OB nursing dx book?

Published

Specializes in Urgent Care.

We use Ackley and Ladwig, but were told that there is a nursing diagnosis book specific to OB, but it isn't on the textbook list. Does anyone know of any good ones? Thanks!

Specializes in med/surg, telemetry, IV therapy, mgmt.

i think maybe they were referring to maternal/newborn plans of care: guidelines for individual care, third edition (currently) by marilynn e. doenges and mary frances moorhouse. i have a copy of it and am looking at it now. as i recall, it ran about $40-46. i purchased it through barnes and nobel. it is 580 pages and has 7 chapters.

  1. trends and issues in maternal/newborn care
  2. nursing process: planning care with nursing diagnosis
  3. critical thinking: adapting theory to practice
  4. prenatal concepts (includes care plans for all three trimesters, prenatal assessment, genetic counseling, and complications as well as normal situations. care plans for high-risk pregnancy, prenatal substance dependence/abuse, the pregnant adolescent, cardiac conditions, hypertension, gestational diabetes, prenatal hemorrhage, prenatal infection, incompetent/dysfunctional cervix, spontaneous termination of pregnancy, elective termination and preterm labor/prevention of delivery)
  5. intrapartal concepts (includes an intrapartal assessment tool, care plans for normal stages of labor, c-section, precipitous delivery, unplanned/out-of-hospital delivery, and problems of hypertension and diabetes)
  6. maternal postpartal concepts (includes a postpartal assessment tools and care plans for the postpartum patient at the first 4 hours, 4 hours to 2 days, 1 week 4 to 6 weeks following delivery as well as the following complications: hemorrhage, diabetes, puerperal infection, thrombophlebitis, perinatal loss, and the child with special needs)
  7. newborn concepts (includes a neonatal assessment tool and care plans for the neonate at first hour of life, 2 hour to 2 days, 1 week, 4 weeks, the preterm infant, deviations in growth patterns, circumcision, hyperbilirubinemia, the infant of the addicted mother, and the infant of the hiv-positive mother)

there is a bibliography at the end that references books and articles used in each chapter and an alphabetic index of nursing diagnoses and on which pages they have been used in the various care plans.

if you haven't already studied ob there is one overall concept that you need to keep in mind. when everything goes normally nothing could be better. it is the fact that it is rare that everything goes normally that keeps ob docs and ob departments in business. so, when you are learning this stuff first get a good knowledge of what a normal pregnancy and delivery are. everything else is what goes wrong from thereon, from the smallest what seems to be the most insignificant thing to major hemorrhage and death. do not fall into the trap of thinking that ob is going to be a easy study if you had an easy labor and delivery yourself. this is a very complex subject.

Specializes in med/surg, telemetry, IV therapy, mgmt.

I should also mention that each of the care plans gives nursing interventions and rationales. The nursing interventions are broken down into those that are independent and those that are collaborative. You probably want to know that! Also, with each nursing diagnosis that is used, the authors have listed factors that may be related to the nursing diagnoses as well as defining characteristics (they are calling them "possibly evidenced by"), and desired outcomes and evaluation criteria. This is all very similar to the Ackley/Ladwig handbook except it does not have the list of symptoms, problems, and clinical states that Ackley/Ladwig has before the listing of the nursing diagnoses.

If there is anything more you want to know about this book, just ask. I have it at my fingertips.

Specializes in Urgent Care.

Thanks so much!

+ Join the Discussion