NURS 111 Unit 4.txt
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- author "Maricar Tanner"
- tags ""
- description "Maternal/OB"
- fileName "NURS 111 Unit 4"
- freezingBlueDBID -1.0
- Describe the family
- The central element of contemporary life
- Defined differently by different cultures
- The primary system of support
- The ultimate decision maker for services and supports for their children and/or themselves
Define Nuclear family
Traditionally 2 parents and siblings
Define single parent family
Unmarried biological or adoptive parent raising a child or children
Define blended family
Unrelated members joined together by marraige (stepbrother, stepfather etc)
Define extended family
Define lesbian/gay family
Faces social stigma & barriers in america
- Barriers that protect family
- Two types: rigid and diffuse
Define rigid boundaries
- Barriers may exist that keeps family from having meaningful relationships with others
- Can become isolated or withdrawn from people, which can cause relationships to suffer
Define a diffuse boundary
- Families do not have a clear, definable boundaries with others
- Can have problems defining who they are
- Common to find family over-involvement in each members life
- Characterized by a loss of independence by one or all involved family members
- Over-involvement is usually reflected by parents and children who become increasingly dependant on each other at the expense of relationships outside the family
- An ongoing dynamic process
- Influences people throughout the lifespan
- Includes values, beliefs, and traditions past from one generation to the next
- Influences health and health behavior
- Healthcare providers must assess and incorporate culture into the plan of care
Define cultural competence
The ability to interact effectively with people of different cultures
What are the 4 components of cultural competence
- Awareness of ones own cultural world view
- Attitude towards cultural differences
- Knowledge of different cultural practices and world views
- Cross-cultural skills
Developing cultural competence results in what?
An ability to understand, communicate with, and effectively interact with people across cultures
What are the aspects of family's culture?
- Personal space
- Time orientation
- Family/ gender roles
What is preconception
A womans health before she becomes pregnant
What does preconception focus on?
- The conditions and risk factors that could affect a woman if she becomes pregnant
- Applies to women who have never been pregnant and
- To women who have had previous pregnancies
What does folic acid prevent
Neural tube defects
What does rubella prevent
Congenital rubella syndrome
- Production begins on the day od implantation
- Increases rapidly during the first two weeks of pregnancy
- Can be detected in blood 6-11 days after implantation
- Can be detected in urine one week after a missed period
What causes a false positve pregnancy test
- Traces of blood or protein in urine
- Prescription drugs such as diuretics and promethazine (used to treat allergy symptoms and nausea)
- Expired or damaged test kit
What causes a false negative pregnancy test
- Taking test too early
- Used diluted urine- take first thing in the morning
- Timed the test wrong- test urine within 15 min and wait full 10 min for accurate result
Signs of pregnancy
- Presumtive: changes felt by woman- fatigue, breast changes, missed period, N&V
- Probable: hegars sign, chadwicks signs ballottement
- Positive pegnancy test
- Positive: signs attributed to presence of a fetus, FHT, fetal movement, ultrasound
When is the period of critical fetal organ development?
17-56 days after fetal fertilization
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