Chapter 1: 21st Century Maternity and Women’s Health Nursing Flashcards
Maternity Care consists of:
Prenatal Care
Intrapartum Care
Post-partum care
Maternity nurses are ____________ focused.
family
A family is….
at the discretion of the woman.
Role of nurses in Women’s Health care
concerned about the wellbeing of the woman and infant.
An organization that creates standards and goals for maternity nurses
AWHONN
(The Association of Women’s Health, Obstetric and Neonatal Nurses )
The goal of Healthy People
improve the access to and quality of care.
Maternal/Infant specific goals of Healthy People
- Reduce the rate of fetal and infant deaths
- Reduce the rate of maternal mortality
- Reduce preterm births
- Reduce cesarean births among low-risk women
Data shows that there is a _______ mortality rate among pregnant African American women.
high
What might prevent a woman from seeking appropriate healthcare?
Cost
Health literacy
Limited access to care
Low birth weight and preterm birth is considered? (in grams)
less than 2500 g
infants that are 2x more likely to die in the first year
nonhispanic, black infants
increases the risk of complications in pregnancy
HTN and diabetes
HTN and diabetes can lead to further complications in pregnancy such as:
infertility
miscarriage
congenital anomalies
fetal death
Ambulatory care
Care that everyone receives, basic care
Community-based care
home health care
low income care (WIC, la casa)
High technology care
telehealth
advanced practice nursing degree for women’s health
certified nurse-midwife (CNMW
Doula
unlicensed support person
T or F: The family should not be educated on the birthing process. Only the women’s education matters because she is the mom.
false
Major issues in women’s health
Female genital mutilation
Human Trafficking
increase risk of HTN, DV, malignant neoplasms
Standard of Care is defined by
ANA (American Nursing Association)
AWHONN
ACNM (midwives)
NANN (neonatal nurses)
Standard of Care (defined)
the level of care that a reasonably prudent nurse would provide in a similar situation.l
Sentinel event
something that should have never happened due to the interventions and assessments set in place to prevent the event from occurring.
Failure to Rescue
In line with neglect.
Ignoring the things we see that are wrong.
The nurse sees another nurse neglecting care of a patient. What is her next step?
Follow the chain of command.
- talk to the nurse
- report her to the supervisor
- then up, then up
Evidenced based practice.
Care based on data that proves to be efficient and effective.
When managing health care for pregnant women at a local prenatal clinic, the nurse should recognize that the most significant barrier for access to care is the pregnant woman’s:
A) Age
B) Minority status
C) Educational level
D) Inability to pay
D) Inability to pay – if they can’t pay they’re not going to go.
Micromastia
very small underdeveloped breast tissue
macromastia
large breasts that cause back or shoulder pain
Most common benign conditions of the breast
cystic masses
