Chapters 1& 2 ( Foundations of Nursing care of Childbirthing Families) Flashcards
Review of the basics. Phillipians 4:13 (17 cards)
What is Family Centered Care?
Safe, high quality care the recognizes and adapts to the psychological and physical needs of the family including the newborn. pg 2
What is the typical recovery time in the LD room after birth?
2 hours and assessments for both mom and baby are every 30 mins. pg 3
Benefits of having a support person
-higher rate of a vaginal birth
-low 5 minute APGAR scores
-shorter duration of labor
pg 4
What is ADPIE?
-Assessment
- Diagnosis
-Planning
-Implementation
- Evaluation
Order of Priorities
- Life threatening problems that require immediate action.
-Potential problems that cause for you to call of Provider to receive a diagnosis and order ( ALWAYS give SBARR and state your recommendation make your time/call count be concise and sweet. ALWAYS READ back the order using a closed loop!!!!) - Differentiating between actual problems and increased risk.
Implicit Bias
thoughts and feelings that exist outside of conscious awareness.
Explicit Bias
is based on one’s discriminatory values and beliefs
Intimate Partner Violence Cycle
- Tension building Phase
- Battery/ Incident Phase( Can be verbal, physical or both
- Honeymoon stage( loving bombing)
How to ask about IPV?
NEVER ask in front of partner. In addition, be sure to ask when the patient is alone this way she’ll would be more inclined to tell the truth. Send the partner out fo food or give a task i.e providing insurance information somewhere else.
Ethical Dilema
Involves a situation in which either decision results in dissatisfactory.
Ethics
Best course of action in a certain situation
What is an example of an ethical dilemma?
Donation of a baby’s organs with ancephaly ( defect in the Neural Tube) , as the donation would be unstable due to the anoxia.
Requirement for Informed Consent
- Patient must be competent
- Provide full information
- Patient’s understanding of information
-Patient consent voluntarily
Documentation should include the following:
-Fetal Strips
-Assesments
-Evaluation
-Action
- Consent forms
- Results
Client Advocacy and documentation!!
ALWAYS record when you spoke to a physician and what their response was and by what of communication i.e call or secure chat. In addition, record attempts of contacting physician and if unavailable seek help from next person in command and record this as well.
Maintaining Expertise
STAY up to date with current practices as new information comes out often join AWHONN and if floated to a non-maternal unit–> ask for and orientation and DO NOT perform tasks you are unfamiliar with.
Teaching at discharge
Be sure to educate the birthing person and support person as the birthing person may no remember what was stated due to exhaustion. Also provide written education and resources that can facilitate easy learning. REMEMBER discharge teaching starts during admission!!!!
