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NURS ADN004 Maternity > Week 1 Chapter 1 and 2 > Flashcards

Week 1 Chapter 1 and 2 Flashcards

1
Q

Women anxious about pregnancy and feared death of newborn during what time ERA?

A

Colonial America

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2
Q

What happened in the early 1900s

A

Physician Assisted Births
Midwives who could not afford doctors

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3
Q

When were natural childbirths introduced?

A

1950s

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4
Q

Current practices of maternal and newborn health include

A

Return of midwives and doulas, childbirth choices that works best for mothers, families, and the child

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5
Q

Many births in the old days were where and by who?

A

Home and by midwives

Affluent people cold afford doctors and pain to have pain management

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6
Q

Historical Development of Child Health and Care from the 20th to 21st century include?

A

Urban Public Health improvements- safer cities

Decreased threat of childhood diseases

Unintentional injuries leading causes of death in children greater than 1

Technologic advances increased survival rates but with chronic disabilities

National and international organizations for children’s rights

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7
Q

Nonmedical birth companion who provides continuous emotional, physical, and educational support to the woman and family during childbirth.

A

Doula

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8
Q

Number of people who have died over a specific period of time

A

Mortality

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9
Q

Evolution in the definition of health from the absence of disease, measured by monitoring mortality and morbidity, to a state of complete physical, mental, and social well-being.

A

True

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10
Q

Annual number of deaths from any cause during pregnancy or within 42 days of termination/100,000 live births

A

Maternal Mortality Rate

African Americans higher than any group
US ranks 46th

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11
Q

Healthy People of 2030 emphasizes on

A

Health promotion and disease prevention

GOALS:
Healthy; thriving lives
Health Equity
Health Literacy
Health development and behaviors
Engage leaders to develop policies that will improve the health and well being of all

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12
Q

Fetal Mortality Rate # 2 Includes

A

Maternal Factors: Malnutrition, disease, preterm cervical dilation

Fetal Factors: Chromosomal abnormalities, poor placental attachment

Major but not overlooked health problem

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13
Q

Neonatal Mortality Rate # 3 includes

A

Number of infant deaths in first 28 days/ 1,00 live births

Infant mortality rate: deaths within first 12 months /1,000 live births

Congenital anomalies #1
Low Birth Weight and Prematurity : Significant indicators

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14
Q

Factors Affecting Maternal and Child Health

A

Family
Genetics
Society
Global Society
Culture
Health Status and Lifestyle
Access to Health Care
Improvement and a Treatments
Empowerment of Health Consumers

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15
Q

Factors affecting Maternal and Child Health

A

Developmental level impacts, disease contribution and variable with age

Nutrition deficiencies or excess, childhood obesity

Lifestyle choices: eating patterns, exercise, tobacco use, drugs, alcohol, methods of stress coping

Environmental Exposures

Stress and Coping: Disasters, crises, inadequate finances, inadequate support systems, violence, normal problems with growth and development

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16
Q

What are barriers to health care?

A

Finances
Sociocultural

Nurses need to assess for financial and sociocultural barriers to health care and beware of resources available to families

17
Q

Legal and Ethical issues in Maternal and Child Health Care

A

Abortion: legal, social, and political issue, nurses struggling with personal beliefs and duty

Substance Abuse: Fetal Injury; possible charges negligence and child endangerment

Intrauterine Therapy: Medical Technology versus Nature ; better quality of life

Maternal- Fetal Conflict: Beneficence and autonomy; complex issue

18
Q

Legal and Ethical issues in Maternal and Child Health Care #3

A

Informed Consent
Age of majority: 18 years
Parent or legal guardian for minors

Nurse’s Responsibility
- Ensuring form completed with signatures
- Serving as witness to signature process
- Determining client and family understanding what they are signing for with right questions

19
Q

Legal and Ethical Issues in Maternal and Child Health Care: Informed Consent #1

A

Special Situations with informed consent
- Parent unavailable, person in charge with written permission from parent for emergency tx
- Verbal consent via telephone for emergency
- Emergency or urgent situations

