonadione)
Hepatitis B Immunization
Newborn Nutrition
Newborn Discharge Teaching
Crying
Sleep
Bathing
Newborn Complications
Neonatal Abstinence Syndrome (NAS)
Hypoglycemia
Respiratory Distress Syndrome
Preterm Newborn
Small for Gestational Age Newborn (SGA)
Large for Gestational Age
Postmature Infant
Newborn Infection or Sepsis (Sepsis Neonatorum)
Birth Trauma or Injury
Hyperbilirubinemia
Congenital Anomalies
Chapter Highlights
References
Index
Sondae Stevens graduated from the University of California at Berkeley as an Integrative Biology major and Conservation Resource Studies minor. She enhanced her understanding of the relationship between the human body and the physical environment as a labor support doula, a postpartum doula, and a midwife assistant. She continued her education, went to DePaul University, and obtained her MS in Nursing. Nursing school afforded her the perfect environment to link her clinical experiences, the mother-baby continuum, and evidence-based practice research.
As a nurse, she worked in an Adult Surgical Intensive Care Unit, General Pediatrics, Pediatric Hematology-Oncology, and in Critical Care Home Health nursing. It was the experience of being a home health nurse that made her realize the importance of health promotion. Health promotion is the most effective tool to promote the growth of the developing baby as well as promoting health habits that can become lifestyles.
Her passion for the mother-baby dyad led her to teach Pediatric and Obstetric clinical rotations as an adjunct professor at City Colleges of Chicago, and later led her to become a tenured Assistant Professor and Certified Nurse Educator (CNE).
Evidence-based Pediatric Nursing and Evidence-based Obstetric Nursing came from a need to teach basic nursing care while incorporating research from an ever-changing health care system. These textbooks attempt to bridge the gap between clinical practice and evidence-based bedside nursing interventions for all nursing students and nurses. There is a strong focus on a preventative lifestyle for mothers and babies as nurses can be instrumental in the promotion of wellness. When she isn’t writing textbooks or teaching in the classroom, she is working on a fiction series she hopes to publish.
Evidence-based Obstetric Nursing views pregnancy and birth as a normal life event that includes family members as a part of the health care team. It supports students to discover and apply new knowledge through the use of current evidence-based research. This text also provides a historical framework that illuminates the many opportunities for bedside nurses to positively impact patient outcomes in a changing healthcare environment.
Evidence-based Obstetric Nursing is designed to promote critical thinking in nursing care for pregnant, laboring and postpartum women and adolescents. Nursing interventions are presented for normal pregnancy, birth, and postpartum periods, and then, complications and evidence-based treatment are presented for each phase.
This text uses the American College of Obstetrics and Gynecology, the American College of Nurse-Midwives, the World Health Organization, and Healthy People 2020 recommendations to guide nursing interventions. In addition, the Institute of Medicine and Quality and Safety Education for Nurses (QSEN) competencies give context to the evidence-based interventions.
The text also comes with a code in the front of each new book that unlocks instructor and student resources. There are 300 questions to test student learning and further experience with NCLEX-style questions.
Chapter 1 Reproductive Health
Part I: Obstetric Nursing Considerations
A History of Childbirth
Statistical Trends in Maternal-Child Care
Analyzing Evidence
Cochrane Pregnancy and Childbirth Database
WHO Reproductive Health Library
The Mother–Baby Dyad
Legal Considerations in Obstetric Nursing
Cultural Competence versus Cultural Equity
Maternal Safety Bundles
Illinois Perinatal Quality Collaborative
Part II: Women’s Health
Fertility Awareness Method
Basal Body Temperature
Symptom-Based Method (Cervical Mucus)
Contraception
Barrier Methods
Male Condom
Diaphragm/Cervical Cap and Spermicide
Hormonal Methods
Combined Oral Contraceptives (COC)
Progestin-Only Pills (Minipill)
Emergency Oral Contraceptive (Plan B)
Transdermal Contraceptive Patch
Injectable Progestins
Contraceptive Vaginal Ring
Implantable Progestin
Intrauterine Device (IUD)
Transcervical Sterilization
Surgical Procedures
Female Sterilization
Male Sterilization (Vasectomy)
Infertility
Assessment
Diagnosis
Interventions
Psychosocial Nursing Interventions
Complications
Chapter Highlights
References
Chapter 2 Antenatal
The Menstrual Cycle
Conception
Stages of Growth: Month by Month
Month 1, Weeks 1–4
Month 2, Weeks 4–8
Month 3, Weeks 8–12
Month 4, Weeks 12–16
Month 5, Weeks 16–20
Month 6, Weeks 20–24
Month 7, Weeks 24–28
Month 8, Weeks 28–32
Month 9, Weeks 33–36
Month 10, Weeks 37–40
Normal Physiologic Pregnancy
Assessment
Nursing Interventions
Prenatal Care
Assessment
Nursing Interventions
