PART 1. INTRODUCTION TO FAMILY-CENTERED CARE
1. Contemporary Maternal, Newborn, and Child Health Nursing
2. Culture and the Family
3. Genetic and Genomic Influences in Maternal, Newborn, and Child
Health
PART 2. WOMEN’S HEALTH
4. Reproductive Anatomy and Physiology
5. Health Promotion for Women
6. Common Gynecologic Problems
PART 3. PREGNANCY AND THE FAMILY
7. Conception and Fetal Development
8. Physical and Psychological Changes of Pregnancy
9. Antepartum Nursing Assessment
10. The Expectant Family: Needs and Care
11. Maternal Nutrition
12. Pregnancy in Selected Populations
13. Assessment of Fetal Well-Being
14. Pregnancy at Risk: Pregestational Problems
15. Pregnancy at Risk: Gestational Onset
PART 4. BIRTH AND THE FAMILY
16. Processes and Stages of Labor and Birth
17. Intrapartum Nursing Assessment
18. The Family in Childbirth: Needs and Care
19. Pharmacologic Pain Management
20. Childbirth at Risk: Pre-Labor Complications
21. Childbirth at Risk: Labor-Related Complications
22. Birth-Related Procedures
PART 5. THE NEWBORN
23. The Physiologic Responses of the Newborn to Birth
24. Nursing Assessment of the Newborn
25. The Normal Newborn: Needs, Care, and Feeding
26. The Newborn at Risk: Conditions Present at Birth
27. The Newborn at Risk: Birth-Related Stressors
PART 6. THE POSTPARTUM FAMILY
28. Postpartum Adaptation and Nursing Assessment
29. The Postpartum Family: Early Care Needs and Home Care
30. The Postpartum Family at Risk
PART 7. CARE AND NEEDS OF CHILDREN
31. Growth and Development
32. Infant, Child, and Adolescent Nutrition
33. Pediatric Assessment
34. Health Promotion and Maintenance: General Concepts, the
Newborn, and the Infant
35. Health Promotion and Maintenance: The Toddler, the Preschooler,
and the School-Age Child
36. Health Promotion and Maintenance: The Adolescent
37. Family Assessment and Concepts of Nursing Care in the
Community
38. Nursing Considerations for the Child and Family with a Chronic
Condition
39. Nursing Considerations for the Hospitalized Child
40. Pain Assessment and Management in Children
41. The Child with a Life-Threatening Condition and End-of-Life
Care
42. Social and Environmental Influences on the Child
43. Immunizations and Communicable Diseases
PART 8. CARING FOR CHILDREN WITH ALTERATIONS IN HEALTH STATUS
44. The Child with Alterations in Fluid, Electrolyte, and Acid-Base
Balance
45. The Child with Alterations in Eye, Ear, Nose, and Throat
Function
46. The Child with Alterations in Respiratory Function
47. The Child with Alterations in Cardiovascular Function
48. The Child with Alterations in Immune Function
49. The Child with Alterations in Hematologic Function
50. The Child with Cancer
51. The Child with Alterations in Gastrointestinal Function
52. The Child with Alterations in Genitourinary Function
53. The Child with Alterations in Endocrine Function
54. The Child with Alterations in Neurological Function
55. The Child with Alterations in Mental Health and Cognitive
Function
56. The Child with Alterations in Musculoskeletal Function
57. The Child with Alterations in Skin Integrity
APPENDICES
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
Glossary
Index
Marcia L. London received her BSN and School Nurse Certificate from
Plattsburgh State University in Plattsburgh, New York, and her MSN
in pediatrics as a clinical nurse specialist from the University of
Pittsburgh in Pennsylvania. 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.
Patricia A. Wieland Ladewig received her BS from the College of
Saint Teresa in Winona, Minnesota; her MSN from Catholic University
of America in Washington, DC; and her PhD in higher education
administration from the University of Denver in Colorado. 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.
Michele R. Davidson completed her ADN degree from Marymount
University in Arlington, Virginia. 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.
Jane W. Ball graduated from The Johns Hopkins Hospital School of
Nursing in Baltimore, Maryland, and subsequently received a BS from
The Johns Hopkins University in Baltimore. 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.
Ruth C. McGillis Bindler received her BSN from Cornell
University—New York Hospital School of Nursing in New York, New
York. 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.
Kay J. Cowen received her BSN degree from East Carolina University
in Greenville, North Carolina, and began her career as a staff
nurse on the pediatric unit of North Carolina Baptist Hospital in
Winston-Salem. 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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