N303 - Ch 1 Ob

Front 1

What is the focus of maternity nursing?

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

Which practitioners are active participants throughout the prenatal period?

Back 2

1. Nurses
2. Nurse practitioners
3. Nurse-wives

Front 3

What care is provided during the prenatal period?

Back 3

1. Care for women in clinics and physician's offices

2. Teaching of classes to help families prepare for childbirth

Front 4

What do maternity nurses teach about?

Back 4

1. Pregnancy

2. The process of labor, birth, and recovery

3. Parenting skills

4. Provide continuity of care throughout the childbearing cycle

Front 5

What is the focus of women's health care?

Back 5

Physical, psychologic, and social needs of women throughout their lives

Front 6

What are some major concerns of health care for women in the U.S.?

Back 6

1. Lack of access to prepregnancy and pregnancy-related care for all women

2. Lack of reproductive health services for adolescents

Front 7

What are some barriers to health care access for pregnant women?

Back 7

1. Inability to pay
2. Lack of transportation
3. Dependent child care
4. Lack of insurance and high costs
5. Lack of providers for low-income women

Front 8

What is integrative health care?

Back 8

Combination of complementary and alternative therapies with conventional Western modalities of treatment

Front 9

What is kangaroo-care?

Back 9

Skin-to-skin holding of preterm infants by their mothers

Front 10

What are the purposes of childbirth education and parenting classes?

Back 10

1. Encourage participation of a support person

2. Teach breathing and relaxation techniques

3. Give general information about birth, infant development, and parenting

Front 11

What is couplet care?

Back 11

One nurse providing postpartum care for the mother and baby

Front 12

What are certified nurse-midwives?

Back 12

Registered nurses with education in the two disciplines of nursing and mid-wifery

Front 13

What are certified midwives?

Back 13

Direct-entry midwives with education only in the discipline of midwifery

Front 14

How many weeks are allowed for FMLA?

Back 14

Up to 12 weeks

Front 15

What ethical dilemmas arise related to infibulation and childbirth?

Back 15

Women requesting that after birth, their perineum be repaired as it was after infibulation (female genitalia mutilation)

Front 16

What factors and conditions affect the health of women?

Back 16

1. Race
2. Breast cancer
3. Lack of information
4. Lack of insurance
5. Violence
6. Alcoholism and substance abuse
7. STDs (i.e. HIV, AIDS)

Front 17

What is considered violence?

Back 17

1. Battery
2. Rape
3. Other sexual assaults
4. Attacks with various weapons

Front 18

What is abortus?

Back 18

An embryo or fetus that is removed or expelled from the uterus at 20 weeks of gestation or less, weighs 500 g or less, and measures 25 cm or less

Front 19

What is birthrate?

Back 19

Number of live births in 1 year per 1000 population

Front 20

What is fertility rate?

Back 20

Number of births per 1000 women between the ages of 15 to 44 years (inclusive) per year

Front 21

What is infant mortality rate?

Back 21

Number of deaths of infants under 1 year of age per 1000 live births

Front 22

What is maternal mortality rate?

Back 22

Number of maternal deaths from births and complications of pregnancy, childbirth, and puerperium per 100,000 live births

Front 23

What is puerperium?

Back 23

The first 42 days after termination of pregnancy

Front 24

What is neonatal mortality rate?

Back 24

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

Front 25

What is perinatal mortality rate?

Back 25

Number of stillbirths and the number of neonatal deaths per 1000 live births

Front 26

What is stillbirth?

Back 26

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

Front 27

What increases the risks of morbidity and mortality for newborns?

Back 27

Birth-weights less than 2500 g (low-birth-weight [LBW] infants)

Front 28

What is the precedence of LBW infants across cultures?

Back 28

African-American infants are more than twice as likely as non-Hispanic white infants to be of LBW and to die within the first year of life

Front 29

What is cigarette smoking associated with?

Back 29

1. LBW
2. Prematurity
3. Intrauterine growth restrictions

Front 30

What is preterm?

Back 30

Born before 38 weeks of gestation

Front 31

What is the infant mortality rate a common indicator of?

Back 31

The adequacy of prenatal care and the health of a nation as a whole

Front 32

What has been the trend of infant mortality rate over time?