20
Q

Legal and Ethical Issues in Maternal and Child Health Care: Informed Consent # 2

A

Exceptions of parental consent vary by state

  • Mature minor over 14
    Emancipated Minor
  • Armed Services Member
  • Marriage or college attendance
  • Court Determined
  • Financial Independent
  • Pregnancy mother under 18
21
Q

Legal and Ethical Issues in Maternal and Child Health Care: Informed Consent #5

A

Refusal of Medical Treatment
- All clients with the right to refuse medical treatment
- Parental Autonomy- Fundamental; Parents acting best interest for child
- Possible conflicts related to religious or cultural beliefs, child’s quality of life
- Sometimes form of child abuse, use of judicial system to advocate for child- parens patriae

22
Q

Use of research or evidence in establishing a plan of care and implementing it

Clinical decision making approach integrating best scientific evidence , client values and preferences, clinical circumstances, and clinical expertise for best outcomes

A

Evidence Based Care

23
Q

Interdisciplinary plan of care to meet physical, developmental, educational, spiritual, and psychosocial needs

A

Collaborative Care

  • Case Management
  • Advocacy, communication, resources management
  • Client focused comprehensive care across continuum
  • Coordinated care with interdisciplinary approach
24
Q

Collaborative partnership, mutual trust, sensitivity to client and family’s belief and those of their culture

Family as constant

Support for uniqueness and diversity, encouragement and enhancement of family strengths and competencies

A

Family Centered Care

Greater family self- determination, decision making, control and self efficacy

25
Q

Primary Prevention

A

Before the disease or condition occurs through health promotion activities, environmental protection, and specific protection against disease or injury

Nutrition, good hygiene, sanitation, immunizations, protection from UV rays, genetic counseling, drug education, smoking cessation, etc

26
Q

Early detection and treatment of adverse health conditions

Health Screenings

A

Secondary Prevention

27
Q

Reduction or limitation of the progress of a permanent, irreversible disease

Supportive and restorative

A

Tertiary Prevention

28
Q

Culturally Competent Nursing Care

A

Cultural Diversity
Cultural Competence
Cultural Awareness
Cultural Knowledge
Cultural Skills
Cultural Encounter
Barriers to cultural competence
Provider related
System related

29
Q

Effective therapeutic communication crucial to quality of nursing care

Trust, respect, and empathy
Confidentiality and privacy
Verbal or nonverbal

A

Communication

Communication across cultures: Work with an interpreter, communication with deaf or hearing impaired clients and families

30
Q

Education #1

A

Assessment
- Learning needs assessment
- Impact of culture
- Health Literacy

Planning
- Mutual agreement
- Input from interdisciplinary team

31
Q

Education #2

A

Practical Interventions
- Slow Down and repeat
- Speak in conventional style
- Chunk info
- Teach survival skills first
- Use multimodal learning techniques

32
Q

Education #3

A

Evaluation
- Demonstration
- Repeating Info
- Open Ended Questions
- Pretend Scenarios

Documentation

33
Q

Focus on Prevention of illness and improvement of health populations and communities

Geographically and culturally diverse settings

Public Health Nurse: Specialized area of community health nursing

Epidemiology to determine health and health needs of population and assist in planning services

Healthy People 2030 example of national intiative

A

Community Health Nursing

34
Q

Focus on health promotion and primary health care

Shift in responsibilities

Community based nursing intervention

Challenges: increased complexity of care and procedures; fewer available resources, time demanding with large caseloads; decisions in isolation, need for astute assessment and communication skills

A

Community Based Nursing

35
Q

Prenatal Care

Labor and Birth Care: hospital, birthing center, home

A

Community Based Nursing Care Settings for Women and Children

36
Q

Home Like setting and close to hospital if complications

“Normalcy”

A

Birthing Center

37
Q

Family Centered Birth appropriate for women with low risk complications

A

Home Birth

38
Q

Community Based Nursing Care Settings for Women and Children #2

A

Postpartum and Newborn care
- Telephone consultation
- Outpatient Clinics
- Postpartum home visits
- Support groups for new mothers
- High Risk Newborn Home Care

NURS ADN004 Maternity (11 decks)

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