Maternal-Newborn Nursing

Maternal-Newborn Nursing introduces students to the concepts and skills related to pregnancy, birth, postpartum, newborn care, reproductive health, and social determinants related to those topics. Written and thoroughly reviewed by experienced nurse educators, the material focuses on patient safety, mental health, and inclusive care, and offers robust real-world scenarios and situational patient education experiences to apply concepts to practice.

Maternal-Newborn Nursing builds on the students’ existing knowledge and skills and expands their learning to new concepts and considerations. Students will be able to implement the Clinical Judgement Measurement Model to recognize, analyze, prioritize, create, act on, and evaluate outcomes throughout the many conditions presented across the life stages. The offering integrates core frameworks such as QSEN, and its robust sets of practice questions, unfolding case studies, and additional resources support the Next Generation NCLEX.

Senior Contributing Authors
• Amy Giles, Baylor University
• Regina Prusinski, Otterbein University
• Laura Wallace, Brenau University

Contributing Authors
• Leah Elliott, Bakersfield College
• Rachel Hill, California State University, Sacramento
• Debra Hrelic, University of North Carolina Wilmington
• Kelly LaMonica, Penn Medicine Princeton Health
• Emily Langley, Johns Hopkins All Children’s Hospital
• Rachael Mooney, Northwood Technical College
• JoAnn Peterson, University of Kansas
• Courtney Watson, Georgetown University
• Nicole Wheeler, Wayne State University

Preface

Unit 1 Introduction to Maternal-Newborn and Women's Health Nursing

Chapter 1 Foundations in Maternal-Newborn and Women’s Health Nursing
Introduction
1.1 Current Trends in Women’s Health Care
1.2 Standards of Maternal, Newborn, and Gynecologic Nursing Care
1.3 Perinatal Care: Regional and Levels of Care and Transport
1.4 Ethical and Legal Concerns
Summary
Key Terms
Assessments
Review Questions
Check Your Understanding Questions
Reflection Questions
What Should the Nurse Do?
Competency-Based Assessments
References

Chapter 2 Culturally Competent Nursing Care
Introduction
2.1 Person- and Family-Centered Care
2.2 Family Health and Cultural Factors
2.3 Culturally Competent Care
2.4 Families at Higher Risk for Poor Health Outcomes
Summary
Key Terms
Assessments
Review Questions
Check Your Understanding Questions
Reflection Questions
What Should the Nurse Do?
Competency-Based Assessments
References

Unit 2 Women's Health Through the Lifespan

Chapter 3 Health Promotion, Disease and Injury Prevention, and Well-Person Care
Introduction
3.1 Factors Influencing the Health of Persons Assigned Female at Birth
3.2 Leading Causes of Death and Health Screenings
3.3 Health Promotion
3.4 Well-Person Care
3.5 Preconceptual Care
Summary
Key Terms
Assessments
Review Questions
Check Your Understanding Questions
Reflection Questions
What Should the Nurse Do?
Competency-Based Assessments
References

Chapter 4 Influences on Fertility
Introduction
4.1 Fertility and Conception
4.2 Genetics
4.3 Causes of Infertility
4.4 Treating Infertility
Summary
Key Terms
Assessments
Review Questions
Check Your Understanding Questions
Reflection Questions
What Should the Nurse Do?
Competency-Based Assessments
References

Chapter 5 Family Planning
Introduction
5.1 Contraception: The Nurse’s Role
5.2 Natural Methods of Contraception
5.3 Barrier Methods of Contraception
5.4 Short-Acting Reversible Hormonal Methods of Contraception
5.5 Long-Acting Reversible Contraception
5.6 Emergency Contraception
5.7 Sterilization
5.8 Induced Abortion
Summary
Key Terms
Assessments
Review Questions
Check Your Understanding Questions
Reflection Questions
What Should the Nurse Do?
Competency-Based Assessments
References

Chapter 6 Structural and Tissue Disorders of the Reproductive System
Introduction
6.1 Functional Disorders
6.2 Structural Disorders
6.3 Benign Growths
6.4 Malignant Neoplasms
Summary
Key Terms
Assessments
Review Questions
Check Your Understanding Questions
Reflection Questions
What Should the Nurse Do?
Competency-Based Assessments
References

Chapter 7 Commonly Occurring Reproductive and Genitourinary System Infections
Introduction
7.1 Sexually Transmitted Infections
7.2 Vaginal Infections and Other Conditions
7.3 Urinary Tract Infections
Summary
Key Terms
Assessments
Review Questions
Check Your Understanding Questions
Reflection Questions
What Should the Nurse Do?
Competency-Based Assessments
References

