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15 Cards in this Set

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  • Back
What are the 4 major goals of prenatal care?
1) define health status of mother and fetus
2) determine the gestional age of the fetus and monitor fetal development
3) identify the women at risk for complications and minimize the risk whenever possible
4) provide appropriate education and counseling
List 3 barriers to seeking health care
financial issues
cultural issues
gender issues (and sexual orientation)
The rates of ___, ___ &__are considerably higher in disadvantaged populations.
perinatal and material deaths

preterm births

low weight babies
Smoking during pregnancy is known to cause
a decrease in placental perfusion and is a cause of low birth weight
-desired health outcomes are best achieved when the HCP
has knowledge and understanding about culture, language, values, priorities, and health beliefs of minority groups
Interview

-should be conducted in what kind of setting:
private, comfortable, and relaxed setting
Interview

-how should the woman be addressed?
-woman is addressed by her title and name (Mrs. Croatt) and the nurse introduces herself by using name and title
Interview

-many women are uninformed, misguided by myths, or afraid they will appear ignorant by asking ?s about sexual or reproductive functioning.


what should we assure the woman?
woman is assured that no ? is irrelevant.
Interview

-the history begins with what kind of questions
open-ended question such as “what brings you in to the office today”
Women with Special Needs & Women with Disabilities

-what kind of communication technique do you use?

-who should you get info from?
. Use open communication and different techniques to make them feel comfortable.


-it’s helpful to learn about the disability directly from the woman while maintaining eye contact (family and significant others should be relied on only when it’s absolutely necessary)
communication with a woman who is hearing impaired

-what do most women do?
most women read lips, write, or both, thus an interviewer who speaks and enunciates each word slowly and in full view may be easily understood
communication with a woman who is hearing impaired

-if a woman is not comfortable with lip reading, she may use an interpreter
-what's it important for the nurse to do?
-if a woman is not comfortable with lip reading, she may use an interpreter (it’s important for the nurse to continue to address the woman directly, avoiding the temptation to speak directly with the interpreter)
-communication with a visually impaired women

-needs to be oriented to the exam room and (may or may not) have her guide dog with her
may
-communication with a visually impaired women
-the visually impaired woman needs a full explanation of what the exam entails before proceeding
-before touching her, the nurse explains “now I am going to take your BPP. I’m going to place the cuff on your right arm
-the woman can be asked if she would like to touch each of the items that will be used in the exam to reduce her anxiety
Abused Women
-who gets screened?
-All women entering the health care system need to be screened for potential abuse