Ch. 1 - 21st Century Maternity and women's health nursing Flashcards
Maternity nursing focuses on…
Women & their infants & families during the childbearing cycle.
Women’s health nursing focuses on…
The special physical, psychologic, & social needs of women throughout their life spans
Childbirth practices have changed to become more focused on….
The family & allow alternitives to care
What affects women’s health?
Race
Age
Violence
ETC
The US ranks _____ & Canada ranks ____ among industrialized nations in infant mortality rates.
29th
25th
Combines modern technology with ancient healing practices and encompasses the whole of body, mind, and spirit?
Integrative medicine
Provides an update on goals for maternal and infant health?
Healthy people 2020
Problems of the US health care system that can affect maternity & women’s health?
Med errors (leading cause of death)
High cost
Limited access to care
Ethnic & minority groups
Measures effectiveness of care against benchmarks or standards?
Outcomes-oriented care
Examples of outcome-oriented care systems?
OASIS
NOC
An embryo or fetus that is removed or expelled from the uterus at 20 wks of gestation or less, weight 500 g or less, or measures 25 cm or less?
Abortus
Number of live births in 1 yr per 1000 population?
Birth rate
Number of births per 1000 women between the ages of 15-44 yrs (inclusive), calculated on a yearly basis?
Fertility rate
Number of deaths of infants younger than 1 year of age per 1000 live births?
Infant mortality rate
Number of maternal deaths from births and complications of pregnancy, childbirth, and puerperium (the first 42 days after termination of pregnancy) per 100,000 live births?
Maternal mortality rate
Maternal mortality the first 42 days after termination of pregnancy?
Puerperium
Neonatal mortality rate is described as the # of deaths of infants younger than ____ per 1000 live births.
28 days
Number of stillbirths and the number of neonatal deaths per 1000 live births?
Perinatal mortality rate
The risks of morbidity and mortality increase for newborns weighing less than ______ (LBW) infants.
2500 g (5lb, 8 oz)
The infant mortality rate continues to be higher in?
AA’s
Leading cause of death in the neonatal period?
Congenital anomalies
3 MAJOR causes of maternal mortality in the US that attribute to pregnancy?
Gestational HTN
PE
Hemorrhage
What factors are strongly r/t maternal death?
Age <20 yrs and 35 or older Lack of prenatal care low educational attainment Unmarried status Non-Caucasian race
What are the 2 most frequently reported maternal medical risk factors?
HTN & Diabetes (both are assoc with OBESITY)
Drug use in pregnancy has contributed to higher incidences of… in infants?
Prematurity LBW Congenital defects Learning disabilities Withdrawal sxs
Alcohol use in pregnancy has been associated with?
Miscarriages
Mental retardation
>BW
Alcohol related birth defects
______ care is provided by obstetricians, family physicians, CNMs, and other advanced practice clinicians approved by local governance.
Basic
_____ care include obstetricians who must provide fetal diagnostic testing and mgmt of ob and medical complications in addition to basic care.
Specialty
_______ care is provided by maternal-fetal medicine specialists and includes the aforementioned in addition to genetic testing, advanced fetal therapies, and mgmt of severe maternal and fetal complications.
Subspecialty
________ is an umbrella term for the use of communication technologies and electronic info to provide or support health care when the participants are separated by distance?
Telehealth
RNs with education in the two disciplines of nursing and mid-wifery?
Certified nurse-midwives (CNMs)
A 23-y/o African-American woman is pregnant with her 1st child. Based on the statistics for infant mortality, which plan is most important for the RN to implement?
A. Perform a nutrition assessment.
B. Refer the woman to a social worker.
C. Advise the woman to see an obstetrician, not a
midwife.
D. Explain to the woman the importance of keeping
her prenatal care appointments.
D. Explain to the woman the importance of keeping
her prenatal care appointments.
RATIONALE: Consistent prenatal care is the best method of preventing or controlling risk factors associated with infant mortality.
What is not a trend in the delivery of health care in the US?
A. Greater emphasis has been placed on curing disease & disability than on preventing them.
B. Hospital stays for many conditions have been shortened.
C. Acute care increasingly is provided through home-based services.
D. Hospital-based RNs are increasingly involved in follow-up care after discharge.
A
When a RN is unsure about how to perform a pt care procedure, the best action would be to:
A. Ask another RN
B. Discuss the procedure with the pt’s physician
C. Look up the procedure in a nursing textbook
D. Consult the agency procedure manual & follow the guidelines for the procedure
D
When caring for pregnant women, the RN should keep in mind that violence during pregnancy:
A. Affects more than 25% of pregnant women in the United States
B. Increases a pregnant woman’s risk for gestational hypertension
C. May be assoc with substance abuse by both the pregnant woman & her partner
D. Has decreased in incidence as a result of better assessment techniques & record keeping
C
From the RN’s perspective, what measure should be the focus of the health care system in order to reduce the rate of infant mortality further?
A. Implementing programs to ensure women’s early participation in ongoing prenatal care
B. Increasing the length of stay in a hospital after vaginal birth from 2 to 3 days
C. Expanding the number of NICUs
D. Mandating that all pregnant women receive care from an obstetrician
A
The term used to describe legal & professional responsibility for practice for maternity RNs is: A. Collegiality B. Ethics C. Evaluation D. Accountability
D
Providing treatment and rehabilitation for people who have developed disease is part of:
A. Primary preventive care
B. Secondary preventive care
C. Tertiary preventive care
D. Primordial preventive care
C
What would a breastfeeding mother who is concerned that her baby is not getting enough to eat find most helpful and most cost-effective on the day after discharge?
A. Visiting a pediatric screening clinic at the hospital
B. Placing a call to the hospital nursery “warm line”
C. Calling the pediatrician for a lactation consult referral
D. Requesting a home visit
B
When providing health education to the client, the nurse understands that an example of the secondary level of prevention is:
A. Approved infant car seats
B. Breast self-examination (BSE)
C. Immunizations
D. Support groups for parents of children with Down syndrome
B
A mother's household consists of her husband, his mother, and another child. She is living in a/an: A. Extended family B. Single-parent family C. Married-blended family D. Trinuclear family
A
The process by which people retain some of their own culture while adopting the practices of the dominant society is known as: A. Acculturation B. Assimilation C. Ethnocentrism D. Cultural relativism
A
In which culture is the father more likely to be expected to participate in the labor and delivery? A. Asian-American B. African-American C. European-American D. Hispanic
C
The nurse understands the importance of a walking survey because this tool:
A. Determines how much exercise expectant mothers have been getting, to help inform client care decisions
B. Usually takes place on the maternity ward but can be expanded to other areas of the hospital
C. Is a method of observing the resources and health-related environment of the community
D. Is performed by government census takers as part of their canvas
C
A Native-American woman gave birth to a baby girl 12 hours ago. The nurse notes that the woman keeps her baby in the bassinet except for bottle feeding and states that she will wait until she gets home to begin breastfeeding. The nurse recognizes that this behavior is most likely a reflection of:
A. Delayed attachment
B. Embarrassment
C. Disappointment in the sex of the baby
D. A belief that babies should not be fed colostrum
D
