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OB - Ch 1
Persepectives on Maternal, Newborn, and Women's Health Care
Question | Answer |
---|---|
What has profound effects on a person's health and illness throughout life? | Habits and practices established during pregnancy and in early childhood |
Goal of maternal and newborn nursing? | Promote and maintain optimal health for the woman and her family. |
3 characteristics of a nurse that often lead to a positive health care experience. | Knowledgeable, Supportive, and Comforting |
8 Roles a nurse may fill | Direct care, emotional support, comfort, information, advice, advocacy, support, and counseling. |
OB is shaped by changes in... | Childbirth methods, trends, healthcare system, and federal and state regulations. |
During the 17th and 18th centuries, women often died during childbirth from... | Exhaustion, dehydration, infection, hemorrhage, or seizures. |
What's a "granny midwife"? | A woman in the community who learned her skills as an apprentice with a more experienced midwife. |
The 2 main reasons the birth trend shifted from homes to hospitals | Affluence (wealth, social status) and new pain management. |
In the 1950s "natural childbirth" started to return focusing on ?, and opening the door to ? | Relaxation techniques. Childbirth education classes, and father involvement. |
CNM - Certified Nurse Midwife | An RN with a masters in midwifery; trained in the care of normal pregnancy and childbirth. Certified by the American College of Nurse Midwives (ACNM). |
Doula | Birth assistant who provides emotional, physical, and educational support to the woman and family during childbirth and the postpartum period. Greek translation is "mothering (loving) the mother". |
Twilight sleep | Heavy dose of narcotics and amnesiacs. Most pain is still present, you just won't remember it. |
In 1933, Dr. Grantley Dick-Reed wrote a book entitled "Childbirth Without Fear". This book... | Reduces he "fear-tension-pain" cycle women experienced during labor and birth. |
In 1984, Dr. Fernand Lamaze wrote a book entitled "Painless Childbirth: The Lamaze Method" This book... | Advocated distraction and relaxation techniques to minimize the perception of pain. |
In the ?, freestanding birthing centers and LDRP's were designed and the number of home births began to increase. | 1900s |
Family-Centered Care | Delivery of safe, satisfying, high-quality health care tha focuses on and adapts to the physical and psychosocial needs of the family. |
3 Basic Principles of Family-Centered Care | Childbirth is a normal, healthy event in the life of a family. Childbirth affects the entire family, and relationships will change. Families are capable of making decisions about their own care if given adequate information and professional support. |
From the 1980s to the present, increased access to care for all women (regardless of their ability to pay) and hospital redesigns have focused on... | Keeping families together during their childbirth experience. Ex, LDRPs, so that families don't have to move from place to place during the birth experience. |
Evidence-based nursing practice | Uses research to establish and implement a plan of care. |
Case Management | Process of assessment, planning, application, coordination, follow-up, and evaluation of the options and services required to meet an individual's health needs through communication and available resources to promote quality cost-effective results. |
Case management is a continuous process and involves... | Advocacy, communication, and resource management. Client-focused comprehensive care across a continuum. Coordinated care with an interdisciplinary approach. |
Health was once defined as ?, and was measured by ?. Now health focuses on ?. | The absence of disease. Mortality and morbidity of a group. Disease prevention, health promotion, and wellness. |
In 1979, a surgeon general's report titles ? presented a prevention agenda for the nation that identified the most significant preventable threats to the health of the US. | Healthy People |
What are the 10 major health concerns listed in Healthy People 2020? | Physical activity. Overweight and obesity. Tobacco use. Substance abuse. Responsible sexual behavior. Mental health. Injury and violence. Environmental quality. Access to health care. |