Term
| What is family-centered maternity care? |
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Definition
Physical and psychosocial needs of the family
Fosters the family unit |
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Term
| What are the principals of FCC? |
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Definition
Childbirth is usually a normal, healthy event
Childbirth affects the entire family
Families making decisions about care
Family and other support |
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Term
| What are the current settings for childbirth? |
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Definition
Traditional hospital setting
Labor, delivery, recovery rooms (LDRs)
Labor, delivery, recovery, postpartum rooms (LDRPs)
Birth centers
Home births |
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Term
| What are the means for payment of perinatal and women's care? |
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Definition
Managed care
Federal Care
Medicaid state care
Private insurance
Case management
Coordinated services
Interdisciplinary, collaborative approach
Outcomes management
Identify client outcomes
Focus care |
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Term
| What are the nontraditional families? |
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Definition
Single parent
Blended
Extended
Same-sex parents
Adoptive |
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Term
| What are the characteristics of the healthy family? |
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Definition
Communicate openly
Flexible in role assignment
Agree on basic principles of parenting
Adaptable and not overwhelmed by change
Volunteer assistance |
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Term
| What factors interfere w/ family fxn? |
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Definition
Lack of financial resources
Absence of adequate family support
Infant with special needs
Unhealthy habits
Inability to make mature decisions on infant care |
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Term
| Who are high risk families? |
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Definition
Poverty
Single teenage parent
Unanticipated stress
Families with lifestyle problems |
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Term
| What do cultural values guide? |
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Definition
Thinking, decisions, and actions
Can create conflict
Consist of visible and invisible layers |
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Term
| What are the Reasons for high rates of infant mortality? |
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Definition
Unequal access to health care
Low birth weight and prematurity |
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Term
| A new mother delivered a newborn 3 hours ago. A case coordinator has just interviewed the mother and outlined outcomes and client teaching needed prior to discharge. The coordinator will notify the correct team members to carry out the new mother's teaching plan and care. This type of health care model is termed? |
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Definition
Case management.
Case management is a systematic approach to identify specific client needs and to manage care collaboratively to ensure optimal outcomes. A case coordinator is used to coordinate services needed by the client. Managed care refers to a health care delivery system. In capitated care plans, the payer of the health insurance pays a set amount of money each year to a network of primary care providers. Clinical pathways are standardized, interdisciplinary plans of care are devised for clients with a specific health care problem. |
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Term
| What assessment is needed for a pregnant teenager? |
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Definition
Determine the degree of participation by the father
Amount of family support |
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Term
| What interventions are needed for a preggers teen? |
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Definition
Eliminate barriers to health care
Apply teach/learn principles
Counseling
Family support
Referrals |
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Term
| What are the substances of abuse? |
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Definition
Tobacco
Alcohol
Marijuana
Cocaine
Amphetamines/methamphetamines
Antidepressants
Opioids |
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Term
| What should you do/say when a baby is born w/ an abnormality? |
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Definition
Help calm the family. Acknowledge Mr. Tucker’s concern. Let the couple know that the baby is very stable, and you will notify the pediatric provider to come and evaluate the baby and provide them with more information about their son’s condition.
Try to bring the focus back to what is normal about the baby. Encourage skin to skin contact, bonding, and first latch at the breast. Notify fellow staff members of the possible anomaly and the family’s concern. |
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Term
| How can you assist with the grieving process? |
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Definition
Ask the couple if they would like you to remain with them during the consultation. You can help by maintaining an atmosphere that encourages them to express their feelings and ask questions.
Help them to recognize that it is normal and healthy for them to grieve the loss of the “perfect” infant they expected. Be sure that the couple understands that this outcome is not their fault. |
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Term
| How can you promote bonding/attachment? |
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Definition
| Emphasize the normal aspects of the baby’s body and communicate acceptance of the infant. |
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Term
| How can you provide accurate information? |
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Definition
| Consult the medical team so that you are clear about the diagnosis and treatment plan and can help communicate this to the family. |
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Term
| How can you facilitate communication? |
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Definition
Communicate clearly and honestly with the family.
Facilitate communication among family members and between parents and the medical team.
Advocate that the family get the information and resources they need.
Communicate effectively to the nursing staff for adequate continuity of care.
Teach the parents the signs and symptoms of postpartum depression and the potential for increased risk for this mother. |
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Term
| How can you plan for discharge and provide referrals? |
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Definition
Teach parents about infant care and any special care needed for their baby.
Provide information about follow-up care and community support. |
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Term
| What are the stages of grief w/ pregnancy loss? |
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Definition
SAME AS DEATH
-Denial
-Anger
-Guilt
-Depression
-Acceptance |
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Term
| What are 2 tips that help w/ grieving? |
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Definition
1.) Choose a tangible way to remember your any
2.) Seek support from people who have been there |
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Term
| A woman who admits to recent cocaine use is in active labor. Her vital signs are pulse 88, respirations 20 and irregular, and blood pressure 160/90. She seems lethargic and is sweating profusely. The nurse should? |
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Definition
Maintain the side rails up at all times.
The client who has recently used cocaine is at risk for hypertensive crisis and seizures. Keeping the side rails up contributes to the safety of the client. |
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