Maternal Newborn Chapter 1

Front 1

Maternity nursing focuses on what?

Back 1

the care of childbearing women and their families through all stages of pregnancy and childbirth as well as the first 4 weeks after birth

Front 2

The most significant barrier to access is

Back 2

inability to pay

(lack of transportation and dependent child care are others barriers)

Front 3

What 3 results have been documented from delayed pushing in the second stage of labor?

Back 3

1) conserves energy of the mother
2) results in fewer instrumental births
3) less costly

Front 4

• List 3 terms used to describe procedures in which part or all of the female genitalia are removed for cultural reasons.

Back 4

1) female genital mutilation
2) infibulation
3) circumcision

Front 5

The incidence of battering (increases or decreases) during pregnancy?

Back 5

increases

Front 6

Canada ranks ________ and the US ranks __________ among industrialized nations in infant mortality rates.

Back 6

24th

US = 27th

Front 7

Escalating drug use and abuse has contributed to what (5) things?

Back 7

higher incidence of prematurity

low birth weight

congenital defects

learning disabilities

withdrawal symptoms in infants

Front 8

Write what the following acronyms stand for and what the organization publishes:
ANA-

Back 8

american nurses association
---> publishes standards for maternal child health nursing

Front 9

Write what the following acronyms stand for and what the organization publishes:
-AWHONN

Back 9

association of womens health, obseteric, and neonatal nurses
---> publishes standards of practice and education for perinatal nurses

Front 10

Write what the following acronyms stand for and what the organization publishes
-ACNM

Back 10

american college of nurse midwives
--> publishes standards of practice for midwives

Front 11

Write what the following acronyms stand for and what the organization publishes
-NANN

Back 11

national association of neonatal nurses
---> publishes standards of practice of neonatal nurses

Front 12

What is “standard of care”?

Back 12

the level of practice that a resonably prudent nurse would provide

(the care given is compared with the standard of care and if the standard was not met and harm resulted, negligence is concluded to have occurred)

Front 13

high birth rates occurred in what age group:

Back 13

(highest birth rates occurred in women 20-29 yrs of age)

Front 14

-abortus:

Back 14

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

Front 15

-birthrate:

Back 15

# of live births in 1 year per 1000 population

Front 16

-fertility rate:

Back 16

# of births per 1000 women b/w ages 15-44 years, calculated on a yearly basis

Front 17

-infant mortality rate:

Back 17

# of deaths of infants under 1 year or age per 1000 live births

Front 18

-maternal mortality rate:

Back 18

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

Front 19

neonatal mortality rate:

Back 19

# of deaths of infants under 28 days of age per 1000 live births

Front 20

-perinatal mortality rate:

Back 20

# of still births and the # of neonatal dates per 1000 live births

Front 21

-stillbirth:

Back 21

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

Front 22

-the risks of morbidity and mortality increase for newborns weighing less than

-what contributes to the incidence of LBW?

Back 22

2500 g (5 lb, 8 oz)
(LOW BIRTH WEIGHT-LWB- infants)

multiple births.

Front 23

-what can cigarette smoking cause: (3)

Back 23

- LBW
- prematurity
-intrauterine growth restriction

Front 24

-infant mortality rate: # of deaths of infants younger than 1 year or age per 1000 live births
--high in white or black babies?

Back 24

higher in black babies than in whites

Front 25

-what is associated with higher infant mortality rates?

Back 25

-limited maternal education
-young materinal age
-unmarried status
-poverty
-lack of prenatal care
-smoking
- poor nutrition
-smoking
-alcohol
-maternal conditions such as poor health or hypertension

Front 26

what is purpose of risk management?

Back 26

decrease the injury to clients and # of lawsuits against docs, nurses, and hospitals

Front 27

what are sentinel events?

Back 27

unexpected occurence involving death or serious physical/psychologic injury or risk of

-serious injury= loss of limb/function

Front 28

failure to rescue:
1
2

Back 28

1) careful surveillance and identification of complications

2) acting quickly to intiate appropriate apprroriate interventions and activating a team response