Maternal & Child Nursing Care, 5th Edition
As nursing courses are shortened and clinical experiences become more limited, time is increasingly precious to both students and faculty. Designed to support faster, more efficient learning in condensed courses, Maternal & Child Nursing Care presents key content about maternal-newborn nursing, women’s health, and pediatric nursing topics in an accurate, readable way.
Throughout this family-focused text, special attention is paid to health promotion, home/community care, patient and family education, clinical reasoning, evidence-based practice, and cultural competence. Engaging features help readers learn and retain essential concepts in a short period of time. The straightforward approach allows students to focus on what is most important—developing the essential skills and abilities to practice nursing in fast-changing healthcare environments.
MyNursingLab for the Maternal/Newborn Nursing course is an an online homework, tutorial, and assessment program designed to engage students and improve results. Its guided learning path is proven to help students think like nurses as they move beyond memorization to true understanding through application.
NEW | A new 2-page, 16-photograph Birth Sequence in Chapter 18 provides a moment-by-moment visual presentation of the birth of a baby.
NEW | This new chapter reflects an emerging understanding of genome science, its impact on health and illness in children and childbearing families, and the expanding role that nurses play in applying genetics in clinical practice.
NEW | This new chapter provides expanded content on nursing care for pregnant women from potentially vulnerable populations, such as adolescents, women over 35 years of age, and those with physical or intellectual disabilities.
As Children Grow illustrations help students see the anatomic and physiologic differences between a child and an adult. These features illustrate how the child progresses through developmental stages and the ways development influences health care needs.
Pathophysiology Illustrated figures allow students to see into the body and to visualize the causes and effects of conditions on childbearing women, newborns, and children.
To help students prepare for clinical settings, end-of-chapter Clinical Reasoning in Action features present a real-life scenario and a series of questions.
Review the table of contents below for Maternal & Child Nursing Care, Fifth Edition to gain a better understanding of the textbook’s organization and the topics covered in each chapter. Chapter 3 and Chapter 31 are available for download as sample chapters in PDF format. You'll need Acrobat Reader to view the chapters.
Chapter 1: Contemporary Maternal, Newborn, and Child Health Nursing
Chapter 2: Culture and the Family
Chapter 3: Genetic and Genomic Influences in Maternal, Newborn, and Child
Health | PREVIEW AS PDF
Chapter 4: Reproductive Anatomy and Physiology
Chapter 5: Health Promotion for Women
Chapter 6: Common Gynecologic Problems
Chapter 7: Conception and Fetal Development
Chapter 8: Physical and Psychological Changes of Pregnancy
Chapter 9: Antepartum Nursing Assessment
Chapter 10: The Expectant Family: Needs and Care
Chapter 11: Maternal Nutrition
Chapter 12: Pregnancy in Selected Populations
Chapter 13: Assessment of Fetal Well-Being
Chapter 14: Pregnancy at Risk: Pregestational Problems
Chapter 15: Pregnancy at Risk: Gestational Onset
Chapter 16: Processes and Stages of Labor and Birth
Chapter 17: Intrapartum Nursing Assessment
Chapter 18: The Family in Childbirth: Needs and Care
Chapter 19: Pharmacologic Pain Management
Chapter 20: Childbirth at Risk: Pre-Labor Complications
Chapter 21: Childbirth at Risk: Labor-Related Complications
Chapter 22: Birth-Related Procedures
Chapter 23: The Physiologic Responses of the Newborn to Birth
Chapter 24: Nursing Assessment of the Newborn
Chapter 25: The Normal Newborn: Needs, Care, and Feeding
Chapter 26: The Newborn at Risk: Conditions Present at Birth
Chapter 27: The Newborn at Risk: Birth-Related Stressors
Chapter 28: Postpartum Adaptation and Nursing Assessment
Chapter 29: The Postpartum Family: Early Care Needs and Home Care
Chapater 30: The Postpartum Family at Risk
Chapter 31: Growth and Development | PREVIEW AS PDF
Chapter 32: Infant, Child, and Adolescent Nutrition
Chapter 33: Pediatric Assessment
Chapter 34: Health Promotion and Maintenance: General Concepts, the Newborn, and the Infant
Chapter 35: Health Promotion and Maintenance: The Toddler, the Preschooler, and the School-Age Child
Chapter 36: Health Promotion and Maintenance: The Adolescent
Chapter 37: Family Assessment and Concepts of Nursing Care in the Community
Chapter 38: Nursing Considerations for the Child and Family with a Chronic
Chapter 39: Nursing Considerations for the Hospitalized Child
Chapter 40: Pain Assessment and Management in Children
Chapter 41: The Child with a Life-Threatening Condition and End-of-Life Care
Chapter 42: Social and Environmental Influences on the Child
Chapter 43: Immunizations and Communicable Diseases
Chapter 44: The Child with Alterations in Fluid, Electrolyte, and Acid-Base Balance
Chapter 45: The Child with Alterations in Eye, Ear, Nose, and Throat Function
Chapter 46: The Child with Alterations in Respiratory Function
Chapter 47: The Child with Alterations in Cardiovascular Function
Chapter 48: The Child with Alterations in Hematologic Function
Chapter 49: The Child with Cancer
Chapter 50: The Child with Alterations in Gastrointestinal Function
Chapter 51: The Child with Alterations in Genitourinary Function
Chapter 52: The Child with Alterations in Endocrine Function
Chapter 53: The Child with Alterations in Neurological Function
Chapter 54: The Child with Alterations in Mental Health and Cognitive Function
Chapter 55: The Child with Alterations in Musculoskeletal Function
Chapter 56: The Child with Alterations in Skin Integrity
Appendix A. Selected Maternal-Newborn Laboratory Values
Appendix B. Selected Pediatric Laboratory Values
Appendix C. Growth Charts
Appendix D. Pediatric Blood Pressure Tables
Appendix E. Conversions and Equivalents
Appendix F. Actions and Effects of Selected Drugs during Breastfeeding
Appendix G. Dietary Reference Intakes
Appendix H. West Nomogram-Body Surface Area
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MyNursingLab is designed for any Maternal/Newborn Nursing course, regardless of the textbook in use. Its guided learning path is proven to help students think like nurses as they move beyond memorization to true understanding through application.
MyNursingLab's gradebook allows instructors to manage all of the course grades in one place. Instructors can import/export from popular learning management systems, manipulate and modify individual student grades, and calculate final grades. With MyNursingLab's advanced reporting capabilities instructors can run a number of activity reports for single or multiple students, assignments, and sections. Additional reports include item analysis and Study Plan reports.
NEW | Clinical Decision-Making Cases*
The Clinical Decision-Making Cases ask students to identify clinically-salient patient information and make informed decisions at key moments in patient care scenarios. The Clinical Decision-Making Cases help students practice “thinking like a nurse” as they analyze information and make sound decisions to provide safe and effective patient care.
*Five Clinical Decision-Making Cases are available in select MyNursingLab courses.
Content Case Studies
Engaging Content Case Studies help students improve their clinical judgment. As each of these gradable cases unfolds, students will synthesize the information they learn in the course and apply what they’ve learned to client care scenarios. Most MyNursingLab courses include 10 Case Studies and each Case Study includes 10 application-level (or higher) questions.
NEW | NCLEX-style Practice Tests
MyNursingLab now includes even more NCLEX-style study questions with two new 60-question Practice Tests for students.
Alternate Item Format Questions
Alternate item format questions in MyNursingLab allow students to practice with many of the question types that they will see on the NCLEX-RN.
Most MyNursingLab courses are available with the interactive Pearson eText. The Pearson eText gives students access to their textbook anytime, anywhere. In addition to note taking, highlighting, and bookmarking, the Pearson eText offers interactive and sharing features. Rich media options let students watch lecture and example videos as they read or do their homework. Instructors can share their comments or highlights, and students can add their own, creating a tight community of learners in your class.
MyNursingLab’s Learning Path includes Study Plans. with carefully edited study materials and multimedia learning aids. Each MyNursingLab lesson includes a diagnostic pretest using NCLEX-style questions. Based on the results of the pretest, a prioritized Study Plan is generated specifically for each student. Depending on where they need help, students will work through the tutorial exercises in their guided Learning Path to Review, Remember, and Apply key concepts.
