Maternal Newborn - Test 2 Chapter 17

Front 1

The need for childbirth education

childbirth is:

Back 1

- a developmental transition

Front 2

The need for childbirth education

-flow experiences are defined as:

Back 2

achievable events which require enough internal focus to mentally remove one from outside events which can lead to reintegration of one’s internal self (when a woman is prepared and well supported to give birth actively, the even can present a unique and powerful opportunity to find her core strength in a manner that forever changes her self-perception)

Front 3

The need for childbirth education

-child birth can offer a woman an experience in trusting her body wisdom in a way that may alter

Back 3

how she responds throughout life to other health challenges to herself and her family

Front 4

The need for childbirth education

what help woman trust their bodies and offer woman a way to take full advantage of the opportunities presented by a prepared-for and well support child birth experience

Back 4

-childbirth classes

Front 5

The need for childbirth education-many individuals facing parenthood may have little information about what to expect and thus do not have the important skills necessary to deal effectively with pregnancy, childbirth, or parenthood.
-what can partially fill this void

Back 5

perinatal education classes

Front 6

Prenatal care

ideally begins when?

education continues until?

Back 6

preconceptually



through each trimester of pregnancy and extends through the early postpartum weeks

Front 7

Prenatal care

-whats an important component of perinatal services

Back 7

preconception care

Front 8

Prenatal care
-preconception care ideally begins by:

Back 8

fostering conscious conception and health behaviors for the woman and her potential fetus and fosters risk management as needed

Front 9

Prenatal care
--maternity care providers are split into 2 groups:

Back 9

-medical model:
-midwifery model:

Front 10

-maternity care providers are split into 2 groups:

-medical model:
orientated toward ?'

-midwifery model: inclined to be ?
- emphasis on ?

Back 10

-maternity care providers are split into 2 groups:
-medical model: more orientated toward intervention, use of technology
-midwifery model: inclined to be more holistic and natural , emphasis on health promotion and problem prevention

Front 11

Prenatal care

what early decisions will strongly influence the remaining choices in their perinatal experiences ?

Back 11

-expected parent’s own philosophy and desires will enable them to choose compatible care providers and the place of giving birth.

Front 12

-if a couple is planning a pregnancy, the HCP may assist them in the timing of conception when?

Back 12

after implementing lifestyle recommendations for their health.

Front 13

what should be a focus of a preconception plan of care

Back 13

-fostering normal adaptation to an ever-changing physiology

Front 14

-by the end of the 8th week after conception, major structural anomalies in the fetus are already present. thus the period of greatest danger from intrauterine envt hazards for the fetus is between

Back 14

17-56 days after fertilization

Front 15

-preconception and early pregnancy education helps women:

Back 15

-establish lifestyle behaviors to obtain optical health (healthy diet including sources of folic acid, getting enough rest and exercise, avoiding alcohol use, smoking, and other drugs
-prepare psychologically pregnancy and the responsibly that come with parenthood, build support system to sustain the new family through the perinatal year
-identify, minimize, treat risk factors before conception (diabetes, chronic illness, substance abuse)
-screen for health hazards in the workplace or home
-obtain genetic counseling to identify carrier of inhered diseases (Tay-Sachs, sickle cell

Front 16

-folic acid intake decrease the risk of having a child with a neural tube defect.
____mcg/day preconceptually
____mcg/day during pregnancy

Back 16

-folic acid intake decrease the risk of having a child with a neural tube defect.
400 mcg/day preconceptually
600 mcg/day during pregnancy

Front 17

-health promotion education- should emphasize what?

Back 17

how well designed a healthy body is to adapt to the changes that accompany pregnancy

Front 18

who is at risk for sickle cell disease??

-what kind of people are at risk for Tay–Sachs disease

Back 18

-African Americans Asians


people of Jewish decent

Front 19

families can be taught what kind of strategies to reduce the risk of congenital malformations ?

Back 19

that cleanliness, ventilation, adherence to manufacturer’s
directions for use and disposal of materials, use of protective gear to shield against known and unknown hazards and avoidance of exposure to radiation are examples of

Front 20

Perinatal provider and care choices - Physicians

2 ex

Back 20

-obstetricians & family practice physicians

Front 21

Perinatal provider and care choices

-attention 91.4% of births in hospitals in the US

Back 21

Physicians

they see high and low risk pts

Front 22

Perinatal provider and care choices


-care often includes pharmacologic and medical management of problems and the early use of technological procedures such as ultrasound examination and amniocentesis

Back 22

Physicians

Front 23

Perinatal provider and care choices -nurse midwives

who are they?

Back 23

nurse midwives
-registered nurses with additional education and training in the care of obstetric clients
-hold a holistic view of childbirth


-certified nurse midwives may practice with a physician or independently with an arrangement for physician back up

Front 24

Perinatal provider and care choices -nurse midwives

do they see low or high risk clients?

