NUR 418 EXAM 3 STUDY GUIDE NURSING CARE FOR CHILDREN WITH PICTURE ILLUSTRATIONS

NUR 418 EXAM 3 STUDY GUIDE NURSING CARE FOR CHILDREN ▪ Goals of Maternal/Neonatal Nursing [1:4] - Advocating vigorously within the community for normal childbirth - Working to ensure that childbirth preparation classes are readily available - Increasing personal labor support skills as well as technical skills - Accepting doulas as part of the labor team - Promoting changes in the birth environment where they work - Participating in interdisciplinary committees to develop and implement standardized practices for care - A safe and satisfying experience for the mother, her family and her baby  family centered care ▪ Advanced practice nursing role in Maternal Newborn health [1:3] RNs graduated w/ BSN & has license (passed NCLEX) = work as labor nurses, mother-baby nurses, lactation consultants, clinic nurses, newborn nursery nurses, home health nurses, NICU nurses and gynecology nurses. RNCs are RNs who have demonstrated clinical expertise in a field and are certified by a national organization Nurse Practitioners Master’s prepared nurses who function as advanced practice nurses. NPs usually focus on ambulatory nursing. Women’s Health NPs or Family NPs are examples. Neonatal NPs work in newborn nurseries and NICUs. NPs perform H&Ps, order diagnostic tests and procedures. Clinical Nurse Specialists have Master’s degrees and specialized knowledge and competence in a specific clinical area. Certified Nurse Midwives functions similarly to NPs, educated in two areas of nursing; performs deliveries and care for newborns. ▪ Maternal / Neonatal statistics [1:13] What do statistics tell us? What we report. We can only analyze the outcomes which are reported. Why are they important? Gives us a measure or indicator that what interventions we do, either are or are not working. Birth Rate number of live births per 1000 people Infant mortality rate number of deaths of infants under 1 year of age per 1000 live births Neonatal mortality number of deaths of infants less than 28 days of age per 1000 live births Fetal death death in utero at 20 weeks or more gestation (still birth) Perinatal mortality includes both neonatal deaths and fetal deaths per 1000 live births Maternal mortality rate number of deaths from any cause during pregnancy cycle (includes 42 day Postpartal period) per 100,000 live births Black women have higher rate (24.7) {could be d/t access to health care, nutritious food, etc.} than white women (7.2). Hispanic women (9.5) in middle Influencing factors include: increased use of hospitals, specialized services, high risk centers, prevention and control of infection, availability of blood products, lowered anesthesia deaths - In the 1980’s AIDS caused a drop in teen births, then AIDS went from a terminal ds to a chronic one and rates ↑. - C/S rate 31.1% (that’s 50% increase over last 10 yrs) - US is 22nd in infant mortality among industrialized nations. What does that tell us about the country? The health of our country is poor. Considering the amount of money we spend on healthcare, why are there 21 countries above us doing a better job? - 1990’s forward = Back to Sleep movement to prevent SIDS, saw a sharp decline in infant