Current Issues in Maternal-Newborn Nursing
3. A couple of East Asian descent arrives at the hospital for a scheduled cesarean section delivery; the husbands' mother and the wife's sister are also present. After the nurse admits the client, she directs the husband to the dressing room to change into scrubs. His wife anxiously states, "No, he can't come with me. Get my sister and mother-in-law!" What would be the nurse's best response?
"that's fine. I'll show your husband to the waiting area."
maternal mortality rate
# deaths from any cause related to or aggrevated by pregnancy or its management during the pregnancy cycle per 100,000 live births
infant mortality rate
# of deaths of infants < 1 years old per 1000 live births in a given population
postneonatal mortality
# of deaths of infants between 28 days to 1 years old
birth rate
# of live births per 1000 people
8. The nurse knows that to provide optimum care to a childbearing family of any culture, the nurse must consider the characteristics of the family. Which of the following would be considered characteristics of a healthy family?
- Family members who have a balance between mutual and independent actions - Stability and integrity of structure - A sense of togetherness that promotes a capacity for change
2. The student nurse is doing a presentation on changes in maternity care through the years. Put the following statements regarding maternity care history in the order in which they occurred.
- infants were delivered by lay midwives in the community - deliveries moved from being at home to the hospital - the delivery environment became cold and sterile - the delivery environment became family centered
6. Today's birth settings are centered on the family. The role of the nurse also changed and increased throughout the years. The role of the nurse today consists of which of the following?
Educator, researcher, nurturer, therapeutic communicator
HIPAA (1996)
Health Insurance Portability and Accountability Act; protects the health insurance coverage of employees and their family if they lose a job or change a job, and addresses the privacy & security of health information
1. While preparing a lecture on factors that affect pregnancy outcomes, the instructor includes which of the following as an adverse affect on pregnancy?
Inadequate nutrition
7. You are a student observing a laboring client; the client has delivered a girl. The nurse in the room asks the student to go to the nurses' station to get some paperwork for her. On the student's way to the nurses' station she is stopped by the parents of the client and asked whether their daughter had a boy or a girl. How should the student respond?
Inform the client's parents that they will need to wait until their daughter and son-in-law are ready to see visitors
5. A 14-year-old has delivered and the newborn needs to have surgery. Who has the right to give consent for the surgery?
The 14-year-old, since she is the legal mother of the newborn
4. In preparing for a childbirth education class for a group of nursing students, the instructor emphasizes the need for prenatal and well-baby care for all clients. Which of the following facts should be included?
The infant mortality rate is defined as the # of infant deaths before the age of 12 months per 1,000 births
therapeutic insemination (IT)
accomplished by depositing into a woman sperm obtained from her husband, partner, or other donor
assisted reproductive technology (ART)
any fertility treatment in which both the egg and sperm are handled
certified nurse-midwife (CNM)
certified by the ACNM and is educated in the two disciplines of nursing and midwife; prepared to manage independently the care of women at low risk for complications during pregnancy and birth and the care of normal newborns
CAM
contemporary and alternative medicine
privacy rule
federal regulation developed to meet HIPAA standards; defines policies and procedures to be followed to safeguard an individual's protected health information
professional nurse
graduate of an accredited basic program in nursing who has successfully completed the NCLEX-RN and is currently licensed as an RN; typically educated as generalists
nurse researcher
has an advanced doctoral degree and assumes a leadership role in generating new research; typically found in university setting
certified registered nurse (RNC)
has shown expertise in a particular field of nursing such as labor and delivery by taking a national certification examination
informed consent
legal concept designed to allow patients to make intelligent decisions regarding their own health care
malpractice
negligent action of a professional person
nurse practitioner (NP)
professional nurse who has received specialized education through a DNP or master's program; can provide ambulatory care services, physical and psychosocial assessment, certain diagnostic tests and procedures; can make clinical judgments
elements that contribute to a family's value system
religion and social beliefs, communication patterns, education, presence and influence of the extended family as well as socialization within the ethnic group, permissible physical contact with strangers
clinical nurse specialist (CNS)
specialized knowledge and competence in a specific clinical area; assume a leadership role and work to improve patient care both directly and indirectly
4 elements of negligence
there was a duty to provide care, the duty was breached, injury occurred, the breach of duty caused the injury (proximate cause)