Ch. 1 History Flashcards

1
Q

Soranus

A

Greek physician
2nd century
Father of obstetrics

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2
Q

Podalic version

  • what is it
  • who discovered it
A

rotating the fetus to a breech position, used for twins

-Soranus

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3
Q

Karl Crede

A

19th century

instilling 2% silver nitrate into eyes to prevent blindness from gonorrhea

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4
Q

Ignaz Semmelweis

A

19th century

deduced that puerperal fever was septic, contagious and transmitted by poor hand hygeine

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5
Q

Lois Pasteur

A

French chemist

confirmed that puerperal fever is caused by bacteria

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6
Q

Joseph Lister

A

british surgeon

introduced antiseptic surgery

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7
Q

Hippocrates

A

wrote about illnesses peculiar to children

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8
Q

In the middle ages when did children become adults

A

age 7

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9
Q

Saint Vincent de Paul

A

founded children’s asylums that later became hospitals

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10
Q

First children’s hospital

A

Paris 1802

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11
Q

Children’s Aid Society

A

NYC 1853

cared for homeless children

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12
Q

First Pediatric hospital in united states

A

1855 Children’s hospital of Philadelphia

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13
Q

Abraham Jacobi

A

Father of pediatrics

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14
Q

Samuel Bard

A

1807

Wrote the first american textbook for midwives

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15
Q

Oliver Wendell Holmes

A

wrote a paper on contagious nature of puerperal fever

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16
Q

American Nurses Association

A

develop standards of practice

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17
Q

Sheppard-Towner Act of 1912

A

1921

gives funds for state-managed maternity care

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18
Q

Title V of the social security act

A

1935

gives funds for maternity care

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19
Q

Fair labor standards act

A

1938

child labor laws

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20
Q

National institutes of Health (NIH)

A

1962

established support for maternity research and education

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21
Q

Head start programs where started when?

A

1966

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22
Q

WIC program was started

A

1966

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23
Q

National center for family planning was started

A

1970

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24
Q

The child abuse prevention and treatment act (CAPTA) was started when

A

1974

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25
Q

Education for all handicapped children act

A

1975

gives support and public education to handicapped children

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26
Q

Title V amendment of the public health services act

A

1981

established maternal-infant care centers in public clinics

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27
Q

What was founded in 1982

A

Community mental health center and missing children’s act

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28
Q

Family and medical leave act of 1993 (FMLA)

A

allows for 12 weeks unpaid leave to care for newborns or sick family members without losing benefits or pay status

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29
Q

Title XIX of the medicaid program

A

1993

increased access to care by indigent women

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30
Q

when was HIPPA established

A

2003

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31
Q

health information technology for economic and clinical health act (HITECH)

A

2009

extends on Hippa to include electronic health records

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32
Q

Patient protection and affordable care act

A

2010

expanded health care coverage to millions of americans

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33
Q

American health care act (AHCA)

A

2017

executive order made it replace ACA

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34
Q

Lillian Wald

A

1912

  • nurse who established federal children’s bureau
  • founded henry street settlement that brought home health to poor children
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35
Q

What did the children’s bureau do

A

focused on infant mortality
led to birth registration
developed hot lunch programs in schools

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36
Q

what does the children’s bureau fall under

A

the department of health and human services

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37
Q

Theodore Roosevelt

A

called the first conference on children and youth in 1909

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38
Q

President hoover

A

1930

helped write the children’s charter

39
Q

President Clinton and George W Bush

A

focused on early childhood development, missing and exploited children and school safety

40
Q

International Year of the child

A

1979

focus attention on critical needs of children world wide

41
Q

What does the department of public health do

A
  • inspects water, milk and food
  • enforces proper sewage and garbage disposal
  • investigates and handles epidemics
  • inspects housing
  • offers services like WIC to mothers and babies
42
Q

What situations are reportable

A
  • illness that pose a threat to the public
  • -food-borne, TB, STD
  • suspected child abuse
  • suicidal behavior
43
Q

Cost containment

A

efficient and effective use of resources

44
Q

How long can someone stay in hospital following vaginal birth? Cesarean?

A

48 hr

4 days

45
Q

when should the follow up be for newborn

A

within 2 weeks

46
Q

First school of nurse-midwifery

A

NYC 1932

47
Q

Certified nurse-midwife (CNM)

A

RN who graduated from midwife progam and is nationally certified with american college of nurse-midwives

48
Q

what is the job of a CNM

A

provide prenatal and postnatal care and attend uncomplicated deliveries.
ensure there is a backup physician in case of problems

49
Q

Genomics

A

the study of genes with focus on how they interact with each other and the enviorment

50
Q

Gene Augmentation

A

therapeutic or missing gene is combined with a virus that can enter the infant’s system

51
Q

Gene replacement therapy

A

New genes are combined with viruses that can enter the genome

52
Q

Diagnosis-related groups (DRGs)

A

medicare system that determines payment for hospital stay based on diagnosis

53
Q

Managed care

A

combines financing with health care for members
use a monthly capitation fee
has contracts with hospitals to give healthcare with reviews for cost

54
Q

Health maintenance organization (HMO)

A

health services with fixed premium

55
Q

Preferred provider organization (PPO)

A

contracts with providers for discounted fee-for-service basis for members

56
Q

Utilization review

A

checks if health care services are appropriate and give guidelines for treatment to achieve better cost

57
Q

What should you do if you think the child’s best interest are not being met

A

take the problem to the multidisciplinary team

document your efforts and directions given

58
Q

Mainstream

A

the process of integrating a disabled child into society

59
Q

Full inclusion

A

expansion of the mainstream policy

60
Q

Who should be included in advance directives for children

A

family, medical team, the child if they are older

61
Q

what do clinical nurse specialist (CNS) do

A
  • work in hospitals or community for patients needing specialized care
  • conduct primary research
  • facilitate necessary changes in health care management
62
Q

Advance practice nurses

A
  • PNP and CNS

- RN with advance degree

63
Q

What is the nursing process

A
  1. Assessment: collect data
  2. Diagnosis: examine data and identify nursing needs
  3. Planning: design plan of care
    4: outcomes identification: figure out expected pt outcome
  4. implementation: carrying out the plan
  5. evaluation: check progress and redesign plan if needed
64
Q

Nursing care plan

A

picture of typical clinical situation that may be seen by nurse

65
Q

Collection

A

collecting data on patient to solve mystery or problem

66
Q

Nursing diagnosis

A

identify problems and prioritize them

67
Q

Clinical pathways

A

collaborative guidelines that define multidisciplinary care in terms of outcomes on a timeline

68
Q

variances

A

deviations from the recovery goals

69
Q

birth rate

A

number of live births per 1000

70
Q

fertility rate

A

number of births per 1000 women age 15 to 44

71
Q

fetal mortality rate

A

number of fetal deaths (fetuses weighing 500 g or more) per 1000 live births

72
Q

infant mortality rate

A

number of deaths in infant under 1 yo per 1000 live births

73
Q

maternal mortality rate

A

number of deaths per 1000 directly resulting from pregnancy (including 42-days after birth)

74
Q

neonatal mortality rate

A

number of deaths in infants less than 28 days per 1000

75
Q

perinatal mortality rate

A

both fetal and neonatal deaths per 1000

76
Q

SBAR

A
  • Situation: status of pt
  • Background: history that may influence care
  • Assessment: analysis of problem
  • Recommendation: current need and outcome goals
77
Q

Quality and safety education for nurses (QSEN)

A

2005

assures that all nurses have knowledge, skills and attitudes (KSA) needed

78
Q

Six competencies of QSEN

A
  1. client-centered care
  2. teamwork and collaboration
  3. evidence-based practice
  4. quality improvement
  5. safety
  6. informatics
79
Q

How many prenatal visits should a normal pregnant woman have

A

13

80
Q

Global nursing caucus (GNC)

A

2011

group of US nurses that share info on global health to improve care around the world

81
Q

ABCDEs

A
Airway
Breathing
Circulation
Disability
Exposure
82
Q

DEF

A

Distress
Emotional support
Family

83
Q

Margaret Sanger

A

Public health nurse who opened access to care for poor pregnant women

84
Q

Who is included in the home health team for disabled children

A
  • pediatrician
  • RN and LPN
  • Occupational, physical and respiratory therapist
  • speech therapist
  • home teachers
  • social workers
  • home health aides
85
Q

Gestational programming

A

during pregnancy nutrition, hormones and in utero environment alter the physiology and gene expression in offspring

86
Q

Prenatal iodine supplementation

A

eliminated cretinism

87
Q

Prenatal supplementation of folic acid

A

reduces neural tube defects like spina bifida

88
Q

What increases risk for cardiac diseases and hypertension in adulthood

A

low birth weight with rapid growth in childhood

89
Q

what increases risk of stroke in adulthood

A

low birth weight that continues through childhood

90
Q

corticosteriods

A

prevent premature labor but, increase risk of cardiovascular and renal problems in adulthood and negatively effect learning, cognitive development and emotional development and behavior in older child

91
Q

High ingestion of licorice

A

verbal disability and personality problems as adult

92
Q

Antibiotics during pregnancy or C-section

A

obesity as adult because it alters normal microbiota in gut

93
Q

what leads to adult-onset cardiovascular disease in offspring, how can it be avoided

A

poor insulin sensitivity and obesity in pregnancy

exercise and diet