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73 Cards in this Set
- Front
- Back
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What does ANA stand for |
American Nurses Association |
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What organization makes up the goals, values, and ethical obligations of professional nursing. |
ANA (American Nurses Association)
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What is an ethical dilemma? |
It is a choice that has the potential to violate ethical principles. |
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True or False
Action taken in response to our ethical responsibility to intervene on behalf of those in our care is called advocacy? |
True |
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What are the 8 Ethical Principles discussed in the chapter? |
1. Autonomy 2. Respect for others 3. Beneficence 4. Nonmaleficence 5. Justice 6. Fidelity 7. Veracity 8. Utility
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What is......THE RIGHT TO SELF-DETERMINATION |
AUTONOMY |
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What is....PRINCIPLES THAT ALL PERSONS ARE EQUALLY VALUED |
RESPECT FOR OTHERS |
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What is....OBLIGATION TO DO GOOD |
BENEFICENCE |
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What is.... OBLIGATION TO DO NO HARM |
NONMALEFICENCE |
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What is....PRINCIPLE OF EQUAL TREATMENT OF OTHERS OR THAT OTHERS ARE TREATED FAIRLY |
JUSTICE |
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What is...FAITHFULNESS OR OBLIGATION TO KEEP PROMISES |
FIDELITY |
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What is...OBLIGATION TO TELL THE TRUTH |
VERACITY |
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What is....THE GREATEST GOOD FOR THE INDIVIDUAL OR AN ACTION THAT IS VALUED |
UTILITY |
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STANDARD OF PRACTICE FOR MATERNITY NURSES ARE DEVELOPED BY WHAT ORGANIZATION? |
AWHONN (American Association of Women's Health, Obstetric and Neonatal Nurses) |
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The integration of best research evidence, clinical expertise, and patient values in making decisions about the care of patients? |
Evidence Bases Practice (EBP) |
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TRUE or FALSE
Evidence based decision making should include:
(Patient'c clinical state, clinical setting and clinical circumstances) |
True |
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Risk Management is an approach to the prevention of:
a. Morbidity and mortality b. Litigation c. Staff conflicts d. Poor Care |
A. Morbidity and Mortality |
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WHAT is term used to describe.....
Any drug, virus , infections or the exposure that can cause embryonic/fetal development abnormality |
TERATOGENS |
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Which period of gestation is a developing fetus most vulnerable to effects of teratogens during ? |
The First 8 Weeks of Gestation |
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What is and where can TAXOPLASMA be found |
Taxoplasma is a protozoan parasite found in cat feces, uncooked or rare beef and lamb. |
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What is the recessive genetic disease called PKU (phenlyketonuria ) |
It is the lack of an enzyme that metabolizes amino acid phenylalanine which leads to mental & physical retardation . Effects can be prevented by phenylalanine dietary limitations. |
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Taxoplasmosis increases fetal risk for: |
Fetal demise (death) Blindness Mental retardation
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What is birth rate? |
Number of live births per 1,000 people |
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What is fertility rate? |
The total # of live births (regardless of age of mother) per 1,000 women of reproductive age 15-44 |
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TRUE OR FALSE
Birth rate measures the number of births within particular age groups?
