Drug, classification, action, major side effects (not nausea and vomiting). Mynursingkit.

com 6/17 presby matthews 7:00pm to 9:00pm 5/17/11 Introduction to family centered care vaginal 4-6000 look at the whole family, father and other family members are active participants Birth is more home-like illegal to have water birth and home birth in state of NC 1.4 relate the availability of statistical data to the formulation of further research questions 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 rate: death of infants less than 28 days of age per 1000 live births Maternal mortality rate: number of deaths from causes related to or aggravated by pregnancy or postpartum period per 100,000 live births AMA: advanced maternal age increasing birth rates for women aged 35 to 39 (42.4 per 1000) trisomy 13,18, 21 Key predictors of infant health: born premature and low birthrate (before 37 weeks ) or (less than 2500g) -babies need to gain weight and make sure there lungs are working maternal complications: pregnancy induced hypertension (PIH) RDS-respiratory distress syndrome due to low birth rate or premature circulatory system diseases: heart problems intrauterine hypoxia: not enough air 1.5 Delineate significant legal and ethical issues that influence the practice of maternalchild nursing A1: dictates your scope of practice scope of practice: the limits of nursing practice set forth in state statutes standards of nursing care: establish minimum criteria for competent, proficient delivery of nursing care. patient safety: informed consent: -emancipated minors: the state of being pregnant right to privacy: the right of a person to keep his or her person and property free from public scrutiny Ethical issues: Maternal-fetal conflict: mother and child are view as two patients Abortion: before 20 weeks the baby is not viable, before viability, the rights of mother are paramount; after viability, the rights of the fetus take precedence Intrauterine fetal surgery: opening the uterus during the second trimester Reproductive assistance: in vitro, embryo transfer Embryonic stem cell research

Cord blood banking: blood taken from a newborns umbilical cord at birth and stored. 1.6 Discuss the role of evidence based-based practice in improving the quality of nursing care for childbearing families Evidenced-based practice: nursing care in which all interventions are supported by current, valid research evidence. 2.3 Identify prevalent cultural norms related to childbearing and childrearing How does culture affect the childbearing family? Race: refers to a group of people who share biological similarities such as skin color, bone structure, and genetic traits ethnicity: a cultural groups sense of identification associated with the groups common social and cultural heritage stereotyping: assuming all members of a group have the same characteristics acculturation: process of modifying ones culture to fit within the new or dominant culture assimilation: related to acculturation, adopting and incorporating traits of the new culture within ones practice. family structure: patriarchal, matriarchal, egalitarian health beliefs & practices taboo: a behavior or thing that is to be avoided 2.4 summarize the importance of cultural competency in providing nursing care Cultural competence: the ability to understand and effectively respond to the needs of individuals and families from different cultural backgrounds. Biological Differences: Communication Patterns 3.3 Discuss the significance of specific female reproductive structures during childbirth Internal Genitalia Ovaries and fallopian tubes: Cervix and uterus: Vagina: muscular and membranous tube that connects the external genitals with the uterus External Genitalia/vulva Mons pubis: softly rounded mound of subcutaneous fatty tissue beginning at the lowest portion of the anterior abdominal wall, covered with pubic hair, protects the symphysis pubis. Labia majora: longitudinal, raised folds of pigmented skin, one on either side of the vulvar cleft. Protect the structures lying between them. Covered by hair follicles and sebaceous glands, with underlying adipose and muscle tissue. With each pregnancy the labia majora may become less prominent. Labia minora: Soft folds of skin within the labia majora that converge near the anus. Are rich in sebaceous glands, increase in size at puberty and decrease in size after menopause Clitoris: Tissue is essentially erectile, has rich blood and nerve supplies and primary organ erogenous organ of women. Urethral meatus and paraurethral glands: appears as a puckered, split-like opening./ paraurethral glad secret lubricant for the vagina opening for sexual intercourse. Vaginal vestibule: hymen is a thin, elastic collar or semi-collar of tissues that surrounds the vaginal opening.

3.4 Summarize the actions of the hormones that affect reproductive functioning Progesterone: hormone of pregnancy, secreted by the corpus luteum and greatest amount during secretory (luteal or progestational phase). Decreases uterine motility and contractility caused by estrogens preparing uterus for implantation after the ovum is fertilized. Estrogen: control the development of the female secondary sex characteristics: breast development, growth of body hair, widening of the hips, and adipose in buttocks and mons pubis. Also assists in maturation of the ovarian follicles and causes the endometrial mucosa to proliferate following menstruation. Amount of estrogen is greatest during proliferative phase. Estrogen inhibits FSH production and stimulate LH production. Prostaglandins: oxygenated fatty acids that are produced by the cells of the endometrium and are also classified as hormones. PGE relaxes smooth muscles and is potent vasodilator, PGF is a potent vasoconstrictor and increases the contractility of muscles and arteries. 3.5 Identify the two phases of the ovarian cycle and the changes that occur in each phase Follicular phase: (day 1-14), Luteal phase: 2nd part, does not vary, (day 15-28), 3.6 Describe the phases of the uterine (menstrual) cycle, their dominant hormones, and the changes that occur in each phase Menstrual Phase: cyclic uterine bleeding in response to cyclic hormonal changes. Shedding of endometrial, estrogen levels are low Proliferative Phase: begins when endometrial glands enlarge and become twisted and longer in response to increasing amounts of estrogen, enlargement of endometrial glands, mucous increases, pH increases, estrogen increases Secretory Phase: Ischemic Phase: happens only if there is no fertilized egg 4.3 Analyze the components of the process of fertilization as to how each may impact fertilization Preparation for fertilization Moment of fertilization: progesterone sustain a pregnancy 4.4 Analyze the processes that occur during the cellular multiplication and differentiation stages of intrauterine development and their effects on the structures that form. Cell multiplication Cell Differentiation 4.5 Describe the development, structure, and functions of the placenta and umbilical cord during intrauterine life (embryonic and fetal development) Umbilical cord Placenta 4.6 Compare the factors and processes by which fraternal (dizygotic) and identical (monozygotic) twins are formed Identical Twins Fraternal Twins 4.7 Summarize the significant changes in growth and development of the fetus in utero at 4, 6, 12, 16, 20, 24, 28, 36, and 40 weeks gestation.