By Catherine Ramos Marin, MSN/Ed(C), WHCNP, RN.  Obstetrics- care of women during childbirth ...

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Transcript of By Catherine Ramos Marin, MSN/Ed(C), WHCNP, RN.  Obstetrics- care of women during childbirth ...

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By Catherine Ramos Marin, MSN/Ed(C), WHCNP, RN Slide 2 Obstetrics- care of women during childbirth MCN - the care of childbearing and childrearing families. Primary goal promotion and maintenance of optimal family health to ensure cycles of optimal childbearing and childrearing. Slide 3 Antepartum Intrapartum Postpartum Newborn Nursery Slide 4 Family-centered Community-centered Evidence-based Advocate to protect the rights of all family members, including the fetus Health promotion and disease prevention Slide 5 Certified Registered Nurse (RNC)- national certification examination Nurse Practitioner (NP): expanded role as womens health NP or family NP Clinical Nurse Specialist (CNS) Certified Nurse Midwife (CNM)- certified by the American College of Nurse- Midwives (ACNM) Slide 6 Health promotion client education on the importance of health maintenance importance of prenatal care compliance and neonatal care Slide 7 Health restoration prompt diagnosis and treatment on complications of pregnancy Health rehabilitation prevention of further complications, ill client back to optimal health or helping a client to accept inevitable death (molar pregnancy to continue therapy) Slide 8 Defines health care priorities Guide progress toward the ultimate goal of optimal health Goals: To increase the quality and years of healthy life To eliminate health disparities within Americas population Slide 9 Comprehensive set of 467 measurable disease prevention and health promotion objectives 28 focus areas Leading health indicators Slide 10 Primary prevention Health promotion Secondary prevention Early identification and prompt treatment Tertiary prevention Restore health Slide 11 Be mindful of the following: Standards of Care Institutional Policies Ethical Implications Nurse Practice Acts in your State Slide 12 Unseen client Emancipated minors clients who are not of legal age who are considered mature minors (age 11 to 17) Patient Confidentiality Considered normal events Slide 13 Wrongful birth the birth of disabled child when parents would have chosen to end the pregnancy if they had been informed about the disability during the pregnancy. Wrongful life- a claim that negligent prenatal testing on the part of the health care provider resulted in the birth of an un-perfect child. Slide 14 Rights of mother vs. Rights of fetus Heroic measures vs. Comfort care High risks behaviors Methods of resolving infertility Human stem cell research Health of the mother and fetus @ risk Slide 15 Smaller families Single parents Working mothers Domestic Violence Sexual Abuse More health conscious Slide 16 Cost containment Uninsured and underinsured families Slide 17 Have the right to refuse to assist Qualified replacement is available Maternal rights supersede those of the fetus prior to viability and the reverse is true after viability Slide 18 Freebirthing refers to women giving birth without any health care provider supervision AKA: unassisted birth or couples birth Sources of knowledge: from books and internet and then arrange to give birth at home in complete privacy Slide 19 Birth is a normal function of women An orgasmic experience Increase the ability to bond with the newborn Lack of health insurance Lack of information about patient rights Slide 20 Slide 21 Traditional Family Definition of Family Emotional closeness Defined membership Joined together by marriage, blood, adoption, or residence in the same household Slide 22 Slide 23 Dyad Family two people together without children (newly wed couple) Cohabitation Family heterosexual couples with children but unmarried Nuclear Family traditional, Married with children Slide 24 Polygamous Family marriage with multiple wives Extended Family multigenerational family Single Parent Family Blended Family- remarriage or reconstituted family Slide 25 Communal Family formed by groups of people who choose to live together Gay or Lesbian Family same sex living together Slide 26 Slide 27 To help provide care to the grandchildren As a peacemaker to resolve conflicts between grandchildren and parents To maintain involvement in family life Slide 28 Slide 29 Stage 1: Beginning families Stage 2: Childbearing families Stage 3: Families with Pre-School Children Stage 4: Families with School-aged children Slide 30 Stage 5: Families with Teenagers Stage 6: Families Launching Young Adults Stage 7: Middle-aged Parents Stage 8: Retirement and old age Slide 31 Taking a Sexual history 1.Explain purpose of interview 2.Use direct eye contact unless it is culturally unacceptable 3.Ask open ended questions 4.Clarify terminology 5.Proceed from easier to more difficult topics Slide 32 6. Be alert to body language 7. Listen and react in a non-judgmental manner 8. Use teachable moments to educate 9. Do not assume the women is heterosexual 10. Be respectful Slide 33