The perinatal nurse explains to the student nurse that a goal of Healthy People 2020 is to: correct answers Increase proportion of infants who are breastfed.
Evidence-based practice (EBP) is the integration of the best:: correct answers Research evidence, clinical expertise, and patients' valu...
Maternity and Child Bearing Test #1 (100% correct answers)
The perinatal nurse explains to the student nurse that a goal of Healthy People 2020 is to: correct answers Increase proportion of infants who are breastfed.
Evidence-based practice (EBP) is the integration of the best:: correct answers Research evidence, clinical expertise, and patients' values.
The perinatal nurse explains to the student nurse that _________________ is the leading cause of neonatal death in the United States.
(name top 3) correct answers Congenital malformations. 2nd) disorders related to short gestation and low birth weight
3rd) sudden infant death syndrome
What are milestones in the care of mothers and babies? correct answers Box 1-1, page
2
-abortion is legalized
-folic acid is recommended to prevent neural tube defects
An ethical dilemma unique to perinatal nursing is the: correct answers Embryo/fetal rights
Birth Rate is: correct answers number of live births in 1 year per 1000 population
infant mortality rate is: correct answers number of deaths of infants younger than 1 year
of age per 1000 births
maternal mortality rate is: correct answers number of maternal deaths from births and complications of pregnancy, childbirth and puerperium per 100,000 live births
What would be a priority for the nurse when caring for a pregnant woman who has recently emigrated from another country? correct answers encourage her to include her
family for support
What is true regarding interpreter services? correct answers 1. Direct questions to the patient, not the interpreter
2. Create environment of respect and privacy
What family form tends to be the most socially vulnerable? correct answers Single-
parent family
Which health care service represents a primary level of prevention: a) home care for high risk pregnancies
b) blood pressure screening c) pap smear test
d) immunizations correct answers D) immunizations
Acculturation correct answers process by which people retain some of their own culture
while adopting the practices of the dominant society
Ethnocentrism correct answers Belief in the superiority of one's nation or ethnic group.
Cultural Relativism correct answers learning about and applying the standards of another's culture to activities within that culture
Assimilation correct answers when a cultural group loses its cultural identity and becomes part of the dominant culture. It's the process by which groups "melt" into the mainstream
To provide culturally competent care to an asian-american family, which questions should the nurse include during the assessment?
a. "do you want music playing while you are in labor?"
b. "do you have a name selected for the baby?"
c. "do you prefer hot or cold beverages?"
d. "Do you want some milk to drink?" correct answers c. do you prefer hot or cold beverages?
extended family correct answers nuclear family plus grandparents, aunts, uncles, cousins, and other people associated by blood
nuclear family correct answers traditional family of a husband, wife, and their children that live as an independent unit, sharing roles, responsibilities, and economic resources
multi-generational families correct answers consisting of three more generations of relatives. It is becoming increasingly more common
No-parent family correct answers families in which children live independently in foster or kinship care such as living with a grandparent
Married-blended families correct answers Married-blended families correct answers families formed as a result of divorce and remarriage, consist of unrelated family members (step parents, step siblings, step children) who join to create a new household
Single-parent families correct answers families in which one parent resides with and cares for one or more children
Homosexual families correct answers same-sex partners living together with or without children Goals for Healthy People 2020 for Maternity and Child-bearing correct answers 1) reduce the rate of fetal and infant deaths
2) reduce the rate of maternal mortality
3) reduce preterm births
4) reduce cesarean births among low risk women
Abortus correct answers an embryo or fetus that is removed or expelled from the uterus
at 20 weeks of gestation or less, weighs 500 g or less, measures 25 cm or less
Neonatal mortality rate correct answers number of deaths of infants younger than 28 days of age per 1000 live births
Perinatal mortality rate correct answers number of stillbirths and the number of neonatal deaths per 1000 live births
Stillbirth correct answers an infant who, at birth, demonstrates no signs of life, such as breathing, heartbeat, or voluntary muscle movements
Culture correct answers refers to a group existing within a larger cultural system that retains its own characteristics
Strategies for Care Delivery (6) correct answers 1. Break down the language barriers
2. Explain your rationale and reasons for suggestions
3. integrate folk and Western treatments
4. Enlist the family caretaker and others
5. Get consent from the CORRECT person
6. Provide language-appropriate material
When providing appropriate care, what should you ask the woman about her preferences?
(5) correct answers 1. ask about traditional beliefs, such as the role of hot and cold
2. be sensitive regarding interpreters and language barriers
3. Ask about important dietary practices, particularly those related to events such as childbirth
4. ask about group practices and beliefs
5. Ask about a woman's fears and those of her family, regarding an unfamiliar care setting
Hispanic Cultural beliefs and practices related to childbearing and parenting
16)) correct answers 1. mother influenced by mother & mother-in-law
2. Cool air in motion considered dangerous during pregnancy
3. unsatisfied food cravings thought to cause a birthmark
4. Some pica of ashes or dirt (not common)
5. Drinking chamomile tea thought to ensure effective labor 6. May wear ribbon or band around pregnant belly that baby will be born healthy
7. Mothers legs brought together after birth to prevent air from entering uterus
8. First 2 days postpartum, diet may be just boiled milk and toasted tortillas to restore warm to the body
9. Bed rest for 3 days after birth
10.No bathing for 14 days and sex restriction for 40 days
11. Mother may want baby's first wet diaper to wiper face "mask of pregnancy"
12. Breastfeeding started 3rd day as colostrum may be considered "filthy" or "spoiled"
13. Olive oil or castor oil given to stimulate passage of meconium
14. no circumcision
15. religious medal worn by mom during pregnancy and put on newborn
16. Infant protected from mal de ojo
African American beliefs and practices related to childbearing and parenting:::::
16)))) correct answers 1. Pregnancy thought to be state of wellness
2. Old-wives tales: having a picture taken during pregnancy will cause stillbirth/ reaching
up will cause cord to strangle baby
3. Cravings for chicken, greens, clay, starch, dirt
4.Pregnancy may be viewed by the men as a sign of their virility
5. Vaginal bleeding seen as sign of sickness
6. tub baths and shampooing of hair prohibited
7. Sassafras tea thought to have healing power
8. Eating liver thought to cause heavier bleeding because of its high blood content
9. "Good" baby thought to eat well!!
10. Early induction to solid foods
11. May bottle or breastfeed/ breastfeeding may be considered embarrassing
12.Parents fearful of spoiling baby
13. Baby often has . Strnicknames
14. Belly band used to prevent umbilical hernia
15. Strong feeling of family, community, and religion
16. abundant use of oil on baby's scalp and skin
Asian-American beliefs and practices with childbearing and parenting:::::
17))))) correct answers 1. Pregnancy is time when "there is happiness in the body"
2. natural process
3. want female health provider
4. Belief in theory of hot and cold
5. may omit soy sauce in diet to prevent dark-skinned baby
6. Prefer soup made with ginseng root as general strength tonic
7. Milk usually excluded from diet because it causes stomach distress
8. Inactivity or sleeping late may cause difficult birth
9. Labor in silence
10. Cesarean birth is not ideal, but will if necessary
11.Must protect self from cold forces 30 days postpartum
12. ambulation is limited postpartum
13. shower and bathing prohibited/ in warm room
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