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Study Guide for Safe Maternity & Pediatric Nursing Care

Master the principles and concepts presented in the text with this essential companion. Practice with vocabulary exercises, multiple-choice and short-answer questions, case study exercises, NCLEX-Style review questions, nursing care plan exercises, drawing exercises, and much more!

Learn more at FADavis.com

LPN Notes

Nurse’s Clinical Pocket Guide, 4th Edition

Ehren Myers, RN

Portable & pocket-sized!

Its handy, waterproof pages are great on the go, while NCLEX® tips make it perfect for preparing for the NCLEX®-PN exam. A must-have resource to deliver safe and effective care in class, clinical, or practice.

Over 6,000 questions allow you to study smarter, not harder.

6,000 questions set up you up for success. Master course content, develop your critical-thinking skills, and prepare for the NCLEX-PN® with this adaptive, online Q&A program.

Learn more at DavisEdge.com.

& Safe Maternity and Pediatric Nursing Care

Luanne Linnard-Palmer, EdD, MSN, RN, CPN

Nursing Professor

Dominican University of California San Rafael, California

Gloria Haile Coats, MSN, RN, FNP

Nursing Professor

Modesto Junior College

Modesto, California

F. A. Davis Company

1915 Arch Street Philadelphia, PA 19103

www.fadavis.com

Copyright © 2017 by F. A. Davis Company

Copyright © 2017 by F. A. Davis Company. All rights reserved. This book is protected by copyright. No part of it may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without written permission from the publisher.

Last digit indicates print number: 10 9 8 7 6 5 4 3 2 1

Publisher, Nursing: Terri Wood Allen

Director of Content Development: Catherine H. Carroll

Senior Content Project Manager: Christine M. Abshire

Art and Design Manager: Carolyn O’Brien

Production Manager: Robert C. Butler

Electronic Project Editor: Sandra Glennie

As new scientific information becomes available through basic and clinical research, recommended treatments and drug therapies undergo changes. The author(s) and publisher have done everything possible to make this book accurate, up to date, and in accord with accepted standards at the time of publication. The author(s), editors, and publisher are not responsible for errors or omissions or for consequences from application of the book, and make no warranty, expressed or implied, in regard to the contents of the book. Any practice described in this book should be applied by the reader in accordance with professional standards of care used in regard to the unique circumstances that may apply in each situation. The reader is advised always to check product information (package inserts) for changes and new information regarding dose and contraindications before administering any drug. Caution is especially urged when using new or infrequently ordered drugs.

Library of Congress Cataloging-in-Publication Data

Names: Linnard-Palmer, Luanne, author. | Coats, Gloria Haile, author.

Title: Safe maternity and pediatric nursing care / Luanne Linnard-Palmer, Gloria Haile Coats.

Description: Philadelphia : F.A. Davis Company, [2017] | Includes bibliographical references and index.

Identifiers: LCCN 2016032256 | ISBN 9780803624948

Subjects: | MESH: Maternal-Child Nursing—methods | Pediatric Nursing—methods

Classification: LCC RJ245 | NLM WY 157.3 | DDC 618.92/00231—dc23 LC record available at https://lccn.loc.gov/2016032256

Authorization to photocopy items for internal or personal use, or the internal or personal use of specific clients, is granted by F. A. Davis Company for users registered with the Copyright Clearance Center (CCC) Transactional Reporting Service, provided that the fee of $.25 per copy is paid directly to CCC, 222 Rosewood Drive, Danvers, MA 01923. For those organizations that have been granted a photocopy license by CCC, a separate system of payment has been arranged. The fee code for users of the Transactional Reporting Service is: 8036-2494-8/17 0 + $.25.

About the Authors

Luanne Linnard-Palmer, EdD, MSN, RN, CPN is a professor of pediatric nursing at Dominican University of California located just north of San Francisco in Marin County. She has been teaching in both undergraduate and graduate nursing programs for over 25 years. She currently practices acute care pediatric nursing at Sutter Health’s California Pacific Medical Center in San Francisco and works as a Pediatric Oncology Nurse Coordinator for Stanford’s Lucille Packard Children’s Hospital. Her passion for teaching and clinical practice spans a twenty nine year career. She works closely with a diverse clinical team which includes medical assistants, LVN/LPNs, physicians, medical students and interns, and advance practice nurses. Her goal in writing this book is to provide a foundation of critical information with a focus on safety.

