Exam 1 Module 3 Flashcards

1
Q

what does EPMM stand for?

A

Ending Preventable Maternal Mortality

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2
Q

what are 5 strategic objectives for EMPP?

A
  1. address inequities in access to and quality of sexual, reproductive, maternal, and newborn health care
  2. ensure universal health coverage for comprehensive sexual, reproductive, maternal, and newborn health care
  3. address all causes of maternal mortality, reproductive and maternal morbidities, and related disabilities
  4. strengthen health systems to respond to the needs and priorities of women and girls
  5. ensure accountability to improve quality of care and equity
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3
Q

describe the CDC & prevention goal

A

prevention measures to reduce maternal and infant mortality

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4
Q

what are 2 ways to reduce maternal & infant mortality before conception?

A

screen women for health risks & pre-existing chronic conditions & advise women to avoid alcohol, tobacco & illicit drugs

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5
Q

what are 2 ways to reduce maternal & infant mortality during pregnancy?

A
  • provide women with early access to high-quality care throughout pregnancy, labor, and delivery
  • educate women about the early signs of pregnancy-related problems
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6
Q

what are 2 ways to reduce maternal & infant mortality during the postpartum period?

A
  • provide info about well-baby care and benefits of breast feeding
  • educate parents about how to protect their infants from exposure to infectious diseases and harmful substance
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7
Q

what is the contributing factor & strategy used to prevent future pregnancy-related deaths at the community level?

A

contributing factor: unstable housing
strategies used: prioritize pregnant & postpartum women for temporary housing programs

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8
Q

what is the contributing factor & strategy used to prevent future pregnancy-related deaths at the health facility level?

A

contributing factor: limited experience w obstetric emergencies
strategies used: implement obstetric emergency simulation training for emergency department & obstetric staff members

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9
Q

what is the contributing factor & strategy used to prevent future pregnancy-related deaths at the patient / family level?

A

contributing factor: nonadherence to medical regimens or advice
strategies used: strengthen & expand access to patient navigators, case managers & peer support

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10
Q

what is the contributing factor & strategy used to prevent future pregnancy-related deaths at the provider level?

A

contributing factor: missed or delayed diagnosis
strategies used: **offer provider education on cardiac conditions in pregnant & postpartum women
**

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11
Q

what is the contributing factor & strategy used to prevent future pregnancy-related deaths at the system level?

A

contributing factor: case coordination or management
strategies used: implement a postpartum care transition bundle for better integration of services for women at high risk

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12
Q

when a women dies during pregnancy or childbirth, this death can send the family into…

A

poverty

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13
Q

what are the 5 major complications in majority of all maternal deaths?

A
  1. severe bleeding (usually after childbirth)
  2. infections (usually after childbirth)
  3. high blood pressure during pregnancy
  4. complications from delivery
  5. unsafe abortion
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14
Q

what are the top 3 causes of maternal death in the US?

A
  1. cardiovascular conditions (during or after childbirth)
  2. infection or sepsis (usually after childbirth)
  3. cardiomyopathy
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15
Q

infant mortality

A

death within the first year of life

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16
Q

child mortality

A

death within 1-5 years of life

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17
Q

which country has the world’s highest infant mortality rate?

A

India

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18
Q

which country has the highest child mortality rate?

A

Nigeria

19
Q

which country has the highest maternal mortality rate?

A

US

20
Q

what are the top 5 causes of infant AND child mortality worldwide?

A
  1. pneumonia / lower resp disorders
  2. preterm birth & neonatal disorders
  3. diarrheal diseases
  4. cogenital defects
  5. infectious diseases
21
Q

Ohio is which place in the nation for highest infant mortality rates?

A

41st

22
Q

what are the top 5 causes of infant mortality in the US?

A
  1. birth defects
  2. low birth weight & preterm birth
  3. SIDS
  4. injuries (ex: suffocation)
  5. maternal pregnancy complications
23
Q

what are the 3 leading causes of death in ages 1-5?

A
  1. unintentional injury (DROWNING IS #1 & MVA is #2)
  2. congenital abnormalities
  3. homicide
24
Q

what are ways to prevent drowning deaths?

A
  • swim lessons
  • every adult accompanying child in water should know CPR basics
  • barriers —> pools should be fenced = prevent falling in
  • life jackets
  • stay vigilant —> can happen so fast
25
Q

how do we prevent death by MVA?

A

BUCKLE UP!

26
Q

what is the #1 way to prevent many child homicides?

A

invest more in primary prevention & intervention of intimate partner violence

27
Q

what are some long-lasting effects of poverty on school aged children?

A
  • mental health issues
  • increased rates of depression
  • anxiety
  • decreased levels of cognitive development
  • increased chronic health diseases
  • injuries/accidents
  • can engage in more risky behavior (smoking, vaping, early sexual activity, alcohol use/abuse, and delinquent behaviors)
28
Q

what are 3 main school-aged health concerns?

A
  1. asthma / physical health conditions
  2. mental health conditions
  3. neurodevelopment disorders
29
Q

what 2 things can mental health disorders be caused by?

A

genetics & environmental causes

30
Q

what is a common sign seen in a child who may have a mental health disorder?

A

refusal to go to school

31
Q

list 5 major focuses in young adult women ages 18-34

A
  1. forming identity & intimacy
  2. spouse & fam
  3. typically healthy (risky behaviors may remain)
  4. EDs
  5. reproductive health & family planning
32
Q

list focuses for middle adult women ages 35 - 64

A
  • health choices, good or bad
  • undetected diseases
  • menopause and hormone related treatment
  • osteoporosis
  • heart disease
  • cancer
  • chronic fatigue and immune dysfunction syndrome
33
Q

how does gender influence health?

A

men are less likely to have knowledge of health activities and are less likely to participate in education or screening, and less likely to go to HCPs

34
Q

list some major focuses on young adult men ages 18-34

A
  1. education, career, family
  2. experimentation (drugs / sex)
  3. risky behaviors
  4. question sexuality
  5. HIV & men
  6. testicular cancer (higher incidence in young men vs older)
35
Q

major focuses in middle adult men (ages 35-64)

A
  1. physical, emotional, financial demands
  2. midlife crisis (depression)
  3. retirement
  4. reproductive health (increased difficulty in sexual performance, STIs)
  5. heart disease & men
  6. prostate health
36
Q

what is the leading cause of death globally?

A

ischemic heart disease

37
Q

what are the top 3 leading causes of death in males?

A
  1. heart disease
  2. cancer
  3. unintentional injuries
38
Q

what are the top 3 leading causes of death in females?

A
  1. heart disease
  2. cancer
  3. chronic lower respiratory diseases
39
Q

which 4 domains does the CDC work through to prevent chronic diseases & their risk factors?

A
  1. epidemiology & surveillance
  2. environmental approaches
  3. health care system interventions
  4. community programs linked to clinical services
40
Q

health goal for older adults 65+

A

“age in place” stay in their home w necessary modifications

41
Q

how does secondary prevention help w goals in the elderly?

A

ensures prompt early diagnosis and treatment

42
Q

how does tertiary prevention help w goals in the elderly?

A

aids in rehab and continuing health promotion, preventing or delaying chronic diseases, to promptly diagnose and treat conditions, until the fullest possible potential is restored

43
Q

what does health people 2030 focus on?

A

reducing health problems and improving quality of life for older adults

44
Q
A