Maternity Nursing Chap 1 Flashcards
Number of births in 1 year per 1000 women. This is?
birth rate
Infant who is born before completing 38 weeks of gestation. This is?
preterm infant
Number of women who die as a result of births and complications of pregnancy, childbirth, and the puerperium (the first 42 days after termination of the pregnancy) per 100,000 live births. This is?`
maternal mortality rate
Number of stillbirths and number of neonatal infant deaths per 1000 live births. This is?
perinatal mortality rate
Number of births per 1000 women between the ages of 15 and 44 (inclusive), calculated annually. This is?
fertility rate
Infant whose weight at birth is less than 2500 g (5 lb, 8 oz). This is?
low birth weight
Number of deaths during the first year of life per 1000 live births. This is?
infant mortality rate
Number of deaths of infants younger than 28 days of age per 1000 live births. This is?
neonatal mortality rate
Miss S. lives with her 2 year old adopted Romanian daughter, Anna. This is?
single parent family
Sara and Jim are married and live with their son, David, and Jim’s mother, Jean. This is?
extended family
Jane and Tom are a married couple living with their new baby boy, Alex. This is?
nuclear family
Sue and Rose are a lesbian couple living with Sue’s adopted daughter, Elise, whom they are raising together. This is?
homosexual family
This family consists of Roy, his second wife Tara, and Roy’s two daughters by a previous marriage. This is?
reconstituted (blended) family
Denise and Mike have been divorced for 3 years. They share custody of their four children. This is?
Binuclear family
_________ is a specialty area of nursing practice that focuses on the care of childbearing women and their families through all stages of pregnancy and childbirth, as well as the first 4 weeks after birth.
maternity nursing
_________ is a practice that is based on findings obtained through research and clinical trials.
evidence based practice
_________ is an umbrella term for the use of communication technologies and electronic information to provide or support health care when the participants are separated by distance.
telehealth
Mrs. M., a newly delivered Mexican American woman, tells the nurse not to include certain foods on her meal tray because her mother told her to avoid those foods while breastfeeding. The nurse tells her that she doesn’t have to avoid any foods and should eat whatever she desires. ____________
ethnocentrism
Ms. P., an immigrant from Vietnam, has lived in the US for 1 year. she tells you that she enjoys the comfort of wearing blue jeans and sneakers on casual occasions such as shopping, even though she never would have done so in Vietnam. __________
acculturation
A family of Cambodian boat people immigrated to the US and have been living in Denver for over 5 years. The parents express concern about their children, ages 10, 13, and 16, stating, “The children act so differently now. They are less respectful to us and want to eat only American food and go to rock concerts. It’s hard to believe they are our children.” _________
assimilation
The nurse is preparing a healthy diet plan for Mrs. O., who is Polish-American. In doing so, she takes the time to identify and include the Polish foods that are favorites of Mrs. O. _______________
cultural relativism
A central concern of nurses is to plan and provide care that reflects and respects the values, beliefs, and practices to which the pt and family adhere as part of a particular social group. __________
cultural context
_________ is a set of guidelines that an individual inherits as a member of a particular society that tells people how to view the world and how to relate to other people, supernatural forces, and the natural environment.
cultural knowledge
_________ is a nursing practice approach that focuses on the way that people of different cultures perceive life events and the health care system.
cultural competence
________ are interaction and communication processes that allow family members to perform essential activities by working cooperatively with each other and assuming appropriate social roles. Family members use ________ to determine roles and role responsibilities. _________ are set up by a family between itself and society. A family sets up __________ through which it interacts with society and ensures that its members receive their share of resources.
family dynamics
negotiation
boundaries
channels
________ ________ __________ is a family theory that is based on a science of wholeness characterized by interaction among the components of the family and between the family and the environment. The family is viewed as a whole that is different from the sum of the individual members.
family systems theory
_____________ is a family theory that focuses on the family as it moves in time and through transitions. Each family member progresses through phases of growth, from dependence through active independence to interdependence. The family structure and function also vary over time.
family life cycle (developmental) theory
___________is a family theory that is concerned with the ways families react to stressful events and suggests factors that promote adaptation to these events. Stress must be studied within the _______ and _________ contexts in which the family is living.
family stress theory
internal
external
Analyzing individual census tracts helps identify subpopulations, or _________, with differing needs.
aggregates
__________ are groups of people who are at higher risk of developing physical, mental, or social health problems or who are more likely to have worse outcomes resulting from these health problems than the population as a whole. Women who are _______, ________, ________,. or _________ are often considered vulnerable.
