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Providing portable and practical information for evaluating intrapartum and antepartum fetal status specifically for use in the clinical environment, this handy guide explains the care and management of the patient in the labor and delivery suite, the fetal intensive care unit, and the antepartum inpatient unit or ambulatory care setting. It also provides up-to-date content on all aspects of electronic fetal monitoring, from operating equipment to interpreting data.
Rev. ed. of: Mosby's pocket guide to fetal monitoring / Susan Martin Tucker, Lisa A. Miller, David A. Miller.
This comprehensive text emphasizes the practical application of electronic fetal monitoring (EFM). Case scenarios link various clinical situations with data interpretation to promote critical thinking. Relevant, up-to-date research helps readers develop problem solving skills; identify optimal treatment responses; and become familiar with the disease and nondisease conditions in pregnant patients that affect fetal health. More than 170 EFM strips complement the text. This edition has more monitoring strips and a new chapter on electronic record-keeping by a well-known expert. Electronic Fetal Monitoring: Concepts and Applications, Second Edition is a must-have purchase for anyone responsible for EFM interpretation.
Fetal heart rate monitoring affects the lives of millions of women and infants every year in the United States alone. Used by all members of the obstetric team - nurses, students, midwives, and physicians – it is the primary method to assess fetal oxygenation in both the antepartum and intrapartum setting. Improving outcomes and promoting patient safety depends upon correct use and interpretation of fetal heart rate monitoring, and is crucial to daily obstetric practice. This fourth edition provides the obstetrical team a framework within which to interpret and understand fetal heart rate tracings and their implications. The text covers key issues as the physiological basis for monitoring, a discussion of fetal hypoxemia and neonatal encephalopathy, instrumentation and pattern recognition. In addition to an in-depth review of the standardized NICHD nomenclature and three-tiered FHR Category approach, there are chapters on intrapartum and antepartum management as well as fetal central nervous system effects on monitor patterns. Since fetal monitoring is primarily a screening tool there are also discussions on the use of backup methods for evaluation of abnormal patterns. This 4th edition also brings the addition of Lisa A. Miller CNM, JD, who provides a nursing and midwifery perspective as well an enhanced legal and risk management review. This new fourth edition includes: Review of neonatal encephalopathy and recent studies on CP Currentinformation and discussion of most recent NICHD panel recommendations, both antepartum and intrapartum New chapter on Pitfalls in EFM Detailed chapter on risk management, liability & documentation New section on fetal maternal hemorrhage Update on new instrumentation Crucial information on maternal/fetal coincidence and FDA warnings All chapters include updated practice tips and clinical implications for the entire obstetric team Plus, with this edition clinicians have access to a companion website with full text and an image bank for fast & simplified clinical review.
"Where was this book when I was a new nurse just learning the ropes of labor and delivery? This is a true gem of a book-a must for any new grad going into labor and deliveryÖ.I recommend this book for every labor and delivery floor." Cindy Curtis, RNC, IBCLC, CCE Former Director, The Family Birth Center Culpeper Regional Hospital Lignum, VA "The best one stop reference book for the experienced and noviced Labor and Delivery RN....Finally an excellent Labor and Delivery book by RN's -- for RN's." Garla DeWall, RNC Presbyterian Hospital in the Family Birthing Center Albuquerque, New Mexico Labor and delivery nursing requires critical thinking, constant caring, teamwork, and communication. As the first line of defense to prevent injury, labor and delivery nurses take on some of the most difficult and trying challenges in the delivery room. Murray and Huelsmann present this clinically oriented guide to help labor and delivery nurses make wise decisions in the delivery room. The authors provide a wealth of insight on how to maximize both maternal and fetal outcomes. This book provides authoritative guidance on intervention options, creation of patient-centered plans of care, and improved communication with other members of the obstetrics team. Special Features: Explains the stages and phases of delivery, pain management, patient assessment, and much more Features references, relevant graphics, skills checklists, and review questions at the end of each section Useful for RNs new to the field, seasoned practitioners looking for updated methods and data, and nurses preparing for certification and licensure With this book, nurses will gain the confidence and competence to approach labor and delivery challenges with care and efficiency.
