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MCN > LEC 3 > Flashcards

LEC 3 Flashcards

1
Q

______ is the care of woman during childbirth

A

Obstetric

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2
Q

________ is derived from Greek word obstare which means “to keep watch”

A

Obstetric

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3
Q

_______ is a word derived from word pais meaning “child”

A

Pediatrics

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4
Q

Philosophy
Maternal and Child Health Nursing is:

A
  1. Family-centered
  2. Community-centered
  3. Evidence-based
  4. A challenging role for nurses and a major factor in keeping families will and optimally functioning.
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5
Q

A Maternal and Child Health Nurse:
Give 3.

A
  1. Promotes health and disease prevention because these protect the health of the next generation.
  2. Respects personal, cultural, and spiritual attitude and beliefs.
  3. Encourages family bonding through rooming-in and family visits.
  4. Encourages early hospital discharge options.
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6
Q

PRINCIPLES OF MCN:
The _____ is the basic unit of society .

Families come in many different forms and sizes represent _____, _____, ____, and socio-economic diversity.

Children grow both _____ and as part of a family.

A

racial, ethnic, cultural
——
individually

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7
Q

4 Phases of Health Care

A
  1. Health Promotion
  2. Health Maintenance
  3. Health Restoration
  4. Health Rehabilitation
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8
Q

__________ is educating clients to be aware of good health through teaching and role modeling

A

Health Promotion

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9
Q

______ is intervening to maintain health when risk of illness is present

A

Health Maintenance

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10
Q

_______ is promptly diagnosing and treating illness using interventions that will return client to wellness most rapidly

A

Health Restoration

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11
Q

_____ preventing further complications from an ill-ness; bringing ill client back to optimal state of wellness or helping client to accept inevitable death

A

Health Rehabilitation

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12
Q

______ are designed and implemented in a thorough manner utilizing an organized series of steps

A

Nursing processes

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13
Q

Nursing processes are designed and implemented in a thorough manner utilizing an organized series of steps as follows:

A
  1. Assessment
  2. Diagnosis
  3. Planning
  4. Implementation
  5. Evaluation
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14
Q

A discipline’s knowledge flows from a base of established theory.

A

Nursing Theory

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15
Q

A discipline’s knowledge flows from a base of established theory:

A
  • Callista Roy’s Adaptation Model
  • Dorothea Orem’s Self-care Theory
  • Patricia Benner’s Novice to Expert Theory
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16
Q

What Phase of Health Care?
Teaching women the importance of rubella immunization before pregnancy; teaching children the importance of safer sex practices

A

Health Promotion

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17
Q

Encouraging women to come for prenatal care; teaching parents the importance of safeguarding their home by childproofing it against poisoning

A

Health Maintenance

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18
Q

What Phase of Health Care?
Caring for a woman during a complication of pregnancy or a child during an acute illness

A

Health Restoration

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19
Q

What Phase of Health Care?
Encouraging a woman with gestational trophoblastic disease to continue therapy or a child with a renal transplant to continue to take necessary medications

A

Health Rehabilitation

20
Q

What Phase of Health Care?
Encouraging a woman with gestational trophoblastic disease to continue therapy or a child with a renal transplant to continue to take necessary medications

A

Health Rehabilitation

21
Q

Nursing is a caring relationship. Nurses grow from novice to expert as they practice in clinical settings

A

Patricia Benner’s Novice to Expert Theory

22
Q

The role of the nurse is to aid clients to adapt to the change caused by illness; levels of adaptation depend on the degree of environmental change and state of coping ability; full adaptation includes physiologic interdependence.

A

Callista Roy’s Adaptation Model

23
Q

The focus of nursing is on the individual; clients are assessed in terms of ability to complete self-care. Care given may be wholly compensatory (client has no role); partly compensatory (client participates in care); or supportive-educational (client performs own care)

A

Dorothea Orem’s Self-care Theory

24
Q

6 Competencies for Nurses

A
  1. Patient-Centered Care
  2. Quality improvement
  3. Teamwork and Collaboration
  4. Informatics
  5. Evidence-based practice
  6. Safety
25
Q

The patient or designee is thought of
as the source of control and full
partner in the provision of compassionate and coordinated care based on respect for
the patient’s preferences, values, and needs.

