Exam 1 Flashcards
What are some significant advances in health care?
•AWHONN
Healthy People 2020 Goals
- Goals that were set to improve health and the quality of life for all Americans
- Maternal, infant and child health have 33 specific goals
What are some examples of goals for Healthy People 2020?
- Reduce the rate of fetal and infant deaths
- Reduce the rate of maternal mortality
- Reduce preterm births
- Reduce cesarean births among low risk women
What are some problems with the U.S. health care system?
- Structure of the health care delivery system
- Reducing medical errors
- High cost of health care
- Limited access to care
- Health Literacy
Different cultures have different _____ about health care.
Beliefs
What are some trends in fertility and birth rates?
- Low birth weight and preterm births
- Infant mortality in the U.S.
- International infant mortality trends
- Maternal mortality trends
- Maternal morbidity
- Obesity: one third of women in the U.S. are obese
How much does a low birth weight baby weigh?
Less than 2500 grams
What race are most common low birth weight babies?
- Non hispanic black babies
* More likely to die within the first year of life
How can we prevent low birth weight?
- Prenatal care is important
- WIC
- Pregnancy resource center
- Income clinics
What are some trends in fertility and birth rates?
- Low birth weights and preterm birth
- Infant mortality in the U.S.
- International infant mortality trends
- Maternal mortality trends
- Maternal morbidity
- Obesity: one-third of women in the U.S. are obese
*What are some associated common complications with obesity?
- Hypertension
- Diabetes
- With both Hypertension and Diabetes we could see infertility, congenital anomolies with the baby, miscarriages, and fetal death
With the maternal mortality trend the mom could die from what?
Infections
Hemorrages
Hypertension
What are some perinatal health care services?
Ambulatory care
Community based care:WIC, Income based, home health care
High technology care
What are some other issues in women’s health nursing?
- Involving consumers and promoting self-management
- International concerns
- Womens health
Women are typically healthy when?
During child bearing
What are we concerned with limiting or accessing for?
- Nutrition
- Smoking or second hand smoke
- No alcohol
- Violence prevention: Do you feel safe at home?
- Support system
What is an international concern that also happens in the U.S.?
Female genital mutilation
•Can cause complications in child birth
•Over 500,000 women
What else is an international concern with women and children?
Human trafficking
•can experience hard labor, sexual work, organ donation
What is the leading cause of death of women?
Heart disease
What are some other issue in women’s health?
•Malignant neoplasms
Breast cancer
Ovarian cancer
Cervical cancer
•Violence-increases in pregnancy
Battery
Rape
What is a standard of care?
- The level of practice that a reasonably prudent nurse would provide in the same or similar situation.
- Developed based on reporting an evidenced based practice
What are legal issues in provision of care?
- Risk management
- Sentinel events
- Failure to rescue
- Quality and Safety Education for Nurses (QSEN)
- Evidence Based Practice
What is risk management?
- Is a system of checks and balances
* Doing everything we can to decrease risk of injury to a patient
What is a sentinel event?
Ex: Medication Errors
- Could result in temporary harm to a patient, permanent harm, or death
- Was not based on the condition of the patient
What is failure to rescue?
- Not recognizing or acting on early signs of distress
* Assessment skills are super important
What is Quality and Safety Education for Nurses (QSEN)?
- They set standards for any specialty
- For nursing students and instructors
- Applicable to every nurse
What is evidenced based practice?
Providing care based off evidenced gained through research and clinical trials
What is outcomes oriented practice?
Compares current care practices with clinical standards
What are ethical issues in Perinatal Nursing and Women’s health care?
- Reproductive technology
- Allocation of resources
- Older-age pregnancies: High risk
- Third-party payers
- Induced ovulation and in vitro fertilization
- Multifetal pregnancy reduction
- Intrauterine fetal surgery
- Treatment of very low-birth-weight infants: looking at cost
What is a big part of infant maternal health nursing?
Family planning
Who do we turn to for our cultural background and our value?
Family
What does a nuclear family consist of?
- A husband wife and children (biological or adopted)
- Live as an independent unit
- This kind of family is declining
What is a single parent family?
A non traditional family and are most socially vulnerable
•Can impact health status, school achievement, and promote high risk behaviors
What is a married blended family?
A married couple with children from a previous relationship
What is an extended family?
Ex: cousins, aunt’s, grandparents, uncles
Provide social, emotional, and financial support to one another
What plays the most valuable roll in the actions of individuals and families?
Beliefs and values
What to assess for with low-risk families?
Promoting and assisting healthy behaviors during pregnancy and a healthy delivery
What to assess for with high risk families?
