Intro to M-N Module Flashcards

1
Q

What is the goal of maternal newborn nursing?

A

Promotion and maintenance of optimal family health to ensure cycles of optimal childbearing and child rearing

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2
Q

What is the basic unit of society

A

The family. The family is the core of planning and implementing healthcare. To have healthy adults you need healthy hipster and so we need to promote child bearing women

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3
Q

What is the family you come from

A

The family of orientation

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4
Q

What’s the family you have

A

Family of procreation

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5
Q

Nuclear family

A

Children with biological parents

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6
Q

Extended family

A

Other relatives +nuclear

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7
Q

Heterosexual cohabiting family

A

Babes!

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8
Q

Blended or reconstructed nuclear family

A

2 parents with biological children from a previous marriage

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9
Q

Binuclear family

A

Divorced parents with new families where children are part of both.

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10
Q

Birth rate

A

1/1000 lives birth per year

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11
Q

Infant mortality rate

A

Number of infants younger than 1 year of age per 1000 live births

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12
Q

Maternal Mortality Rate.

A

Number of maternal deaths from births and complications of pregnancy, childbirth, and puerpereium (the first 42 days after termination of pregnancy) per 100,000 live births

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13
Q

Is there significant differences in infant mortality rate based on race

A

Yes. Same with maternal mortality rates. It depends on race and socioeconomic status. These deaths are preventable

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14
Q

What country spends the most on healthcare

A

The US spends more than any other country in the world

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15
Q

Why would this be true

A

The US focuses on technology but doesn’t address the barriers to prenatal care

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16
Q

Healthy People 2020 is

A

Set by the US Dept. of Health and Human Services. It provides 10 year science based national objectives. It provides measurable objectives at all levels of government

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17
Q

Healthy People 2020 goals

Notice they are all related to maternal health

A

Reduce the rate of
maternal mortality
infant mortality
–preterm births
– maternal illness and complications caused by pregnancy
– Increase the proportion of infants who are put to sleep on their backs
– Increase the proportion of infants who are breast fed.

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18
Q

Evidenced Based Practice

A

Nursing Research
Clinical pathways
-essential nursing activities now use data to interpret effectiveness of outcomes
Ex. Now skin-skin after babies are born

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19
Q

Nurse Practice Act

A
Scope of practice
Standards of care
Standards for ed. programs
Licensure requirements
Grounds for disciplinary actions 
Enforced by state boards of nursing (BON)
20
Q

Who develops standards of care?

A

National Association Neonatal Nursing

American Nursing Association

Association for Women’s Health, Obstetrics, and Neonatal Nursing

21
Q

Who sets your scope of care?

A

Yes the state does but your hospital can limit it even more. The hospital can never expand your scope of practice beyond the states limit

22
Q
Which of the following are included in the NPA?
School accreditation 
Defining Scope of practice 
Determine insouciance liability
Protect the public
Enforce ethical standards of behavior
A

The NPA only defines scope of practice and protects the public. It does NOT accredit schools and does nothing directlywith ethics

23
Q

The five elements to determine Professional Negligence or Malpractice

A
Duty
Breach of duty
Foreseeability 
Causation
Injury or Harm
24
Q

Consent

A

Signifies the patient understands all aspects of a procedure
Can be given/signed by an emancipated minor
Can be given over the phone
It protects the health care facility and the physician

25
Autonomy
Respecting another’s right to self-determine a course of action or independent decision making
26
Fidelity
Agreement to keep promises
27
Beneficence
Taking positive actions to help others
28
Justice
Refers to fairness in care delivery and in the use of its resources
29
Nonmaleficence
Avoidance of causing any harm or hurt to others
30
Veracity
Refers to truth telling
31
Paternalism
The healthcare professional making decisions about the patient bc he thinks he knows what’s best for the patient. Heavily laden as an application of power over the patient
32
Cultural competence
Involves acknowledging, respecting. And appreciating ethnic, cultural, and linguistic ability
33
Enculturation
Socialization into one’s primary culture as a child
34
Acculturation
When the culture of a minority is gradually dispersed by the culture of the dominant cultural group
35
Assimilation
The process by which a person or a group’s language and or culture come to resemble those of another group
36
Ethnocentrism
Conviction that the values and beliefs of one’s own cultural group are the best or only acceptable ones
37
Does scope of practice differ between nurses?
Yes it’s different btn specialty areas AS WELL AS educational level RN vs LPN
38
What are standards of care?
LEGAL requirements | Ordinary standards of knowledge and skills possessed and used by nurses
39
Who develops standards for nursing practice, policy statements, and similar resolutions?
American Nurses Association (ANA)
40
Where can you find standards of care outlined?
In the NPA of every state Federal and state laws Professional and specialty nursing organizations By policies and procedures established by the health care facility
41
Name 3 things HIPPA does
1) Minimizes exclusion of preexisting conditions 2) designates special rights for those who lose their healthcare coverage 3) Eliminates medical underwriting in group plans includes Privacy Rule
42
The surgeon is responsible for informing the client and obtaining consent. You as a nurse can
1) Clarify information 2) witness the client’s signature 3) co-sign the consent form
43
Hispanic cultural postpartum beliefs
Colostrum is “spoiled” Mom is cared for b et own mother Loud behavior in labor
44
Vietnamese cultural postpartum beliefs
Ask about preferred foods? Taboo to attend weddings or funerals Head is sacred, do not stroke Body heat lost in pregnancy. Women must avoid cold foods and beverages
45
Cambodian
Body must be kept warm. May not take shower, maybe sponge bath
46
African cultural postpartum beliefs
May try to begin feeding newborn solidfood before 4 months of age
47
Native Americans
May seek prenatal care late bc pregnancy is natural process Herbal teas used to stop bleeding Colostrum may not be fed to newborns Preference for female attendants