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FAMILY NURSING-OB

CHAPTER 1,4,5-

QuestionAnswer
CHAPTER 1 Maternity and Women’s Health Care Today The main priority is bounding-baby feeding
Historical Perspectives on Childbearing
What are the component of medical management emergence? Significant discoveries skin-2-skin contact Role for woman in childbirth women deliver on various safe positions Hospital births Technologic advances Consumer demands PT IS WELL INFORMED
How is the government involved in FAMILY NURSING? BY Federal funding I.E WIC, MEDICAID Inequitable distribution of health care BARRIER TO HEALTH CARE ACCESS LIMITED OB ACCESS TRANSPORTATION AND FINANCIAL ISSUE
WHAT is the effect of consumer demands? Consumers involvement get the right education -from evidence based R  New childbirth methods  Benefits of extended parent–newborn contact HELP REGULATE SYSTEM FUNCTION TRANSITION BETTER-ACHIEVE MILESTONE.. BREASTMILK IS IMPORTANT
What is Family-centered maternity care? Physical and psychosocial needs of the family Assist family members ensure they can rest, eat, drink, have blanket Fosters the family unit
Principles of family-centered care Childbirth is usually a normal, healthy event. Childbirth affects the entire family. Include members-educate the whole FAMILY on taking care of babies Families making decisions about care Family and other support Watch other cultural practice
What is the function of Certified nurse-midwife (CNM) -They can not deliver-MD has to be present -Cares for women at low risk for complications -refers women to a back-up physician if problems develop
What is the functions of Nurse practitioner (NP)? Prenatal and newborn care Does not perform deliveries How does patient deliver? natural, c-section? homeopathy?
Physician must be present on units Couples may visit several different care providers before choosing the one they feel is best for them.
The Traditional hospital setting INCLUDES: Labor, delivery, recovery rooms (LDRs) push for for several hrs-must do C-SECTION Labor, delivery, recovery, postpartum rooms (6WKS) (LDRPs)
What are Birth centers for? Freestanding
What is Home births? In emergency, patient goes directly to delivery unit
What is insurance policy? Insurance provider may limit choice of health care provider or setting out-of pocket:
What is Support person? Father of baby Relative or friend Doula (trained labor support)
Siblings presence at DELIVERIES? Presence of children at birth is controversial. Some children may attend all or part of labor and birth. IT could be traumatizing to CHILDREN
WHAT IS IMPORTANT BEFORE BIRTH? Education Importance of perinatal education PARENT / FAMILY MUST KNOW WHAT TO EXPECT
HEALTHY 2020 INCLUDE: Attain high quality, longer lives free of preventable disease Achieve health equity, eliminate disparities, and improve health of all groups
HEALTHY 2020 INCLUDE 1: Create social and physical environments that promote good health for all Promote quality of life, healthy development, and healthy behaviors across all life stages
Safety and Quality INCLUDE -Perinatal Core Measures • Decrease rate of elective deliveries • Decrease R.of cesarean births • Increase R.of antenatal administration of steroids in preterm labor • Decrease rate of newborns with septicemia or bacteremia • Increase the rate of exclusive breastfeeding
WHAT ARE Effects of cost containment on maternity care? Length of stay: 48HR Maternal and infant problems after discharge Legislative mandates Reduced teaching time HAVE INFORMATION WRITTEN DOWN-FOLLOW UP WITH MOM AND BABY, B/C PROBLEMS CAN ARISE AFTERWARD
IN Community-based perinatal and women’s health nursing, NURSES: Nurses must understand diverse communities Nurse must work in multidisciplinary teams to coordinate care
WHAT are Perinatal home care? Antepartum home care Postpartum and neonatal home care Home care for high-risk neonates
What are Advances in technology? THEY ARE Telemedicine VERIFY WHETHER PT USES OR NOT Electronic medical record (EMR) EASIER LINK TO YOUR OTHER UNITS-HOSPITALS FACILITATE CARE COORDINATION
WHAT ARE SOME CONCERN WITH "Complementary and alternative medicine" Safety PMS, POSTPARTUM DISCOMFORTS , DO YOU Consistent with holistic nursing care
