Maternal, Fetal, & Neonatal Physiology: A Clinical Perspective

Copertina anteriore
Elsevier Health Sciences, 2007 - 777 pagine
Provide the best care possible with expert insight and clinically relevant coverage of the physiologic changes that occur throughout all major periods of the perinatal experience - prenatal, intrapartum, postpartum, and neonatal. This text provides a solid foundation for assessment and therapeutic interventions, featuring an emphasis on the evolving interrelationships between mother, fetus, and neonate and adaptations of preterm and term infants to the extrauterine environment. This edition offers a new chapter on fetal assessment and surveillance, as well as expanded coverage of the physiologic basis for reproduction.
  • Solid coverage of the physiologic bases for assessment and therapeutic interventions make this an ideal resource for advanced practice.
  • Unit One examines the physiologic foundations for the prenatal, intrapartum, and postpartum periods, including information on placental, myometrial, and lactation physiology.
  • Units Two and Three each provide an in-depth study of physiologic adaptations and developmental physiology for major body systems or metabolic processes.
  • Clinical applications relevant to patient care are linked to underlying scientific rationales, helping you provide the most effective care.
  • Comprehensive tables and illustrations highlight important concepts and summarize key information.
  • A new Fetal Assessment chapter reviews the physiology of fetal heart function and heart rate patterns, fetal response to hypoxia, and clinical implications for surveillance of the fetus during pregnancy, labor, and birth.
  • International units of measure have been added to reflect global practice.
  • The chapter on Physiologic Basis for Reproduction features expanded content on key areas such as endocrinology and an increased emphasis on clinical implications.
 

Sommario

UNIT I
1
Gametogenesis
7
Genetic and Chromosomal Disorders
16
Chapter
19
Summary
32
Chapter 3
70
Embryonic and Fetal Development
79
Umbilical Cord
105
Clinical Implications for Neonatal Care
356
Summary
368
Chapter 11
375
Clinical Implications for the Pregnant Woman
384
Summary
391
Chapter 12
415
Clinical Implications for the Pregnant Woman
424
Pregnancy and Liver Disease 431 Summary
432

Clinical Implications
108
Summary
120
Rupture of Fetal Membranes
131
Clinical Implications for the Pregnant Woman
142
Chapter 5
153
Chapter 6
173
Characteristics of the Fetal Heart Rate
179
Summary
189
Pharmacokinetics in the Fetus
205
Clinical Implications for the Pregnant Woman
212
Summary
223
Clinical Implications for the Pregnant Woman
237
Neonatal Physiology
247
Alterations in Hemostasis 251 Clinical Implications for Neonatal Care
253
Maturational Changes During Infancy and Child
260
Chapter 9
267
Summary
286
Neonatal Physiology
297
Clinical Implications for Neonatal Care
303
Summary
309
Chapter 10
315
Clinical Implications for the Pregnant Woman
321
Development of the Respiratory System
327
Functional Development 331 Neonatal Physiology
339
Fetal Growth 441 Neonatal Physiology
443
Clinical Implications for Neonatal Care
452
Summary
467
Chapter 13
473
Clinical Implications for the Pregnant Woman
486
Summary
492
Clinical Implications for Neonatal Care
502
Maturational Changes During Infancy
509
Chapter 14
517
Chapter 15
542
Neonatal Physiology
572
Clinical Implications for Neonatal Care
584
Summary
591
ADAPTATIONS IN METABOLIC
598
Summary
611
Clinical Implications for Neonatal Care 619 Neonatal Hypoglycemia 619 Neonatal Hyperglycemia
621
Chapter 18
645
Clinical Implications for Neonatal Care
652
Maturational Changes During Infancy
665
Pituitary Adrenal and Thyroid
669
Clinical Implications for the Pregnant Woman
677
Neonatal Physiology
688
Summary
695
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