NUR 1510 - Unit 1 Test Questions and Correct Answers
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Course
NUR 1510
Institution
NUR 1510
What is the history of Childbirth? Births were community based, then doctors started to attend. Then they moved to hospitals but doctors didn't wash hands which increased infection rate. In the hospital woman stopped having choices. They were put to sleep, dads were left out, and then they woke up ...
NUR 1510 - Unit 1 Test Questions and
Correct Answers
What is the history of Childbirth? ✅Births were community based, then doctors started
to attend.
Then they moved to hospitals but doctors didn't wash hands which increased infection
rate. In the hospital woman stopped having choices. They were put to sleep, dads were
left out, and then they woke up with baby. Now home births are increasing due to cost
of a hospital birth. There has been trouble determining how much exp the Midwife has.
Ethical Dilemma - Forcepts ✅The Chamberlen's invented forcepts and it caused them
to have greater outcomes. They hid these forcepts and wouldn't let others use them.
They used it for their gain only. Should things like this be allowed to be kept a secret
and used for one persons gain?
Childbirth Settings ✅LDR - Labor, delivery, recovery
LDRP -Labor, delivery, recovery, postpartum
Alternative Birthing Center - not attached to hosp. but regulated by TJC
Planned Home Birth
When choosing a place you must evaluate risk vs. benefit
Goals of Healthy People 2020 - Maternal/Child Focus ✅• Maternal illness and death
rates
• Access to prenatal care
• Infant mortality
• Birth outcomes and prevention of birth defects
• Increase breastfeeding initiation and duration
Themes in Maternal Child Health Today ✅•Family Centered Care - Childbirth affects
entire family
•Childbirth is not a disease process but a normal, healthy life event
-Wellness Orientation vs. Illness Model of Care
•Health Promotion
•Disease Prevention
•Education
•Early prenatal care
•Family need to make informed decisions based on correct information, and support
Vulnerable Population - Who is at Risk?
What do we need to Assess? ✅• Age
• Culture
• Substance Abuse
• Stress
, • STD
• Medical Condition
• Environment - workplace Hazards
• Violence - likely to have a low birth weight
What is Culture? ✅• Communication Style
• Family Patterns
• Health Beliefs and Practices
• Nutrition Patterns
• Space Orientation
• Time Orientation
How to ask Cultural Prenatal Questions ✅•Do you Identify with either a particular
ethnic group or a specific race?
•Do you have beliefs and practices concerning pregnancy or birth that you learned while
you were growing up?
•What foods do you believe to be important during pregnancy
(postpartum/breastfeeding)?
•Are there any practices or circumstances that you believe might harm you or your
baby?
•Do you use or plan to use any type of cultural healers/practitioners or healing practices
as part of your care?
What does CRASH stand for? ✅• Culture; We all have it
• Show Respect
• Assess and Affirm differences
• Show Sensitivity and Self-Awareness
• Do it all with Humility
Legal and Ethical Environment - How does the Legal Environment Influence the way we
birth int he US? ✅...
Standards of Care ✅•Standards of Care developed by the ANA
-6 Standards of Practice
-10 Standards of Professional Performance
-Code of Ethics
•Nurse Practice Acts are at a state level - PROTECTS THE PUBLIC
-Michigan does not have a nurse practice act. - Rules and regulations governed by the
Public Health Code Public Act 368
-Defines the scope of practice - the "who"/"what"/"when"/"where" of nursing practice
-Regulated by the State Board of Nursing
-Protects public health, safety and welfare.
•Standards for Maternal-Newborn and Child Health Nursing
-Speaks to Competency and Accountability of Nurses in Maternal Infant Health
-Developed by professional associations based research and expert agreement
*Association of Women's Health, Obstetric, and Neonatal Nursing (AWHONN),
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