Back 24

-usually see low risk obstetric clients

-nurse midwives refer clients with complications to physicians

Front 25

Perinatal provider and care choices -nurse midwives

-care in a midwifery model is

Back 25

noninterventional in orientation and the woman and family are encouraged to be active participants in their care

Front 26

Perinatal provider and care choices -direct entry midwives

aka:

Back 26

certified professional midwives

Front 27

Perinatal provider and care choices-direct entry midwives


-how are they trained?


-who do they get the certification process from?

Back 27

self-study, apprenticeship, midwifery schools, or universities as a profession distinct from nursing

- the American College of Nurse Midwives

Front 28

Perinatal provider and care choices-direct entry midwives
-refer clients in whom problems develop to physicians
-a majority of births attended by these midwives take place where?

Back 28

in the home setting

Front 29

Perinatal provider and care choices-Doulas

-provide:

Back 29

support service

Front 30

Perinatal provider and care choices-Doulas

-a certified doula is a professionally trained to

Back 30

provide labor support, including physical, emotional, and informational support, to a women and their partners during labor and child birth

Front 31

Perinatal provider and care choices-Doulas

-“continuous labor support like that provided by doulas reduces a woman’s likelihood of having

Back 31

pain medication

increases her satisfaction and how no known risks”

Front 32

Perinatal provider and care choices

-work collaboratively with other HCP and the husband or other supportive individuals but their primary goal is assisting the woman

Back 32

doulas

Front 33

Perinatal provider and care choices

provide assistant to the new mother as she develops competence with infant care, feeding, and other maternal tasks

Back 33

post natal doulas

Front 34

birth plan

-encourage expectant parents to develop a birth plan to identify what 2 things

Back 34

their options and set priorities

Front 35

what is a natural evolution of a contemporary wellness-orientated lifestyle in which clients assume a level of responsibility for their own health

Back 35

birth plan

Front 36

-what is a tool that parents can explore their childbirth options and choose those that are most important to them

Back 36

birth plan

Front 37

-conceptualized as an advance directive similar in purpose to end-of-life directives

Back 37

birth plan

Front 38

-what can serve as a means of open communication b/w the pregnant woman and her partner and also b/w the couple and HCP

Back 38

birth plan

Front 39

-women w/ complications during pregnancy and with the use of a birth plan appeared to do what??

Back 39

intensify their negative feelings related to being more vulnerable and thus birth plans should be used with caution for such woman

Front 40

Birth setting choices
-3 primary options for birth settings today are the

Back 40

hospital, birth center, and home

Front 41

Birth setting choices
-women consider several factors in choosing a setting for childbirth

Back 41

preference of their HCP,

characteristics of the birthing unit,

preference of their third party payer

Front 42

Childbirth pain caused by fear-tension-pain syndrome

Grantly Dick-Read
-what does it involve?

Back 42

-Deep abdominal breathing in early 1st stage contractions


Shallow breathing in later stage
Sustained pushing with breath holding (when you hold your breath, your not getting more oxygen into your body and the baby has less oxygen)

Relax between contractions, only uterus not relaxed during ctxs

Front 43

Childbirth pain caused by fear-tension-pain syndrome

Lamaze
-Respond to contractions with

-what do they do?

Back 43

relaxation and breathing patterns

Relax uninvolved muscles while uterus contracts

Front 44

Childbirth pain caused by fear-tension-pain syndrome

Bradley Method

Back 44

Partner-coached
Breath control
abdominal breathing
General body relaxation


Emphasized environmental variables
Darkness
Solitude
Quiet
Look like sleeping

Front 45

you have a degree in history, accounting, and then the go on to be this

Other Non-Nursing degree

Back 45

Direct-Entry Midwives

Front 46

Doula there for mom –

2 benefits of this?

Back 46

less c sections and less pain meds b/c they have someone support them

Front 47

LDR vs. LDRP

Back 47

LDR (move to a different room) vs.
LDRP (everything in 1 room)

Front 48

Pain Management as an Aspect of Childbirth Education

prenatal classes help decrease

Back 48

pain b/c you have more education

Front 49

what is the
Most effective nonpharmacologic strategy for coping with stress of labor?

Back 49

relaxation

Imagery and visualization close eyes, at beach, sun shinning, warm breeze

Conscious Breathing
Slowing breathing=relaxation

Front 50

Therapeutic Touch
Decrease :
Increase :

Back 50

Decrease anxiety and pain
Increase relaxation

Front 51

Birth Centers
For (high or low) risk complications during pregnancies

-May require transfer to hospital

Back 51

low

(high risk: twins, diabetes)


-built in locatiosn separate from the hospital but may be in close proximity
-safe and coest effective 3rd choice
-nurse midwives / physicians
-homelike

Front 52

Home Births

Back 52

Countercultural –have back up plan

Mother more relaxed