1.1c Types of Care/International Concerns Flashcards Preview

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Flashcards in 1.1c Types of Care/International Concerns Deck (14)
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1
Q

Regionalization of Perinatal Healthcare Services

A
  • Not all facilities can maintain full spectrum of services for high risk perinatal care
  • Regionalized system focused on integrating graded levels of care is effective for improved outcomes for mothers and newborns.
2
Q

Ambulatory Care

A

Basic Care - Obstetricians, family physicians, nurse midwives. Includes routine and risk-oriented prenatal care, Education and support.
Specialty Care - Maternal-Fetal Medicine Specialists and Reproductive Geneticists. This includes genetic testing, advanced fetal therapies, management of severe high-risk maternal and fetal complications.

3
Q

Technology Advances

A
  • Preconception counseling
  • Sophisticated fetal monitoring techniques
  • Greater accuracy for hypoxia and acidosis testing
  • Highly trained nurses and neonatologists in nursery
  • New cancer screening techniques
  • Advances in diagnoses of breast cancer
  • Telehealth visits
4
Q

Community Based Care

A
  • Care has shifted from hospitals to ambulatory settings such as homes, churches, and shopping malls
  • This has improved access to care for people
  • Nursing education is become increasingly community based
  • Technology only available in hospitals are now available in homes
5
Q

Prenatal Care

A
  • Ideally begins before pregnancy to improve outcomes

- Starts with risk assessment and supporting healthy behaviors such as diet and smoking

6
Q

Family Centered Care

A
  • Family may be present for cesarean and vaginal births.
    Doulas - Birth assistants trained in labor coaching
  • Newborns should be placed skin to skin with mother immediately after birth so they are encouraged to breast feed as soon as possible.
7
Q

Consumer Involvement

A
  • Self-management is appealing due to reduced healthcare costs.
  • These include nutrition education, stress management, smoking cessations, alcohol and drug treatment, violence prevention, social support improvement, parenting education.
8
Q

4 Domains of Nursing

A
  • Clinical Practice
  • Academics
  • Administration
  • Research
9
Q

Social Media for Nurses

A
  • Do not transmit individually identifiable client information
  • Observe ethically prescribed professional nurse-client boundaries.
10
Q

Nurses should with social media

A
  • Understand clients and colleagues can see postings.
  • Utilize privacy settings
  • Bring content that can harm clients privacy rights to the attention of appropriate authorities
  • Participate in developing institutional policies governing online contract.
11
Q

Female Circumcision and Genital Mutilation

A
  • Underlies the ethical principles of autonomy, beneficence and non-maleficence.
  • Suggests that cultural considerations override precepts of modern medicine
12
Q

Women’s Health

A
  • Heart disease is the leading cause of death in women, second to malignant neoplasms including breast cancer.
  • Mammography can detect early signs and reduce mortality rates.
  • Things that affect women’s health is race, violence, alcoholism, and substance abuse.
13
Q

Domestic Violence

A
  • Includes battery, rape and sexual assault.
  • Nurses should report it to a physician, NP, or PA.
  • Notify supervisor
14
Q

Head to Toe Physical Abuse Examination

A
  • Exam should take place in privacy
  • Provide calm comforting environment
  • Have a chaperone or witness present
  • Document exam findings, patient statements, nonverbal behavior, and behavior/statements of suspected abuser

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