NCM_109 topic 1 Flashcards
what is high risk pregnancy?
a woman who was concurrent disorder, pregnancy related complication, or external factors that jeopardizes the health of woman, fetus, or both
TRUE OF FALSE: Women who are in good health before entering pregnancy could not get any complications.
FALSE: pregnant women in good health can develop complications of pregnancy and become at high risk.
TRUE OF FALSE: Women that enter pregnancy with chronic illness can become at high risk if superimposed.
TRUE
Where do maternal death occur?
a. low-income countries
b. middle income countries
c. high income countries
d. low and lower middle-income countries
D
Who face a higher risk of complications and death as result to pregnancy?
a. elderly
b. women in 20s
c. young adolescents (ages 10-14)
d. all of the above
C
TRUE OR FALSE: skilled care before, during, and after childbirth can save the lives of women and newborns
TRUE
TRUE OR FALSE: complications that develop during pregnancy are not preventable or treatable
FALSE: it is the most preventable and treatable
TRUE OR FALSE: complications that exist before pregnancy could get worse during pregnancy if not managed as part of women’s care
TRUE
What are the common major complications that account for nearly 75% of all maternal deaths?
- infection
- severe bleeding
- complications during delivery
- unsafe abortion
- pre-eclampsia and eclampsia
TRUE OR FALSE: the reason why women do not get care they need is become they are placed in remote areas where there are low numbers of skilled health workers
TRUE
Factors that prevent women from receiving care during pregnancy and childbirth
- poverty
- distance of facilities
- lack of information
- inadequate and poor-quality services
- cultural beliefs and practices
TRUE OR FALSE: In relation to SDG and Maternal Mortality, countries have united behind new target to accelerate the decline of maternal mortality by 2040 with the ambition of target using SDG 3
FALSE: 2030
What is not a response by WHO towards maternal mortality?
a. Ending Preventable Maternal Mortality Strategy
b. addressing causes of MM, reproductive and maternal morbidities and related disabilities
c. strengthening health system to collect high quality data
d. ensuring accountability to improve quality of care and equity
e. addressing inequalities in access to and quality of reproductive, maternal, and newborn health care services
f. ensure universal health coverage for comprehensive maternal, and newborn care services
g. None of the above
G
TRUE OR FALSE: nurse must focus on nursing care and on the economic impact on the woman and her family.
FALSE: nurse must focus on nursing care and psychosocial of woman and her family
TRUE OR FALSE: Insurance companies can concentrate on the economic issues related to the high risk status of pregnancy
TRUE
What is the ultimate goal of giving reproductive, maternal and newborn care when working as collaborative team?
ensure the best possible outcome for women, her fetus, and family
When does the risk assessment begin?
antepartal
What are the four current categories of risk in pregnancy?
- biophysical (physiological)
- psychosocial
- socio-demographic
- environmental
TRUE OR FALSE: cases with a significantly higher risk should be referred to the referral centers
TRUE
TRUE OR FALSE: cases from rural areas may be kept at maternity waiting homes close to the referral centers
TRUE
TRUE OR FALSE: cases having a previous unsuccessful pregnancy are not that significant to be seen and investigated
FALSE: they should be seen and investigated before another conception occurs
TRUE OR FALSE: complete investigations for hypertension, diabetes, kidney disease, or thyroid disorders should be undertaken, and proper treatment instituted in the nonpregnant state
TRUE
TRUE OR FALSE: It is considered to not treat patients with STD before embarking on another pregnancy
FALSE: they should be treated before another conception
TRUE OR FALSE: cervical tears should be repaired in the nonpregnant state
TRUE
TRUE OR FALSE: Serology (test to check antibodies) for toxoplasma lgG, lgM and antiphospholipid antibodies should be done and corrected appropriately when negative
FALSE: when only found positive
TRUE OR FALSE: folic acid 4mg/day therapy should be started after childbirth and is continued until patient is in nonpregnant state
FALSE: start in pregnant state and continued throughout the pregnancy
TRUE OR FALSE: early in pregnancy after the initial clinical examination, routine and special laboratory investigations should not be undertaken
FALSE: it should be undertaken
TRUE OR FALSE: Patient with hx of previous first trimester abortion should be advised rest and refrain from sexual intercourse
TRUE
When patient has history of first trimester abortion, what advices must be said?
- take rest
- refrain from sexual intercourse
- avoid vaginal examination
What should be done for patients suspected with cervical incompetence?
they should have sonographic evaluation early in second trimester so that the cervical encirlage.
TRUE OR FALSE: patient having premature labor, unexplained stillbirth, intrauterine growth restriction, and other abnormalities are benefited by prolonged rest in hospital with close supervision
TRUE
Type of delivery for high risk cases
caesarean section
when does we need to induce labor?
if gestation reaches to 37 to 38 weeks
TRUE OF FALSE: cases who go into labor spontaneously or after induction, need close monitoring during labor for the assessment of progress of labor or for any evidence of the fetal hypoxia
TRUE