She worked as a pediatric nurse, and began her teaching career at Pittsburgh Children’s Hospital Affiliate Program. Mrs. London began teaching at Beth-El School of Nursing and Health Science in 1974 (now part of the University of Colorado, Colorado Springs) after opening the first intensive care nursery at Memorial Hospital of Colorado Springs. She has served in many faculty positions at Beth-El, including assistant director of the School of Nursing. Mrs. London obtained her postmaster’s Neonatal Nurse Practitioner certificate in 1983, and subsequently developed the Neonatal Nurse Practitioner (NNP) certificate and the master’s NNP program at Beth-El. She is active nationally in neonatal nursing and was involved in the development of National Neonatal Nurse Practitioner educational program guidelines. Mrs. London pursued her interest in college student learning by taking doctoral classes in higher education administration and adult learning at the University of Denver in Colorado. She feels fortunate to be involved in the education of her future colleagues and teaches undergraduate education. Mrs. London and her husband, David, enjoy reading, travel, and hockey games. They have two sons: Craig, who lives in Florida with his wife, Jennifer, and daughter, Hannah, works with Internet companies; and Matthew, who works in computer teleresearch. Both are more than willing to give Mom helpful hints about computers.
She served as an Air Force nurse, and discovered her passion for teaching as a faculty member at Florida State University in Tallahassee. Over the years, she has taught at several schools of nursing. In addition, she became a women’s health nurse practitioner and maintained a part-time clinical practice for many years. In 1988, Dr. Ladewig became the first director of the nursing program at Regis College in Denver. In 1991, when the college became Regis University, she became academic dean of the Rueckert-Hartman College for Health Professions. Under her guidance, the School of Nursing added a graduate program. In addition, the college added a School of Physical Therapy and a School of Pharmacy. In 2009, Dr. Ladewig became Vice President for Academic Affairs, and in 2012, she became Provost at Regis University. She and her husband, Tim, enjoy skiing, baseball games, and traveling. However, their greatest pleasure comes from their family: son Ryan and grandchildren Reed and Addison Grace; and son Erik, his wife Kedri, and grandchildren Emma and Camden.
She has worked in multiple women’s health specialty areas including postpartum, newborn nursery, high-risk nursery, labor and delivery, reproductive endocrinology, gynecology medical-surgical, and oncology units as a registered nurse while obtaining a BSN from George Mason University in Fairfax, Virginia. Dr. Davidson earned her MSN and a nurse-midwifery certificate at Case Western Reserve University in Cleveland, Ohio, and continued to work as a full-scope nurse-midwife for 16 years. She has delivered over 1000 babies during her career as a nurse-midwife. She completed her PhD in nursing administration and healthcare policy at George Mason University (GMU) and began teaching at GMU in 1999 while continuing in her role as a nurse-midwife. Dr. Davidson serves as the Coordinator for the PhD program in the School of Nursing. She has an interest in women’s mental health and focuses her research on perinatal and postpartum mood and anxiety disorders. Dr. Davidson also has an interest in the care of individuals with disabilities; she serves as a member of the Loudoun County Disability Advisory Committee and is a disability advocate in her community.
She was a member of the American College of Nurse-Midwives Certification Council, the body that writes the national certification examination for certified nurse-midwives. She is a member of numerous editorial and advisory boards and has a passion for writing. In 2000, Dr. Davidson developed an immersion clinical experience for GMU students on a remote island in the Chesapeake Bay. In 2003, she founded the Smith Island Foundation, a nonprofit organization in which she served as executive director for 8 years.
Dr. Davidson has also completed certifications in lactation consulting, forensic nursing, and surgical first assistant. In 2012, her book, A Nurse’s Guide to Women’s Mental Health, won an American Journal of Nursing Book Award. In her free time, she enjoys spending time with her mother, writing, gardening, Internet surfing, and spending time on Smith Island with her nurse-practitioner husband, Nathan, and their four active children, Hayden, Chloe, Caroline, and Grant. Dr. Davidson and her family love the Eastern Shore of Maryland and continue to be part-time residents of Smith Island.
She worked in the surgical, emergency, and outpatient units of the Johns Hopkins Children’s Medical and Surgical Center, first as a staff nurse and then as a pediatric nurse practitioner. Thus began her career as a pediatric nurse and advocate for children’s health needs. She obtained both a master of public health and doctor of public health degree from the Johns Hopkins University Bloomberg School of Public Health with a focus on maternal and child health. After graduation, she became the chief of child health services for the Commonwealth of Pennsylvania Department of Health. In this capacity, she oversaw the state-funded well-child clinics and explored ways to improve education for the state’s community health nurses.
