This practical handbook of prenatal and postpartum care is written for nurse practitioners, nurse-midwives, graduate students, and practicing OB/GYN nurses. It includes coverage of history taking, physical exam, laboratory tests, health education, initial and return prenatal visits, postpartum period, and family planning. Focus is placed on physical and psychosocial well-being and health promotion. Special features include: Healthy Pregnancy Questions for differentiating between common discomforts and potential complications; Key Moments tables that summarize essential information for key gestational ages; and History Taking forms. Numerous appendices permit easy and quick reference. A must have reference for nurse practitioners and nurse-midwives.

Table of Contents

PART 1 Preconception Counseling 1 Chapter 1 Health and Health-Related Information 3 Chapter 2 Health Education 34 PART 2 The Initial Prenatal Visit 45 Chapter 3 The Initial Prenatal Visit History 47 Chapter 4 The Physical Examination 100 Chapter 5 Laboratory Tests and Diagnostic Procedures 123 Chapter 6 Health Education at the Initial Prenatal Visit 174 PART 3 The Prenatal Revisit 183 Chapter 7 Routine Assessments 185 Chapter 8 Common Complications of Pregnancy 231 Chapter 9 Health Education at the Prenatal Revisit 256 PART 4 The Postpartum Period 273 Chapter 10 Transition to Parenthood 275 Chapter 11 Postpartum Complications 279 Chapter 12 Breastfeeding 285 Chapter 13 Contraception 293 Chapter 14 The Postpartum Visits 337 Chapter 15 Health Issues for Women 346 References 367 Environmental Exposure History Form 383 Guidelines to Responding to a Disclosure of Childhood Sexual Abuse 385 Guidelines for Pregnancy Management in DES-Exposed Women 387 Sample Prenatal Genetic Screen 388 Food Guide Pyramids: Guides to Daily Food Choices 390 Serving Sizes 392 Guidelines for Working With an Interpreter 393 Body Mass Index Table 395 Areas of the World Where Female Circumcision Is Found 397 Criteria for Tuberculin Positivity by Risk Group 398 Normal Laboratory Values in Pregnancy 399 Medicolegal and Administrative Guidelines for Using E-mail in a Clinical Setting 404 Long Chart Review Guide 405 Short Chart Review Guide and Conduct of an Antepartum Visit 409 Models for Drawing on the Maternal Abdomen 413 Guidelines for Selecting Printed Material 414 Recommendations for Reducing the Risk of SIDS 415 IUD Charting Form 416 Postpartum Client History Form 418 Suggestions for Discussing Condom Use With a Man 421 Instructions for Taking Calcium Supplements 424 Index 427