Gloria Haile Coats, MSN, RN, FNP is a professor of maternity and pediatric nursing at Modesto Junior College in Modesto, California. She has a diploma from Burge School of Nursing in Springfield, Missouri, a BSN from California State University, Stanislaus; a MSN from California State University, Dominquez Hills; and a Post-Masters family nurse practitioner certificate from Sonoma State University. She has experience in the development, implementation, and evaluation of nursing education and curriculum. Her expertise in nursing education both in the classroom and clinical setting has enabled her to take difficult concepts of nursing education and make them understandable for nursing students. She understands the time constraints in nursing education and her goal for this book is to provide the essential need-to-know information for nurses to provide safe and effective maternity and pediatric care.

This book is dedicated to my father, Howard Warren Linnard and my mother, Bernice Elaine Linnard.

A man whose passion for health, happiness, joy, and love permeated every aspect of his successful life. A woman whose strength, creativity, work ethic, and love continue to influence the well-being of everyone she encounters.

To my husband, Mike, who supported and encouraged me throughout this project. Thank you for graciously giving up sailing weekends so that I could write and meet deadlines.

To my children, Christopher, Melissa, and Logan, you have made me a proud mother. Thank you for tolerating a nurse mom when you were growing up. And finally, to my students, past and future, I hope that you can see that nursing is my vocation, not a job.

Acknowledgments

We would like to express our deepest gratitude to our distinguished Developmental Editor, Julie Scardiglia. Throughout this process, you have been a steadfast pillar of motivation, professionalism, and support. In great appreciation… thank you for seeing us through.

Our very lives, indeed our societies, are enriched by the birth, growth, and development of a child. Nurses are honored by the trust parents give as we watch over and care for their precious children.

assist the student nurse to be knowledgeable about health promotion behaviors.

• Cultural Considerations: Patient-centered care requires the nurse to be aware of cultural differences and how those differences can impact patient care. This feature addresses cultural considerations in order to promote better nursing care.

• Labs & Diagnostics: Laboratory values or diagnostic tests that are pertinent to providing safe maternity and pediatric nursing care are highlighted in this feature.

• Learn to C.U.S.: This safety-related feature highlights a method of communication in which the nurse uses the format of C: “I am concerned,” U: “I am uncomfortable,” and S: “We have a safety issue” to communicate with members of the health-care team.

• Therapeutic Communication: Patient- and familycentered care requires the nurse to be adept at therapeutic communication. Examples of therapeutic communication are included to provide the student nurse with a foundation of skills for effective communication with patients and their families.

• Team Works: This feature presents the nurse as part of the health-care team who, with other health-care professionals, provides safe patient care.

• Drug Facts: Medications that are relevant to the management of patient care are the focus of this feature. It provides basic need-to-know information regarding medications discussed in the chapter, including information related to safe medication administration.

• Nursing Care Plan: Various formats of nursing care plans are provided to allow students to see how the chapter information can be applied in a nursing care plan. Information may include nursing assessments, diagnoses, interventions, and/or expected patient outcomes.

• Safety STAT!: The most important safety issues related to safe patient care are highlighted in the Safety STAT! features. Each chapter contains several Safety STAT!s that promote the principles of patient safety.

• NCLEX®-Style Review Questions: Each chapter includes NCLEX®-style review questions to assist students with preparing for course and national licensure exams. Answers are located on the Instructor DavisPlus Web site.

• Critical Thinking Questions: Following the review questions, each chapter includes critical thinking questions that can be used in the classroom or completed by the student to apply the chapter information to a critical thinking situation. Answers are located on the Instructor DavisPlus Web site.

AVAILABLE ON Bonus Chapters

Safe Maternity and Pediatric Nursing Care focuses on the “need-to-know” content that will allow nurses to achieve safe practice. Faculty is consistently challenged to decide what material is most relevant to present to their students in

their packed curriculum. Programs cover OB/Peds content in a variety of course lengths, sometimes taught together and sometimes separate. The authors of this text carefully curated the content so that what is in print is “necessary,” and we offer “nice-to-know” content online. The online chapters are fully supported with Active Classroom Instructor’s Guide materials, PowerPoint, Instructor and Student Test Banks, and study guide exercises. Bonus chapters include the following:

