Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Maternal- Newborn & Women's Health Nursing > Chapter 2 > Flashcards

Chapter 2 Flashcards

Exam 1

You may prefer our related Brainscape-certified flashcards:
Nursing Mental Health flashcards Nursing Management of Care flashcards NCLEX-PN® flashcards NCLEX-RN® flashcards Nursing Fundamentals flashcards Nursing Pediatrics flashcards Nursing Safety & Infection flashcards Nursing Pharmacology flashcards Nursing Maternity flashcards Family Nurse Practitioner (FNP) flashcards
1
Q

What is the first social institution a person knows, which influences your values, norms, and expected behaviors?

A

family

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Example of family structures

A

*Nuclear with extended family
*Single parent family
*Blended family
*Cohabitational families
*Foster or adoptive families
*Same gender families

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

a husband, wife, and children PLUS extended family- grandparents, aunts, uncles, or cousins living together

A

Nuclear with extended family structure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

one adult who is divorced, separated, or widowed living with a child or children

A

Single parent family structure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

which one or more parents bring into the union children from a previous relationship

A

Blended family structure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

couples living without the legal bonds of marriage with or without children

A

Cohabitational family structure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

those who take responsibility for children who were not born to them; this may include children from another country or of another cultural, ethnic, or racial group

A

Foster or Adoptive family structure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

include two adults of the same sex living together, some with children; new family formations are emerging, including those who identify as LGBTQ+ orientation

A

Same gender family structure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

High Risk family face what issues?

A

*living below the poverty level
*living with chronic food insecurities
*single adolescent parent
*unanticipated stressors: ill child, child with special needs
*lifestyle problems: alcoholism, substance abuse, family violence, mental health problems

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the nurse’s responsibility when carting for a high risk families?

A

to refer these situations to Social Services; mandatory reporter (elderly, children and special needs adults)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

A nurse should take the opportunity to learn about the uniqueness of each person they care for and what else?

A

about their culture beliefs (especially practices surrounding childbirth)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Ask questions that respect patient’s what?

A

cultural differences and traditional health practices

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

In childbearing, “Culture” may include what types of patients?

A

patients who have been sexually abused, patient who lives in poverty, have low literacy level, identify as LGBTQ+, and have a disability

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Since a nurse does not know what they will encounter when they walk into the patient’s room, a nurse should be what?

A

be flexible, respectful, and have an openness to their communication

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

the ability to recognize one’s limitations in knowledge and cultural perspective and be open to new perspectives

A

unbiased care/ competent cultural care

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What shapes someone’s worldview about health, illness, and healthcare?

A

a person’s culture and life experiences

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Culturally competent care is what kind of process?

A

dynamic, lifelong learning process

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Examples of barriers to culturally competent care

A

*linguistic and sociocultural differences *socioeconomic barriers, including lack of health insurance (medical terminology), lack of health knowledge
*reluctance to question health care providers
*ethnic barriers: touch, eye contact, modesty, decision-making, men vs women roles
*spiritual/ religious barriers
*foods
*western vs eastern medicine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What influences the “meaning of giving birth”?

A

culture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What influences pain-related behaviors and desire for pain management during labor?

A

culture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

This influences women’s behaviors during labor…

A

culture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Cultural awareness matters in…

A

pregnancy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

ACOG told physicians that their approach to patient’s behavior and beliefs can affect patient communication how?

A

negatively

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

C of CULTURE

A

Consider your own cultural biases and how these affect your nursing care

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

U of CULTURE

A

Understand the need to recognize cultural implications in planning and implementing nursing care

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

L of CULTURE

A

Learn how to use cultural assessment tools

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

T of CULTURE

A

Treat patients with dignity and respect

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

U of CULTURE

A

Use sensitivity in providing culturally competent care

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

R of CULTURE

A

Recognize opportunities to provide specific culturally based nursing care

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

E of CULTURE

A

Evaluate your own previous encounters with patients from other cultures and backgrounds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Refers to the resources available for the family to meet the needs for food, shelter, and healthcare

A

Socioeconomic status

32
Q

Insurance, good income, safe neighborhood, value preventive care (future- oriented)

A

Affluent

33
Q

Enough to survive or live below poverty level, emphasis on meeting present needs

A

Working poor or Unemployed

34
Q

-Infants born to people in low-income groups are more likely to be low birth weight
-May not have insurance, so Medicaid, public clinics, and Women, Infants, and Children (WIC) programs

A

Poverty

35
Q

-Conditions in the environments where people are born, live, work, play, worship
-Have major impact on people’s health, well-being, quality of life, and influence health care decisions

A

Social determinants of health

36
Q

The most important barrier to prenatal care?

A

economic stability

37
Q

Social barriers

A

*economic stability
*education access and quality
*healthcare access and quality
*social and community context
*neighborhood and built environment

38
Q

Ratio of who do not have healthcare insurance (preventative care)

A

1 in 10

39
Q

Healthcare Access and Quality factors

A

*NO health insurance
*Systemic barriers: prenatal visits are usually during the day
*lack of transportation
*lack of value of the importance of prenatal care

40
Q

What can have a major impact on people’s health and well-being?

A

their relationships and interactions with family, friends, co-workers, and community members

41
Q

Many people face challenges and dangers they cannot control, what are some examples?

A

unsafe neighborhoods, discriminations, or trouble affording the things they need

42
Q

What is impacted when people face challenges and dangers they cannot control?

