Exam 1 Flashcards
an unexpected occurrence involving death or serious physical or psychological injury or the risk thereof
sentinel event
- leaving a foreign body in a client (sponge, 4x4, forceps)
- falls
- maternal death related to the birth process
- wrong milk to wrong baby
- birth injury
gestation
how long a woman is pregnant (40 weeks)
term
37 - 42 weeks
preterm
20 - 36.6 weeks
abortion (weeks)
less than 20 weeks
gravida
number of times a woman is pregnant
para
the number of times she has “emptied the uterus” delivered
GT
gravida & para
pregnancies and deliveries
GTPAL
Gravida (pregnancies) Term deliveries (37-42 weeks) Preterm deliveries (20-36.6 weeks) Abortions (less than 20 weeks) Living Children
GTPALM
Gravida (pregnancies) Term deliveries (37-42 weeks) Preterm deliveries (20-36.6 weeks) Abortions (less than 20 weeks) Living children Multiples (e.g., twins)
viability weeks
20 weeks
ability to live outside womb
organization that works closely with organizations to address sentinel events and to prevent these types of events from occurring in the first place
joint commission
common risks to women
Age
Adolescent (teen pregnancy)
Young/middle adulthood
Parenthood after age 35
Late reproductive age
Social, Cultural, Economic, & Genetic factors
- diseases among ethnic groups
Socioeconomic
- affects birth outcomes
- cycle
Substance abuse & Alcohol
Obesity
- BMI > 30
- risk for HTN, diabetes, post-term deliveries, IUGR, IFD
Eating Disorders
- anorexia nervosa
- bulimia
- binge-eating disorder
STDs
Lack of exercise, Stress, Depression, Anxiety/other mental health conditions, Sleep Disorders, Environmental/Workplace hazards, Sexual practices, Medical conditions, Female genital mutilation, Violence against women
common disease among ethnic groups
sickle cell - African Americans
Tay-Sachs - Jews
adult lactase deficiency - Chinese
beta thalassemia - Mediterranean
cystic fibrosis - Northern European
alcohol risks
low birth weight babies
fetal alcohol syndrome
intellectual disabilities
behavior problems
learning and physical problems
caffeine risks
coffee, tea, and soft drinks
Heart Dysrhythmias
prescription drug use risks
check to see if it crosses the placenta (most do)
illicit drug use risks
can cause birth defects
Check for drug use:
SROM
vaginal bleeding of unknown origin
FAS
fetal alcohol syndrome
severe facial deformity that can occur if fetus is exposed after 20 weeks
SROM
spontaneous rupture of membrane
IUGR
intrauterine growth restriction
IFD
intrauterine fetal demise/death
doxycycline and pregnancy (chlamydia)
pregnant women shouldn’t take doxycycline because it crosses the placenta and will make the baby’s teeth turn yellow when they are developed
genital warts (HPV)
pregnant women shouldn’t use podofilox because it can cause the lesions to proliferate and become friable (use cryotherapy to burn them off)