vulnerable populations adolescent older incarcerated homeless
A family with open boundaries:
a. uses available support systems to meet its needs
b. is more prone to crises related to increased exposure to stressors
c. discourages family members from setting up channels
d. strives to maintain family stability by avoiding outside influences
a. uses available support systems to meet its needs
Which one of the following nursing actions is most likely to reduce a pt’s anxiety and enhance the pt’s personal security as it relates to the concept of personal space needs?
a. touching the pt before and during procedures
b. providing explanations when performing tasks
c. making eye contact as much as possible
d. reducing the need for the pt to make decisions
b. providing explanations when performing tasks
A Native American woman gave birth to a baby girl 12 hours ago. The nurse notes that the woman keeps her baby in the bassinet except for feeding and states that she will wait until she gets home to begin breastfeeding. The nurse recognizes this behavior as a reflection of:
a. embarrassment
b. delayed attachment
c. disappointment that the baby is a girl
d. her belief that babies should not be fed colostrum
d. her belief that babies should not be fed colostrum
A Hispanic woman has just given birth to a baby boy. The nurse caring for the woman should recognize that the woman will likely:
a. have a meal of refried beans brought from home
b. request that a fan be placed in the room to cool her body
c. remain on bed rest for 3 days after birth
d. request to take a shower as soon as possible
c. remain on bed rest for 3 days after birth
True or False: Currently the highest birth rates are for women between 25 and 29 years of age.
True
True or False: Births to unmarried women are frequently related to less favorable outcomes because there are typically a large number of adolescents in this group.
True
True or False: One fourth of all births in the US are to unmarried women.
False
True or False: The infant mortality rate can be reduced by shifting the emphasis from high technology to improved access to preventive health care services, especially for low income families.
True
True or False: The greatest risk for giving birth to a low birth weight infant occurs among Hispanic women.
False
True or False: The US ranking of 26th for infant mortality among industrialized nations relates to the high rate of low birth weight infants born in the US compared with other countries.
True
True or False: The maternal mortality rate is a common indicator of the adequacy of prenatal care and the health of the nation as a whole.
False
True or False: The most significant barrier to accessible prenatal care is the inability to pay.
True
True or False: The incidence of high risk pregnancies has been decreasing steadily.
False
True or False: The two most frequently reported maternal medical risk factors are hypertension associated with pregnancy and diabetes.
True
True or False: Cultural beliefs and practices related to childbearing and parenting for a subculture must be assessed for each woman and family representing that subculture because variations in beliefs and practices are possible.
True
True or False: Women from Southeast Asia often vocalize while experiencing the pain and discomfort associated with the childbirth process.
False
True or False: African American women seek prenatal care early because they view pregnancy as a time when women require medical care and supervision.
False
True or False: Hispanic women appreciate the opportunity to shower or bathe as soon as possible after birth.
False
True or False: The nurse should recognize that a Vietnamese woman might not wish to breastfeed until her milk comes in; she believes newborns should not be fed colostrum because it’s dirty.
True
True or False: European American women typically prefer a technology dominated childbirth approach rather than a natural approach.
True
True or False: Native American women often use herbal preparations to promote uterine contractions during labor and stop bleeding in the postpartum period.
True
True or False: Hispanic American women often desire and expect reduced activity or even bed rest for as long as 3 days after birth.
True
True or False: Women make up one third of the homeless people in America.
True
True or False: Migrant women are more likely than others to receive early prenatal care.
False
True or False: Over time, health disparities decline for the migrant population.
True
True or False: The perinatal continuum of care starts with family planning and preconception care and ends whent he infant is 1 year of age.
True
Identify factors related to the infant mortality:
limited maternal education Young maternal age Unmarried Poverty lack of prenatal care poor nutrition smoking alcohol and drug use poor maternal health status
State and describe 3 major changes in health care of women and their infants:
nurse-midmives family centered care LDR/LDRPs early discharge neonatal security systems
List barriers to prenatal care in US:
lack of insurance with resultant inability to pay lack of transportation dependent child care minority status young maternal age homelessness lack of providers for low income women
Culture regarding Communication:
considered language need for a translator dialect style volume of speech meaning of touch and gestures
Culture regarding space:
include feelings of territoriality (varies)
comfort zone must be established in terms of touch
proximity to others
handling of possessions
pt must be in control of person space to ensure a sense of autonomy and security
Culture regarding time:
consider past, present, and future orientations and how these could affect meeting appointments and health care practices, beliefs, and goals
Culture regarding family roles:
include parents’ role
roles for grandparents
father’s participation in pregnancy, labor, birth, and child care
Identify factors that influence woman’s and family’s adherence to cultural beliefs and practices:
mention individual subculture within the primary group
degree of acculturation
income level
amount of contact with older generations
