Maternal & Child Nursing Care, 5th edition

Published by Pearson (January 4, 2016) © 2017

  • Marcia London Beth-El College of Nursing and Sciences
  • Patricia Ladewig
  • Michele C. Davidson George Mason University
  • MICHELE SHAW
  • Ruth C. Bindler Beth-El College of Nursing and Sciences
  • Kay Cowen University of North Carolina, Greensboro
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Personalize learning with MyNursingLab®

MyNursingLab is an an online homework, tutorial, and assessment program designed to engage students in the Maternal/Newborn Nursing course and improve results. Its guided learning path is proven to help students think like a nurse as they move beyond memorization to true understanding through application. 

  • Help save time and improve class results with Gradebook and Advanced Reporting. 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.
  • Improve students’ clinical reasoning
    • NEW: 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 analyzed information and make sound decisions to provide safe and effective patient care. 
    • 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.
  • Prepare students for the NCLEX-RN Exam 
    • Alternate Item Format Questions in MyNursingLab allow students to practice with many of the question types that they will see on the NCLEX-RN.
    • NEW: More NCLEX-style study questions and two new 60-question Practice Tests are included in MyNursingLab.
  • Guide students beyond memorization to true understanding using the Learning Path with Prioritized Study Plan. 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.
  • Digital access anytime, anywhere with the Pearson eText. The Pearson eText gives students access to their textbook anytime, anywhere. In addition to note taking, highlighting, and bookmarking, it 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.
Prepare students to participate in the health of childbearing and childrearing families 
  • UPDATED: Healthy People 2020 goals acquaint students with national public health efforts and help them make connections between care of individual families and broad-based community health care and public policy. The coding in front of each objective identifies the book chapter and the Healthy People 2020 initiative number.
  • Health Promotion features summarize the needs of women from preconception to postpartum, newborns, and children with specific chronic conditions. 
  • UPDATED: Current nutritional information helps nurses ensure appropriate nutrition during pregnancy, the newborn period, infancy, and childhood.
  • Growth and Development boxes in the pediatric chapters explain how children respond differently to health conditions at various ages.
  • UPDATED: Current research on pain and pain management is referenced throughout the text, with extensive coverage included on birth, postpartum families, and pharmacological options.
  • NEW: A new chapter, Pregnancy in Selected Populations, 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.
  • NEW: A new chapter, Genetic and Genomic Influences in Maternal, Newborn, and Child Health, 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.
  • UPDATED: Expanded discussions of end-of-life care include the care of the family and the child who is dying, grief and loss associated with miscarriage, and care of the family experiencing perinatal loss.
Focus student reading and review for rapid learning
  • Designed to support faster, more efficient learning, the text is organized in a manner that allows instructors and students to focus on what is most important. Relevant nursing topics are carefully integrated in the text and cross-referenced to other chapters to avoid duplicating content.
  • Family Quotes illustrate the diversity of cultures, parental concerns, and family situations that nurses will encounter throughout the course of their careers. 
  • Learning Outcomes help students focus on important concepts.
  • Key Terms are bolded when they first appear to emphasize their importance to the content. All of the key terms are compiled in a Glossary at the end of the book. 
  • Focus Your Study features are designed to help students retain the most important concepts from a chapter in a short period of time. Students save time by having the important concepts identified for them, allowing them to use their study time for reviewing the concepts themselves.
  • Online Resources further enhance the student’s learning experience, build on knowledge gained from the book, prepare students for the NCLEX-RN® examination, and foster clinical reasoning. www.pearsonhighered.com/nursingresources. 
  • Also available:
    • The Clinical Skills Manual for Maternity and Pediatric Nursing (ISBN 0134257006) is a useful resource to assist students in successful planning and performance of essential nursing skills. 
    • NEW! Pearson’s Maternity and Pediatric Nursing Reference App provides a collection of handy tools and additional content for students and professionals looking for a quick reference in maternity or pediatrics nursing. 
Clarify concepts with visuals that teach
  • 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 healthcare needs. 
  • Pathophysiology Illustrated figures allow the student to see into the body and to visualize the causes and effects of conditions on childbearing women, newborns, and children. 
  • 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.
Focus on the family to provide culturally competent care
  • A focus on family-centered nursing care helps nurses engage family members as co-participants in care throughout pregnancy, childbirth, and the care of infants and children. 
  • Community-based nursing and home care topics are referenced throughout, including information on long-term management of complex health conditions, which are especially challenging to manage in community settings. 
  • Teaching Highlights present special healthcare issues or problems and the related key teaching points to address with the family.
  • Developing Cultural Competence boxes highlight specific cultural issues and their application to nursing care.
  • Women With Special Needs features serve as alerts that women with individualized needs may require modified plans of care.
Develop clinical-reasoning skills, and prepare students for clinical settings
  • The nursing process is emphasized throughout the nursing care chapters. To help students understand and apply care principles more completely, Nursing Management headings highlight nursing assessment, diagnosis, planning, implementation, and evaluation.
  • Nursing Care Plans address nursing care for women who have complications such as preeclampsia or diabetes mellitus, as well as for high-risk newborns and children. 
  • Assessment Guides in the maternal-newborn chapters assist readers with diagnoses by incorporating physical assessment, normal findings, alterations, possible causes, and guidelines for nursing interventions. 
  • Clinical Reasoning boxes provide brief scenarios that ask students to determine the appropriate response and test their decision-making skills.
  • Clinical Reasoning in Action features at the end of each chapter present a real-life scenario and a series of questions that ask students to apply their knowledge to clinical scenarios.
  • Clinical Tips offer hands-on tips for specific procedures and interventions, including legal and ethical considerations, nursing alerts, and home and community care considerations.
  • Evidence-Based Practice boxes present recent nursing research, discuss implications, and challenge readers to apply their clinical-reasoning skills to identify nursing care approaches.
  • UPDATED: Professionalism in Practice features focus on topics such as legal and ethical considerations, contemporary nursing practice issues, professional accountability, practice guidelines, patient advocacy, and home and community care considerations.
  • UPDATED: SAFETY ALERT! features present essential information that calls attention to issues that could place a patient or a nurse at risk and provide guidance on maintaining a safe environment.

