Respects personal, cultural, and spiritual attitudes and beliefs as these so strongly influence the meaning and impact of childbearing and childrearing.

Roles and Responsibilities of a maternal child nurse: 7:

Encourages developmental stimulation during both health and illness so children can reach their ultimate capacity in adult life

Roles and Responsibilities of a maternal child nurse: 8:

Assess families for strengths as well as specific needs or challenges

Roles and Responsibilities of a maternal child nurse: 9: Encourages family bonding through _____ and _____ in maternal and child healthcare settings.

Encourages family bonding through rooming-in and family visiting in maternal and child healthcare settings.

Roles and Responsibilities of a maternal child nurse: 10:

Encourages early hospital discharge options to reunite families as soon as possible in order to create a seamless, helpful transition process.

Roles and Responsibilities of a maternal child nurse: 11:

Encourages families to reach out to their community so the family can develop a wealth of support people they can call on in a time of family crisis.

WHO's 17 Sustainable Development Goals:

1-17

WHO's 17 Sustainable Development Goals: 1:

No poverty

WHO's 17 Sustainable Development Goals: 2:

Zero hunger

WHO's 17 Sustainable Development Goals: 3:

Good health and well-being

WHO's 17 Sustainable Development Goals: 4:

Quality Education

WHO's 17 Sustainable Development Goals: 5:

Gender equality

WHO's 17 Sustainable Development Goals: 6:

Clean water and sanitation

WHO's 17 Sustainable Development Goals: 7:

Affordable and Clean Energy

WHO's 17 Sustainable Development Goals: 8:

Decent Work and Economic Growth

WHO's 17 Sustainable Development Goals: 9:

Industry, Innovation and Infrastructure

WHO's 17 Sustainable Development Goals: 10:

Reduced Inequality

WHO's 17 Sustainable Development Goals: 11:

Sustainable Cities and Communities

WHO's 17 Sustainable Development Goals: 12:

Responsible consumption and Production

WHO's 17 Sustainable Development Goals: 13:

Climate ACtion

WHO's 17 Sustainable Development Goals: 14:

Life Below Water

WHO's 17 Sustainable Development Goals: 15:

Life on Land

WHO's 17 Sustainable Development Goals: 16:

Peace and Justice Strong Institutions

WHO's 17 Sustainable Development Goals: 17:

Partnerships to achieve the Goal

Sister Callista Roy

Patricia Benner

Self-care

An assessment in the area of reproductive health begins with?

Interviewing to determine a patient's knowledge level.

Assessment and teaching must be done in a?

Private, non-judgemental setting

Some common concerns:

Delayed menarche for adolescents Nocturnal emissions Safe sex practices Premenstrual dysphoric syndrome

Nurse may discuss:

Puberty normal distribution of body hair Normal anatomy and physiology of reproductive system

Includes all the decisions an individual or couple make about whether and when to have children, how many children to have, and how they are spaced.

Reproductive Life Planning

Unintended or mistimed pregnancy may result in women less likely to:

Seek prenatal care breastfeed protect fetus from harmful substances

Types of Reproductive Life Planning:

1. Natural Family Planning 2. Artificial Family Planning

Types of Reproductive Life Planning: 1: Also called periodic abstinence methods Involves no introduction of chemical or foreign material into the body or sustaining from sexual intercourse during a fertile period.

Natural Family Planning

Types of Reproductive Life Planning: 2: Any unnatural technique to prevent pregnancy from occurring. It may be using barrier devices, chemicals, hormonal or surgical

Artificial Family Planning

Types of Natural Family Planning:

1. Abstinence 2. Coitus Interruptus 3. Lactation Amenorrhea method 4. Post coital douching 5. Fertility Awareness Method

Types of Natural Family Planning: 1: Refraining from sexual relations Many sex education classes advocate abstinence as the only contraceptive measure Provide information not only on the method but suggestions of ways to comply with this method Advantage: No Cost. Has a theoretical 0% failure rate and is also the most effective way to prevent STIs Disadvantage: High motivation needed; highly unreliable

Abstinence

Types of Natural Family Planning: 2: Also known as withdrawal or the pull-out method, is a method of birth control in which a man, during sexual intercourse, withdraws his penis from a woman's vagina prior to orgasm ( and ejaculation) and then directs his ejaculate (semen) away from the vagina in an effort to avoid insemination Advantage(s): No Cost Disadvantage(s): Less effective and ineffective in the prevention of STDs

