,Contents in Brief
unit one 17 Physiological Transition of the Newborn 541
Foundations in Maternal, Family, and Child 18 Caring for the Normal Newborn 563
Care 1 19 Caring for the Newborn at Risk 603
1 Traditional and Community Nursing Care for unit six
Women, Families, and Children 1
Caring for the Child and Family 639
2 Contemporary Issues in Women’s, Families’, and
Children’s Health Care 25 20 Caring for the Developing Child 641
3 The Evolving Family 46 21 Caring for the Child in the Hospital and in the
4 Caring for Women, Families, and Children in Community 664
Contemporary Society 71 22 Caring for the Family Across Care Settings 701
unit two unit seven
The Process of Human Reproduction 111 Ongoing Care of the Child in the Hospital
and in the Community 715
5 Reproductive Anatomy and Physiology 113
6 Human Sexuality and Fertility 137 23 Caring for the Child with a Psychosocial or
7 Conception and Development of the Embryo and Cognitive Condition 717
Fetus 164 24 Caring for the Child with a Respiratory
Condition 750
unit three 25 Caring for the Child with a Gastrointestinal
The Prenatal Journey 191 Condition 785
8 Physiological and Psychosocial Changes During 26 Caring for the Child with an Immunological or
Pregnancy 193 Infectious Condition 819
9 The Prenatal Assessment 215 27 Caring for the Child with a Cardiovascular
Condition 853
10 Promoting a Healthy Pregnancy 256
28 Caring for the Child with an Endocrinological or
11 Caring for the Woman Experiencing Complications Metabolic Condition 885
During Pregnancy 291
29 Caring for the Child with a Neurological or
unit four Sensory Condition 921
The Birth Experience 353 30 Caring for the Child with a Musculoskeletal
Condition 962
12 The Process of Labor and Birth 355 31 Caring for the Child with an Integumentary
13 Promoting Patient Comfort During Labor and Condition 995
Birth 399 32 Caring for the Child with a Renal, Urinary Tract,
14 Caring for the Woman Experiencing Complications or Reproductive Condition 1033
During Labor and Birth 427 33 Caring for the Child with a Hematological
Condition 1071
unit five
34 Caring for the Child with Cancer 1104
Care of the New Family 467
35 Caring for the Child with a Chronic Condition or
15 Caring for the Postpartal Woman and Her the Dying Child 1133
Family 469
16 Caring for the Woman Experiencing Complications
During the Postpartal Period 511
, Maternal-Child
Nursing Care
Optimizing Outcomes for Mothers, Children, and Families
Susan L. Ward, PhD, RN
Professor of Nursing
Nebraska Methodist College
Omaha, Nebraska
Shelton M. Hisley, PhD, RNC, WHNP-BC
Assistant Professor of Nursing (Retired)
University of North Carolina at Wilmington
Wilmington, North Carolina
, F.A. Davis Company
1915 Arch Street
Philadelphia, PA 19103
www.fadavis.com
Copyright © 2009 by F.A. Davis Company
Copyright © 2009 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 Deitch
Developmental Editor: Shirley Kuhn
Content Development Manager: Darlene Pedersen
Senior Project Editor: Padraic Maroney
Manager of Art and Design: Carolyn O’Brien
Cover Illustration: Jose Ortega
As new scientific information becomes available through basic and clinical research, recommended
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 practice 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 situation. 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
Ward, Susan L.
Maternal-child nursing care: optimizing outcomes for mothers, children, and
families / Susan L. Ward, Shelton M. Hisley.
p. ; cm.
Includes bibliographical references and index.
ISBN-13: 978-0-8036-1486-4 (alk. paper)
ISBN-10: 0-8036-1486-1 (alk. paper)
1. Maternity nursing--Textbooks. I. Hisley, Shelton M. II. Title.
[DNLM: 1. Maternal-Child Nursing--methods. 2. Cultural Diversity. 3.
