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Mother-Baby > Unit 1: Childbearing and Childrearing Family > Flashcards

Unit 1: Childbearing and Childrearing Family Flashcards

1
Q

Define an ecomap

A

a diagram of the family’s interactions within the community

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2
Q

Define a family

A
  • Two or more people who live in the same household (usually), share a common emotional bond, and perform certain interrelated social tasks
    • Primary unit of socialization
    • A support system for members
    • Family plays a pivotal role in health care decisions
    • Family-centered care is the target of OB/Peds nurses
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3
Q

Define family-centered nursing

A

the concept that clients do not exist outside a family, the family rather than an individual is considered the client

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4
Q

Define family of orientation

A

one’s birth family: oneself, mother, father, and siblings

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5
Q

Define family of procreation

A

one’s marriage family: oneself, spouse and children

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6
Q

Define a genogram

A

a diagram of family structure depicting essential family relationships; the interactive roles that exist in a family

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7
Q

Define polyandry

A

a marriage with one wife and multiple husbands

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8
Q

Define polygyny

A

a marriage with one husband and multiple wives

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9
Q

Define a sandwich family

A

A family that is squeezed into taking care of both aging parents and a returning young adult

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10
Q

Define a dyad family

A
  • two people living together without children
  • Not necessarily a romantic relationship
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11
Q

What is the advantage of a dyad family

A

Companionship, possibly shared resources

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12
Q

What are the potential negative aspects of a dyad family

A
  • Often short-term arrangement
  • End of arrangement may result in sense of loss
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13
Q

Define a cohabitation family

A

Composed of couples, with or w/o children, who live together but remain unmarried

  • 18% of couples living together are not married
    • Choice
    • Legal restrictions
    • Mistrust of partner/marriage
    • Finances
    • Sexual freedom
    • evolving courtship continuum
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14
Q

What are the positive aspects of a cohabitating family

A
  • Companionship
  • possibly financial security
  • encourages monogamous relationship
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15
Q

What are the possible negative aspects of a cohabitating family

A
  • Feelings of loss if/when relationship ends
  • Divorce rate is higher for those starting in cohabitating family vs. no prior joint living couples
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16
Q

Define a nuclear family

A

Composed of a husband, wife and children

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17
Q

What are the positive aspects of a nuclear family

A
  • Support for family members
  • Sense of security
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18
Q

What are the possible negative aspects of nuclear families

A
  • May lack support people in a crisis situation
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19
Q

Define a polygamous family

A
  • A family consisting of either
    • One husband with multiple wives - polygyny
    • One wife with multiple husbands - polyandry
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20
Q

What are the possible positive aspects of polygamy families

A
  • Companionship
  • Shared resources
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21
Q

What are the possible negative aspects of polygamy families

A
  • Not sanctioned by law
  • Dissaproval by the community
  • Decreased value of women/men
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22
Q

Define the extended (multigenerational) family

A

A family consisting of a nuclear core with the addition of grandmothers, grandfathers, aunts, uncles, cousins and grandchildren

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23
Q

What are the possible positive aspects of extended families

A
  • Many people for child care and member support
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24
Q

What are the possible negative aspects of extended families

A
  • Resources may be stretched thin due to few wage earners
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25
Q

Define the single-parent family

A

Consists of one parent, either male or female, and their child(ren)

  • 34% single mothers; 16% single fathers live in poverty
  • Success is dependent on
    • Gender of parent & children
    • Race
    • Education level
    • Employment status
    • Living arrangement
    • Social support
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26
Q

What are the positive aspects of single-parent families

A
  • Ability to offer unique and strong parent-child bonds
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27
Q

What are the possible negative aspects of single-parent families

A
  • Resources may be limited
  • Lack of social support
  • Difficulty adjusting to previously unfilled roles (parent & child)
  • Changes in home and school environment
  • Time-consuming and mentally and physically exhausting.
  • Potential for low self-esteem if things are not going well
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28
Q

Define the blended family

A

A divorced or widowed person with children who marries someone who also has children

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29
Q

What are the possible positive aspects of blended families

A
  • Increased security and resources
  • Exposure to different customs or culture may help children become more adaptable to new situations
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30
Q

What are some of the possible negative aspects of blended families

A
  • Rivalry or competition among children
  • Difficulty adjusting to a stepparent
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31
Q

What are the positive aspects of gay/lesbian families

A
  • Provides the advantages of a nuclear family
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32
Q

