Maternal Newborn - Test 2 Chapter 16

Front 1

Medical and herbal preparations

what may cause a harmless drug to be converted into a hazardous drug?

Back 1

errors or deficiencies in intermediate metabolism in the fetus

Front 2

Medical and herbal preparations

-the greatest danger of drug causing developmental defects in the fetus is when??

Back 2

fertilization through the first trimester

Front 3

Alcohol, cigarette smoke, caffeine, drugs

-maternal alcoholism is associated with high rates of -2

Back 3

miscarriage and fetal alcohol syndrome

Front 4

Alcohol, cigarette smoke, caffeine, drugs

-no safe level of alcohol during pregnancy.
-drinking during what trimester is the worst? why?

Back 4

first trimester -cause more predictive fetal damage

Front 5

cigarette smoking or exposure to 2nd hand smoke

-associated with

Back 5

IUGR

Front 6

cigarette smoking or exposure to 2nd hand smoke

-increase in death in who

Back 6

perinatal and infant morbidity and mortality

Front 7

cigarette smoking or exposure to 2nd hand smoke

-smoking is associated with an increased frequency of

Back 7

-preterm labor,
PROM,
abruption placenta,
placenta previa,
fetal death

Front 8

Caffeine

-greater risk for ________ w/ caffeine intake greater than 300 mg/day-

Back 8

miscarriage

Front 9

Caffeine

-_________ w/ intake greater than 223 mg/day

Back 9

fetal growth restriction

Front 10

Caffeine

-limit caffeine intake to no more than ___ cups of coffee or cola per day

Back 10

3

Front 11

True or False

Drugs
-any drug or envt agent that enters the pregnant woman’s blood stream has the potential to cross the placenta and harm the fetus (marijuana, heroin, cocaine)

Back 11

true

Front 12

Normal discomforts

-nurses can do much to allay a first time mothers anxiety about symptoms by

Back 12

telling her about them in advance and using terminology that the woman can understand

Front 13

Normal discomforts

Back 13

-PRINT PAGE 412-414

Front 14

Recognizing potential complications

-HCP needs to alert the pregnant woman to s/s that indicate a potential of pregnancy
-the woman needs to know :

Back 14

how and to whom to report such warnings
the mother is encouraged to refer to the printed list of potential complications to listen to her body

Front 15

Recognizing potential complications

-if the pregnant mom senses that something is wrong, what should she do?

Back 15

she should call her care provider

Front 16

Recognizing potential complications

-signs that need to be discussed more extensively are:

Back 16

-vaginal bleeding
-alteration in fetal movement
-symptoms of gestational hypertension
-rupture of membranes
-preterm labor

Front 17

Recognizing preterm labor

-preterm labor occurs when?

Back 17

after the 20th week but b4 the 37th week of pregnancy

Front 18

Recognizing preterm labor

-what does it consist of?

Back 18

uterine contractions that if untreated, can cause the cervix to open earlier than normal and result in preterm birth

Front 19

Recognizing preterm labor

-cause of preterm birth is unknown but is assumed to have multiple causes

Back 19

-poverty
-low educational level
-lack of social support
-smoking
-domestic violence
-stress
-current multifetal gestation

Front 20

Recognizing preterm labor

-preterm births are almost twice as high in what race?

Back 20

the African American population than it is in whites

Front 21

Recognizing preterm labor

- prevention of preterm labor may be possible if:

Back 21

if a women knows the warning s/s of preterm labor and seeks care early enough,

Front 22

Cultural influences

what may not cause woman to participate in prenatal care?

Back 22

-lack of $, lack of transportation, language barriers, women from diverse cultures,

Front 23

Cultural influences

what is a major issue?

Back 23

-a concern for modesty is an issue (exposing body parts is considered a major violation)

Front 24

Cultural influences

for some cultural groups, a physician is appropriate only in times of?

Back 24

-for many cultural groups, a physician is deemed appropriate only in times of illness

Front 25

Cultural influences

-cultural prescriptions-

-cultural proscription-

Back 25

-cultural prescriptions- tell a woman what to do



-cultural proscriptions—establish taboos
-the purpose of these practices is to prevent maternal illness resulting from pregnancy induced imbalanced state and to protect vulnerable fetus

Front 26

Cultural influences /Emotional response

-minimal stress
-harmony with other people must be fostered

Back 26

Cultural influences / Emotional Response

Front 27

Cultural influences / Emotional Response

-some people believe that a pregnant woman should refrain from raising her arms above her head, because such movement ties knots in the babies umbilical cord and may cause it to wrap around the babys neck

Back 27

Cultural influences / Emotional Response

Front 28

Cultural influences / Clothing

what is an expectation of many groups?

Back 28

-modesty is an expectation of many

Front 29

Cultural influences / Clothing

-some southwest Mexican woman and woman of central American can wear a cord beneath their breasts and knotted over the umbilicus , why?

Back 29

(the cord is thought to prevent morning sickness and ensure a safe birth)

Front 30

Cultural influences / Physical activity and rest

what 2 cultures encourage woman to be active, walk, engage in normal (not strenuous ) activities to ensure that the baby is health and not to large

Back 30

-native Americans and Asian groups

Front 31

Cultural influences / Physical activity and rest

bwhat cultural group believes that any activity is dangerous and others willingly take over the work of the pregnant woman.

