Maternity 6-1

Question 1

Anesthesia introduced - what year?

Answer 1

1847

Question 2

1940′s

Answer 2

Women labored in large maternity wards and told to keep quiet.

Women delivered in sterile delivery rooms with only staff present.

Routine enema/pubic shaving

10-day hospital stay on bedrest

Lithotomy position (stirrups lying on back) routine/Forceps use frequent

Mothers were separated from their babies to prevent infection.

1942 : Grantley Dick-Read published Childbirth Without Fear.

Question 3

affordable care act

Answer 3

Requires all qualified health plans to cover maternity care and childbirth

Covers 22 preventative services for women

Health insurance plans must provide breastfeeding support, counseling, and equipment for the duration of breastfeeding

The Affordable Care Act amended the Fair Labor Standards Act (FLSA) requiring employers to give allow sufficient break time for a mother to pump in a place that is not a bathroom

Question 4

native american, native alaskan, black

Answer 4

have the worst mortality rates

Question 5

Maternal

Answer 5

Maternal: number of deaths of any cause during pregnancy/100,000 live births

Question 6

Fetal (you’re a fetus at 20)

Answer 6

Fetal: number of fetal deaths (over 20 weeks) in 1,000 live births

Question 7

Neonatal

Answer 7

Neonatal: number of infant deaths (in first 28 days) in 1,000 live births

Question 8

Infant

Answer 8

Infant: number of infant deaths (in first 12 months) in 1,000 live births

Question 9

Causes of Maternal Mortality
- Heart disease and stroke

Answer 9

Heart disease and stroke caused more than 1 in 3 deaths overall

Question 10

Causes of Maternal Mortality
- Obstetric emergencies (most common at time of birth)

Answer 10

Obstetric emergencies, like severe bleeding and amniotic fluid embolism (amniotic fluid enters a childbearing person’s bloodstream), caused most deaths at delivery.

Question 11

Causes of Maternal Mortality - cardiomyopathy (cardio after birth)

Answer 11

Cardiomyopathy (weakened heart muscle) was the leading cause of deaths 1 week to 1 year after delivery

Question 12

Opioid overdose now

Answer 12

leading cause of infant mortality in some states.

Question 13

trends in family centered care

Answer 13

Patients empowered to make own decisions regarding pain management

Doulas

Choice of provider

Choice of where to deliver

Breastfeeding

Options and culture around birth varies regionally and among hospitals

Question 14

length of hospital stay

Answer 14

24-48 hours for a vaginal birth

48-72 hours for c/s

Focus on Outpatient education

Question 15

healthy ppl 2030

Answer 15

Reduce the rate of fetal and infant deaths
Reduce the rate of maternal mortality
Reduce preterm births
Reduce cesarean births among low risk birthing people.

Question 16

family

Answer 16

two or more persons joined by a common bond of sharing and emotional closeness

Question 17

culture

Answer 17

beliefs or guidelines shared by a group which dictate how individuals relate to larger society
Not static, ongoing

Question 18

cultural humility

Answer 18

To practice cultural humility is to maintain a willingness to suspend what you know, or what you think you know, about a person based on generalizations about their culture

Question 19

SRE

Answer 19

Infant discharged to the wrong person
Infant abduction
Maternal death or serious disability associated with labor or birth in a low risk pregnancy while being cared for in a health care facility
Death or serious disability (kernicterus) associated with failure to identify and treat hyperbilirubinemia in neonates
Circumcision without pain relief measures
Missed administration of RhoGam

Question 20

Standard of Care

Answer 20

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

Question 21

national safety patient goals (the nation identifies communication w/ medicine to prevent infection for safety and surgery)

Answer 21

Identify patients correctly
Improve staff communication
Use medicines safely
Prevent infection
Identify patient safety risks
Prevent mistakes in surgery