What are the possible negative aspects of gay/lesbian families

A
  • May suffer descrimination from neighbors/community who do not thouroughly approve or accept this family type
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33
Q

What are the possible positive aspects of foster families

A
  • Prevents children from being raised in large orphanage settings
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34
Q

What are the possible negative aspects of foster families

A
  • Insecurity and inability to establish meaninful relationships because of frequent moves
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35
Q

What are the possible positive aspects of adoptive families

A
  • Children grow up well cared for and experience a sense of love
  • A woman who relinquishes her child for adoption can feel a sense of relief her baby will have a better life than she can provide
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36
Q

What are the possible negative aspects of adoptive families

A
  • Divorce of the adoptive parents can be devastating if the child view himself as the cause
  • Honeymoon behavior by the child when told of adoption followed by testing behavior
  • Fear of being “being given back” when hospitalized
  • Inferior or animosity feeling of biological children towards adoptive child
  • Feelings of inadequacy by adopting child as they consider having children of their own
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37
Q

Define the family role of wage earner

A

the individual who provides the bulk of the income for the family

38
Q

Define the family role of the financial manager

A

the member who determines how money will be spent

39
Q

Define the family role of the problem solver

A

the member who the family depends on to provide a solution to problems

40
Q

Define the family role of nurturer

A

the member who is the primary caregiver to children or a physically or cognitively challenged family member

41
Q

Define the family role of decision maker

A

The member who makes decisions, particularly in areas of lifestyle and how leisure time is spent

42
Q

Define the family role of health manager

A

The member who makes health care decisions, ensures family members keep health appointments, immunizations, and preventative care

43
Q

Define the family role of culture bearer

A

The member who maintains family and community customs so children can develop a sense of where they belong in history

44
Q

Define the family role of the environmentalist

A

The member who is responsible for recycling and not wasting electricity or water

45
Q

Define the family role of the gatekeeper

A

The family member who determines what information will be released or what new information can be introduced

46
Q

Define the family task of physical maintenance

A

the provision of food, shelter, clothing, and health care for members

47
Q

Define the family task of socialization

A

being certain that children feel part of the family and learning the appropriate ways of interacting with people ouside the family

48
Q

Define the family task of allocation of resources

A

the determination of which family needs will be met and by what priority in a justifiable, constant, and fair distribution (of goods and space)

49
Q

Define the family task of maintenance of order

A

Includes establishing family values, rules about expected member roles and responsibilities, and enforcing common regulations

50
Q

Define the family task of Division of labor

A

The (evenly) distribution of work that is flexible enough to be interchanged as needed

51
Q

Define the family task of reproduction, recruitment, and release of family members

A

Acceptance of new members or allowance of members to move into a new family/phase of life

52
Q

Define the family task of placement of members into the larger society

A

The utilization of community resources to help in operating the family as needed. (i.e. schools, other families, churches, hospital, affiliations etc.)

53
Q

Define the family task of maintenance of motivation and morale

A

the maintenance of a sense of unity and pride in their family

54
Q

The development stages of a family is as follows:

A
  1. Marriage
  2. Early Childbearing Family
  3. Family with a Preschool Child
  4. The Family with a School-Age Child
  5. The Family with an Adolescent
  6. Launching Stage Family: Family with a young adult
  7. Family of Middle Years
  8. Family in Retirement or Older Age
55
Q

During the Marriage stage families

A
  • Establish a mutually satisfying relationship
  • Learn to relate well to their families of orientation
  • Engage in reproductive life planning
56
Q

During the Early Childbearing family stage, families:

A
  • Integrate the new member into the family
  • Make whatever financial and social adjustments neccessary to meet the needs of the new member while continuing to meet the needs of the parents
57
Q

During the family with a preschool child stage, families

A
  • Prevent unintentional injuries such as poisoning or falls
  • Begin socialization through play dates, child care, or nursery school settings
58
Q

During the family with a school-age child stage, families

A
  • Promote children’s health through immunizations, dental care, and routine health assessments
  • Promote child safety r/t home and automobiles
  • Encourage socialization experiences outside the home such as sports participation, music lessons, or hobby activities
  • Encouraging a meaningful school experience to make learning a lifetime concern, not one merely 12 years.
59
Q

During the family with an adolescent stage, families

A
  • Loosen ties enough to allow an adolescent more freedom while still remaining safe
  • Begin to prepare adolescents for life on their own
60
Q