Back 32

The disparity in infant mortality rate between African-American infants and Caucasian infants has increased

Front 33

What is associated with higher infant mortality rates?

Back 33

1. Limited maternal education
2. Young maternal age
3. Unmarried status
4. Poverty
5. Lack of prenatal care
6. Smoking
7. Poor nutrition
8. Alcohol use
9. Maternal conditions, such as poor health or hypertension

Front 34

What is one reason that the U.S. has a higher infant mortality rate than other industrialized countries?

Back 34

High rate of LBW infants

Front 35

What are the predominant causes of maternal mortality?

Back 35

1. Embolism
2. Hemorrhage
3. Gestational hypertension
4. Infection

Front 36

How can the goal of 3.3 maternal deaths per 100,000 be achieved?

Back 36

1. Early diagnosis
2. Appropriate intervention
3. Improving access to skilled attendants at birth
4. Providing postabortion care
5. Improving family planning services
6. Providing adolescents better reproductive health services

Front 37

What topics are appropriate during maternity care visits?

Back 37

1. Nutrition education
2. Stress management
3. Smoking cessation
4. Alcohol and drug treatment
5. Improvement of social supports
6. Parenting education

Front 38

What is telemedicine?

Back 38

A umbrella term for the use of communication technologies and electronic information between participants - those providing care and those needing care - who are separated by distance

Front 39

What are some of AWHONN's research-based programs?

Back 39

1. Transition of the Preterm Infant to an Open Crib

2. Management of Women in Second-Stage Labor

3. Continence for Women

4. Neonatal Skin Care

5. Cyclic Pelvic Plan and Discomfort Management

6. Setting Universal Cessation Counseling, Education, and Screening Standards: Nursing Care for Pregnant Women Who Smoke (SUCCESS)

Front 40

What are the six categories used to rank research studies?

Back 40

1. Beneficial forms of care

2. Forms of care that are likely to be beneficial

3. Forms of care with a trade-off between beneficial and adverse effects

4. Forms of care with unknown effectiveness

5. Forms of care that are unlikely to be beneficial

6. Forms of care that are likely to be ineffective or harmful

Front 41

What is outcomes-oriented care?

Back 41

Care that is measured against benchmarks or standards in terms of effectiveness

Front 42

What are the goals of the Millennium Development?

Back 42

1. Eradicate extreme poverty and hunger
2. Achieve universal primary education
3. Promote gender equality and empower women
4. Reduce child mortality
5. Improve maternal health
6. Combat HIV and AIDS, malaria, and other diseases
7. Ensure environmental sustainability
8. Develop a global partnership for development

Front 43

What is standard of care?

Back 43

The level of practice that a reasonably prudent nurse would provide

Front 44

What is risk management?

Back 44

Process that identifies risks, establishes preventive practices, develops reporting mechanisms, and delineates procedures for managing lawsuits

Front 45

What is a sentinel event?

Back 45

1. An unexpected occurrence involving death or serious physical or psychologic injury, or risk thereof. Serious injury specifically includes loss of limb or function

2. An event that requires immediate investigation and response.

Front 46

What is the purpose of failure to rescue?

Back 46

To evaluate the quality and quantity of nursing care by comparing the number of surgical clients who develop common complications who survive versus those who do not

Front 47

What are the key components of failure to rescue?

Back 47

1. Careful surveillance and identification of complications

2. Acting quickly to initiate appropriate interventions and activating a team response

Front 48

Which maternal complications require rapid response?

Back 48

1. Placental abruption
2. Postpartum hemorrhage
3. Uterine rupture
4. Eclampsia
5. Amniotic fluid embolism

Front 49

Which fetal complications require rapid response?

Back 49

1. Nonreassuring fetal heart rate and pattern
2. Prolapsed umbilical cord
3. Shoulder dystocia
4. Uterine hyperstimulation

Front 50

Which innovations have resulted in questions about informed consent and allocation of resources?

Back 50

1. Intrauterine fetal surgery
2. Fetoscopy
3. Therapeutic insemination
4. Genetic engineering
5. Stem cell research
6. Surrogate childbearing
7. Surgery for infertility
8. "Test Tube" babies
9. Fetal research
10. Treatment of very LBW babies