1:Introduction to QSEN

2:Cultural Competency in Maternity and Pediatric Care

3:Women’s Health Promotion Across the Life Span

4:Adapting to Chronic Illness and Supporting the Family Unit

5:Legal Aspects of Pediatric Nursing Care

6:Providing a Safe Environment: Home and School

7:Families Experiencing Stressors

Appendices

The appendices support further learning, classroom activities, and application of text material around the assessment and care of the neonate, child, and adolescent. Appendices include the following:

A.Joint Commission’s “Do Not Use” Abbreviations List

B.Thirty Types of Medical Errors and Tips for Preventing Harm: Quality and Safety Imperatives for Nurses Caring for Patients Across the Developmental Period

C.Universal and Standard Precautions for Preventing Disease Transmission

D.Conversion Factors

E.Common Medication Administration Calculations in Pediatrics

F.Normal and Expected Vital Signs for Children

G.Specimen Collection Techniques in Pediatrics

H.Techniques for Effective Change of Shift Report or “Handoffs”

I.Overview of Sex Education and Reproductive Health in Adolescence: Client Teaching Guide

J.Injury Prevention Across Childhood

K.Anticipatory Guidance for New Parents

L.Guidelines for Working With Children Who Are Hospitalized

M.Immunization Schedule

Student Resources

Use your unique DavisPlus access code from the inside front cover to access the following premium resources:

• Davis Digital Version ebook with full functionality

• Student Quiz Bank of NCLEX®-style questions with rationales, including alternate-format questions such as select-all-that-apply

• Interactive Clinical Scenarios provide an introduction to ten clinical scenarios that help students hone critical thinking skills and make decisions for patients.

• Interactive Exercises such as find the term and quiz show are included for every chapter.

• Animations are audio and visual enhancements of topics and concepts.

• Web links organized by topic for further research

• Post-Conference Questions and Activities ask the student to consider the specific chapter’s content related to relevant aspects of clinical care

• Answers to Real-World Case Studies

• Printable Care Plans

• Audio Glossary

• References

• Audio Library of heart sounds

• Pediatric Dosage Calculation Module

• Fetal Heart Monitoring Terminology

Instructor Resources

• Davis Digital Version ebook with full functionality

• Electronic Test Bank of NCLEX®-style questions with rationales for correct and incorrect answers and page references, in ExamView Pro

• Active Classroom Instructor’s Guide that maps the Student and Instructor Resources and includes Lecture Notes

• PowerPoint Presentations of fully customizable slides featuring iClicker student questions

• Image Bank includes all of the images from the text.

• Printable Concept Maps

• How to Use the Book in Courses of Varying Lengths provides suggestions for using the text and online bonus chapters in separate and combined courses.

• Answers to in-text Review Questions, Critical Thinking Questions, and Post-Conference Questions and Activities

• Answers to Study Guide questions and activities

STUDY GUIDE

This essential companion provides the student with a variety of means to demonstrate knowledge, application, analysis, and evaluation of the material provided throughout the text. There is a study guide chapter for every text chapter, including the Online Bonus Chapters. Each study guide chapter includes exercises that help the learner deepen his or her understanding and demonstrate mastery of the concepts presented in the book.

The study guide includes exercises that address all of the types of text features, including:

• Multiple choice and other NCLEX®-style review questions

• True or false questions

• Matching exercises

• Short-answer questions

• Fill-in-the-blank questions

• Essay questions

• Crossword puzzle

• Concept maps

• Table completion exercises

• Labeling exercises

Answers to the study guide questions are located on DavisPlus in the Instructor Resources. This allows instructors to choose whether students should have the answers before completing the study guide exercises.

