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OB Unit 1 (ch. 1)
Contemporary Maternal-Newborn Nursing
| Question | Answer |
|---|---|
| Passed by Congress to provide for a postpartum stay of up to 48 hours following vaginal birth and up to 96 hours following cesarean birth at the discretion of the mother and her health care provider | Newborns' and Mothers' Health Protection Act of 1996 |
| Offers a wide variety of educational resources designed to help promote women's health and well-being | The Department of Health and Human Services' Office on Women's Health |
| The most prevalent form of insurance for people living in poverty | Medicaid |
| A federally funded program to provide states with funds for low-income, uninsured children | State Children's Health Insurance Program (SCHIP) |
| Protects health insurance coverage of employees and family if they lose or change jobs and addresses the privacy and security of health information and requires that national standards be established for the electronic transmission of health care data | Health Insurance Portability and Accountability Act (HIPAA) |
| A graduate of an accredited basic program in nursing who has successfully completed the nursing examination and is currently licensed as a RN; typically educated as generalists | Professional Nurse |
| Shows expertise in a particular field of nursing such as labor and delivery by taking a national certification examination | Certified Registered Nurse (RNC) |
| Provides ambulatory care services; function in acute care settings; focus on physical and psychosocial assessment; makes clinical judgments and begins appropriate treatments, seeking physician consultation when necessary | Nurse Practitioner (NP) |
| A professional nurse with a master's degree who has additional specialized knowledge and competence in a specific clinical area | Clinical Nurse Specialist (CNS) |
| Prepared to manage independently the care of women at low risk for complications during pregnancy and birth and the care of normal newborns | Certified Nurse-Midwife (CNM) |
| Nurses who, by education and practice, function in an expanded nursing role | Advanced Practice Nurse |
| A comprehensive model of health care that uses a multidisciplinary team of health professionals to provide cost-effective, high-quality care | Collaborative Practice |
| Includes a focus on health promotion, illness prevention, and individual responsibility for one's own health that is best provided in community-based settings | Primary Care |
| Protects the public by broadly defining the legal scope of practice within which every nurse must function and by excluding untrained or unlicensed individuals from practicing nursing | State Nurse Practice Acts |
| Omitting or committing an act that a reasonably prudent person would not omit or commit under the same or similar circumstances | Negligence |
| What are the four elements of Negligence? | 1) There was a duty to provide care; 2)The duty was breached; 3) Injury occurred; 4) The breach of duty caused the injury (proximate cause). |
| Establish minimum criteria for competent, proficient delivery of nurisng care designed to protect the public and are used to judge the quality of care provided | Standards of Care |
| Published standards of professional practice for nurses | American Nurses Association (ANA) |
| A private, nongovernmental agency that audits the operation of hospitals and healthcare facilities | Joint Commission on Accreditation of Healthcare Organizations (JCAHO) |
| Comprehensive interdisciplinary care plans for a specific condition that describes the sequence and timing of interventions that should result in expected client outcomes | Clinical Practice Guidelines |
| Negligent action of a professional person | Malpractice |
| Based primarily on a rights model that estblishes rules of conduct to define relationships among individuals | Law |
| Based on a responsibility or duty model that incorporates factors such as risks, benefits, and other relationships, concerns and the needs and abilities of persons affected by and affecting decisions | Ethics |
| a legal concept designed to allow clients to make intelligent decisions, regarding their own health care | Informed Consent |
| When can a child under 18 or 21 legally give informed consent? | 1) when they are minor parents, 2) when they are emancipated minors, 3)when they are adolescents btw 16 & 18 seeking birth control, mental health counseling, or substance abuse treatment |
| 14 & 15 y/o adolescents who are able to understand treatment risks and can give consent for treatment or refuse treatment in some states | Mature minors |
| The right of a person to keep his or her person and property free from public scrutiny | Right to Privacy |
| Requires all healthcare institutions that are reimbursed by Medicare/Medicaid to provide all hospitalized individuals with written information about their rights, including expressing a perference for treatment options and making advance directives | The Federal Patient Self-Determination Act |
| Writing a living will or authorizing a durable power of attorney for healthcare decisions on the individual's behalf | Advance Directives |
| Before viability, the mother's rights are paramount; after viability, the rights of the fetus take precedence | Roe v. Wade |
| A therapy for anatomic lesions that can be corrected surgically and are incompatible with life if not treated; involves opening the uterus during the 2nd trimester, before viability, treating the fetal lesion, and replacing the fetus in the uterus | Intrauterine Fetal Surgery |
| Depositing into a woman sperm obtained from her husband, partner, or other donor | Therapeutic Insemination (TI) |
| any fertility treatment in which both the egg and sperm are handled | Assisted reproductive technology (ART) |
| Addresses issues related to laboratory quality and the standardized reporting of pregnancy success rates associated with ART programs | Federal Fertility Clinic Success Rate and Certification Act (FCSRCA) |
| Issues guidelines to limit the number of embryos transferred with ART programs | The American Society for Reproductive Medicine |
| Abortion of some of the embryos when a multiple pregnancy occurs with ART to give the remaining embryos a better chance for survival | Nonselective Embryo Reduction |
| When a woman agrees to become pregnant for another woman or for a couple who are usually childless | Surrogate Childbearing |
| Describe or summerize a set of data; they report the facts-what is-in a concise and easily retrievable way | Descriptive Statistics |
| Allow the investigator to draw conclusions or inferences about what is happening between two or more variables in a population and to suggest or refute causal relationships between them | Inferential Statistics |
| The number of live births per 1000 people | Birth Rate |
| The number of deaths of infants under 1 year of age per 1000 live births in a given population | Infant Mortality Rate |
| The number of deaths of infants less than 28 days of age per 1000 live births | Neonatal mortality |
| Both neonatal deaths and fetal deaths per 1000 live births | Perinatal mortality |
| Death in utero at 20 weeks' or more gestation | Fetal Death |
| The number of deaths from any cause related to or aggravated by pregnancy or its management during the pregnancy cycle (including the 42-day postpartal period) per 1000,000 live births | Maternal mortality rate |
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118501829
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