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Flashcards in Exam 6 OB Deck (54)
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1

what influenced early maternal practives?

affected by societal influences, generation Y (more interventions ex. epiderals, scheduled C/S)

2

early american colonists (17th century)

female family members/friends provided aid/support during child birth, viewd as natural, births occured at home, lay midwifes (no formal training)

3

what increased mortaility after birth in the 17th, 18th, and 19th centeries

postpartum fever

4

maternity History in the 19th century

florence nightingale, durgs were availble to allievate childbirth pain, specialized knowldge (anethesiologist) which led to lithotomy position and forecps being introduced bc moms couldnt push due to Rx

5

maternity history in the 20th century

eoidemics, to prevent spread of infection asepsis was emphasized and newborn nursing was introduced

6

what affected the 20th century

WWII, mother-infant couplet was effected bc of shortages

7

Mary Breckinridge

frontier nursing service provided health care to families isolated from health care

8

1960's maternity history

family centered nursing, lamaze & Le Boyer, breastfeeding increased, midwife assited deliveries increased

9

what is the focus on todays birth experience

family and encouraging growth and development

10

what is the most common choice/trend for birth

hospital birth is the most common

11

LDRP

labor, delivery, recovery, postpartum

12

birthing center

alternative to hospital birth, free standing center, care by midwifes, low risk pts, no epiderals done here, OB provider availble for emergency

13

what is the priority with birthing centers

education and preparation

14

Doulas

person trained in labor support (pt advocate), do not provide nursing care

15

home births

increasing in popularity, prominent among amish, native americans, attended by lay midwives (no formal training), lack of emergency backup

16

birth plan

prefences in writing, Personnel obligated to follow as long as there is no interference with safe NB and mother

17

what preparation is done for childbirth

education is prioority due to leaving hospital quickly, education must be on-going,

18

what is the prime responsibility for nurse with preparation for childbirth

individualized education

19

home visits

conducted by OB nurse, provides ongoing assessment post discharge

20

nurse practitioner

masters degree, specialize in different areas, performs clinical assessments, completes procedures, have some Rx ability

21

clinical nurse specialist

masters degree, resource, staff education and policy making, prescriptive ability with additional certification

22

nurse midwife

educated in nursing (RN) & midwifery, low risk maternity and GYN care

23

Nurse Researcher

Doctoral degree, new research at universities

24

death that results from pregnancy, either pregnant or 42 days post partum

maternal mortality

25

major causes of maternal mortality

hemmorrhage, HTN disorders, puerpural infection (r/t childbirth), pulmonary emboli

26

what are the most preventable and early identificatoin and tx is critical

maternal mortality

27

sum of inutero & neonatal deaths

perinatal mortality

28

any inutero death at any gestation (ex still birth, miscarriage)

fetal death

29

any death that occurs from birth to 28 days of life

neonatal mortality

30

fetal death & neonatal death

perinatal death