Deborah Vance Beaumont, MSN, RN

Mind Body Nutrition RN

Captain Cook, Hawaii

Chapter 39 Child With a Communicable Disease

Olivia Catolico, PhD, MSN, RN, CNL, BC

Professor of Nursing

Dominican University of California

San Rafael, California

Bonus Chapter 2 Cultural Competency in Maternity and Pediatric Care

Leslie Crane, EdD, MSN, RN

Director of the CNA/HHA Program

Santa Rosa Junior College

Santa Rosa, California

Chapter 32 Child With a Respiratory Condition

Catherine E. Cyr-Roy, RN, BSN, MPA/HSA

RN Instructor

Dominican University of California

San Rafael, California

Solano Community College

Fairfield, California

Bonus Chapter 7 Families Experiencing Stressors

Margaret Fink, EdD, MSN, RN

Professor of Nursing

Dominican University of California

San Rafael, California

Chapter 1 Healthy People 2020 and Initiatives for Healthy Families

Barbara McCamish, MSN, MPT, RN, PT, CNL, CHSE

Clinical Simulation Center Manager

Dominican University of California

San Rafael, California

Bonus Chapter 1 Introduction to QSEN

Natalie (Lu) Sweeney, RN, MSN, CNS

Professor of Nursing

Dominican University of California

San Rafael, California

Chapter 33 Child With a Cardiac Condition

Lori Airth, RN

Practical Nursing Instructor

Northern Lakes College

Valleyview, Alberta, Canada

Mary T. Amundson, RN, MSN

Practical Nursing Faculty

Northland Community and Technical College East Grand Forks, Minnesota

Janice Ankenmann-Hill, RN, MSN, CCRN, FNP-C

Professor and Program Director, Vocational and Associate Degree Nursing

Napa Valley College Napa, California

Darlene Baker, RN, MSN

Director of Health Career Programs Green Country Technology Center Okmulgee, Oklahoma

Holli Benge, RN, MSN

Professor/Department Chair Tyler Junior College Tyler, Texas

Melanie Benington, RN, MSN

Practical Nursing Training Specialist

Cuyahoga Community College Cleveland, Ohio

Kristie A. Berkstresser, PhD, RN, CNE, BC

Associate Professor of Nursing HACC, Central Pennsylvania’s Community College Lancaster, Pennsylvania

Christi Blair, RN, MSN

Nursing Faculty

Holmes Community College Goodman, Mississippi

Jammie Blankenship, RN, MSN

Practical Nursing Instructor

Kiamichi Technology Centers Hugo, Oklahoma

Cheryl Bruno-Mofu, RN, ADN

Instructor of Vocational Nursing and Allied Health

Palo Verde College

Blythe, California

Karen Clark, RN, MSN

Instructor of Nursing/Full Time Faculty

Lehigh Carbon Community College

Schnecksville, Pennsylvania

April Cline, RN, CNE, PhD

Practical Nurse Educator, Instructor

Isothermal Community College Spindale, North Carolina

Michelle Crum, RN, BSN, EJD

Practical Nursing Program Director

Ozarks Technical Community College Springfield, Missouri

Mary Davis, RN, MSN

Nursing Instructor

Wiregrass Georgia Technical College Valdosta, Georgia

Natalie Deleonardis, MSN, RN Coordinator of the North Campus Outreach Practical Nursing Program

Pennsylvania College of Technology Wellsboro, Pennsylvania

Sharon Demers, RN, BN, CAE Instructor

Assiniboine Community College Winnipeg, Manitoba, Canada

Sally Flesch, RN, BSN, MA, EdS, PhD Professor, Coordinator, Practical Nursing Program

Black Hawk College Moline, Illinois

Tina Forrester, MSN, RN

Practical Nursing Instructor Bladen Community College Dublin, North Carolina

Louise S. Frantz, RN, BSN, MHA, Ed Coordinator Practical Nursing Program Penn State Berks Reading, Pennsylvania