how does Shortage of nurses AFFECT CARE AND HOSPITALS? Baby boomers retiring LOTS NURSING ARE RETIRING Staffing with increased patient loads MORE MONEY EASY ACCESS TO SPECIALTIES
WHAT ARE Maternal and infant mortality CAUSES? Pregnancy-related maternal mortality LOTS OF BARRIER LESS ACCESS TO CARE EARLY DISCHARGE
Infant mortality ARE CAUSED BY: Congenital malformations, premature birth, maternal complications of pregnancy Infant mortality across nations
Adolescent pregnancy STATISTICS TODAY: Teen birthrates have decreased. Teen pregnancy rate higher in United States compared to other industrialized nations PREPARE PATIENT-GIVE RESOURCES FOR HOME CARE BE NON-JUDGMENTAL
THE 2 HEALTH PROBLEMS FACING PREGNANT Women ARE? Cardiovascular disease HAVE THEM WORRY ABOUT THIS IT IS CRUCIAL Obesity
Standards of practice for perinatal and women’s health nursing INCLUDE: Agency standards KNOW SCHEDULE PRACTICES, STANDARD PRACTICES Organizational standards Legal standards
Nurse roles are changing from the typical nursing jobs, WHERE DO NURSE WORK NOW? Work in a variety of highly specialized areas Assume primary responsibility for independent functions Teach, counsel, and intervene for a wide variety of nonmedical problems
WHAT Interpersonal skills ARE USED ? Communication Effective teaching Critical thinking
Therapeutic communication ARE: Purposeful, goal directed, and focused Techniques • Clarifying • Reflecting-GET BETTER IDEA OF PT NEED • Maintaining silence • Questioning • Directing-VOICE TONE • Being aware of blocks to communication
Teaching and Learning INCLUDE: Principles Readiness Active participation Repetition Positive feedback Role modeling Address conflict and frustration Simple to complex Use of variety of methods Small segments
WHAT ARE Factors that influence learning? Developmental level Language Culture Previous experiences Physical environment Organization and skill of instructor
WHAT ARE Other Nursing Roles? Collaborator Collaborates with other members of the health care team Coordinates and manages a woman’s or infant’s care Interdisciplinary approach Researcher Nursing care is based on evidence. Advocate Speaks FOR PATIENT MANAGER
Advanced Preparation for Maternal-Newborn and Women’s Health Nurses FOR Certified nurse-midwives (CNMs): LOW RISK PATIENT RNs WITH clinical experience Provide complete care during pregnancy, childbirth, and the postP period Counsel and support the childbearing family Provide annual well-woman exams Approach to childbirth is noninterventionist and supportive.
Nurse practitioners ARE: RNs with advanced preparation Women’s health nurse practitioners (WHNPs) provide wellness-focused, primary, reproductive, and gynecologic care over the life span, starting at adolescence.
Family nurse practitioners (FNPs) : provide preventive, holistic care for young and old family members.
Neonatal nurse practitioners (NNPs) : Assist in the care of high-risk newborns in the immediate post–birth care or in a neonatal intensive care unit (NICU).
Pediatric nurse practitioners (PNPs): provide health maintenance care for infants and children not requiring the services of physicians.
HOW IMPORTANT IS Nursing Research? Important for nurses to demonstrate that their work improves outcomes - cost-effective  Nurses must generate, participate in, and use research.  National Institute of Nursing Research (NINR) and National Institutes of Health (NIH)
WITH Evidence-Based Practice (EBP): Nurses are striving to develop an independent body of knowledge-problem solving approach to care. Promotes high quality care and best patient outcomes Institute of Medicine (IOM) Standards for developing practice guidelines
WHAT ARE THE STEPS TO Helps NURSES make the best clinical judgments ? THEY ARE ABCDEs  Recognizing Assumptions  Examining Biases  Determining the need for Closure  Becoming skillful in Data management  Acknowledging Emotions and Environmental factors
CHAPTER 4
WHAT ARE MULTIFACTORIAL? PG67
WHAT ARE ENVIRONMENTAL FACTOR? POSITIVE:NUTRITION NEGATIVE:TERATOGENS
CAUSATIVE AGENTS PG70 ANTICONVULSANT-CAN CONTROL IN CRITICAL FETUS DEVELOPMENT PERIOD
LOW FLUID, FROM AMNIOTIC FLUID LEAD TO CLUBFOOT FETAL LUNG DEVELOPMENT
Created by: Seka_nurse
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