Intrapartum management modules

Contributors vii Previous Edition Contributors ix Previous Edition Reviewers xi Preface xiii
SKILL UNIT 3
Fern Testing for Ruptured Membranes 61
SKILL UNIT 4
Vaginal Examination 62
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Overview of Labor 1
BETSY BABB KENNEDY, E. JEAN MARTIN, AND HEATHER M. ROBBINS
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Module 2
Maternal and Fetal Response to Labor 15
E. JEAN MARTIN, BETSY BABB KENNEDY, AND HEATHER M. ROBBINS
Part 1 • Identifying Features of the Pelvis That Make It Adequate for Labor 16
Part 2 • Identifying Relationships Between the Fetus and Pelvis 22
Part 3 • Evaluating for Fetal Malpresentation 37
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Admission Assessment of the Laboring Woman 40
DIANE J. ANGELINI, E. JEAN MARTIN, AND DONNA J. RUTH
SKILL UNIT I
Physical Examination of the Laboring Woman 50 SKILL UNIT 2
Testing for Ruptured Membranes 55
• Sterile Speculum Examination
• Nitrazine Paper Test
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Admission Assessment of the Fetus 69
SHARON L. HOLLEY
SKILL UNIT I
Measuring Fundal Height 77 SKILL UNIT 2
Evaluating Fetal Lie, Presentation, and Position Using Leopold’s Maneuvers 80
SKILL UNIT 3
Auscultation of Fetal Heart Tones 83
Module 5
Caring for the Laboring Woman 90
FRANCES C. KELLY, SUSAN C. SWART, AND SUZANNE McMURTRY BAIRD
Part 1 • Intrapartum Nursing Care 91 Part 2 • Patterns of Labor 95
SKILL UNIT I
Positioning for the Second Stage of Labor 108 SKILL UNIT 2
Technique for Physiologic Pushing (Open Glottis) 110
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Nonpharmacologic and Pharmacologic Methods of Pain Relief for the Laboring Woman 115
Part 1 • Pain in Labor and Nonpharmacologic Modes of Relief 117
MICHELLE R. COLLINS UNIT 1
Techniques for Breathing and Effleurage 126
Part 2 • Pharmacologic Management of Labor Pain 128 SUSAN C. SWART AND FRANCES C. KELLY
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SKILL UNIT I
Managing an Unexpected or Precipitous Birth 244
M EE 1 El
Preterm Labor and Preterm Premature Rupture of Membranes 249
DINEZ SWANSON AND SUZANNE McM U RTRY BAIRD
Part 1 • Preterm Labor and Birth 251
Part 2 • Preterm Premature Rupture of Membranes 267
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Intrapartum Electronic Fetal Monitoring 140
LISA A. MILLER AND DONNA J. RUTH
Part 1 • Introduction and Overview 141 Part 2 • NICHD Definitions 153
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Caring for the Laboring Woman with Hypertensive Disorders Complicating Pregnancy 276
PATRICIA M. WITCHER
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Part 3 • Physiologic Approach to Interpretation and Management 163
Part 4 • Fetal Acid-Base and Umbilical Cord Gas Interpretation 178
Part 5 • Documentation 181 Part 6 • Self-Assessment 183
Module 8
Induction and Augmentation of Labor 211
VALERIE YATES HUWE SKILL UNIT I
Oxytocin Labor Induction/Augmentation 226
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Unexpected or Precipitous Birth in the Absence of an Obstetric Provider 232
JENNIFER G. HENSLEY AND ELISABETH D. HOWARD
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Intrapartum Infections 316
Part 1 • Chorioamnionitis 318
SUZANNE McMURTRY BAIRD
Part 2 • Group В Streptococcus Infections in Pregnancy 322
BETSY BABB KENNEDY
Part 3 • Human Immunodeficiency Virus (HIV) Infection or Acquired Immunodeficiency Syndrome (AIDS) 328 CYNTHIA F. KRENING Part 4 • Sexually Transmitted Infections 343 CYNTHIA F. KRENING AND ANNE MOORE Part 5 • Hepatitis 358
SUZANNE McMURTRY BAIRD AND BETSY BABB KENNEDY
Module 13
Care of the Laboring Woman with Diabetes 369
MARIBETH INTURRISI
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Module 14
Special Considerations for Individualized Care of the Laboring Woman 397
SUZANNE McMURTRY BAIRD, BETSY BABB KENNEDY, AND JENNIFER DALTON
Part 1 • Age-Related Pregnancy Considerations 399
Part 2 • Women with a Physical Disability 402
Part 3 • Obesity 404
Part 4 • Substance Use and Abuse 410
Part 5 • Intimate Partner Violence 416
Module 15
Care of the Woman Experiencing Operative Vaginal and Cesarean Birth 426
DONNA R. FRYE AND SARAH BRANAN
Part 1 • Operative Vaginal Birth 427 Part 2 • Cesarean Birth 433
Module 16
Obstetric Emergencies 445
SUZANNE McMURTRY BAIRD AND BETSY BABB KENNEDY
Module 17
Assessment of the Newly Delivered Mother 469
JENNIFER DALTON
Part 1 • Immediate Postpartum Assessment of the Mother 470 Part 2 • Role of the Nurse in Postpartum Care 481
Module 18
Assessment and Care of the Term Newborn Transitioning to Extrauterine Life 488
LUCINDA STEEN STEWART AND ERIN RODGERS
SKILL UNIT 2
Procedure for Vitamin К (Phytonadione) Injection 494 SKILL UNIT 3
Umbilical Cord Blood Gas Sampling 496 SKILL UNIT 4
Procedure for Obtaining Blood Glucose for Initial Screening 498
Module 19
Maternal Transport 501
SUSAN DRUMMOND
Module 20
Liability Issues in Intrapartum Nursing 515
SUZANNE McMURTRY BAIRD, BETSY BABB KENNEDY AND SUSAN L. BAUDHUIN, ESQ
Module 21
Perinatal Grief and Loss 537
SUZANNE McMURTRY BAIRD, MEGHAN BERTAN l-YANG, AND BETSY BABB KENNEDY
Part 1 • Caring for the Dying Newborn 539 Part 2 • Caring for the Dying Mother 548 Part 3 • Caring for the Care Provider 551
Module 22
Implementing a Perinatal Education Program 556
JULIE MARTIN ARAFEH AND DINEZ SWANSON
SKILL UNIT I
Scenario Template: Managing an Unexpected Birth 563 SKILL UNIT 2
High-Risk Scenario Template: Hemorrhage 564
Glossary 567 Index 577
SKILL UNIT I
Eye Prophylaxis With Erythromycin Ointment 494