Chapter 8 Disorders of the Breast
Introduction
8.1 Benign Disorders of the Breast
8.2 Cancer of the Breast
Summary
Key Terms
Assessments
Review Questions
Check Your Understanding Questions
Reflection Questions
What Should the Nurse Do?
Competency-Based Assessments
References

Chapter 9 Violence Against Women
Introduction
9.1 Incidence, History, and Psychosocial Factors
9.2 Domestic and Intimate Partner Violence
9.3 Sexual Abuse and Assault
9.4 Human Trafficking
9.5 Social and Cultural Practices of Violence Against Women
9.6 Psychological Trauma of Violence Against Women
Summary
Key Terms
Assessments
Review Questions
Check Your Understanding Questions
Reflection Questions
What Should the Nurse Do?
Competency-Based Assessments
References

Unit 3 Care During Pregnancy

Chapter 10 Pregnancy
Introduction
10.1 Physiologic Changes Due to Pregnancy
10.2 Psychosocial Aspects of Pregnancy
10.3 Common Discomforts of Pregnancy
10.4 Fetal Growth and Development
10.5 Choosing a Health Care Provider
10.6 Choosing a Birthing Place
Summary
Key Terms
Assessments
Review Questions
Check Your Understanding Questions
Reflection Questions
What Should the Nurse Do?
Competency-Based Assessments
References

Chapter 11 Prenatal Care
Introduction
11.1 First Prenatal Visit
11.2 Care in the First Trimester of Pregnancy
11.3 Care in the Second Trimester of Pregnancy
11.4 Care in the Third Trimester of Pregnancy
11.5 Family Assessment and Nursing Interventions
Summary
Key Terms
Assessments
Review Questions
Check Your Understanding Questions
Reflection Questions
Critical-Thinking Questions about Case Studies
Competency-Based Assessments
References

Chapter 12 Pregnancy at Risk
Introduction
12.1 Preconception Conditions Affecting Pregnancy
12.2 Conditions Limited to Pregnancy
Summary
Key Terms
Assessments
Review Questions
Check Your Understanding Questions
Reflection Questions
Critical-Thinking Questions about Case Studies
Competency-Based Assessments
References

Chapter 13 Prenatal Testing
Introduction
13.1 Prenatal Testing during the First Trimester
13.2 Prenatal Testing during the Second Trimester
13.3 Prenatal Testing during the Third Trimester
Summary
Key Terms
Assessments
Review Questions
Check Your Understanding Questions
Reflection Questions
Critical-Thinking Questions about Case Studies
Competency-Based Assessments
References

Chapter 14 Childbirth Education Options
Introduction
14.1 Lamaze International Childbirth Education
14.2 Bradley Method
14.3 Hypnobirthing: The Mongan Method
14.4 Alexander Technique
14.5 Birth Plans
Summary
Key Terms
Assessments
Review Questions
Check Your Understanding Questions
Reflection Questions
What Should the Nurse Do?
Competency-Based Assessments
References

Unit 4 Care During Labor and Birth

Chapter 15 Process of Labor and Birth
Introduction
15.1 Factors Influencing the Process of Labor and Birth
15.2 Stages of Labor
15.3 Physiologic Adaptations during Labor and Birth
15.4 Psychosocial Adaptations during Labor and Birth
15.5 Family Adaptations during Labor and Birth
Summary
Key Terms
Assessments
Review Questions
Check Your Understanding Questions
Reflection Questions
What Should the Nurse Do?
Competency-Based Assessments
References

Chapter 16 Electronic Fetal and Uterine Contraction Monitoring
Introduction
16.1 Basic Terms of Fetal Heart Rate and Contraction Patterns
16.2 External and Internal Monitoring
16.3 Physiological Influences on Fetal Heart Rate Patterns
16.4 Nursing Interventions Based on Fetal Heart Rate and Uterine Contraction Patterns
16.5 Intrauterine Resuscitation
Summary
Key Terms
Assessments
Review Questions
Check Your Understanding Questions
Reflection Questions
What Should the Nurse Do?
Competency-Based Assessments
References

Chapter 17 Pain Management During Labor and Birth
Introduction
17.1 Nonpharmacological Pain Management
17.2 Pharmacological Pain Management
17.3 Anesthesia
Summary
Key Terms
Assessments
Review Questions
Check Your Understanding Questions
Reflection Questions
What Should the Nurse Do?
Competency-Based Assessments
References

