Nurse 2Nd Semester: Ob Exam 1: Unit 1 & 2

Front 1

Historically, what were the 3 main causes of maternal death?

Back 1

Hypertensive Disorders of Pregnancy: PIH - Pregnancy Induced Hypertension &Toxemia

Infection- puerperal sepsis "childhood fever," TB

Hemorrhage

Front 2

Historically, what were the 3 main causes of maternal death?

Back 2

Hypertensive Disorders of Pregnancy: PIH - Pregnancy Induced Hypertension &Toxemia

Infection- puerperal sepsis "childhood fever," TB

Hemorrhage

Front 3

What is toxemia?

Back 3

the condition in pregnancy of pre-eclampsia or eclampsia

(also- a condition characterized by the presence of bacterial toxins in the blood )

Front 4

What is toxemia?

Back 4

the condition in pregnancy of pre-eclampsia or eclampsia

(also- a condition characterized by the presence of bacterial toxins in the blood )

Front 6

Historically, what were the 3 main causes of infant death?

Back 6

#1 diarrhea from contagious disease (also contributes to dehydration)

prematurity

dehydration (poor latch-on)

Front 7

What were some trends used for mothers in the past that have since been reformed?

Back 7

-Forceps were common
-Meds w/ dangerous and hallucinogenic side effects
-Women lay flat for delivery
-Avg hospital stay 10+ days

Front 9

Even after technologic advancements, what were 3 more factors that continued to contribute to maternal and infant death?

Back 9

Poor Nutrition
Infectious Disease
Inadequate prenatal care

Front 10

Even after technologic advancements, what were 3 more factors that continued to contribute to maternal and infant death?

Back 10

Poor Nutrition
Infectious Disease
Inadequate prenatal care

Front 11

What were some important discoveries that led to an enormous change in maternity care:

Back 11

Semmelweis discovered hygeine practices could prevent puerperal infection
-Development of forceps to facilitate birth
-Discovery of choloroform to control pain during childbirth
-Use of drugs to initiate labor or to increase uterine contractions

Front 12

The ratio of sick to well persons in a defined population

Back 12

morbidity

Front 13

What were some important discoveries that led to an enormous change in maternity care:

Back 13

Semmelweis discovered hygeine practices could prevent puerperal infection
-Development of forceps to facilitate birth
-Discovery of choloroform to control pain during childbirth
-Use of drugs to initiate labor or to increase uterine contractions

Front 14

True or False: Every pregnant woman gets tested for GBS.

Back 14

True.

Front 15

True or False: Every pregnant woman gets tested for GBS during first 36 weeks.

Back 15

True.

Front 16

postpartum

Back 16

first 6 weeks after childbirth

Front 17

infant mortality rate

Back 17

# of deaths per 1,000 live births that occur within the first 12 months of life

Front 18

neonatal mortality rate

Back 18

# of deaths per 1000 live births that occur before 28 days of life

Front 19

maternal mortality rate

Back 19

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

** Also includes deaths after 42 days since delivery if pregnancy aggravated a disease that existed prior to becoming pregnant, or developed during pregnancy and the disease later led to the woman's death

Front 20

deontologic theory

Back 20

ethical theory that holds that the right course of action is the one dictated by ethical principles and moral rules

Front 21

utilitarian theory

Back 21

ethical theory that holds that the right course of action is the one that produces the greatest good

Front 22

The following are the basic principles of what type of care?
Childbirth is usually a normal, healthy event in the life of a family.
Childbirth affects the entire family, and restructuring of family relationships is required.
Families are capable of making decisions about care, provided that they are given adequate information and professional support.

Back 22

family-centered maternity care

Front 23

____________ emphasizes family unity while maintaining physical safety

Back 23

family-centered care

Front 24

Which diseases caused devastating epidemics for children during the 17th and 18th century in North America?

Back 24

smallpox, diptheria, scarlet fever, measles

Front 25

If a woman tests positive for GBS, what is the protocal?

Back 25

prophylactic antibiotics, hospitalized at least 48 h

Front 26

When does a pregnant woman first get a UA (urinalysis)?

Back 26

1st trimester

Front 27

What is considered a low birth weight?

Back 27

less than 2500 g (2.5 kg)

Front 28

A preterm birth is an infant born before the end of the ___ week.

