NU 330 - Exam 1 - PP 1 (maternal nursing overview)

maternal newborn

family-centered car

Emphasis on family throughout pregnancy, birth, postpartum period

Increasing number of childbirth choice

o Place of birth (hospital, birthing center, home)

o Primary caregiver (obstetrician, family practice, midwife)

o Methods of preparation (online classes, tours)

o Doula as support

Culturally Competent & Sensitive Care

ability to understand, effectively respond to needs of individuals and families from different cultural backgrounds

• Incorporate cultural values into care plan

Stereotyping

Assuming all members of a group have the same characteristics

• Example; bottle feeding until milk comes in

Acculturation

Modifying one’s culture to fit within new or dominant culture

• Example; no male provide

Assimilation

Adopting, incorporating traits of new culture within one’s practice

Elements of Family Value Systems

• Religion and social beliefs

• Dietary choices

• Presence, influence of extended family

• Pregnancy, childbirth, child care practices

• Communication patterns, languages

• Understanding of health, illness; what causes illness and what

heals

Standards of Nursing Care - patients rights

Informed consent

▪Patient or legally designated decision maker grants permission for specific treatment, procedure based on full information

▪Must be understandable to patient

▪Must include risks and benefits, probability of success, and significant alternatives

▪Must include consequences of receiving no treatment or procedure and the right to refuse

-Written consent better, although oral consent legal

▪Procedural (C/section, epidural) consent -- written

▪Obtaining consent prior to sterile vaginal exam -- verbal

▪Parents granted authority until:

• Child 18 or 21 depending on state

• Iowa’s legal medical consent age is 18

• Child is emancipated minor (recorded with legal paperwork and approved by judge, not just stated)

Child is a minor parent of an infant or child patien

Standards of Nursing Care - right to privacy

-Right of a person to keep his, her person and property free from

public scrutiny

▪Includes avoiding unnecessary exposure of childbearing woman’s

body

▪Information only shared by health professionals responsible for

patient’s care

▪HIPPA (Health Insurance Portability and Accountability Act of 1996)

▪”Do not report” or “no info” option for patient

▪All newborns are “do not report/no info” status for safety

birth rate

Number of live births per 1,000 people in given population

Infant mortality

Number of deaths occurring under 1 year of age per 1,000 live birth

Maternal mortality

Data collection includes first 42-

days of postpartum period

Evidence-Based Practice in Maternal- Child Nursing - Implications for nursing practice

Statistics can be used to:

▪Determine at-risk populations

▪Assess relationship between factors

▪Determine levels of care

▪Evaluate nursing interventions

▪Create educational support for nurses

▪Estimate staffing, equipment needs

Complementary therapy

occurs alongside conventional medicine

Benefits and risks:

• Prevention with value on holistic wellness

• Some can be costly, have side effects

• Check with obstetric provider prior to engaging

• Some can be utilized during labor

Alternative therapy

in place of conventional medicine

Benefits and risks:

• Prevention with value on holistic wellness

• Some can be costly, have side effects

• Check with obstetric provider prior to engaging

• Some can be utilized during labor