Client Education
Nutrition in Pregnancy
Assessment and Interventions
Assessment of Fetal Well Being
Maternal Assessment of Fetal Well Being
Ultrasound
Nonstress Test
Quad Marker Screening
Maternal Serum Alpha-Fetoprotein (MSAFP)
Cell-Free Fetal DNA Testing
High-Risk Pregnancies: Biophysical Profile
High-Risk Pregnancies: Contraction Stress Test
High-Risk Pregnancy: Chorionic Villus Sampling
High-Risk Pregnancies: Amniocentesis
Doppler Blood Flow Studies
Chapter Highlights
References
Chapter 3 Intrapartum
The Hormones of Labor and Delivery
Stages of Labor
Nursing Interventions
Cardinal Movements
Pain Management Techniques
The Gate Theory of Pain
Fetal Assessment during Labor
Chapter Highlights
References
Chapter 4 Postpartum
Postpartum Physiologic Adaptation
Thermoregulation
Breastfeeding
Breast Care
Uterine Involution
Gastrointestinal Changes
Urinary Changes
Lochia
Lacerations
Cardiovascular System
Musculoskeletal Changes
Immune System Changes
Baby-Friendly Care
Postpartum Teaching
Wellness
Chapter Highlights
References
Chapter 5 Obstetric Complications
Antepartum Complications
Spontaneous Abortion
Ectopic Pregnancy
Gestational Trophoblastic Disease
Placenta Previa
Abruptio Placentae
Vasa Previa
Antenatal Infections
HIV/AIDS
TORCH Infections
Group B Streptococcus (GBS)
Chlamydia
Gonorrhea Neisseria
Syphilis
HPV
Trichomoniasis
Bacterial Vaginosis
Candidiasis
Medical Conditions
Cervical Insufficiency (premature cervical dilatation)
Hyperemesis Gravidarum
Iron-Deficiency Anemia
Gestational Diabetes Mellitus
Gestational Hypertension
Preeclampsia
Magnesium Sulfate
Eclampsia
HELLP
Preterm Labor
Preterm Labor Medications
Nifedipine
Indomethacin
Betamethasone
Premature Rupture of Membranes and Preterm Premature Rupture of Membranes
Ampicillin
Intrapartum Complications
External Cephalic Version (ECV)
Bishop Score
Cervical Ripening
Induction of Labor
Augmentation of Labor
Amnioinfusion
Vacuum-Assisted Delivery
Forceps-Assisted Birth
Cesarean Birth
Vaginal Birth After Cesarean (VBAC)
Prolapsed Umbilical Cord
Meconium-Stained Amniotic Fluid
Precipitous Labor
Uterine Rupture
Anaphylactoid Syndrome of Pregnancy (Amniotic Fluid Embolism)
Shoulder Dystocia
Postpartum Complications
Episiotomy
Deep-Vein Thrombosis
Pulmonary Embolus
Idiopathic Thrombocytopenic Purpura
Disseminated Intravascular Coagulation (DIC)
Postpartum Hemorrhage
Uterine Atony
Inversion of the Uterus
Retained Placenta
Lacerations and Hematomas
Maternal Infection
Endometritis
Wound infection
Mastitis
Urinary Tract Infection
Mood Disorders
Postpartum Blues
Postpartum Depression
Postpartum Psychosis
Chapter Highlights
References
Chapter 6 Newborn and High-Risk Newborn
Newborn Assessment
Normal Newborn Exam
Newborn Care
Neonatal Infections
Umbilical Cord Care
Medications
Erythromycin
Vitamin K (Phytonadione)
Hepatitis B Immunization
Newborn Nutrition
Newborn Discharge Teaching
Crying
Sleep
Bathing
Newborn Complications
Neonatal Abstinence Syndrome (NAS)
Hypoglycemia
Respiratory Distress Syndrome
Preterm Newborn
Small for Gestational Age Newborn (SGA)
Large for Gestational Age
Postmature Infant
Newborn Infection or Sepsis (Sepsis Neonatorum)
Birth Trauma or Injury
Hyperbilirubinemia
Congenital Anomalies
Chapter Highlights
References
Index
Sondae Stevens graduated from the University of California at Berkeley as an Integrative Biology major and Conservation Resource Studies minor. She enhanced her understanding of the relationship between the human body and the physical environment as a labor support doula, a postpartum doula, and a midwife assistant. She continued her education, went to DePaul University, and obtained her MS in Nursing. Nursing school afforded her the perfect environment to link her clinical experiences, the mother-baby continuum, and evidence-based practice research.
As a nurse, she worked in an Adult Surgical Intensive Care Unit, General Pediatrics, Pediatric Hematology-Oncology, and in Critical Care Home Health nursing. It was the experience of being a home health nurse that made her realize the importance of health promotion. Health promotion is the most effective tool to promote the growth of the developing baby as well as promoting health habits that can become lifestyles.
Her passion for the mother-baby dyad led her to teach Pediatric and Obstetric clinical rotations as an adjunct professor at City Colleges of Chicago, and later led her to become a tenured Assistant Professor and Certified Nurse Educator (CNE).
Evidence-based Pediatric Nursing and Evidence-based Obstetric Nursing came from a need to teach basic nursing care while incorporating research from an ever-changing health care system. These textbooks attempt to bridge the gap between clinical practice and evidence-based bedside nursing interventions for all nursing students and nurses. There is a strong focus on a preventative lifestyle for mothers and babies as nurses can be instrumental in the promotion of wellness. When she isn’t writing textbooks or teaching in the classroom, she is working on a fiction series she hopes to publish.