Back 28

37th

Front 29

Fertility Rate

Back 29

# of births per 1000 women between 15-44 years of age

Front 30

Birth Rate

Back 30

# of live births per 1000 people in population

Front 31

Regulations involving the termination of preganancy or the withholding medical treatment involved with a viable pregnancy or correctable defect

Back 31

Baby Doe Regulations

Front 32

What does the Nurse Practice Act describe?

Back 32

scope of practice

Front 33

A diagnosis starting with "risk of" is a ___ -part nursing diagnosis.

Back 33

2

Front 34

_____ provides health care for the poor, aged, and disabled, with pregnant women and young children especially targeted. How is this organization funded?

Back 34

Medicaid

federal and individual state governments

Front 35

WIC assists pregnant and breastfeding women up to __ years of age

Back 35

5

Front 36

Main contributing factors to infant mortality in United States today

Back 36

1. Unequal access to health care for women of different socioeconomic levels
2. Excess low-birth-weight and premature infants.
Also: congenital anomalies, SIDS, problems related to pregnancy complications, and respiratory distress syndrome

Front 37

morbidity rate

Back 37

ratio of sick to well people in a population presented as a number of ill people per 1000 people in a population

Front 38

What Supreme Court Decision ruled that:
-a woman could obtain an abortion at any time during the 1st trimester
-the state could regulate abortions during the 2nd trimester only to protect the woman's health
-the state could regulate or prohibit abortion during the third trimeester, except when the mother's life might be in jeapardy if the pregnancy continues

Back 38

Roe v. Wade- 1973

Front 39

Three categories of safeguards determine how the law views nursing practice, these include:

Back 39

state nurse practice acts

standards of care set by professional organizations

rules and policies set by the institution employing the nurse

Front 40

Two current trends that hospitals and health care providers use to cut costs that may have ethical or legal implications include:

Back 40

Using unlicensed assistive personnel and early discharge

Front 41

The developing baby from 9 week after conception until birth is called a ____.

Back 41

fetus

Front 42

A clinical nurse specialist is an expert practitioner, educator, researcher, and consultant. Are they able to provide primary care?

Back 42

No

Front 43

_______ is the condition of belonging to a particular group that shares race, language, and dialect, religious faiths, traditions, values, and symbols as well as food preferences, literature, and folklore.

Back 43

Ethnicity

Front 44

belief that one's own cultural values and patterns of behavior are superior to those of other groups

Back 44

ethnocentrism

Front 45

These people highly value the family and many generations remain close to each other. Elders are highly respected. Self-sufficiency and self-control are highly valued. Stoicism may make pain assessment difficult. These people may avoid eye contact and place a high value on honor. Specific interpreter needed for subgroups of different countries. May view health as a balance of yin and yang.

Back 45

Asian culture

Front 46

These people need specific education related to obesity, diabetes, and HTN

Back 46

Pacific Islander, African American

Front 47

In this culture, men are usually the head of household and are considered strong. Women are homemakers. They usually have close extended family and place a high vallue on children. They prefer some small talk before a direct question from a stranger. May distrust healthcare providers because of their undocmented status. May view health as a balance of hot and cold.

Back 47

Hispanic culture

Front 48

This culture usually has a sense of loyalty to their own people and community and may distrust the majority. The minister is highly influential and religious rituals are often used. Illness may be seen as the will of God.

Back 48

African American culture

Front 49

These people use herbs and rituals as part of the medicine man's curative practice. They may consider health to be a state of unity, interconnections, and harmony with they environment. They may believe in supernatural influences.

Back 49

American Indians and Alaska Natives

Front 50

In this culture, many pray five times a day, don't eat pork, and don't drink alcohol. Usuallly prefer same gender provider because of modesty. Ritual cleansing, facing meca Asking husband's opinon or permission can be helful. Interpreters should be of same religion and country if possible.

Back 50

Middle Eastern culture (usually of Muslim religion)

Front 51

a behavior used frequently by children-- a reactivation of behavior more appropriate to an earlier stage of development

Back 51

regression, such as a six-year-old sucking his thumb again

Front 52

A ____ pregnancy is a potential medical emergency. It is a complication in which the embryo implants outside the uterine cavity, usually in the Fallopian tube. Usually not viable.

Back 52

Ectopic