A

Patient-Centered Care

26
Q

Nurses function effectively within
nursing and interprofessional teams, fostering open communication, mutual respect, and shared decision making as they achieve quality patient care.

A

Teamwork and Collaboration

27
Q

Nurses integrate the best current evidence
with clinical expertise and patient/family preferences and values for delivery of optimal health care.

A

Evidence-Based Practice

28
Q

Nurses use data to monitor the outcomes
of care and use improvement methods
to design and test changes to continuously improve the quality and safety of healthcare systems.

A

Quality Improvement (QI)

29
Q

Nurses use information and technology to communicate, manage knowledge, mitigate error, and support decision making.

A

Informatics

30
Q

Nurses minimize the risk of harm to patients and providers through both system effectiveness and individual performance.

A

Safety

31
Q

The _____ and ________ established millennium health goals in _____ in an effort to improve health worldwide.

A

2000

32
Q

The 2020 National Health Goals concentrate on improving the health of ______ and _____.

A

women and children

33
Q

The MCHN population is constantly changing because of changes in _____ structure, ______ in family lifestyle, and changing _____ of ______.

A

social structure, variations, patterns of illness

34
Q

Trend: Families are smaller than in previous decades

A

Implications for Nursing: Fewer family members are present as support in a time of crisis. Nurses must fulfill this role more than ever before

35
Q

Trend: Single parents are increasing in number

A

Implications for Nursing:
A single parent may have fewer financial resources; this is more likely if the parent is a woman. Nurses need to inform parents of care options and to provide a backup opinion when needed

36
Q

Trend: An increasing number of women work outside the home.

A

Implications for Nurses:

Provide a schedule for health care. Health care must be scheduled at times a working parent can bring a child for care.

Problems of “latch-key” (self-care) children & selection of child health care centers need to be addressed.

37
Q

Trend: Families are more mobile, increasing numbers of homeless

A

Implications for Nurses:

Good interviewing and monitoring

Good interviewing is necessary with mobile families so a health database can be established; education for health monitoring is important

38
Q

Trend: Domestic violence is increasing in rate

A

Implications for Nurses:

Screening for children and intimate partners. Nurses must be aware of legal responsibilities of reporting abuse.

39
Q

Trend: Families are more health conscious

A

Implications for Nurses:

Families are ripe for health education, providing this can be a major nursing role.

40
Q

Trend: Health care must respect cost containment

A

Implications for Nurses:

Comprehensive care at primary level because health insurance is not available for all families.

41
Q

Nurses are _____ responsible for protecting the _____ of their clients including confidentiality, and are ______ for the quality of their individual nursing care and that of each health care team member.

A

rights
——-
accountable

42
Q

In a society in which child abuse is of national concern, nurses are becoming increasingly _______ for identifying and _____ incidents of suspected abuse in children.

A

reporting

43
Q

Understanding the ____ of ______ and standards of care can help nurses practice within appropriate _____ parameters.

A

legal

44
Q

__________ is essential for protecting a nurse and justifying his or her actions.

A

Documentation

45
Q

___________ is recommended for all nurses so they do not incur great financial losses during _______or professional negligence suits.

A

malpractice

46
Q

_________ a practitioner who committed a _________.

A

mistake

47
Q

ETHICAL CONSIDERATIONS OF PRACTICE
The following are just a few of the major potential conflicts:

A
  1. Conception issues, as in in vitro fertilization, embryo transfer, ownership of frozen oocytes, etc.
  2. Abortion
  3. Fetal rights vs Rights of Mother
  4. Use of fetal tissue for research
  5. Resuscitation (for how long should it be continued)
  6. No. of procedures or degree of pain that a child should be asked to endure to achieve a degree of better health
  7. Balance between modern technology and quality of life

MCN (6 decks)

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