Coitus interruptus

Types of Natural Family Planning: 3: As long as a woman is breastfeeding an infant, there is some natural suppression of ovulation. Advantage(s): Effective for short term, 6 mos at most Disadvantage(s): Temporary measure; not reliable if infant takes supplemental feedings, ineffective in the prevention of STDs

Lactation Amenorrhea Method

Types of Natural Family Planning: 3: Lactation Amenorrhea Method: Requirements:

1. Menstruation since delivery has not yet returned 2. baby less than six months 3. Exclusive breast feeding

Types of Natural Family Planning: 4: Washing or cleaning out the inside of the vagina with water or other mixtures of fluids after coitus Disadvantage(s): ineffective in preventing pregnancy, interferes with normal flora.

Post coital douching

Types of Natural Family Planning: The 5th type of Natural Family Planning:

Fertility Awareness Methods

Types of Natural Family Planning: The 8 types of Fertility Awareness Methods:

1. Calendar (Rhythm) Method 2. Cervical Mucus Method (Billing's Method) 3. Basal Body Temperature Method 4. Symptothermal Method 5. Two-Day Method 6. Standard Days Method: Cycle Beads 7. Ovulation Detection 8. Marquette Model

Types of Natural Family Planning: Fertility Awareness Methods: 1: This method requires a couple to abstain from coitus (sexual relations) on the days of a menstrual cycle when the woman is most likely to conceive (3 or 4 days before until 3 or 4 days after ovulation). Advantage(s): no cost -Disadvantage(s): -Ineffective in the prevention of STDs -Women must monitor the length of their menstrual cycle in order to use them effectively; -Suitable only for women who have regular menstrual cycles; -Constant menstrual cycle length monitoring required -Additional contraceptive methods or abstinence are required for a significant portion of the menstrual cycle

Calendar (Rhythm) Method

Types of Natural Family Planning: Fertility Awareness Methods: 1: Calendar (Rhythm) Method: To plan for this, the women keeps a diary of how many menstrual cycles?

Six (6) menstrual cycles

Types of Natural Family Planning: Fertility Awareness Methods: 1: Calendar (Rhythm) Method: To calculate "safe" days, she subtracts ___ from the ___ cycle documented This number represents her FIRST FERTILE DAY

... She subtracts 18 from the shortest cycle documented

Types of Natural Family Planning: Fertility Awareness Methods: 1: Calendar (Rhythm) Method: To calculate "safe" days, she subtracts ____ from her ____ cycle. This represents her LAST FERTILE DAY.

She subtracts 11 from her longest cycle.

Types of Natural Family Planning: Fertility Awareness Methods: 2: another method to predict ovulation using the changes in cervical mucus that occur naturally with ovulation Before ovulation each month, the cervical mucus is thick and does not stretch when pulled between the thumb and finger. Just before ovulation, mucus secretion increases. With ovulation ( the peak day), cervical mucus becomes copious, thin, watery, and transparent. It feels slippery and stretches at least 1 inch before the strand breaks All the days on which cervical mucus is copious, and for at least 1 day afterward, are considered to be fertile days, or days on which the woman should abstain from coitus to avoid conception. In addition, breast tenderness and an anterior tilt to the cervix occur.

Cervical Mucus Method (Billing's Method)

Types of Natural Family Planning: Fertility Awareness Methods: 2: Cervical Mucus Method (Billing's Method): The cervical mucus feeling slippery and stretches at least 1 inch before the strand breaks is a property known as?

Spinnbarkeit

Types of Natural Family Planning: Fertility Awareness Methods: 2: Cervical Mucus Method (Billing's Method): The typical failure rate is about:

25%

Types of Natural Family Planning: Fertility Awareness Methods: 3: To use this method, the woman takes her temperature each morning immediately after waking either orally or with an ear thermometer before she undertakes any activity As soon as she notices a slight dip in temp followed by an increase, she knows that she has ovulated. She refrains from having coitus for the next 3 days (the life of the discharged ovum). Because sperm can survive for at least 4 days in the female reproductive tract, it is usually recommended that the couple combine this method with a calendar method, so that they abstain for a few days before ovulation as well. Advantage(s): No Cost Disadvantage(s): Less effective due limitation the the temperature can also rise caused by illness, starting an aerobic program -Ineffective in the prevention of STDs