Back 31

-Filipinos

Front 32

Cultural influences / Physical activity and rest

what cultural group believes inactivity protects the mom and child

Back 32

-Filipinos

Front 33

Cultural influences / Sex

-in most cultures, sexual activity is not prohibited until ?

Back 33

the end of pregnancy

Front 34

Cultural influences / Sex

-what group views sexual activity as necessary to keep the birth canal lubricated

Back 34

Latinos

Front 35

Cultural influences / Sex

-what group may have definite proscriptions against intercourse (abstinence throughout because it’s through the sexual intercourse may harm mom and baby)

Back 35

Vietnamese’s

Front 36

Cultural influences / Diet

-who have strict regulations regarding preparation of food

Back 36

Muslims

Front 37

Cultural influences / Diet

-what group:
if meat cannot be prepared as prescribed, they may omit meats from their diets)

Back 37

Muslims

Front 38

Cultural influences / Diet

-many cultures permit pregnant women to eat only (cool or warm foods)

Back 38

warm

Front 39

Cultural influences / Age Differences

-special needs of expectant mothers at what 2 ages?

Back 39

15 yrs and younger

35 years or older

Front 40

Cultural influences /Adolescents

what culture has the highest birth rate?

Back 40

-Hispanic adolescents have the highest birth rate

Front 41

Cultural influences /Adolescents

-adolescent pregnant woman are also more likely to smoke and less likely to fain adequate weight during pregnancy

True or False

Back 41

True

Front 42

Cultural influences /Adolescents

-adolescent pregnant woman are also more likely to smoke and less likely to maintain adequate weight during pregnancy
--as a result of these factors, babies born to adolescents are at a greatly increased risk for :

Back 42

LBW, of serious and longer disability, and of dying during the first year of life

Front 43

Cultural influences /Adolescents

-when prenatal care is initiated early and consistently and variables are controlled, very young pregnant adolescents are at no greater risk for an adverse outcome than are older pregnant woman

True or False

Back 43

TRue

Front 44

Cultural influences /Adolescents

-the role of the nurse in reducing the risks and consequences of adolescent pregnancy is twofold:

Back 44

-first-to encourage early and continued prenatal care


-second-refer the adolescent for appropriate social support services which can help reverse the effects of a negative socioeconomic envt

Front 45

Age Differences / woman older than 35 years

-multiparous women may feel that?

Back 45

pregnancy separates her from her peer group and that her age is a hindrance to close associations with young mothers

Front 46

Age Differences / woman older than 35 years

-primiparous women may delay pregnancy, why?

Back 46

may delay pregnancy b/c they have a desire to obtain advanced education career priorities, use of better contraceptive measures

Front 47

Age Differences / woman older than 35 years

-first time mothers older than 35 select the “right time” for pregnancy, this time is influenced by

Back 47

their awareness of the increasing possibility of infertility or of genetic defects in the infants of older women
-they actively try to prevent fetal disorders and are careful in searching for the best possible maternity care

Front 48

-adverse perinatal outcomes are more common in (younger women or older primiparas) even when they receive good prenatal care

Back 48

older primiparas

Front 49

(women aged 35 years and older or young primiparas)

who is most likely to have LBW infants, premature birth, and multiple births

Back 49

women aged 35 years and older

Front 50

(women aged 35 years and older or young primiparas)


have an increased risk of maternal mortality

Back 50

-women aged 35 years and older

Front 51

What do you do about gas in constipation?

Back 51

More fluid (water), decrease fiber

Front 52

Maternal Adaptation -
Establishing Relationship with Fetus

“I’m ”

Back 52

“I am pregnant”
“I’m having a baby”
“I’m going to be a mother”

Front 53

Sibling Adaptation
-what age group?

clinging behavior/may have bad behavior for attention

Back 53

Toddlers

Front 54

Fetal Assessment

Fundal height in 2nd and 3rd trimesters is measured to determine what?

what should it match?

Back 54

fetal growth


it should match in cm the baby

Front 55

Fetal Assessment

How can you determine gestational age

Back 55

FHTs (fetal heart tones), Quickening,
fundal ht,
U/S (ultra sound)

Front 56

Health status of the baby is determined how?

when is movement noted?

Back 56

fetal movement is always reassuring once she has felt the baby move 16-20 weeks, she should keep checking. Less movt she should

Front 57

Labs,
-urine dip
protein=
sugar =

Back 57

urine dip
(protein=kidneys,
sugar =diabetes),

Front 58

Personal Hygiene

Hormonal influences increase what?

Back 58

perspiration, more saliva

Front 59

Kegel Exercises help with stengthening what?

Back 59

pelvic floor muscles so you don’t have urine leaking

Front 60

Rest and Relaxation
-what position should the mom be in?

Back 60

Side-lying

Front 61

Clothing
-restrictive clothing can cause?

Back 61

can cause varicose veins

where loose fitting

Front 62

Immunizations
-what vaccine is ok for pregnanc

Back 62

flu

Front 63

Cigarettes decrease what to the baby?

Back 63

decrease placental oxygen

Front 64

Recognizing Preterm Labor
(4 s/s)

Back 64

contractions, cramping, back ache, pressure

Front 65

AMA, advanced maternal age 35 yrs

increases what 2 things:

Back 65

increases genetic defects and increases adverse outcomes