After relocating to Texas, she joined the faculty at the University of Texas at Arlington School of Nursing to teach community pediatrics to registered nurses returning to school for a BSN. During this time she became involved in writing her first textbook, Mosby’s Guide to Physical Examination, which is currently in its eighth edition. After relocating to the Washington, DC, area, she joined the Children’s National Medical Center to manage a federal project to teach instructors of emergency medical technicians from all states about the special care children need during an emergency. Exposure to the shortcomings of the emergency medical services system in the late 1980s with regard to pediatric care was a career-changing event. With federal funding, she developed educational curricula for emergency medical technicians and emergency nurses to help them provide improved care for children. A textbook entitled Pediatric Emergencies, A Manual for Prehospital Providers was developed from these educational ventures.
She served as the executive director of the federally funded Emergency Medical Services for Children National Resource Center for 15 years, providing consultation and resource development for state health agencies, health professionals, families, and advocates to improve the emergency healthcare system for children. Dr. Ball is a consultant for the American College of Surgeons, assisting states to develop and enhance their trauma systems. She is also collaborating on a pediatric explosion injury electronic curriculum and virtual pediatric trauma center conceptual design as a consultant to the Uniformed Services University of the Health Sciences.
She worked in oncology nursing at Memorial—Sloan Kettering Cancer Center in New York, and then moved to Wisconsin and became a public health nurse in Dane County. Thus began her commitment to work with children as she visited children and their families at home, and served as a school nurse for several elementary, middle, and high schools. As a result of this interest in child healthcare needs, she earned her MS in child development from the University of Wisconsin in Madison. A move to Washington State was accompanied by a new job as a faculty member at the Intercollegiate Center for Nursing Education in Spokane, now the Washington State University College of Nursing. Dr. Bindler feels fortunate to have been involved for 38 years in the growth of this nursing education consortium, which is a combination of public and private universities and offers undergraduate and graduate nursing degrees. She taught theory and clinical courses in child health nursing, cultural diversity, graduate research, pharmacology, and assessment; served as lead faculty for child health nursing; was the first director of the PhD program; and served as Associate Dean for Graduate Programs, which include Master of Nursing, Post-Masters certificates, and PhD and Doctor of Nursing Practice (DNP) programs. She recently retired from this position and serves the college and profession as a professor emeritus, continuing work with graduate students and research.
Her first professional book, Pediatric Medications, was published in 1981, and she has continued to publish articles and books in the areas of pediatric medications and pediatric health. Her research was focused in the area of childhood obesity, type 2 diabetes, and cardiovascular risk factors in children. Ethnic diversity and interprofessional collaboration have been other themes in her work. Dr. Bindler believes that her role as a faculty member and administrator enabled her to learn continually, to foster the development of students in nursing, and to participate fully in the profession of nursing. In addition to teaching, research, publication, and leadership, she enhances her life by service in several professional and community activities, and by outdoor activities with her family.
She developed a special interest in the psychosocial needs of hospitalized children and preparing them for hospitalization. This led to the focus of her master’s thesis at the University of North Carolina at Greensboro (UNCG), where she received a MS in Nursing Education degree with a focus in maternal—child nursing. Mrs. Cowen began her teaching career in 1984 at UNCG, where she continues today as clinical professor. Her primary responsibilities include coordination of the pediatric nursing course, teaching classroom content, and supervising a clinical group of students.
Mrs. Cowen shared her passion for the psychosocial care of children and the needs of their families through her first experience as an author of the chapter “Hospital Care for Children” in Child Health Nursing: A Comprehensive Approach to the Care of Children and Their Families, published in 1993. In the classroom, Mrs. Cowen realized that students learn through a variety of teaching strategies, and she became especially interested in the strategy of gaming. She led a research study to evaluate the effectiveness of gaming in the classroom, and subsequently continues to incorporate gaming in her teaching.
In the clinical setting, Mrs. Cowen teaches her students the skills needed to care for patients and the importance of family-centered care, focusing on not only the physical needs of the child but also the psychosocial needs of the child and family. During her teaching career, Mrs. Cowen has continued to work part time as a staff nurse, first on the pediatric unit of Moses Cone Hospital in Greensboro and then at Brenner Children’s Hospital in Winston-Salem. In 2006, she became the part-time pediatric nurse educator in Brenner’s Family Resource Center. Through this role she is able to extend her love of teaching to children and families. Through her role as an author, Mrs. Cowen is able to extend her dedication to pediatric nursing and nursing education.
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