Basal Body Temperature Method

Types of Natural Family Planning: Fertility Awareness Methods: 3: Basal Body Temperature Method: Just before the day of ovulation, a woman's basal body temperature (BBT), or the temperature of her body at rest, falls about ____ At the time of ovulation, her BBT rises a full degree because of the influence of progesterone This higher level is then maintained for the rest of her menstrual cycle

O.5 degree Fahrenheit

Types of Natural Family Planning: Fertility Awareness Methods: 4: The symptothermal Method of birth control combines the ____ and _____ methods

... combines the cervical mucus and BBT methods

Types of Natural Family Planning: Fertility Awareness Methods: 4: Symptothermal Method: She also analyses her cervical mucus every day and observes for other signs of ovulation such as _____ (midcycle abdominal pain).

Mittelschmertz

Types of Natural Family Planning: Fertility Awareness Methods: 5: A woman assesses for vaginal secretions daily. If she feels secretions for 2 days in a row she avoids coitus that day and the day following as the presence of secretions suggests fertility. Requires conscientious daily assessment and results in about 12 days per month in which she should avoid coitus, the same as a calendar method Advantage(s): No cost Disadvantage(s): Requires motivation, cooperation; ineffective in the prevention of STD

Two-Day Method

Types of Natural Family Planning: Fertility Awareness Methods: 6: A woman purchases a circle of beads that helps her predict fertile days The first bead on the ring is red and marks the first day of her menstrual flow; this is followed by six brown beads which indicate "safe" days. The woman advances one bead per day during the month. If she reaches a dark brown bead (appears on the 27th day) before she begins her next menses, her cycle is too short for the method to be reliable. If she reaches the end of the string of beads (32 days) before menses, she knows her cycle is too long for the method to be reliable. Advantage(s): Easy to use Disadvantage(s): Needs funds for the beads, Requires motivation, cooperation, ineffective in the prevention of STDs

Standard Days Method: Cycle Beads

Types of Natural Family Planning: Fertility Awareness Methods: 6: Standard Days Method: Cycle Beads: This method is designed for women who have menstrual cycles between ____ and _____ days.

... between 26 and 32 days.

Types of Natural Family Planning: Fertility Awareness Methods: 6: Standard Days Method: Cycle Beads: _____ glow-in-the-dark _____ beads, which mark fertile days (during which she needs to abstain form coitus), and ____ additional _____ "safe" days follow.

Twelve (12) glow-in-the-dark- white beads, which mark fertile days (during which she needs to abstain from coitus), and 13 additional brown "safe" days follow

Types of Natural Family Planning: Fertility Awareness Methods: 7: Use of an over-the-counter ovulation detection kit 98 to 100% accurate in predicting ovulation. Can be used in the future to help conception when the couple is ready to have children. Advantage(s): Easy to use Disadvantage(s): Needs funds for monthly Kit, Requires motivation, cooperation, ineffective in the prevention of STDs

Ovulation Detection

Types of Natural Family Planning: Fertility Awareness Methods: 7: Ovulation Detection: These kits detect the midcycle surge of LH that can be detected in urine ____ before ovulation

... in urine 12 to 24 hours before ovulation

Types of Natural Family Planning: Fertility Awareness Methods: 8: This method combines the use of ovulation detection with other signs of ovulation (cervical mucus, BBT, cervix position and softness) to avoid pregnancy during a woman's fertile period. Advantage(s): Teaches couples to understand their fertility and work with their bodies. Disadvantage(s): Needs funds for monthly Kit, Requires motivation, cooperation, ineffective in the prevention of STDs

Marquette Model

Types of Artificial Family Planning:

1. Barrier Methods 2. Hormonal Methods 3. Intrauterine devices 4. Surgical Methods

Types of Artificial Family Planning: 1: Are forms of birth control that work by the placement of a chemical or other barrier between the cervix and advancing sperm so that sperm cannot enter the uterus or fallopian tubes and fertilize the ovum

Barrier Methods

Types of Artificial Family Planning: 2: Are, as the name implies, hormones that cause such fluctuations in a normal menstrual cycle the ovulation does not occur.

Hormonal Methods