women's health chapter 1 exam study guide| 39 questions fully solved 2023

Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) national organization that sets standards for perinatal nursed Sheppard-Towner act of 1921 First federally sponsored program that provided funds for state-sponsored programs for mothers and children Family-centered care Safe, high-quality care that recognizes and adapts to the physical and psychosocial needs of the family, including the newborn Doula trained labor support person evidence-based practice care based on use of reliable research findings to determine best nursing practice to achieve desired outcomes Healthy People 2020 Set of ten-year objectives for improving the health of Americans The Joint Commission (TJC) Independent organization that accredits health care organizations 3 major factors that influenced moving the place of birth from home to hospital 1. federal government involvement in women's healthcare 2. advances in technology only available to physicians 3. consumer trends traditional hospital setting for child birth labor, delivery, recovery, postpartum care occurs in separate rooms. parent infant contact may be delayed labor, delivery, and recovery (LDR) rooms labor, delivery and recovery take place in one setting, transfer to postpartum room for continuing care. emphasis on keeping parents and baby together, liberal visiting. labor, delivery,recovery, and postpartum (LDRP) rooms labor, delivery, recovery and postpartum take place in one setting. mother and baby stay in same room during recovery, liberal visiting. birth centers freestanding facilities provide antepartum, intrapartum, and postpartum and newborn care to low risk mothers and babies. Usually services provided by CVM, provide gynecologic services and contraceptive counseling home births births occur in a familiar setting, with support people the mother wants. Fewer nurse midwives attend these births because of malpractice insurance problems consumer demands for involvement in their care ( how led to the development of family-centered maternity care) in the early 1950's , consumers began to insist on their right to be involved in their own care and wanted information and control over their own birth childbirth education to control labor pain ( how led to the development of family-centered maternity care) gave women options to control pain without pharmacological interventions, while remaining awake and aware research about early patent-newborn contact(how led to the development of family-cented maternity care) research showed that early parent-newborn contact out weighed the risks for infection in most situations antepartum high-risk woman (nursing care may be encountered) high risk conditions that may be seen in the home by a nurse include preterm labor, hyperemesis gravidarum, bleeding problems, preterm premature rupture of membranes, hypertesion and diabetes during pregnancy. postpartum women ( nursing care may be encountered) most care begins in the birth facility with classes in self care, closed-circuit television programs, written materials in appropriate language, individual teaching and return demonstration by the woman allows the nurse to determine if the teaching is adequate and needs supplementation. normal newborns ( nursing care may be encountered) phone calls, home visits, information lines, lactation consults, video tapes and nurse-managed out patient clinics high-risk newborns ( nursing care may be encountered) information and support for technology dependent infants of infants with congenital abnormalities, coordination of care among specialty providers. Certified nurse-midwife (CNM) RN's who have completed and extensive program of study and clinical experience, have passed a certification on test administered by the american college of nurse-midwives. Qualified to take complete health histories and perform physical examinations, can provide complete care during pregnancy, childbirth, and postpartum, gynecological services, family planning women's health nurse practitioner (WHNP) provides wellness focused primary reproductive and gynecologic care family nurse practioner (FNP) prepared to provide preventive and holistic care for young as well as older patients, male and female Neonatal nurse practitioner (NNP) assist in the care of high risk newborns in the immediate post-birth care or in a NICU pediatric nurse practitioner (PNP) provide health maintenance care to infants and children who do not require the services of physicians clinical nurse specialist (CNS) RN's with graduate education to be experts in care of childbearing families. functions include clinical leader, role model, patient advocate. Nurse Practitioner(NP) RN's with advanced preparation provide primary care for health maintenance and health promotion 5 steps in critical thinking 1. recognize assumptions, can lead to unexamined thoughts or unsound action 2. examination of personal biasis that can sway your mind based on personal theories or stereotypes 3. analysis of the amount of pressure for closure that can lead you to a hasty decision based on inadequate information 4. examination of data to collect and analyze them more efficiently 5. evaluation of how emotions and environmental factors can interfere with critical thinking (defensiveness, anger, frustration, busy environment) screening assessment to gather information about all aspects of the persons health, to identify both strengths and problems focused assessment gather information specifically related to an actual health problem or a problem that the woman or family is at risk for acquiring. what is the leading cause of death in women in the united states? cardiovascular disease 3 major health problems that are linked to obesity 1. hypertension 2. high blood cholesterol 3. diabetes mellitus