Nadra Gibson, RN, BSN

IDNEP

Academy of Medical & Health Science Pueblo, Colorado

Alice Gilbert, RN, BSN

Director, Instructor

Ukiah Adult School Vocational Nursing Program

Ukiah, California

Linda Griffis, RN

Lead Instructor

Practical Nursing Program

Pearl River Community College

Poplarville, Mississippi

Marie Hedgpeth, RN, MSN, MHA

Practical Nursing Faculty

Robeson Community College

Lumberton, North Carolina

Catherine Krahn Horton, RN, MSN

Nursing Instructor

Madison Area Technical College Fort Atkinson, Wisconsin

Melody Jaymes, RN, MSN

Practical Nursing Instructor

Huntingdon County Career and Technology Center

Mill Creek, Pennsylvania

Valerie Jenkins, RN, BSN

Quarter 3 Coordinator

Galen College of Nursing San Antonio, Texas

Kathy A. Johnson, RN, BSN

Practical Nursing Instructor

Greater Lowell Technical School Tyngsboro, Massachusetts

Robin Kern, RN, MSN

Program Chair, Practical Nursing

Moultrie Technical College Moultrie, Georgia

Lori A. Koehler, FNP-C, MSN, RN, CEN Faculty

Northampton Community College Bethlehem, Pennsylvania

Kelly Kidd, RN, BScN, MN

Professor, Coordinator Practical Nursing Program

Algonquin College

Pembroke, Ontario, Canada

Tracy Lohstroh, MSN

Nursing Faculty/Department Chair for Allied Health

Shawnee Community College

Ullin, Illinois

Nancy Lyons, RN, BSN

Instructor, Coordinator LPN Program

Holy Name Medical Center School of Practical Nursing

Teaneck, New Jersey

Patricia C. Martin, RN, MS Chair of Nursing, Calmar Campus

Northeast Iowa Community College Calmar, Iowa

Kathleen J. Maschka, RN, MSN

Nursing Faculty

Minnesota State College – Southeast Technical Winona, Minnesota

Lynda Matthews, RN, BSN Coordinator of Practical Nursing Program

Texas County Technical College Houston, Missouri

Kim McCombs, RN, MSN

Assistant Professor

Black Hawk College Moline, Illinois

Carolyn McCormick, RN, MSN, CNE

Director Practical Nursing Program

Cape Fear Community College Wilmington, North Carolina

Judy Melton, RN, MSN

Assistant Director Practical Nurse Education

McDowell Technical Community College Marion, North Carolina

Barbara Michalski, RN, MSN

Practical Nursing Instructor

Tulsa Technology Center Tulsa, Oklahoma

Marybeth Millan, BSN, RNC, CCE

Nurse Educator

Ocean City Vocational Technical School

Toms River, New Jersey

Nancy Morris, RN, MSN, Ed

Director/Instructor of Practical Nursing Program

North Georgia Technical College Toccoa, Georgia

Tracy Moshier, RN, MSN, CCE

Nursing Instructor

Lake Superior College Duluth, Minnesota

JoAnne M. Pearce, MS, RN Assistant Professor Idaho State University Pocatello, Idaho

Tammy Pehrson, RN, MS Practical Nursing Program Manager College of Southern Idaho Twin Falls, Idaho

Patrice Pierce, RN, MSN Director of Nursing Program Central Georgia Technical College Milledgeville, Georgia

Cheryl Lynn Puckett, MSN, RNC-OB Associate Professor

Bluegrass Community and Technical College, Danville Campus Danville, Kentucky

Heather (Thomas) Reardon, RN, MS

Associate Professor College of Southern Idaho Twin Falls, Idaho

Dana Reece, RN, MSN/Ed Professor of Nursing

Horry Georgetown Technical College Georgetown, South Carolina

LuAnn J. Reicks, RN-BC, BSN, MSN Professor/Practical Nurse Coordinator Iowa Central Community College Fort Dodge, Iowa

Ellen Santos, RN, MSN, CNE Director of Practical Nursing

Assabet Valley Regional Technical School Marlborough, Massachusetts

Anna Schmidt, RN, MA, PHN Dean of Health Sciences

Hennepin Technical College Brooklyn Park, Minnesota

Glynda Renee Sherill, RN, MS

Practical Nursing Instructor

Indian Capital Technology Center

Tahlequah, Oklahoma

Anne Simko, RN, BSN, MS

LPN Department Head

Eli Whitney Technical School Hamden, Connecticut

Carolyn Slade, AAS

Practical Nursing Instructor

Wiregrass Georgia Technical College Fitzgerald, Georgia

Rox Ann Sparks, RN, MSN, MICN, LNC, ENPC

Assistant Director Vocational Nursing

Merced College – Dr. Lakkireaddy Allied Health Division Merced, California

Kelly Stone, RN, BSN

PN Program Coordinator

University of Arkansas Community College at Batesville Batesville, Arkansas

Miranda Stover, RN, BS, MSN

Assistant Professor of Practical Nursing

Iowa Lakes Community College Emmetsburg, Iowa

Serena Strain, RN, MSN

Nurse Faculty, Lead Instructor

Forsyth Technical Community College Winston Salem, North Carolina

Sandy Wallace, RN, MS, BA Professor of Nursing

Kansas City Kansas Community College Kansas City, Kansas

Resa Yount, RN, BSN

Practical Nursing Senior Instructor

Tennessee College of Applied Technology Morristown, Tennessee

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