Improve retention with this high-speed review for test-day success! Designed as a last-minute gut check for your certification exam, this guide is written by certified nurses who have your back, providing you with quick, digestible nuggets of the most pertinent topics on the NCC Electronic Fetal Monitoring exam. Use this small but mighty book during the last month of your preparation to strengthen your knowledge and get ready to tackle this subspecialty exam with confidence! This guide follows the most current exam blueprint and covers all the electronic fetal monitoring topics and professional issues you'll need to know for the exam in the obstetrics office or labor and delivery unit. Chapters cover maternal and fetal physiology, internal and external fetal monitoring equipment, fetal assessment methods, EFM pattern recognition, fetal and maternal complications, ethical and legal issues, and more! Key Features: Offers a succinct, rapid review of the key topics you’ll likely see on the exam Includes dozens of useful EFM tracings to help you visualize important patterns and identify potential emergencies Provides important alerts, complications, nursing pearls, and pop quiz questions to highlight extra-important information and test your knowledge Includes a chapter of case studies to help you strengthen your tracing interpretation skills and identify subsequent nursing interventions Boosts your confidence with a 100% pass guarantee C-EFM® is a registered trademark of the National Certification Corporation. NCC does not sponsor or endorse this resource, nor does it have a proprietary relationship with Springer Publishing Company.
The delivery of high quality and equitable care for both mothers and newborns is complex and requires efforts across many sectors. The United States spends more on childbirth than any other country in the world, yet outcomes are worse than other high-resource countries, and even worse for Black and Native American women. There are a variety of factors that influence childbirth, including social determinants such as income, educational levels, access to care, financing, transportation, structural racism and geographic variability in birth settings. It is important to reevaluate the United States' approach to maternal and newborn care through the lens of these factors across multiple disciplines. Birth Settings in America: Outcomes, Quality, Access, and Choice reviews and evaluates maternal and newborn care in the United States, the epidemiology of social and clinical risks in pregnancy and childbirth, birth settings research, and access to and choice of birth settings.
Confidently deliver safe, accurate intrapartum care with the expert guidance of Intrapartum Management Modules, 5e. This essential, fully updated edition offers easy-to-follow directions on the full range of intrapartum skills, from admission assessment of the laboring woman and fetus to delivery and postpartum care. Written by top-level intrapartum nurses and educators, this is not only an essential study aid for inpatient obstetric nursing certification; it also offers indispensable orientation support to new practitioners. Absorb the A to Z of intrapartum nursing science and skills . . . NEW and updated content offers the latest evidence-based therapeutic methods, drugs, and technology NEW chapter on electronic fetal heart rate monitoring Practice strips for monitoring fetal heart rate and contractions End-of-module practice/review questions and end-of-book posttests to aid retention and bulletproof exam preparation Centers for Disease Control guidelines for safe labor and delivery National Institute of Child Health and Human Development guidelines for accurate electronic fetal monitoring Self-paced independent learning manual—step-by-step directions for vital skills, including: Physical exam of the laboring woman Evaluating contractions Meeting the individual and cultural needs of the laboring woman and family Identifying the high-risk mother and fetus Assessing fetal health Managing gestational diabetes Determining whether a patient is at risk for domestic violence Evaluating fetal lie and presentation Breathing and effleurage techniques Managing an unexpected delivery
An official publication of the Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN), Perinatal Nursing, Fourth Edition presents up-to-date information based on the most rigorous evidence and offers suggestions for best practices. This new edition of the authoritative, comprehensive text used by perinatal nurses worldwide features a wealth of new content to keep practice current. New chapters related to patient safety and the development of a highly reliable perinatal unit, inform nurses how to conduct team training and drills for obstetric emergencies, create checklists, and effectively handoff patients. It features expanded coverage of high-risk pregnancy, from bleeding in pregnancy to preterm labor and birth, diabetes, cardiac disease, pulmonary complications, multiple gestation, and maternal-fetal transport. An all-new chapter on obesity in pregnancy covers risks to the mother and fetus, care from preconception to postpartum, as well as bariatric surgery. An expanded chapter on newborn nutrition includes new sections on the infant feeding decision, benefits of breastfeeding, nutritional components, and preterm milk and lactation.