Chapter 18 Nursing Care and Interventions During Labor and Birth
Introduction
18.1 Nursing Care During the First Stage of Labor
18.2 Nursing Care During the Second Stage of Labor
18.3 Nursing Care During the Third Stage of Labor
18.4 Nursing Care During the Fourth Stage of Labor
Summary
Key Terms
Assessments
Review Questions
Check Your Understanding Questions
Reflection Questions
Critical-Thinking Questions about Case Studies
Competency-Based Assessments
References

Chapter 19 Complications of Labor and Birth
Introduction
19.1 Labor Dystocia
19.2 Medical Interventions During Labor
19.3 Obstetrical Conditions Affecting Labor and Birth
19.4 Preexisting Conditions of the Pregnant Person Placing the Delivery at Risk
19.5 Interventions During Birth
19.6 Cesarean Section
19.7 Obstetrical Emergencies
19.8 Complications of the Second Stage of Labor
19.9 Complications in the Third Stage of Labor
19.10 Monitoring the Person in Labor for Complications Developing During the Process of Labor and Birth
Summary
Key Terms
Assessments
Review Questions
Check Your Understanding Questions
Reflection Questions
Critical-Thinking Questions about Case Studies
Competency-Based Assessments
References

Unit 5 Care During the Postpartum Period

Chapter 20 Postpartum Care
Introduction
20.1 Physiologic Changes During the Postpartum Period
20.2 Psychosocial Adaptation to Parenthood
20.3 Nursing Care During the Postpartum Period
Summary
Key Terms
Assessments
Review Questions
Check Your Understanding Questions
Reflection Questions
What Should the Nurse Do?
Competency-Based Assessments
References

Chapter 21 Postpartum Complications
Introduction
21.1 Postpartum Infections
21.2 Postpartum Hemorrhage
21.3 Breasts and Breast-Feeding
21.4 Cesarean Birth Discomforts
21.5 Postpartum Mood Disorders and Psychiatric Disorders
Summary
Key Terms
Assessments
Review Questions
Check Your Understanding Questions
Reflection Questions
Critical-Thinking Questions about Case Studies
Competency-Based Assessments
References

Unit 6 Newborn Care

Chapter 22 Immediate Care of the Newborn
Introduction
22.1 Apgar Scoring
22.2 Physiological Adaptation and Transition
22.3 Neutral Thermal Environment
Summary
Key Terms
Assessments
Review Questions
Check Your Understanding Questions
Reflection Questions
Critical-Thinking Questions about Case Studies
Competency-Based Assessments
References

Chapter 23 Newborn Assessment
Introduction
23.1 Physical Assessment of the Newborn
23.2 Estimation of Gestational Age of the Newborn and Newborn Behavioral Assessment
Summary
Key Terms
Assessments
Review Questions
Check Your Understanding Questions
Reflection Questions
Critical-Thinking Questions about Case Studies
Competency-Based Assessments
References

Chapter 24 Care of the Typical Newborn
Introduction
24.1 Basic Newborn Care
24.2 Care of Common Problems in the Newborn
24.3 Newborn Discharge Planning and Parent Education
Summary
Key Terms
Assessments
Review Questions
Check Your Understanding Questions
What Should the Nurse Do?
Competency-Based Assessments
References

Chapter 25 Care of the Newborn at Risk
Introduction
25.1 Birth-Related Complications
25.2 Congenital, Genetic, and Acquired Complications
25.3 Newborn Resuscitation
25.4 Preterm Newborn
25.5 Parent-Newborn Bonding and Attachment
25.6 Discharge Planning
Summary
Key Terms
Assessments
Review Questions
Check Your Understanding Questions
Reflection Questions
Critical-Thinking Questions about Case Studies
Competency-Based Assessments
References

Chapter 26 Perinatal Bereavement
Introduction
26.1 Pregnancy Loss
26.2 Intrapartum Fetal Death
26.3 Newborn Loss
Summary
Key Terms
Assessments
Review Questions
Check Your Understanding Questions
Reflection Questions
What Should the Nurse Do?
Competency-Based Assessments
References

Chapter 27 Unfolding Case Study: Applying Clinical Judgment
Introduction
27.1 Clinical Judgment within the Nursing Process
27.2 Measuring Clinical Judgment within Nursing Practice
Summary
Key Terms
Assessments
Review Questions
Check Your Understanding Questions
Reflection Questions
References