Evidence-Based Nursing--methods. 4. Holistic Nursing--methods. WY 157.3
W263m 2009]
RG951.W37 2009
618.2’0231--dc22 2008051815
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 of $.25 per copy is paid directly to CCC,
222 Rosewood Drive, Danvers, MA 01923. For 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: 8036-1486-4/09 0 ⫹ $.25.
unit one 17 Physiological Transition of the Newborn 541
Foundations in Maternal, Family, and Child 18 Caring for the Normal Newborn 563
Care 1 19 Caring for the Newborn at Risk 603
1 Traditional and Community Nursing Care for unit six
Women, Families, and Children 1
Caring for the Child and Family 639
2 Contemporary Issues in Women’s, Families’, and
Children’s Health Care 25 20 Caring for the Developing Child 641
3 The Evolving Family 46 21 Caring for the Child in the Hospital and in the
4 Caring for Women, Families, and Children in Community 664
Contemporary Society 71 22 Caring for the Family Across Care Settings 701
unit two unit seven
The Process of Human Reproduction 111 Ongoing Care of the Child in the Hospital
and in the Community 715
5 Reproductive Anatomy and Physiology 113
6 Human Sexuality and Fertility 137 23 Caring for the Child with a Psychosocial or
7 Conception and Development of the Embryo and Cognitive Condition 717
Fetus 164 24 Caring for the Child with a Respiratory
Condition 750
unit three 25 Caring for the Child with a Gastrointestinal
The Prenatal Journey 191 Condition 785
8 Physiological and Psychosocial Changes During 26 Caring for the Child with an Immunological or
Pregnancy 193 Infectious Condition 819
9 The Prenatal Assessment 215 27 Caring for the Child with a Cardiovascular
Condition 853
10 Promoting a Healthy Pregnancy 256
28 Caring for the Child with an Endocrinological or
11 Caring for the Woman Experiencing Complications Metabolic Condition 885
During Pregnancy 291
29 Caring for the Child with a Neurological or
unit four Sensory Condition 921
The Birth Experience 353 30 Caring for the Child with a Musculoskeletal
Condition 962
12 The Process of Labor and Birth 355 31 Caring for the Child with an Integumentary
13 Promoting Patient Comfort During Labor and Condition 995
Birth 399 32 Caring for the Child with a Renal, Urinary Tract,
14 Caring for the Woman Experiencing Complications or Reproductive Condition 1033
During Labor and Birth 427 33 Caring for the Child with a Hematological
Condition 1071
unit five
34 Caring for the Child with Cancer 1104
Care of the New Family 467
35 Caring for the Child with a Chronic Condition or
15 Caring for the Postpartal Woman and Her the Dying Child 1133
Family 469
16 Caring for the Woman Experiencing Complications
During the Postpartal Period 511
, Maternal-Child
Nursing Care
Optimizing Outcomes for Mothers, Children, and Families
Susan L. Ward, PhD, RN
Professor of Nursing
Nebraska Methodist College
Omaha, Nebraska
Shelton M. Hisley, PhD, RNC, WHNP-BC
Assistant Professor of Nursing (Retired)
University of North Carolina at Wilmington
Wilmington, North Carolina
, F.A. Davis Company
1915 Arch Street
Philadelphia, PA 19103
www.fadavis.com
Copyright © 2009 by F.A. Davis Company
Copyright © 2009 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 Deitch
Developmental Editor: Shirley Kuhn
Content Development Manager: Darlene Pedersen
Senior Project Editor: Padraic Maroney
Manager of Art and Design: Carolyn O’Brien
Cover Illustration: Jose Ortega
As new scientific information becomes available through basic and clinical research, recommended
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 practice 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 situation. 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
Ward, Susan L.
Maternal-child nursing care: optimizing outcomes for mothers, children, and
families / Susan L. Ward, Shelton M. Hisley.
p. ; cm.
Includes bibliographical references and index.
ISBN-13: 978-0-8036-1486-4 (alk. paper)
ISBN-10: 0-8036-1486-1 (alk. paper)
1. Maternity nursing--Textbooks. I. Hisley, Shelton M. II. Title.
[DNLM: 1. Maternal-Child Nursing--methods. 2. Cultural Diversity. 3.
Evidence-Based Nursing--methods. 4. Holistic Nursing--methods. WY 157.3
W263m 2009]
RG951.W37 2009
618.2’0231--dc22 2008051815
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 of $.25 per copy is paid directly to CCC,
222 Rosewood Drive, Danvers, MA 01923. For 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: 8036-1486-4/09 0 ⫹ $.25.