Personalize learning with MyNursingLab®

MyNursingLab is an an online homework, tutorial, and assessment program designed to engage students in the Maternal/Newborn Nursing course and improve results. Its guided learning path is proven to help students think like a nurse as they move beyond memorization to true understanding through application. 

  • Improve students’ clinical reasoning. 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 analyzed information and make sound decisions to provide safe and effective patient care. 
  • Prepare students for the NCLEX-RN Exam. More NCLEX-style study questions and two new 60-question Practice Tests are included in MyNursingLab.
Prepare students to participate in the health of childbearing and childrearing families 
  • UpdatedHealthy People 2020 goals acquaint students with national public health efforts and help them make connections between care of individual families and broad-based community health care and public policy. The coding in front of each objective identifies the book chapter and the Healthy People 2020 initiative number.
  • Current nutritional information helps nurses ensure appropriate nutrition during pregnancy, the newborn period, infancy, and childhood.
  • Current research on pain and pain management is referenced throughout the text, with extensive coverage included on birth, postpartum families, and pharmacological options.
  • A new chapter, Pregnancy in Selected Populations, 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.
  • A new chapter, Genetic and Genomic Influences in Maternal, Newborn, and Child Health, 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.
  • Expanded discussions of end-of-life care include the care of the family and the child who is dying, grief and loss associated with miscarriage, and care of the family experiencing perinatal loss.
Focus student reading and review for rapid learning
  • Also available: Pearson’s Maternity and Pediatric Nursing Reference App provides a collection of handy tools and additional content for students and professionals looking for a quick reference in maternity or pediatrics nursing. 
Clarify concepts with visuals that teach
  • A new 2-page, 16-photograph Birth Sequence in Chapter 18 provides a moment-by-moment visual presentation of the birth of a baby.
Develop clinical-reasoning skills, and prepare students for clinical settings
  • Updated Professionalism in Practice features focus on topics such as legal and ethical considerations, contemporary nursing practice issues, professional accountability, practice guidelines, patient advocacy, and home and community care considerations.
  • Updated SAFETY ALERT! features present essential information that calls attention to issues that could place a patient or a nurse at risk and provide guidance on maintaining a safe environment.
  • 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 Mai

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 a

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