NUR 4445 OB Exam 1
- Concepts of 21st Century Maternity Nursing
Answer -care of the childbearing woman and their families from preconception to 6 weeks postpartum
-includes education prior to conception and throughout pregnancy, delivery and postpartum
- What are the causes of health disparities in the US?
Answer -Social Determinants of health
-Biologic/Genetic Factors -Health Behaviors
- Unconscious/implicit bias
Answer associations or attitudes that reflexively alter our perceptions, thereby affecting behavior, interactions, and decision-making
- List methods and recommendations for combating implicit bias?
Answer To com- bat implicit bias, understand the power of unconscious bias, reflect on your own experiences, consciously adjust responses based on stereotypes, actively counter stereotypes, see individuals as individuals, practice perspective taking, increase contact with diverse groups, build partnerships, and use the "Teach Back" method to confirm understanding.
- Describe each of these barriers to access of healthcare
- Financial Issues
Answer
Uninsured and underinsured
Access to care Delay in seeking treatment Prevention care 1 / 4
Lack of accurate healthcare information
- Cultural Issues Racism
- Gender Issues
Lack of trust Discrimination Language Values or Beliefs Gender Religious beliefs
LGBTQ face discrimination, uneducated healthcare providers, increased anxiety, depression, suicide, etc.Feel stigmatized Lack of STI information for Lesbian women Gender of provider may be important to some women seeking reproductive care
- How are statistics, research, and EBP interrelated?
Answer Statistics project patient needs, aids in planning of resources, and helps guide research
-Research evaluates the effectiveness of current practices, and EBP implementation of interventions shown to be most effect in care
7. AWHONN
Answer organization publishes standards of practice for obstetrical nursing
- Define informed consent, right to privacy, standards of care, and patient self-determination
act
Answer -Standards of care are the minimum proficiency for com- petent nursing care
-Patient Self Determination Act-Patient has the right to know their right while in the hospital
-Privacy
keep person and property free from public scrutiny
-Consent
protects persons right to autonomy and self-determination
- Define family, why is this important? 2 / 4
Answer -Primary social group that influences and is influenced by others
-Whomever they report are family
- Why is culture important and describe actions to provide culturally com- petent maternity
nursing care?
Answer -Culture can influence the health of the family, it is not static and it changes throughout the lifespan
-Cultural competence
acknowledging, respecting, and appreciating ethnic, cultural, and linguistic diversity
-Don't force your own beliefs or culture on others who believe differently -Have a basic understanding of the cultures your patients come from -Know the National Culturally and Linguistically Appropriate Services (CLAS) Stan- dards
-Cultural humility
individuals must acknowledge the experiential lens through which they view the world and that their view is not nearly as extensive, open, or dynamic as they might perceive
- Perimetrium
Answer outer layer of myometrium
- Myometrium
Answer -layers of smooth muscle that extend in 3 directions
-these fibers are responsible for contractions, blood vessel ligation after birth, and keeping the cervix closed
- Endometrium 3 / 4
Answer -Highly vascular lining made up of 3 layers
-Two are shed during menstruation
- Follicular Phase
Answer (days 1-14)
-Follicle matures because of FSH and LH up until ovulation
- Luteal Phase
Answer (days 15-28)
-Begins right after ovulation and the empty follicle develops into the corpus luteum.-The corpus luteum secretes the hormone progesterone due to influence of LH.-Progesterone prepares the uterus for a fertilized egg to implant.-Progesterone prepares the uterus for a fertilized egg to implant. Estrogen remains low due to LH.
- Vasocongestion
Answer -Characterized by increased blood flow circum-vaginally causing engorgement
- Myotonia
Answer is voluntary and involuntary rhythmic contractions
- 4 phases of sexual response cycle
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