Intro to M-N Module Flashcards
What is the goal of maternal newborn nursing?
Promotion and maintenance of optimal family health to ensure cycles of optimal childbearing and child rearing
What is the basic unit of society
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
What is the family you come from
The family of orientation
What’s the family you have
Family of procreation
Nuclear family
Children with biological parents
Extended family
Other relatives +nuclear
Heterosexual cohabiting family
Babes!
Blended or reconstructed nuclear family
2 parents with biological children from a previous marriage
Binuclear family
Divorced parents with new families where children are part of both.
Birth rate
1/1000 lives birth per year
Infant mortality rate
Number of infants younger than 1 year of age per 1000 live births
Maternal Mortality Rate.
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
Is there significant differences in infant mortality rate based on race
Yes. Same with maternal mortality rates. It depends on race and socioeconomic status. These deaths are preventable
What country spends the most on healthcare
The US spends more than any other country in the world
Why would this be true
The US focuses on technology but doesn’t address the barriers to prenatal care
Healthy People 2020 is
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
Healthy People 2020 goals
Notice they are all related to maternal health
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.
Evidenced Based Practice
Nursing Research
Clinical pathways
-essential nursing activities now use data to interpret effectiveness of outcomes
Ex. Now skin-skin after babies are born
Nurse Practice Act
Scope of practice Standards of care Standards for ed. programs Licensure requirements Grounds for disciplinary actions Enforced by state boards of nursing (BON)
Who develops standards of care?
National Association Neonatal Nursing
American Nursing Association
Association for Women’s Health, Obstetrics, and Neonatal Nursing
Who sets your scope of care?
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
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
The NPA only defines scope of practice and protects the public. It does NOT accredit schools and does nothing directlywith ethics
The five elements to determine Professional Negligence or Malpractice
Duty Breach of duty Foreseeability Causation Injury or Harm
Consent
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
Autonomy
Respecting another’s right to self-determine a course of action or independent decision making
Fidelity
Agreement to keep promises
Beneficence
Taking positive actions to help others
Justice
Refers to fairness in care delivery and in the use of its resources
Nonmaleficence
Avoidance of causing any harm or hurt to others
Veracity
Refers to truth telling
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
Cultural competence
Involves acknowledging, respecting. And appreciating ethnic, cultural, and linguistic ability
Enculturation
Socialization into one’s primary culture as a child
Acculturation
When the culture of a minority is gradually dispersed by the culture of the dominant cultural group
Assimilation
The process by which a person or a group’s language and or culture come to resemble those of another group
Ethnocentrism
Conviction that the values and beliefs of one’s own cultural group are the best or only acceptable ones
Does scope of practice differ between nurses?
Yes it’s different btn specialty areas AS WELL AS educational level RN vs LPN
What are standards of care?
LEGAL requirements
Ordinary standards of knowledge and skills possessed and used by nurses
Who develops standards for nursing practice, policy statements, and similar resolutions?
American Nurses Association (ANA)
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
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
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
Hispanic cultural postpartum beliefs
Colostrum is “spoiled”
Mom is cared for b et own mother
Loud behavior in labor
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
Cambodian
Body must be kept warm. May not take shower, maybe sponge bath
African cultural postpartum beliefs
May try to begin feeding newborn solidfood before 4 months of age
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