Focus on additional illnesses
Example: a mom with an alcohol problem
What is cultural competence?
- You understand your own culture and you understand that others have different beliefs as well
- This involves the patients culture and not the nurses
What is subculture?
This is a culture within a culture (African-American, Asian American, Hispanic American)
What is acculturation?
Changes that occur within a group when people from another group come into contact with one another.
Two cultures combined
Some of your own culture is still retained but you adopt practices of the dominant society
What is assimilation?
Laws of cultural identity and you become part of the dominant culture
What is ethnocentrism?
- Believing that your beliefs and values are the best
* They are the only right way
Time orientation
•In some cultures it is enterprated differently
•
What are family roles?
- Vary among cultures
- In hispanic culture the maternal grandmother is very involved in the labor and delivery process and the care newborn
In european american culture the father of the baby is more likely to participate in the labor and delivery process
In asian american family the father may not be involved in the labor and delivery process
In native american families the entire family attends the birth
Within community health what is key?
Assessment
Women make up what percentage of the population?
50%
What are adolescent girls considered vulnerable?
- Because they’re young
- Unexperienced
- More likely to have unprotected sex
- Low self-esteem
Women are more at risk for what?
Chronic illnesses
Incarcerated women are considered what?
A vulnerable population related to lifestyle choices •Smoking •Drugs •Communicable disease •Drinking •Unprotected sex
Why are women in rural areas considered vulnerable?
Limited access to care
Why are homeless women vulnerable?
- More at risk for infectious diseases
- Lack of prenatal care
- Anemia
- Substance abuse
- Chronic diseases
What are levels of preventive care?
Primary
Secondary
Tertiary
What are primary levels of preventive care?
Examples: Vaccinations, car seats, exercising, nutrition
What are secondary levels of preventive care?
Examples: screenings
Will target a specific population
Intervention: Contraceptives, STD tests, flu shot
What is tertiary level of preventive care?
Treatment to prevent further deterioration
Example: If someone has a stroke they may go to a rehab to prevent bed sores or muscle weakness
Home care for women is what?
- Growing demand for women health specialty
- Birthing alternative
- Cost effective
- Reimbursement by third part payers
- For lactation
Care Management of home care
- Assess for safety for
- Infection control
- Climate control
- What is the integrity of the home
- Who lives there?
The structures of the female reproductive system develop and grows in response two what hormones?
Estrogen
Progesterone
With age or a decline in hormone production reproductive structures can what?
Atrophy and become less effective
What are the internal structures of the female reproductive system?
- Uterus
- Fallopian Tube
- Endometrium
- Cervix
- Ovary
- Vagina
- Vulva: External
What is the uterus?
- Is a muscular organ that’s positioned in the pelvic cavity
- Responsible for receiving, implanting, and retaining a fertilized egg
- Responsible for menstruation
- If and when the female becomes pregnant it’s responsible for housing the fetus and for the expoltion of the fetus
What are fallopian tubes?
- Also known as th unterun tubes
* Where the ovum is fertilized by the sperm
What is endometrium?
- The lining of the uterus
- Highly vascular
- During menstruation this layer is shed
What is the cervix?
- It is made up connective and elastic tissue
- What stretches during a vaginal birth
- What Dilates
What are the ovaries?
- Produce ova (eggs)
* Responsible for ovulation (releasing of eggs) and hormone production
What is the vagina?
- Lies between the bladder and the rectum
* It is a passage way for the menstrual cycle and for birth
The mammary glands are made up of what?
- Lobules
- Physiologic alterations
- Function
- We want the breast to be smooth and no dimpling
- No masses (could be malignant or benign (could be in response to hormonol changes)
Dimpling to the breast could indicate what?
Malignancy (Breast cancer)
What stimulates the growth in breasts?
Estrogen
What are functions of the breast?
- Lactation
- Breast feeding
- Sexual arousal
Where are the mammary glands found?
Between the second and the sixth rib
What are some physiologic changes with menstruation?
- Menarche: First menstruation (usually around 13 years old)
- Puberty: Transition between childhood and sexual maturity
- Menstrual cycle: prepares the uterus for pregnancy 28 days of a cycle (5 days of bleeding, 50mL of blood lost)
- Prostaglandins
What are prostaglandins?
- Oxygenated fatty acids also knows as hormones •Produced in uterus
- Responisible for smooth muscle contractility
- Moderates hormonal activity
- Play a key role in ovulation (when an egg is released)
- Influnce estrogen and progesterone production
- Can be recognized in various body systems (GI upset, cramping, diarrhea, CNS irritability, sleep disturbances)
What are the two specific hormones for women?
Estrogen
Progesterone