A

their health and safety throughout their life

43
Q

In regards to LGBTQ+ families…

A

*use gender appropriate terms

44
Q

LGBTQ+ patients experience what?

A

discrimination and stress, social isolation, transgender males have unique barriers

45
Q

Correlated with lower quality of care and is seen in times of overload or stress when the unconscious belief is activated

A

Implicit bias

46
Q

What should a nurse do concerning implicit bias?

A

recognize it exists, as most people are unaware of their biases

47
Q

The analysis of what is morally right and reasonable

A

ethical reasoning

48
Q

The application of ethics to health care

A

Bioethics

49
Q

Nurses use what when determining the benefits of any course of action?

A

ethical theories and ethical principals

50
Q

People have the right to self-determination. This includes the right to respect, privacy, and information necessary to make decisions based on their personal values and beliefs.

A

autonomy

51
Q

Make a decision that produces the greatest good or the least harm.

A

beneficence

52
Q

Avoid risking or causing harm to others.

A

nonmaleficience

53
Q

All people should be treated equally and fairly regardless of disease or social or economic status.

A

justice

54
Q

What may patients conflict with?

A

nurses’ personal values

55
Q

used to formulate policies for ethical situations: nurses, doctors, social workers, clergy, and even family members involved

A

ethics committees

56
Q

Respectful care for childbearing patients is a what?

A

human right

57
Q

When do reproduction conflicts arise?

A

when a patient’s behavior, or wishes may cause harm to a fetus and/ or is disliked by some members of society

58
Q

Examples of reproduction conflicts

A

abortion, substance abuses during pregnancy, and patients refusal to follow advice of caregivers

59
Q

Example of ethical issues in reproduction

A

*elective termination of pregnancy
*fetal injury
*infertility treatment (& what to do with the unused embryos?)
*Surrogate parenting

60
Q

What are the 3 categories determining the law’s view of nursing practice?

A

*nurse practice acts- set by each state
*standards of care set by professional organizations (TJC, AWHONN, ACOG)
*rules and policies set by the institution employing the nurse

61
Q

Doing something that should not be done or failing to do something that should be

(ex: withhold meds)

A

negligence

62
Q

negligence by professionals in healthcare

(ex: not following policy & procedure)

A

malpractice

63
Q

Clients have the right to decide whether to accept or reject treatment options as part of their right to function autonomously; an ethical concept that has been enacted into law.

A

informed consent

64
Q

requirements of informed consent

A

*competence
*full disclosure of information
*pt’s understanding of info
*pt’s voluntary consent

65
Q

Can the patient make the decision or not regarding their treatment? (Are they medicated, of sound-mind, comotose, cognitively impaired, what is their age?)

A

A requirement of informed consent: Competence

66
Q

details of what the treatment entails, the expected results, and the meaning of those results. The risks, side effects, benefits, and other treatment options should be explained to clients. The person also should be informed about the consequences if no treatment is chosen.

A

A requirement of informed consent: full disclosure of information

67
Q

the person should comprehend information about proposed treatment. Health care professionals should explain the facts in terms the person can understand. If a client does not speak English, an interpreter is required. A client with hearing impairment should have a sign-language interpreter of the appropriate level to sign all explanations before consent is given. Interpreters should not be family or friends because these people may interpret selectively rather than objectively. Additionally, client confidentiality is compromised when nonprofessional interpreters are used for sensitive information. Nurses should be advocates for the client when they find the client does not fully understand or has questions about a treatment. If it is a minor point, the nurse may be able to explain it. Otherwise, the nurse should inform the physician or other health care provider of the need for clarification.

A

A requirement of informed consent: Patient’s understanding of information

68
Q

the client should be allowed to make choices without undue influence or coercion from others. Although others may give information, the client alone makes the decision. Clients should not feel pressured to choose in a certain way, and they should not think their future care depends on their decision.

A

A requirement of informed consent: Patient’s voluntary consent

69
Q

-essential for collaborative client care
-the best evidence that a standard of care has been maintained
-It includes nurses’ notes, fetal monitoring strips, electronic data, flow sheets, care paths, consent forms, and any other data recorded on paper, recorded electronically, or both.
-notations in hospital records are the only proof care has been given.
-(when documentation is not present) juries may assume that care was not given.
-should demonstrate thorough initial and ongoing assessments, identification of problems, interventions used, and evaluation of their effectiveness, as well as information reported to other members of the health care team.

A

documentation

70
Q

When there is an ethical or legal issue a nurse should relay those issues through the chain of command.. which is?

A

Nurse –> Supervisor (charge nurse/ nurse manager) and the client’s physician or other health care provider –> administrative channels to the director of nurses, hospital administrator, and chief of the medical staff

71
Q

The nurse can reduce malpractice liability by maintaining what?

A

expertise

72
Q

Nurses are still what when delegating tasks to unlicensed assistive personnel?

A

legally responsible

73
Q

Nurses should know & do what about each of the UAPs?

A

their capabilities; supervise them sufficiently to ensure competence

74
Q

Measures to lower health care costs continue to directly and indirectly affect nurses’ work. Two measures of special concern are what?

A

the use of unlicensed assistive personnel (UAP) and brief length of stay (LOS) for clients.

75
Q

LOS for vaginal delivery

A

48 hrs

76
Q

LOS for c-section

A

about 72 hrs

77
Q

early discharge complications

A

UTIs, HAIs, pneumonia, poorly absorbed education/ instructions by new exhausted mothers; missed health issues

Maternal- Newborn & Women's Health Nursing (19 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions