Week 1 - Antenatal Assessment and Care Flashcards
Most inclusive way to refer to patient that is pregnant
child-bearing client
Language to avoid (many)
“incompetent cervix”
“failing to progress”
having an “arrest” of labour
fetus intrauterine growth “retardation”
“allow” patient a “trial” of labour
perinatal nursing
focuses on caring for clients and their families from the preconception period throughout the child-bearing year
variety of settings
antenatal, intrapartum, postpartum, and healthy newborn care
recognize that each childbearing journey is unique and is influenced by values, culture, ethnicity, religion, and the social determinants of health
women’s centred care
“Women-centred care” is grounded in the assumption that _________________________
clients know their own bodies and are experts in their own health
antenatal
during pregnancy
intrapartum
labour, delivery, and immediate post-partum
postpartum
between the birth of the newborn and the return of the reproductive organs to their normal nonpregnant state
6 to 12 weeks
Guiding values (many)
-caring - safe, compassionate, competent care
-health and well-being
-justice - equity, inclusiveness
-informed decision making - patient’s right, beliefs and values
-dignity - intimacy
-confidentiality
-accountability - standards of practice
other:
-active involvement, empowerment
-family involvement
-respect
-honesty
-adequate pain relief
Respectful maternity care characteristics (many)
foundation of care
patient-centered - focuses on the individual and their family
principles of ethics and human rights
promotes practices that recognize individual’s preferences and needs
recognizes childbearing can be an important rite of passage, with deep personal and cultural significance for clients and families
respect for client’s autonomy, dignity, feelings, choices, and preferences, including choice of companionship wherever possible
impactful
Trauma Informed Care (6)
1) Trustworthiness and Transparency
2) Collaboration and Mutuality
3) Safety
4) Peer Support
5) Empowerment, Voice, and Choice
6) Cultural, Historical, and Gender Issues
Trustworthiness and Transparency
being honest
avoiding biases
defining your role and responsibility
Collaboration and Mutuality
doing WITH, not doing to
Safety
including confidentiality
Peer Support
shared experiences to promote healing
Empowerment, Voice, and Choice
involving
strength-based, collaboration
allow time for questions
know preferences
choices
Cultural, Historical, and Gender Issues
respecting differences
valuing healing of traditional cultural connections
Goal of trauma-informed care
minimize harm to all people, whether or not there is a known experience of violence
universal trauma-informed approach
Examples of questions to ask to promote trauma-informed care (many)
“What makes you feel safe?”
“What makes you feel unsafe?”
“What are your triggers?”
“What helps you come back to feeling safe?”
Informed-Decision Making Acronym
B - Benefit of the intervention
R - Risks, potential
A - Alternatives
I - Intuition - about the intervention, what feels right for you
N - Nothing right now, what if
S - Space - for the client to make this decision
Importance of pre-conception health
establishes foundation for pregnancy and the health of the child
improves pregnancy and health outcomes
What % of pregnancy are unplanned?
50%!
Preconception care definition
involves identifying and modifying risk factors (medical, behavioural, social, environmental) in order to improve health outcomes
Main components of preconception care (6)
1) health promotion
2) medical history
3) reproductive history
4) psychosocial history
5) financial resources
6) environmental conditions
Health promotion (7)
1) Nutrition and healthy diet (folic acid intake)
2) Optimum weight
3) Exercise
4) Avoidance of tobacco, alcohol, and recreational drugs
5) Risk-reducing sexual practices
6) Infertility
7) Oral health
