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OBGYN > Exam 1: Health Promotion & Culture and Family > Flashcards

Exam 1: Health Promotion & Culture and Family Flashcards

1
Q

Preventable differences in the burden of disease, injury, violence, or opportunities to achieve optimal health that are experienced among different cultural/ethic groups

A

Health Disparities

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2
Q

Disparities are thought to result from a complex interaction among _____, _____, _____, and _____.

A

-biological factors
-environmental factors
-socioeconomic factors
-health behaviors

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3
Q

Efforts to reduce disparities include: (6)

A

-HRSA Health Disparities Collaboratives
-Institution for Healthcare Improvement (IHI)
-The National Institutes of Health
-National Institute of Nursing Research
-Centers for Disease Control and Prevention (CDC)
-U.S. Department of Health and Human Services

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4
Q

The federal government’s prevention agenda for building a healthier nation

A

Healthier People 2020

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5
Q

For overarching goals of Healthy People 202

A
  1. Attaining high-quality, longer lives free of preventable disease, disability, injury, and premature death
  2. Achieving health equality, eliminating disparities, and improving the health of all groups
  3. creating social and physical environments that promote good health for all
  4. Promoting quality of life, healthy development, and healthy behaviors across all life stages
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6
Q

Healthy People 2020 objectives in maternal, infant, and child health (4)

A

-reduce the rate of fetal and infant deaths
-reduce the rate of maternal mortality
-reduce preterm births
-reduce cesarean births among low-risk women

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7
Q

Health care reform signed into law by President Obama in efforts to make healthcare more accessible

A

Affordable Care Act

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8
Q

Goals for Affordable Care Act aimed to make insurance: (3)

A

-affordable
-contain costs, strengthen, and improve Medicare/Medicaid
-reform the insurance market

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9
Q

Affordable Care Act contained provisions to promote (5)

A

-Prevention and improve public health
-Quality of care
-Reduce waste
-Fraud and abuse
-Reform all health delivery systems

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10
Q

What OBGYN factors where made more affordable from Affordable Care Act (6)

A

-Contraception
-OBGYN services
-Counseling
-Mammograms
-Well-Woman visits
-Gestational DM screenings

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11
Q

Birth statistic:
# of births in 1 year per 1000

A

15-30: decline
40+: increase

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12
Q

Fertility statistics:
# of births per 1000 ages 15-44 in 1 year

A

60.3

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13
Q

Infant mortality statisitc: # of infant deaths younger than 1 year per 1000 live births

A

5.9 (stable)

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14
Q

Maternal Mortality Statistic: # of maternal deaths from births, pregnancy complications, and puerperium per 100,000 live births

A

23.8 (decline)

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15
Q

42 days post pregnancy

A

puerperium

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16
Q

Maternal Morbidity Statistic: measure of maternal health related/caused by pregnancy

A

Obesity is becoming more common

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17
Q

Neonatal Mortality Statistic: # of deaths of infants younger than 1 month per 1000 live births

A

R/T congenital malformations

18
Q

Perinatal mortality statistic: # of stillbirths and number of neonatal deaths per 1000 live births

A

no data

19
Q

low birth weight statistic: babies weighing less than 2500g per 1000 live births

A

8.07 (increase)

20
Q

Preterm Birth statistics: birth before 40 weeks per 100 live births

A

9.63 (increasing)

21
Q

nursing care that is based on and supported by research; outcomes oriented practice

A

Evidence Based Practice

22
Q

EBP helps to accurately guide nursing care, rather than:

A

continuing interventions that are not useful in patient recovery/care

23
Q

EBP resources include: (4)

A

-AWHONN
-Agency for Healthcare Research and Quality
-Cochrane Pregnancy & Childbirth Database
-Joanna Briggs Institute

24
Q

EBP peer-reviewed sources are most applicable to: (2)

A

-patient care
-quality assurance

25
Q

help to set the guidelines for Standard Practice and ensure that all nurses provide quality, evidence-based care

A

Professional organizations

26
Q

Ethical Issues in Perinatal Nursing (8)

A

-Reproductive technology
-Induced Ovulation
-Multifetal pregnancy reduction
-in vitro fertilization
-Allocation of resources (third party payers)
-Older Age pregnancies
-Intrauterine fetal surgery
-Treatment of very low-birth-weight infants

27
Q

The basic structural unit within a community; the primary unit of socialization

A

Family

28
Q

traditional American family in which husband, wife, and their children (biological and adopted) live as an independent unit, sharing roles, responsibilities, and economic resources

A

Nuclear family

29
Q

includes grandparents, aunts, uncles, or other people related by blood

A

extended family

30
Q

consists of three or more generations or relatives in the household

A

multigenerational family

31
Q

children live independently in foster or kinship care such as living with a grandparent

A

nonbiological-parent families

32
Q

formed as a result of divorce and re-marriage, consisting go unrelated family members who join to create a new household

A

married-blended families

33
Q

children live with tow unmarried biologic parents or two adoptive parents

A

cohabitating-parent families

34
Q

unmarried biologic or adoptive parents who may or may not be living with other audlts

A

single-parent family

35
Q

lesbian, gay, bisexual, transgender, or queer parents with children

A

alternative families

36
Q

the view that one’s own way is the best

A

ethnocentrism

37
Q

learning about and applying the standards of another culture to activities within that culture; opposite of ethnocentrism

A

cultural relativism

38
Q

Nursing care w/ Cultural Competence: 5 considerations

A

-communication
-interpreters
-personal space
-time orientation
-family roles

39
Q

changes that occur within one group or among several groups when people from different cultures come into contact

A

acculturation

40
Q

when a cultural group loses its cultural identity and becomes part of the dominant culture

A

assimilation

41
Q

Vulnerable population in woman’s health (8)

A

-Women
-Racial and ethnic minorities
-Adolescent girls
-Older women
-Incarcerated women
-Immigrant, refugee, and migrant women
-Rural vs Urban settings
-Homeless women and families

42
Q

Nursing considerations with vulnerable populations (4)

A

-Cultural sensitivity and compassion
-Awareness of family and social stressors
-Treat with dignity and respect
-Help women reconnect with social support

OBGYN (6 decks)

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