ISSN:0091-2182    

DOI:10.1016/0091-2182(85)90112-0

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

ABSTRACTThe Division of Examiners of the American College of Nurse‐Midwives (ACNM) conducted a study to determine the feasibility of using an entry‐level certification examination as a tool for reassessment of cognitive competency. A current valid and reliable form of the ACNM national certification examination was administered to a sample of midcareer nurse‐midwives, stratified according to years since first examination and focus of employment. The effects of selected demographic variables on examination outcome performance were assessed. Interpretation of the data was limited by the effect of small sample size and by the volunteer nature of the sample itself. Data did seem to suggest that focus of employment had the most relevant effect on examination score. The failure rate was higher for the recertification subjects than for the control group of entry‐level candidates. The recertification group represented a norm group significantly different from the norm group of first‐time candidates. Conservative interpretation of these data suggests that further consideration should be given to reassessment of competency over time, and that the entry‐level certification examination can be used as a tool for re

ISSN:0091-2182    

DOI:10.1016/0091-2182(85)90113-2

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

ABSTRACTThe hepatitis B carrier rate among the Indochinese refugees in the United States is 12 to 15%. Approximately 30 to 40% of these carriers are highly infectious. A mother who is an infectious carrier has almost a 100% chance of infecting her newborn. In view of this, unless proper precautions are taken, four of every one hundred Southeast Asian newborns will be infected with the Hepatitis B virus. Once infected, the newborn will have an 80 to 90% chance of becoming a carrier. A significant number of these carriers will die of cirrhosis and primary hepatocellular carcinoma as adults. In addition, health care providers are placed at risk when contaminated with the body fluids of carriers. Through an understanding of the serologic markers, a nurse‐midwife can identify those prenatal clients who are at risk for transmitting hepatitis B. Once identified, the necessary preventative measures can be taken to interrupt the disease process in the newborn and protect health care personne

ISSN:0091-2182    

DOI:10.1016/0091-2182(85)90114-4

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

ABSTRACTThis controlled study found a significantly lower incidence of low birth weight (LBW) among the infants of pregnant adolescents cared for by a multidisciplinary team featuring certified nurse‐midwife (CNM)‐managed care, than among the infants of a control group of other pregnant adolescents in the same state matched to the study group by age, race, socioeconomic status, and perinatal risk. The LBW rate for the study group was 9.1%, a significantly lower rate than the control group's rate of 12.7% (P<. 15). The LBW rate for study group patients under age 15 was only 8.8%, compared with 21.0% for the control group. The study group participated in a comprehensive program of interventions that incorporated the talents of nurses, social workers, a nutritionist, obstetricians, and sometimes a psychiatrist. Nurse‐midwives saw each patient at every prenatal visit, evaluated and managed the caseload, and coordinated all program ser

ISSN:0091-2182    

DOI:10.1016/0091-2182(85)90115-6

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

ABSTRACTHypertensive disorders in pregnancy are the leading cause of maternal death in the United States and in many other parts of the world. A recent prospective study has indicated that the susceptibility to preeclampsia‐eclampsia is inherited and probably is determined by a single recessive gene. However, the causes are still unknown. The incidences, prevalences, definitions, cardinal signs, and patients at increased risk for hypertensive disorders in pregnancy are discussed. Successful management of these disorders is early detection. Further discussions are made on the management of preeclampsia, eclampsia, and chronic hypertension in regard to treatment, intrapartum course, and maternal and perinatal outcom

ISSN:0091-2182    

DOI:10.1016/0091-2182(85)90116-8

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

ABSTRACTTwo nurse‐midwifery case studies of preeclamptic patients are presented along with a discussion of their managemen

ISSN:0091-2182    

DOI:10.1016/0091-2182(85)90117-X

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

ISSN:0091-2182    

DOI:10.1016/0091-2182(85)90118-1

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

ISSN:0091-2182    

DOI:10.1016/0091-2182(85)90119-3

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

The Professional Affairs Exchange will address the topic of professional liability in the next few issues of JNM.The American College of Obstetricians and Gynecologists (ACOG) has granted permisson to ACNM to reproduce selections fromThe Assistant, a series developed by ACOG's Department of Professional Liability, which provides information for improved risk management. Although the text refers to “physicians,” the discussion is relevant to CNMs as well as their consultant

ISSN:0091-2182    

DOI:10.1016/0091-2182(85)90120-X

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

ISSN:0091-2182    

DOI:10.1016/0091-2182(85)90121-1

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY