Maternal Newborn Exam One

Maternal Newborn Exam One How is contemporary childbirth characterized? - ANS Characterized by an emphasis on the family Family-centered childbirth Also characterized by number of choices with birth experience Provider Place of birth Birth related experiences (Notes: In past mom delivered by self with physician, now family-centered. Provider: OB/GYN, Nurse Midwife, NP. Place: hospital, birthing center, home birth- planned, but babies can be spontaneous. Birth-related experiences: epidural or no, birthing plan or no (guideline ex. lavendar in room). Book: may use a doula doula - ANS provide labor support, hired by mother Settings - ANS Traditional hospital Labor, Delivery, & Recovery Rooms (LDRs) Labor, Delivery, Recovery, & Postpartum Rooms (LDRPs) Birthing Centers Home Births Labor, Delivery, and Recovery Rooms (LDRs) - ANS Notes: recovery can take up to 4-6 hours. then will move into postpartum wing. Labor, Delivery, Recovery, and Postpartum rooms (LDRPs) - ANS Stay in room throughout hospital stay (most moms prefer). homelike Birthing Centers - ANS Stand alone or attached to hospital, low risk clients, home like setting. Home births - ANS ideal for low risk mom who is healthy. may have midwife or doula. most professionals concerned for complications. Some CNMs attend home births. but most are attended by lay midwives. 1.4% births outside hospital and 64% of that were homebirths. Healthy People 2020 - ANS for 30 years federal goverement initiative provides science-based, national agendas for improving the health of all Americans. 33 Maternal/Child Focused Goals include: Reducing morbidity and mortality Increasing pregnancy health and behaviors Preconception health and behaviors Postpartum health and behaviors Infant care Reducing disability and other impairments Increasing health services; (preconception-increase preparedness- prenatals, stabilize health conditions of mommorbidity and mortality of mom and baby, disability and other impairments of mom and baby; focus on maternal, infant and child health, adolescent health, family planning, injury and violence prevention, LBGT health, sexually transmitted infections. Nursing Roles - ANS Professional Nurse Certified registered nurse (RNC) Nurse Practitioner - NP Clinical nurse specialist-CNS Clinical Certified nurse-midwife-CNM Nurse researcher Professional nurse - ANS graduate of an accredited basic program in nursing; successfully completed the nursing licensure examination; currently licensed as a RN; may work as labor nurse, mother baby nurse, lactation consultant, clinic nurse, newborn nursery nurse, home health nurse, adult or newborn intensive care nurse, gynecology unit nurse. Certified registered nurse (RNC) - ANS certified in high or low risk; passed a national certification exam showing expertise in a field. Nurse Practitioner (NP) - ANS reveived specialized education in a DNP program or masters. provides ambulatory services, if neonatal can care for newbornds. seeks physican consultation when necessary Clinical nurse specialist - ANS passed BSN, went to masters, expert knowledge in clinical area, take on leadership role. often found on mother baby units, on pediatric units, intensice care units Certified nurse midwife - ANS educated in two disciplinces. certified by American College of Nurse-Midwives. manages care of women at low risk complications pregnancies and births and the care of healthy newborns Nurse researcher - ANS generating new research; has an advanced doctoral degree, typically a Ph.D and assumes a leadership role in generating new research; university settings, hospitals. Legal Considerations: Scope of Practice - ANS Defined as the limits of nursing practice set forth in state statues A nurse must function within this or risk being accused of practicing medicine without a license Legal Standards of Practice - ANS ANA AWHONN - Association of Women's Health, Obstetric and Neonatal Nurses NANN - National Association of Neonatal Nurses