Maternity, Women's Health Nursing

tion of Maternity, Women’s Health, and Child Health Nursing

1. Advocacy – Speaking or arguing in support of a policy or person’s rights.
2. Morbidity – Ratio of sick-to-well persons in a defined population.
3. Malpractice – Negligence by a professional person.
4. Neonatal mortality – Infant deaths that occur in the first 28 days of life.
5. Intrapartum – Time of labor and childbirth.
6. Ethics – Rules or principles that govern conduct.
7. Lactation – Secretion of milk from the breasts.
8. Negligence – Failure to act in the way a reasonable, prudent person of a similar background would act in a similar circumstance.

HISTORICAL PERSPECTIVES
Maternity Nursing

1. Identify the three basic principles of family-centered maternity
Families are capable of making decisions about care, provided they are given adequate information and professional support.

2. Describe each of these setting for childbirth.
a. Traditional hospital setting – labor, birth, recovery, and postpartum care occur in separate rooms; delay of parent-infant contact.
b. Labor, delivery, and recovery (LDR) rooms – labor, birth, and immediate recovery occur in a single room, with transfer to a postpartum room for continuing care; emphasis on keeping parents and infant together; liberal visiting.
c. Labor, delivery, recovery, and postpartum (LDRP) rooms – same as LDR rooms except that mother and infant remain in the same room where birth occurred.
d. Birth centers – freestanding centers that provide antepartum, intrapartum, postpartum, and newborn care to low risk mothers and babies; typically staffed by certified nurse-midwives.
e. Home births – birth occurs in a familiar setting with support people the mother wants; fewer nurse-midwives now attend these births because of malpractice insurance problems.

Pediatric Nursing

1. False Throughout history, children have been valued and protected by society.
2. True During the nineteenth century, the most serious child health problems were directly related to poverty and
How has cost containment affected maternity and pediatric care? For maternity care, prospective payment plans have resulted in shortened length of stay after delivery. This created problems for some women and infants who required readmission following early discharge. Legislation now mandates length of stay following vaginal birth as 48 hours; following cesarean birth, length of stay is 4 days. Concerns about managed care in pediatrics include delay in treatment authorization and pediatric referrals and limited coordination with community health, education, and social services.

2. False Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) provides supplemental food supplies to bottle-fed children but not to breastfeeding mothers.
3. True Premature births have increased in the past two decades.
4. False African-American women have lower maternal mortality rates than do Caucasian women.
5. True Infant mortality rates have continues to drop since 1950 as a result of better neonatal care.
6. True Accidents are the leading cause of death in children aged 1 to 19 years.
7. False There is no link between children living in poverty and poorer health outcomes.

ETHICAL PERSPECTIVES ON MATERNAL AND CHILD