i.e Women 18-25 or Women 35-44 |
TRUE |
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What is VERY PREMATURE neonate |
Neonate born less than 32 wks |
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What is MODERATELY PREMATURE |
Neonate born 32-33 wks of gestation? |
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What is LATE PREMATURE |
Neonates born between 34-37 weeks of gestation |
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Any birth that occurs after 20 weeks and before 37 weeks of gestation is called |
Preterm Birth |
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LBW (LOW BIRTH WEIGHT) |
An infant who weighs less that 2,500 grams at birth regardless of gestational age |
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VLBW (very low birth weight) |
An infant who weighs less than 1,500 grams at birth |
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What is quickening and when does it usually occur? |
A woman's first perception of feta movement. Felts between 16-20 weeks |
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What is Normal Birth Weight |
2,500-3,999 grams |
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High birth weight? |
4,000 grams or greater |
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Maternal death? |
death of a women during pregnancy or w/in 42 days of giving birth. |
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_______ is the number of pregnancies? |
Gravidity |
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Nulligravida |
a woman who has never been pregnant |
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Primigravida |
a woman in her first pregnancy |
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Multigravida |
a women who has had two or more pregnancies |
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____ is the number of pregnancies in which the fetus/s reach viability regardless whether fetus was born alive or not |
Parity |
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Nullipara |
no pregnancy beyond stage of viability |
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Primipara |
One pregnancy to stage of viability |
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_____ para is when a woman has completed two or more pregnancies to stage of viability |
Multipara |
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What does the acronym GTPAL stand for |
Gravidity Term Births ( 38 wks or more) Preterm Births ( 20 -37) Abortions/miscarriages Living Children |
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What are 3 positive signs of pregnancy? |
Fetal Hearts sounds (heard 4wks of gestation) Visualizations of fetus by ultrasound Fetal movement palpated by physician
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what are some "probable signs" of pregnancy
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abdominal enlargement cervical changes Hegar's signs Chadwick's sign Goodell's sign Braxton Hick's |
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What is Goodell's Sign |
Softening of cervical tip |
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A deepened violet-bluish color of vaginal mucosa, secondary to vascularity of the area |
Chadwick's sign |
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Ballottement |
Internal ballottement elicited bimanually is evident from the 16th week. Repercussion is felt when the fetus is given a push with two fingers in the anterior fornix.
External ballottement can be elicited from the abdomen as early as the 20th week. |
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Softening and compressibility of the lower uterus is known as _________ sign? |
Hegar's Sign---The sign can be elicited between the 6th and 10th week of pregnancy, |
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What are most common skin changes that occur during pregnancy? |
Cholasma- mask of pregnancy Linea Nigra- dark line from umbilicus Stiae gravidarum- stretch marks |
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What does TORCH stand for |
Taxoplasmosis Other infections Rubella Cytomegalovirus Herpes/HIV screening
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How many veins and arteries does the umbilical cord have? |
2 Arteries 1 vein
Remember acronym AVA |
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The Vein in the umbilical cord carries deoxygenated or oxygenated blood? |
Umbilical Vein carries--oxygenated blood to fetus |
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True or False
Umbilical arteries carries Oxygenated blood to fetus? |
False... umbilical cord arteries carries deoxygenated blood |
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What is the top of the uterus called |
Fundus |
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What are the three GERM LAYERS |
Ecto-Derm Meso-Derm Endo-Derm
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What is Leopolds Maneuver |
Leopold's maneuvers are four specific steps in palpating the uterus through the abdomen in order to determine the lie and presentation of the fetus |
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Olgihydramnios |
Oligohydramnios is the condition of having too little amniotic fluid.
AFI below 5 cm |
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Polyhydramnios |
Polyhydramnios is the condition of having too much amniotic fluid.
AFI Above 24cm
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What is a reactive fetal HR? |
When fetus HR beats 15 beats above baseline for at least 15 seconds |
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During labor Magnesium sulfate is used to prevent a stroke or seizures in women with pre-eclampsia |
Used to prevent Seizures |
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What is the antidote ofr magnesium sulfate |
Calcium gluconate |
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This class of drugs is used to suppress uterine contractions during preterm labor |
Tocolytic Drugs |
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What is Nagele's Rule |
It is used to calculate delivery date Take the first day of womans last MS, subract 3 months, and add 7 days
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What are test that asses Fetal Status & Wellbeing |
1. Daily Fetal movement count 2. Non stress test (NST) 3. Contraction stress test (CST) 4. Amniotic Fluid Index ( AFI) 5. Biophysical profile (BPP) |
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Screening tool that uses auditory stimulation to assess fetal well-being with EFM and NST is non reactive |
VAS ( Vibroacoustic Stimulation) |
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PPROM ( preterm premature rupture of membranes) |
Is a rupture if membranes with a premature gestation (less 37 weeks) |
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What is HELLP Syndrome? |
Hemolysis, Eleviated Liver Enzymes and Low Platelets |
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moderately premature neonates are born? |
between 32-34 wks gestation |
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very premature neonates are born |
born less than 32 weeks |
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Late premature neonates are born between |
between 34-36 wks |
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what placenta hormone is responsible ofr regulating glucose availability to the fetus? |
hCG-human chorionic gonadotropin |
