Maternal Newborn & Reproductive Health Nursing

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Questions and Answers

What aspect of maternal newborn nursing involves care during labor and delivery?

  • Postpartum.
  • Antepartum.
  • Intrapartum. (correct)
  • Pre-pregnancy.

Which of the following is the BEST definition of infertility?

  • The inability to conceive after 1 year (or longer) of unprotected intercourse. (correct)
  • The inability to conceive after trying for at least six months
  • A condition affecting women over the age of 35 who are trying to conceive.
  • A condition where a woman can conceive but cannot carry a pregnancy to term.

Which factor contributes to infertility in women?

  • Elevated BMI (correct)
  • Balanced diet
  • Low stress levels
  • Regular exercise

According to the data presented, which racial/ethnic group experienced the highest maternal mortality rate in the United States in 2022?

<p>Black non-Hispanic (C)</p> Signup and view all the answers

What is the significance of Healthy People 2030 objectives?

<p>They provide a framework for measuring the nation's progress in key public health areas. (A)</p> Signup and view all the answers

Which ethical principle emphasizes the duty to do good and prevent harm in maternal newborn nursing?

<p>Beneficence (C)</p> Signup and view all the answers

Which of the following describes community-based maternal newborn care?

<p>Care provided in non-hospital settings, focusing on the broader community. (B)</p> Signup and view all the answers

What are the vital signs of the postpartum client: Temp 37.1° C (98.8° F) orally; Pulse 84/min regular; Resp 24/min; BP 128/76 mm Hg; Oxygen saturation 98% on room air. Which vital sign requires the MOST immediate action?

<p>Respirations (A)</p> Signup and view all the answers

A postpartum client who speaks little English is 3 weeks postpartum and presents to the clinic with her baby. The nurse notes the client's appearance is disheveled, and she reports extreme fatigue and that her husband has returned to work on night shift. What is the priority nursing intervention?

<p>Assessing for postpartum depression. (D)</p> Signup and view all the answers

Applying the ethical principle of autonomy, what action should the nurse prioritize when caring for the postpartum client?

<p>Providing all necessary information for the client to make informed decisions. (D)</p> Signup and view all the answers

What immediate action should the nurse take when the postpartum client states, “I cannot take care of this baby. I don't want to keep the baby anymore. I am afraid I might hurt him.”?

<p>Ensuring the baby’s immediate safety and contacting the provider. (B)</p> Signup and view all the answers

Based on the data regarding infant mortality rates by race and ethnicity in 2022, which group had the highest rate?

<p>Non-Hispanic Black (A)</p> Signup and view all the answers

Which of the following is considered a current trend or issue in maternal newborn nursing?

<p>Increased emphasis on family-centered care (C)</p> Signup and view all the answers

How can the nurse evaluate the effectiveness of nursing care provided to the postpartum client?

<p>Assessing the client’s progress toward goals and adjusting the plan of care. (C)</p> Signup and view all the answers

What aspect of maternal newborn nursing includes care of the mother and infant immediately after birth?

<p>Acute postpartum (D)</p> Signup and view all the answers

Which of the following can increase the risk of maternal mortality?

<p>Older maternal age (C)</p> Signup and view all the answers

A nurse is caring for a postpartum client with limited English proficiency. Which of the following actions is most important?

<p>Obtaining a professional interpreter. (B)</p> Signup and view all the answers

Based on the case study, what factors in the postpartum client’s situation increase her risk for potential complications?

<p>Extreme fatigue and lack of sleep. (C)</p> Signup and view all the answers

Which intervention best demonstrates the application of beneficence in the care of the postpartum client?

<p>Providing resources and support to alleviate the client's fatigue and feelings of isolation. (C)</p> Signup and view all the answers

What is the primary goal of family-centered care in maternal newborn nursing?

<p>To provide individualized care that acknowledges the family's needs and preferences. (D)</p> Signup and view all the answers

What role does the nurse play in addressing legal considerations such as abortion and surrogacy?

<p>Advocating for the client's legal rights and providing unbiased information. (D)</p> Signup and view all the answers

Which of the following situations would MOST likely require the nurse to consider malpractice considerations?

<p>Lack of communication leading to a preventable birth injury. (A)</p> Signup and view all the answers

What does the trend in declining fertility rates in the United States (as shown in 'Trends in fertility - United States') suggest for maternal newborn nursing?

<p>A greater need for preconception counseling and support for older adults. (D)</p> Signup and view all the answers

Which of the following is an example of a preventable pregnancy-related death?

