Exam 1 Maternity

Question 1

4 Goals of healthy people 2020

Answer 1

1) attaining high quality longer lives free of preventable disease, disability, injury and premature death
2) achieving health equity, eliminating disparities, and improving the health of all groups
3) creating social and physical environments that promote good health for all
4) promoting quality of life, healthy development, and healthy behaviors across all life stages

Question 2

Healthy people 2020 maternity goals: (4)

Answer 2

Reduce the rate of fetal and infant deaths

reduce the rate of maternal mortality

reduce preterm births

reduce cesarean births among low risk women

Question 3

Interprofessional collaborative practice competency domains (4)

Answer 3

values/ethics for inter professional practice

roles/responsibilities

interprofessional communication

teams and teamwork

Question 4

Barriers to access for care

Answer 4

inability to pay (most significant)

lack of transportation and dependent child care

lack of providers for low income women

Question 5

Abortus

Answer 5

embryo or fetus that is removed from the uterus at 20 weeks of gestation or less, weighs 500g or less or measures 25 cm or less

Question 6

Birth rate

Answer 6

number of live births in 1 year per 1000 population

Question 7

Fertility rate

Answer 7

number of births per 1000 women between the ages of 15 and 44 years calculated on a yearly basis

Question 8

Infant mortality rate

Answer 8

number of deaths of infants younger than 1 year of age per 1000 live births

Question 9

Maternal mortality rate

Answer 9

number of maternal deaths from births and complications of pregnancy, childbirth and puerperium (first 42 days after end of pregnancy) per 100,000 live births

Question 10

Neonatal mortality rate

Answer 10

number of deaths of infants younger than 28 days of age per 1000 live births

Question 11

Perinatal mortality rate

Answer 11

number of stillbirths and the number of neonatal deaths per 1000 live births

Question 12

stillbirth

Answer 12

an infant who at birth demonstrates no signs of life, such as breathing, heartbeat or voluntary muscle movements

Question 13

3 major causes of maternal death attributable to pregnancy

Answer 13

hypertensive disorders

infection

hemorrhage

Question 14

leading cause of death in women

Answer 14

heart disease followed by malignant neoplasms including breast cancer

Question 15

Outcomes oriented care measures

Answer 15

effectiveness of car against benchmarks or standards

measure of the value of nursing using quality indicators and answers the question “did the client benefit or not benefit from the care provided?”

Question 16

Standard of care:

Answer 16

level of practice that a reasonably prudent nurse would provide in the same or similar circumstances

Question 17

Sentinel event and some examples

Answer 17

unexpected occurrence involving death or serious physical or psychological injury or risk thereof

any maternal death related to process of birth

any perinatal death unrelated to a congenital condition in an infant having a greater than 2500g

severe neonatal hyperbilirubinemia (bilirubin greater than 30 mg/dl)

infant discharge to wrong family

Question 18

TeamSTEPPS:

Answer 18

Team strategies to enhance performance and patient safety developed by the department of defense patient safety program in collaboration with the AHRQ as a teamwork system for health professionals to provide higher quality, safer client care

Question 19

3 phases of TeamSTEPPS delivery system

Answer 19

assess the need

plan, train and implement the TeamSTEPPS initiative

sustain the improvements in performance, processes and outcomes that result from the initiative

Question 20

Predictive testing

Answer 20

used to clarify the genetic status of asymptomatic family members

Question 21

Carrier screening test

Answer 21

used to identify individuals who have a gene mutation for a genetic condition but do not show symptoms of the condition because it is an autosomal recessive condition

Question 22

Presymptomatic testing

Answer 22

mutation analysis for HD, a neurodegenerative disorder is an example of presymptomatic testing- if the gene mutation for HD is present, symptoms of HD are certain to appear if the individual lives long enough

Question 23

Example of predispositional testing

Answer 23

testing for a BRCA 1 gene mutation to determine breast cancer susceptibility

Question 24

Difference between predispositional testing and presymptomatic testing

Answer 24

a positive results (presence of BRCA 1 mutation) does not indicate a 100% risk of developing the condition (breast cancer)

Question 25

Most common trisomal abnormality

Answer 25

down syndrome

Question 26

Most common sex chromosome abnormality in females and males

Answer 26

Turner syndrome or monosomy X for females
female is missing an X chromosome - underdeveloped ovaries, webbed neck, low hairline, low ears

Klinefelter syndrome for males
male has an extra X chromosome and exhibits poorly developed secondary sex characteristics and small testes- infertile, tall, slow to learn

Question 27

Examples of autosomal recessive inherited disorders

Answer 27

PKU

galactosemia

maple syrup urine disease

tay-sachs

sickle cell anemia

CF

Question 28

Phases of sexual response

Answer 28

Excitement phase

plateau phase

orgasmic phase

resolution phase

Question 29

Components of preconception care

Answer 29

Health promotion: general teaching

Risk factor assessment

Interventions

Question 30

Major goals of prenatal care

Answer 30

define health status of the mother and fetus

determine the gestational age of the fetus and monitor fetal development

identify the woman at risk for complications and minimize the risk whenever possible

provide appropriate education and counseling

Question 31

4 C’s of cultural competence

Answer 31

Call: what do you call your problem?

Cause: what do you think caused your problem?

Cope: how do you cope with your condition?

Concerns: what are your concerns regarding your condition?