NURS 4124: Child and Family Nursing
Blueprint Exercise: OB Exam 1
Student’s Name: ______________________________________________________
Instructions: Response to each prompt to serve as your study guide. Responses may include full
sentences, bullet points, tables, drawings, etc. All resources utilized should be referenced in appropriate
APA format.
CHAPTER 1
1. Provide education regarding complementary and alternative medicine practices
Complementary and alternative medicine (CAM) practices encompasses the use of medical products
and employing medical practices which fall outside the accepted standards of medical practice and
medical care. These products and practices are usually used together with conventional medical
treatment. While the use of CAM was initially linked to low-income countries and regions, its use has
seen increasing use even in developing countries. Some authors agree that “The exploration of
complementary and alternative medicine topics in the medical school curriculum helps to elucidate
the complex and uncertain nature of medical practice, sharpens skills for clinical decision-making,
increases cultural sensitivity, and provides ideas for future research.” (Institute of Medicine (US)
Committee on the Use of Complementary and Alternative Medicine by the American Public.
Complementary and Alternative Medicine in the United States. Washington (DC): National
Academies Press (US), 2005)
2. Identify strategies nurses can take to promote pati
3. \ent advocacy
Educate patients
Mediate communication between patients and the physicians
Communicate with the entire team and the patient’s family
Suggest relevant resources to help patients make better decisions.
Teach yourself and the patient to care, and advocate for yourselves. (Indeed Editorial Team,
2021)
4. Identify strategies to promote culturally sensitive care
Ensure that conflict and grievance resolution processes are culturally and linguistically
sensitive and able to identify, prevent, and resolve cross-cultural conflicts or complaints by
care consumers.
Keep educating staff on how to use culturally sensitive care
Integrate data on race, ethnicity and language in records.
Integrate the recorded data in planning for appropriate care for the given demographic
community.
Employ a strategic plan that outlines clear goals, policies, operational plans, and
management accountability to provide culturally and linguistically appropriate services
(Scannel & Ruggiero, 2021)
5. Discuss strategies to reduce language barriers & improve patient communication
Use the preferred language or employ communication methods compatible with the
preferred language.
Make information about successful innovations for implementing culturally and language
appropriate standards available to the public.
Employ staff from or with representative characteristics of the area.
, NURS 4124: Child and Family Nursing
Blueprint Exercise: OB Exam 1
Student’s Name: ______________________________________________________
Provide free language assistance to the consumers at all times
Keep educating staff on how to use culturally sensitive care
Provide all communication in both oral and written forms (Scannel & Ruggiero, 2021)
6. Compare and contrast morbidity vs. mortality
Morbidity generally refers to the state of having a certain condition or illness that usually chronic.
Examples of common illnesses and conditions related to morbidity include obesity, heart disease,
diabetes and cancer. Meanwhile, mortality refers to the number of deaths that occur due to a
certain event, condition or illness for a specific period of time. Mortality is often expressed in rates
which is a ratio of mortality to a given population. (Seladi-Schulman, 2020)
7. Analyze trends in maternal, infant, and child epidemiology (including health disparities)
Global and local trends in maternal, infant, and child epidemiology (including health disparities) show
interesting trends after an epidemiological analysis. Globally, there is continuous emergence of novel
issues and diseases which a nurse must understand. In the case of maternal morbidity and mortality,
CDC data shows that the maternal death rate lies at 16.9 per 100,000 live births. This rate remains
nearly constant over the past few years. It includes cases during pregnancy (31%), during delivery and
a week after (36%), and 1 week or 1 year post-partum (33%). The five leading causes are other
cardiovascular conditions, other non-cardiovascular conditions, infection or sepsis, cardiomyopathy,
and hemorrhage. Surprisingly, 3 to 5 of these cases are preventable.
Infant and child mortality is defined as the death of an infant or child within the first year of birth.
Globally, the US ranks at 52nd position, while some low-income countries rank higher. However, the
rate varies greatly from state to state with Mississippi ranking worst (8.3 per 1000) while New
Hampshire the best (3.8 per 1000). The leading causes of infant mortality in the US are birth defects,
preterm and low birth weight, maternal pregnancy and complications, sudden infant death syndrome,
and injuries that may arise from suffocation and strangulation. Nurses need to ensure preventive
measures are implemented in the preconception phase, and the prevention of accidents and
unintentional injuries especially firearms and the use of seat belts.
Other than that, there are racial inequalities in maternal mortality rates from 2011 to 2016.
Specifically, black non-Hispanic mothers had a mortality rate of 42.4% for every 100,000 births.
The rate of mortality among non-Hispanic American Indian and Alaska Native mothers is 30.4% for
every 100,000 live births.
Asian and Pacific Islander non-Hispanic mothers had a mortality rate of 14.1% per 100,000 live births.
white non-Hispanic mothers had a mortality rate of 13.0 per per 100,000 births.
Hispanic mothers had a mortality rate of 11.3% for every 100,000 births (CDC, 2019).
CHAPTER 2
, NURS 4124: Child and Family Nursing
Blueprint Exercise: OB Exam 1
Student’s Name: ______________________________________________________
1. Identify advantages and disadvantages of barrier and hormonal contraceptive methods,
intrauterine devices, and permanent sterilization
Barrier methods: e.g. condoms, sponges, diaphragm
Pros:
Available and affordable
Can prevent spread of STDs
Cons:
Effectiveness is compromised when used improperly or when the barrier is defective
Condoms require a pause during sex during the time when most people forego its use.
Hormonal contraceptive methods
Pros:
May relive period pain and lead to lighter periods
Clear skin
Ovarian risk management
Reduced cancer risk
Endometriosis management
Cons:
Blood clots
Unintended pregnancies
High blood pressure
Increased cholesterol levels
Cardiovascular disease
Increased risk of cancer for some types of hormonal contraceptives
Intrauterine devices
Pros:
Long lasting and can last between 5 to 10 years
It works straight away
No hormonal side effects
Cons:
They do not prevent STDs
Expert needed to insert or remove
It can slip out of position
Copper releasing IUDs can cause cramps.
Permanent sterilization
Pros:
It is very effective at preventing pregnancy
It is considered a permanent method of contraception
Cons:
Requires minor surgical procedure
Patient may change mind and need children some time after the surgery. (National Research
Council (US) Committee on Population., 1989)
2. Develop a teaching plan for a patient wishing to learn about the best time they could
become pregnant based on their uterine cycle