<p>Severe bleeding after delivery due to lack of timely intervention. (D)</p> Signup and view all the answers

Based on the case study, why is understanding the client's cultural background and language proficiency important?

<p>To provide care that is respectful, effective, and tailored to the client’s needs. (D)</p> Signup and view all the answers

Flashcards

Maternal newborn nursing

The specialty focused on the care of women during pregnancy, childbirth, and the postpartum period, as well as the care of newborns.

Infertility

Inability to conceive after one year (or longer) of unprotected intercourse

Beneficence

Ethical principle focused on doing good and acting in the best interest of the patient.

Autonomy

Ethical principle focused on the patient's right to self-determination and making informed choices.

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Family-centered care

Care approach that focuses on the entire family as the unit of care.

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Community-based care

Care provided within the patient's community, considering their social and environmental context.

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Midwifery

Specialized healthcare profession focused on providing comprehensive care to women, including during pregnancy, childbirth, and the postpartum period.

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Home birth

Birth that occurs in the client's residence rather than in a hospital or birthing center.

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Scope of practice

The defined limits of what a healthcare professional is legally allowed to do based on their education, experience, and licensure.

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Postpartum psychosis

A severe mental illness that can occur after childbirth, characterized by delusions, hallucinations, and irrational thoughts.

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Study Notes

Maternal Nursing Today

  • Maternal newborn and reproductive health nursing is a specialized field.
  • Maternal newborn nurses examine the role of the maternal newborn and reproductive health.
  • It examines current trends and issues in maternal newborn and reproductive health nursing.
  • Maternal newborn nursing consists of pre-pregnancy, pregnant patients, family-centered newborn/infant, antepartum (prenatal), high risk antepartum (complex pregnancy), intrapartum, acute postpartum, and community.
  • There is a trend in fertility within the United States
  • Infertility is defined as the inability to conceive after 1 year (or longer) of unprotected intercourse
  • One in five (19%) of married women ages 15-49 experience infertility
  • Factors influencing infertility include age, elevated or low BMI, diet, smoking, and exercise
  • Ohio had 656,808 live births, 161 maternal deaths, and a 24.5 mortality rate
  • Most pregnancy-related deaths are preventable
  • States have different rates of infant mortality
  • Infant mortality rates differ by race and ethnicity:
    • Non-Hispanic Black had a rate of 10.9
    • Non-Hispanic American Indian or Alaska Native had a rate of 9.1
    • Non-Hispanic Native Hawaiian or Other Pacific Islander had a rate of 8.5
    • Hispanic had a rate of 4.9
    • Non-Hispanic White had a rate of 4.5
    • Non-Hispanic Asian had a rate of 3.5

Maternal Nursing Today

  • Healthy People 2030 objectives help measure progress in critical areas of public health
  • They serve as a reliable data source to support organizations and individuals.
  • This supports organizations and individuals working to improve health and well-being for all

Nursing Ethics

  • Beneficence and autonomy are applicable ethical principles in maternal newborn client care
  • Legal considerations include abortion, surrogacy, and malpractice
  • Family-Centered vs. Community Based Care, midwifery, home births, and scope of practice are all trends and issues in maternal newborn nursing.

Case Study

  • A nurse is caring for a postpartum client who speaks very little English but understands what others say
  • The client had an uncomplicated vaginal delivery 3 weeks prior
  • The client is presenting with the baby for her first postpartum provider visit
  • It is the client's first pregnancy and she is breastfeeding
  • The client's appearance is disheveled, hair is untidy, clothing is rumpled, and body odor is noted
  • The client’s temperature is 37.1° C (98.8° F) orally
  • The client’s pulse is 84/min and regular
  • The client's respiration's are 24/min
  • The client’s blood pressure is 128/76 mm Hg
  • Oxygen saturation is 98% on room air
  • The client reports no medical or surgical history and no routine medications
  • The client states her mother stayed with her for 2 weeks
  • Her mother returned home which is 8 hours travel time by car
  • The client reports newborn is "very fussy and does not want to sleep"
  • The client says her husband has returned to work on night shift
  • The client is caring for the baby without support and reports extreme fatigue
  • The nurse explains what will be done during the postpartum examination and leaves the room to discuss findings with the provider
  • When the nurse returns, the mother is crying and appears anxious
  • The client states she does not know if she can do this, she feels so alone and does not want to get out of bed to do anything
  • The client returns to the clinic without an appointment
  • The client states, “I cannot take care of this baby. I don't want to keep the baby anymore. I am afraid I might hurt him.”
  • The client may be experiencing postpartum psychosis and needs immediate interventions to provide safety for her and the infant

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