Maternity Nursing: Culturally competent, family, and community focused Flashcards
Ability to use information and communications technology to improve health
E-health literacy
Births per 1000 women from 15-44 years of age
Fertility rate
Number of live births per 1000 population per year
Birth rate
What classifies a LBW?
A newborn birth weight less than 2500 g (5.5 lbs)
What are 3 problems that go hand in hand/associated with LBW babies?
Cig smoking in preg
Premature
Intrauterine growth restriction
Number of deaths per 1000 children 1 year of age or less
Infant mortality rate
What are some things that appear to be associated with higher infant mortality rate?
Limited maternal education Young maternal age Unmarried status Poverty Lack of prenatal care Smoking
What is the leading cause of neonatal death?
Congenital anomalies
Number of maternal deaths per 100,000 births
Maternal mortality rate
What are today’s 3 leading causes of maternal mortality?
Cardiovascular disease
Infection/sepsis
Non-cardiovascular diseases
Level of practice that a reasonable, prudent nurse would provide in the same or similar circumstances
Standard of care
An unexpected occurrence involving death or serious physical or psychological injury, or the risk there of. Serious injury specifically includes loss of limb function
Sentinel event
What is a sentinel event called sentinel?
Bc they signal a need for an immediate investigation and response
What are 4 reportable sentinel events in perinatal nursing?
- Any maternal death r/t process of birth
- Any perinatal death unrelated to a congenital condition in an infant have birth weight greater than 2500 g
- Severe neonatal hyperbillirubinemia (bilirubin is greater than 30 mg/dl)
- Infant discharged to wrong family
The failure to recognize or act on early signs of distress
Failure to rescue
What are 2 key components of failure to rescue?
- Careful surveillance and identification of complications
2. Quick action to initiate appropriate interventions and activate a team response
In Wright and Leaney’s family systems theory, how is the family viewed?
A unit and interactions among family members are studied rather than studying the individuals
Family Systems Theory: A family systems theory is part of a larger suprasystem and composed of many subsystems. T/F?
True
Family Systems Theory: The family as a ____ is greater than the sum of its _____
The family as a WHOLE is greater than the sum of its INDIVIDUAL MEMBERS
Family Systems Theory: What does a change in one family member affect?
Affects all family members
Family Systems Theory: How is a family healthy?
Able to create a balance between change and stability
Family Systems Theory: How are family members best understood: from a view of circular causality or linear causality?
Circular
Shared beliefs and values of a group
Culture
A group existing w/in a larger culture system that retains its own characteristics
Subculture
Changes that occur within one group or among several groups when people from different cultures come into contact with one another
Acculuration
When a culture group looses its cultural identity and becomes part of the dominant culture
Assimlation
What is ethnocentrism?
A view that one’s cultures way of doing things is the best
What is the opposite of ethnocentrism?
Cultural relativism
What is cultural relativism?
Refers to learning about and applying the standards of anothers cultures to activities within the culture
Culture determines ____
Viewpoint
What does cultural competence involve?
Acknowledging, respecting, and appreciating ethnic, culture, and linguistic diversity
