Newborn Care Practices and Fetal Monitoring

Newborn Care Practices

• Recommended by DOH, PhilHealth, and WHO to ensure safe and quality care for mother and newborn.

Fetal Heart Rate Monitoring

• If fetal heart rate consistently above 160 bpm during monitoring, further assessment and monitoring (normal range 120-160 bpm) is needed.

Confirming Pregnancy and Gestational Age

• Primary method is using Last Menstrual Period (LMP).

Fetal Heart Rate Accelerations

• Accelerations in fetal heart rate monitoring during pregnancy indicates fetal well-being.

Doppler Amplifier/Fetuscope

• Used in fetal monitoring to listen to fetal heart tone.

Fundal Height Measurement

• Empty bladder before measuring.
• Woman should be in supine position with knees slightly flexed.
• Significance in measuring between 18 and 32 weeks of gestation – determine approximate gestational age.

Estimating Fetal Growth

• Bartholomew's method is used to estimate fetal growth.

Cultural Competence in Nursing Care

• Factors like cultural behavior, degree of competition, and determination of social status may be influenced by culture.

Group of People with Shared Values

• People who share a set of values, beliefs, practices, and social relationships are described as a culture. (Includes law, politics, economics, and norms).

Fetal Position, Presentation, Lie and Attitude during Pregnancy.

• Leopold's Maneuvers is the primary tool used to determine fetal position, presentation, lie, and attitude during pregnancy.

Trauma-Informed Pediatric Care

• Include preparing the child before any unfamiliar treatment or medical procedure.

Childhood Morbidity

• Morbidity is not distributed randomly.

Adolescents' Leading Causes of Death

• Accidental death, homicide and suicide.

Major Cause of Death for Children >1 Year

• Unintentional injuries.

Infant Mortality in the United States

• Highest among other developed nations.

Smoking and Cocaine in Pregnant Women

• Common effects of both smoking and cocaine use in pregnant women is vasoconstriction.

Fetal Alcohol Syndrome (FAS) Categories

• Respiratory condition is not associated with FAS.
• CNS abnormalities, impairment, and growth are associated with FAS.

Cigarette Smoking in Pregnant Women

• Intrauterine growth restriction is the most dangerous effect of maternal cigarette smoking.

Breast Self-Examination (BSE)

• Patient understands that BSE should be performed one week after the menstrual period.

Adolescent Client and Pap Test

• Client may demonstrate excess shyness and or discomfort. Nurses should be sensitive to the young women's potential discomfort and provide support.

Central Nervous System Stimulants

• Cocaine, can lead to miscarriage, preterm labor, placental separation (abruption), and stillbirth.

Prostaglandins

• These hormones found in many tissues and organs have many functions related to reporductive health.

Ovarian Cycle Irregularities

• Often caused by conditions in the pre-ovulatory phase.

Hormone Responsible for Mammary Tissue Maturation

• Progesterone is the hormone responsible for maturation of mammary gland tissue in females.

Ovary Functions

• Ovulation and hormone production are two primary functions of the ovary.

Nurse's Home Visit Precaution

• Should take precautions to ensure her safety, such as having access to a cell phone and avoiding areas with known safety risks.

Cultural Competence - Family Values

• Nurses should be aware of the family's values and beliefs when providing care. For families who make decisions with respect to care primarily regarding the family's values, this is important for the nurse to understand and ensure respect.

Family Needs

• Families meet the nutritional needs of their members.

Socially Vulnerable Families

• Single-parent families tend to be the most socially vulnerable.

Cultural Considerations in Planning Care

• When planning care, consider cultural factors such as silence may indicate a lack of trust, that constant eye contact may be viewed as aggressivity.

Interpreting Health Care Spending Trends

• Increased health care spending in the United States is attributed to factors such as obesity among pregnant women.

Identifying Health Care Roles for the Reduction in Infant Mortality Rates

• Focused on programs ensuring participation in early and ongoing prenatal care.

Patient Care Procedures

• Nurses should consult procedures manuals when unsure about a procedure to ensure safety and reliability.

Nursing Role in the Research Process

• Research problems are identified and prioritized by practicing nurses.

Barriers to Healthcare Access

• Inability to pay is a significant barrier to accessing care for pregnant women, affecting access to care.

Limited English Proficiency (LEP) Patient Assessment

• Assess whether a patient understands discussion (LEP).

Infant Mortality and the Nurse's Role

• Nurses are educated on ways to implement plans to reduce infant mortality rates, including the importance of keeping prenatal care appointments.

Tobacco and Cocaine Use in Pregnant Women

• These substances cause vasoconstriction in pregnant women.

Maternal Medical Risk Factors

• Frequently reported maternal medical risk factors are assessed during patient care.

This quiz covers essential practices for newborn care and key aspects of fetal monitoring, including fetal heart rate, gestational age confirmation, and cultural competence in nursing. It is designed for those studying maternal and child health care principles. Test your knowledge on best practices recommended by health organizations.