L2: fam care, etc... Flashcards
Cultural awareness vs. cultural sensitivivty vs, cultural competence vs Cultural humility
Cultural awareness: Being aware of differences across cultures
Cultural sensitivity: understanding the impact of changing your care based on cultural awareness.
Cultural competence: developing skills to provide culturally appropriate care. You can never be truly competent.
Cultural humility: constantly learning about cultures. you will never be an expert but you are open to learning
There are different ways to approach family care. Explain the following approaches
- Family as context
- Family as client
- Family as context: in this approach, the nurse focuses on an individual member and the family as their background. Nurse investigates the effect the family has on the individual pt. There is a range of how much the family is incorporated into the care of plan
- Family as client: The nurse focuses on the family as a whole. focus is on how the pt interacts with their family members. There is an interactional system meaning what happens to one member affects the rest.
As nurses, we use theories to guide our care for families. The most notable theories are the systems theory and the Calgary family assessment model. Explain them.
Systems theory: This uses the family as the client approach. But also, incorporates the idea that family is a subsystem within a suprasystem. The family reacts to stimulators from the bigger system. The stability (homeostasis) can be lost or regained.
CFAM: This is a model that helps a nurse organize what areas to delve into. It divides the aspects of the family into structural, developmental and functions.
- Structural: The family and their environment. Internal (Fam members), External (extended fam and community), Context (SES, race, religion, etc…)
- Developmental: In this, we look into stages of the family (i.e. couple with no kids, older couple with empty nest, etc..), attachments, tasks (role of each member)
- Functional: instrumental (ADL roles of members) and expressive (communicative roles of members)
CfAM is followed by CFIM (Interventions instead of assessment) which gives nurses communicative interventions for the family.
What is Nagele’s rule?
A way to calculate EDB (expected date of birth.) The rule is to subtract 3 months, add 7 days and add a year. Or add 9 months and 7 days.
T or F: ultrasound EDB overrules Nagele’s rule
True it is more accurate
Name the three nursing care priorities to preconception
Addressing health promotions, health risks, and devising interventions for those
Describe fertilization
Fertilization is when a sperm and egg meet to create a zygote in the outer fallopian tube. The cells divides into smaller cells and make a marula (a solid ball )
Describe the implantation stage of pregnancy
After fertilization, the marula travels to the ovary and implants itself into the upper, posterior ovary wall (now called decidua). The ball (blastocyte now) turns into the maternal part of the placenta.
During implantation, the area under the blastocyte is called the decidua ____
basalis
Whats is the Zygote stage
2 week period consisting of fertilization and implantion
Describe the embryonic stage
It is from zygote to 8th week of pregnancy. The head forms first followed by the heart which completes in the 8th week. Arm and leg buds appear too.
The embryonic heart begins to beat in the __ week
4-5th week of pregnancy
Describe the Fetal stage.
Is the 9th to 39th weeks of pregnancy. In this stage the fetus grows and adds things to live outside (lanugo and vernix for insulation, etc…).
When do lungs begin to secrete surfactant in the fetal stage?
21-24wks
Fetal movement is detected at
17-20 wks
