Cultural Competency in Maternal Care
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Questions and Answers

What is the most common complication of pregnancy associated with violence during pregnancy and postpartum period?

  • Increased stress in relationships
  • Delayed prenatal care seeking (correct)
  • Preterm birth
  • Maternal/fetal death
  • In situations like abortion and substance abuse, conflicts between the mother and fetus can lead to what ethical consideration?

  • Patient empowerment
  • Victim-blaming
  • Bioethics (correct)
  • Legal debates
  • What shaped the legal landscape surrounding elective termination of pregnancy in 1973?

  • Pro-choice beliefs
  • Nurse practice acts
  • Roe vs. Wade case (correct)
  • Pro-life beliefs
  • What essential components of ethical nursing practice are involved in reproductive healthcare?

    <p>Informed consent</p> Signup and view all the answers

    What involves monitoring blood pressure and genetics, including DNA, chromosomes, karyotypes, Punnett squares, and patterns of single gene inheritance?

    <p>Antepartum care</p> Signup and view all the answers

    What contains the blueprint for the body, organized into 46 pairs of chromosomes?

    <p>DNA</p> Signup and view all the answers

    What was one of the infection control measures introduced in the late 19th century?

    <p>Washing hands between patients</p> Signup and view all the answers

    Who initiated the idea that women didn’t want to be unconscious and restrained during birth in the 1950s?

    <p>Grantly Dick-Read</p> Signup and view all the answers

    In which care setting can certified nurse midwives provide gynecologic services and contraceptive counseling?

    <p>Birth center</p> Signup and view all the answers

    What does LDRP stand for in the context of care settings?

    <p>Labor, Delivery, Recovery &amp; Postpartum all in one room</p> Signup and view all the answers

    "Diagnosis Related Groups (DRG's)" give a certain amount of money to the hospital based on what factor?

    <p>The type of procedure performed</p> Signup and view all the answers

    What law was passed by Congress regarding the minimum stay requirement for women after vaginal delivery and cesarean delivery?

    <p>48 hours for vaginal delivery and 96 hours for cesarean delivery</p> Signup and view all the answers

    What is the role of the placenta during pregnancy?

    <p>Facilitating gas, nutrient, waste, and antibody transfer between the mother and the fetus</p> Signup and view all the answers

    During which weeks does the embryonic period occur?

    <p>Weeks 2-8 of pregnancy</p> Signup and view all the answers

    What are the fetal development milestones?

    <p>Closure of the neural tube, development of organs, and onset of viability at 24 weeks</p> Signup and view all the answers

    What undergoes changes after birth as part of fetal circulation?

    <p>Umbilical cord and ductus venosus</p> Signup and view all the answers

    What is a risk associated with monozygotic pregnancies?

    <p>'Twin-to-twin transfusion syndrome'</p> Signup and view all the answers

    How does multifetal pregnancies affect maternal physiologic changes?

    <p>'Greater changes leading to increased workload for the heart and respiratory difficulties'</p> Signup and view all the answers

    What is the inheritance pattern for Huntington's disease?

    <p>Autosomal dominant</p> Signup and view all the answers

    What happens if a baby receives a dominant trait from both parents?

    <p>Severe variation of the disease is seen</p> Signup and view all the answers

    Which condition is characterized by an extra copy of the 21st chromosome?

    <p>Down Syndrome</p> Signup and view all the answers

    What is the cause of Fragile X syndrome?

    <p>Inherited form of male intellectual disability</p> Signup and view all the answers

    What is the function of the placenta during pregnancy?

    <p><em>Endocrine function: maintains pregnancy</em></p> Signup and view all the answers

    What is the main effect of mechanical disruptions to fetal development such as oligohydramnios?

    <p><em>Prevents appropriate fetal development</em></p> Signup and view all the answers

    What are some common causes of infant mortality mentioned in the text?

    <p>Malformations, premature birth, and maternal complications</p> Signup and view all the answers

    What is a role of nurses in maternal care according to the text?

    <p>Communication, education, collaboration, research, advocacy, and management</p> Signup and view all the answers

    What are some examples of systemic barriers to prenatal care mentioned in the text?

    <p>Institutional practices, conflicts with work schedules, lack of transportation, and childcare</p> Signup and view all the answers

    What is emphasized as a result of culturally competent care in the text?

    <p>Better relationships, reduced complications, adherence to healthcare provider recommendations, improved quality of life, and increased trust</p> Signup and view all the answers

    Study Notes

    Cultural Competency in Maternal Care

    • Patient's beliefs and cultural background should be considered before providing care
    • Religion can impact preferences for birthing support and procedures
    • Improved infant mortality rates over the years, with common causes being malformations, premature birth, and maternal complications
    • Nurse's role involves communication, education, collaboration, research, advocacy, and management
    • Culturally competent care leads to better relationships, reduced complications, adherence to healthcare provider recommendations, improved quality of life, and increased trust
    • Various caregivers, such as aides, LPNs, surgical techs, RNs, LM, and primary care providers, play different roles in maternal care
    • Barriers to prenatal care include financial, systemic, and attitudinal factors
    • Affluent, middle class, and working poor/unemployed individuals have different approaches to seeking prenatal care
    • Systemic barriers include institutional practices, conflicts with work schedules, lack of transportation, and childcare
    • Attitudinal barriers include unsympathetic healthcare workers and rushed examinations
    • Cultural influences on childbearing include variations within cultures and potential conflicts in health beliefs and communication
    • Nursing care involves cultural assessment, negotiation, and ethical considerations for respecting patients' beliefs and practices

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    Test your knowledge of cultural competency in maternal care, including considerations for patients' beliefs, religion's impact on birthing preferences, roles of various caregivers, barriers to prenatal care, and cultural influences on childbearing.

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