28 Questions
What is the most common complication of pregnancy associated with violence during pregnancy and postpartum period?
Delayed prenatal care seeking
In situations like abortion and substance abuse, conflicts between the mother and fetus can lead to what ethical consideration?
Bioethics
What shaped the legal landscape surrounding elective termination of pregnancy in 1973?
Roe vs. Wade case
What essential components of ethical nursing practice are involved in reproductive healthcare?
Informed consent
What involves monitoring blood pressure and genetics, including DNA, chromosomes, karyotypes, Punnett squares, and patterns of single gene inheritance?
Antepartum care
What contains the blueprint for the body, organized into 46 pairs of chromosomes?
DNA
What was one of the infection control measures introduced in the late 19th century?
Washing hands between patients
Who initiated the idea that women didn’t want to be unconscious and restrained during birth in the 1950s?
Grantly Dick-Read
In which care setting can certified nurse midwives provide gynecologic services and contraceptive counseling?
Birth center
What does LDRP stand for in the context of care settings?
Labor, Delivery, Recovery & Postpartum all in one room
"Diagnosis Related Groups (DRG's)" give a certain amount of money to the hospital based on what factor?
The type of procedure performed
What law was passed by Congress regarding the minimum stay requirement for women after vaginal delivery and cesarean delivery?
48 hours for vaginal delivery and 96 hours for cesarean delivery
What is the role of the placenta during pregnancy?
Facilitating gas, nutrient, waste, and antibody transfer between the mother and the fetus
During which weeks does the embryonic period occur?
Weeks 2-8 of pregnancy
What are the fetal development milestones?
Closure of the neural tube, development of organs, and onset of viability at 24 weeks
What undergoes changes after birth as part of fetal circulation?
Umbilical cord and ductus venosus
What is a risk associated with monozygotic pregnancies?
'Twin-to-twin transfusion syndrome'
How does multifetal pregnancies affect maternal physiologic changes?
'Greater changes leading to increased workload for the heart and respiratory difficulties'
What is the inheritance pattern for Huntington's disease?
Autosomal dominant
What happens if a baby receives a dominant trait from both parents?
Severe variation of the disease is seen
Which condition is characterized by an extra copy of the 21st chromosome?
Down Syndrome
What is the cause of Fragile X syndrome?
Inherited form of male intellectual disability
What is the function of the placenta during pregnancy?
Endocrine function: maintains pregnancy
What is the main effect of mechanical disruptions to fetal development such as oligohydramnios?
Prevents appropriate fetal development
What are some common causes of infant mortality mentioned in the text?
Malformations, premature birth, and maternal complications
What is a role of nurses in maternal care according to the text?
Communication, education, collaboration, research, advocacy, and management
What are some examples of systemic barriers to prenatal care mentioned in the text?
Institutional practices, conflicts with work schedules, lack of transportation, and childcare
What is emphasized as a result of culturally competent care in the text?
Better relationships, reduced complications, adherence to healthcare provider recommendations, improved quality of life, and increased trust
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
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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