NUR 2513 / NUR2513 Test 1 (Latest 2021 / 2022): Maternal Child Nursing - Rasmussen

NUR 2513 Maternal Child Nursing

Test 1

Philosophy of Maternal Child Health and Trends

- Family-centered care

Community centered care

Evidence based

A maternal child health nurse...

is a partner in care of the individual and/or family when planning or implementing care

serves an advocate to protect the rights of the patient and family

promotes health and disease prevention

respects personal, cultural, and spiritual attitudes and beliefs as these strongly influence

the meaning and impact of childbearing and childrearing

encourages developmental goals specific to each patient such that each child can reach

their ultimate capacity

Trends in maternal child health nursing

- families are smaller-less support

90% of women work-schedule around work

increased mobility and homeless pop-harder to track and less resources

advances in knowledge and technology-rising healthcare costs

Leading cause of childhood death

- motor vehicle accidents

When can you identify gender of a fetus?

- see it at 18-22 weeks develops at 12 weeks

can a nurse do ultrasounds/sonogram

- No way

Summary of female hormone cycle

- Hypothalamus secrets GnrH, which stimulates the pituitary to excrete FSH and LH. FSH is

responsible for follicle development and causes increased estrogen levels overall. The

LH helps with egg maturation and provides trigger to release the most mature egg - aka

ovulation. The egg is then accepted by the fallopian tubes, and potentially fertilized in

the distal fallopian tube, which then travels down and is implanted into the

endometrium. If no embryo is created, progesterone and estrogen slowly decline and

menstruation occurs.

Mirena how it works

- uses progesterone reservoir to prevent endometrium proliferation and thickens cervical

mucus

How long is Mirena effective

- 5-7 years

Mirena

- IUD-hormonal

Paragard

- IUD-copper

Paragard how it works

- stops sperm and copper is a spermicide

Paragard how long effective

- 10 years

Contradiction for IUD

- - Distorted uterine shape

- Copper IUD severe dysmenorrhea (painful menstruation) or menorrhagia (heavy

bleeding) because use may increase the incidence of these conditions. Also anemic

patients due to increase blood loss

Diaphragm Use

- placed over the cervix before intercourse to mechanically halt the passage of sperm (Fig.

6.6). Although use of a spermicide to coat a diaphragm is not required, using a

spermicidal gel with one combines a barrier and a chemical method of contraception so

one is usually added. With the use of a spermicide, the failure rate of the diaphragm is

as low as 6% (ideal) to 18% (typical use) (see Table 6.1)

NuVal ring use

- flexible silicone vaginal ring that, when placed in the vagina, continually releases a

combination of estrogen and progesterone (Fig. 6.10). The ring is inserted vaginally by

the woman and left in place for 3 weeks and then removed for 1 week with menstrual

bleeding occurring during the ring-free week (Bitzer, 2012). The hormones released are

absorbed directly by the mucous membrane of the vagina. Do not need to remove for

sex

spontaneous abortion occurs

- less than or equal to 20 weeks

threatened spontaneous abortion definition

- type of abortion commonly seen in ED with a closed cervix and some vaginal bleeding or

cramping