During the launching stage family phase, families

A
  • Change their role from mother or father to once-removed support persons or guideposts
  • Encourgae independent thinking and adult-level decision skills in their child
61
Q

Define the boomerang generation

A

The generation of young adults that return to their family home after college or a failed relationship until they can afford their own appartment or find a new live-in partner

62
Q

During the family of middle years stage, families

A
  • Adjust to “empty nest” syndrome be reawakening their relationship with their supportive partner
  • Prepare for retirement so when they reach that stage they will not be unprepared socially or financially
63
Q

During te family in retirement or older age stage, families

A
  • Maintain health by preventative care in light of aging
  • Participate in social, political, and neighborhood activities to keep active and enjoy this stage of life
64
Q

Assessment of Family Structure and Function should include:

A
  • Information on individuals within the household & their relationships between members - Genogram
  • Interaction with other social systems - Ecomap
  • Changes in family organizations over time
65
Q

The influence of increased divorce rate on families/children

A
  • Reactions to divorce occur in three phases
    • Antagonism marked by quarreling, hurt feelings, & whispered conversations. Children may assume it is their fault
    • Separation phase where members are force into new family roles, move, and deal with changing finances. Children typically grieve the loss of one parent
    • Reshaping where at least one half is single family or blended. Children realizes life is permanently changed.
  • Boys typically have more emotional trauma
  • Children may have physical symptoms - Nausea, vomiting
  • Stress is often reduced for children after separation
66
Q

Same sex partners facts

A
  • ~1million in America (0.05%)
  • Myth: couples and children suffer
  • Fact
    • Couples have less hostility, more shared leisure time and more egalitarian relationships
    • Children do as well as those raised by heterosexuals
  • Risks
    • Rights for parenthood and marriage
    • Discrimination
67
Q

What is family structure bias?

A

Nurses counseling families according to their own family structures.

68
Q

What is family health?

A

The interaction of multiple systems, relationships, and processes that have the potential to affect health.

69
Q

Define acculturation

A

the process of losing cultural beliefs and values to those of a dominant society

70
Q

Define assimilation

A

changing a situation or one’s perception of it to fit one’s thoughts

71
Q

Define cultural awareness

A

being aware that we all live and function within a culture of our own and that our identity is shaped by it

72
Q

Define cultural competence

A

the capacity to work effectively and with people, integrating elements of their culture - vocabulary, values, attitudes, norms, and rules

73
Q

Define cultural values

A

perferred ways of acting based on cultural traditions

74
Q

Define culture

A

the learned way of life of a community or society

75
Q

Define culture universal

A

values, norms, and patterns of behavior shared across all cultures

76
Q

Define descrimination

A

the action of treating people differently based on their physical or cultural traits

77
Q

Define ethnicity

A

the cultural group into which a person is born

78
Q

Define ethnocentrism

A

the belief that one’s own values or beliefs are superior to others

79
Q

Define minority

A

a group within a population that is fewer in number or hold less power and wealth

80
Q

Define mores

A

a.k.a. norms - customs generally accepted as right to follow by a community or society

81
Q

Define transcultural nursing

A

care that is guided by cultural aspects and respects individual differences

82
Q

Define prejudice

A

negative atitude toward members of a group

83
Q

Define stereotyping

A

applying a fixed conception to an entire group

84
Q

Define taboo

A

actions that are prehibited in a specific culture

85
Q

Define race

A

refers to a category of people who share a socially recognized physical characteristic

86
Q
A
87
Q

Family assessment - questions that will provide information about care of a child (Type 1 DM)

A
  • Who lives in the household?
  • Who prepares meals for the child and family?
  • Who is the primary caregiver for the child?
88
Q

Family assessment - questions for identification of potential risk areas

A
  • Have you had any major changes in your responsibilities lately?
  • Does anyone in the family have a problem with substance abuse?
  • How would you describe your relationship with your child?
89
Q

What issues should be addressed for a family soon after the adoption of a child from a low economic/foreign region

A
  • Physical health, including growth parameters
  • Emotional and development screening
  • Expectations of the adoptive parents
90
Q

A family developmental assessment evaluates

A

family changes within the life cycle

91
Q

The Family life cycle theory describes

A

the family based on the developmental stage of the oldest child

92
Q
A

Mother-Baby (5 decks)

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