Ob Quiz #1 Chapter 1-2

Front 1

Brith Rate

Back 1

births per 1,000 pop

US:14

Front 2

Infant mortality rate

Back 2

death in first 12 months of life, per 1,000 live births
US: 6.3

Front 3

Neonatal mortality rate

Back 3

death rate of infants in first 28 days of life
US: 4.7%

Front 4

Fetal death rate

Back 4

death in utero at ≥ 20 wks gestation

Front 5

Perinatal mortality rate

Back 5

sum of fetal and neonatal rates

Front 6

Maternal mortality rate

Back 6

by WHO, death of woman during pregnancy, or within 42 days of termination of pregnancy (direct, indirect, late, pregnancy related)
US: 12.1

Front 7

Reasons for increase in Maternal mortality rate:

Back 7

Excessive Bleeding
C-Sections
Obesity
Women > 35

Front 8

Leading causes of death for infants in the United States

Back 8

1. Congenital malformations and chromosomal abnormalities.
2. Disorders r/t short gestation and low birth weight.
3. SIDs
4. Maternal complication of pregnancy.
5. Complications of placenta, cord, and membranes.
6. Accidents.

Front 9

Healthy People 2010 Maternal and Infant Health Goals

Back 9

* Reduction in fetal and infant deaths.
* Increase of maternal prenatal care.
*Reduction of cesarean births
*Reduce low birth weight and very low birth weight
*Increase breastfeeding in mothers
*Increase abstinence from alcohol, cigarettes,drugs among pregnant women

Front 10

Nuclear-married or cohabitation

Advantages & Disadvantages

Back 10

Advantages:
Small size = more affection/value placed on each member
Disadvantages:
Few members to share the burden/offer support in crisis

Front 11

Extended Family Type

Advantages & Disadvantages

Back 11

Advantages:
Many members to serve as resources and role models.
Disadvantages:
Family resources ($ & psychologically) may be stretched

Front 12

Single-Parent Family Type

Advantages & Disadvantages

Back 12

Advantages:
Special parent-child relationship & increased opportunities for self-reliance/ independence
Disadvantages:
No back-up person, caregiver & financial strain, difficulty for one parent to cover all roles

Front 13

Blended/ Binuclear Family Type

Advantages & Disadvantages

Back 13

Advantages:
Increased security & resources. Exposure to different ways of life
Disadvantages:
Childrearing problems, rivalry, challenging authority

Front 14

Duvall’s Family Life Cycles

Back 14

Stage 1: Beginning families
Stage 2: Child-bearing families
Stage 3: Families with preschool children
Stage 4: Families with school-aged children
Stage 5: Families with teenagers
Stage 6: Families launching young adults
Stage 7: Middle-aged parents
Stage 8: Retirement and old age

Front 15

Assessment of Families

Back 15

Family Type & Stage
Structure and function
Family roles
Level of functioning
Cultural associations
Religious affiliations
Support network
Communication patterns
Environmental considerations

Front 16

Culture

Back 16

A view of the world and traditions that a specific social group uses and transmits to the next generation

Front 17

Ethnicity

Back 17

Cultural group into which a person was born

Front 18

Cultural Values

Back 18

Preferred ways of acting based on traditions

Front 19

Transcultural nursing

Back 19

Nursing care that is guided by cultural aspects and respects individual differences

Front 20

Cultural competency requires:

Back 20

-Self Awareness
-Understanding of cultural differences
-Ability to adapt clinical practices

Front 21

Examples of Complementary Therapies

Back 21

Acupuncture
Acupressure
Massage therapy

Front 22

Examples of Alternative Therapies

Back 22

Magnet therapy
Herbal therapy
Aromatherapy

Front 23

Nurse Practiotioners Role

Back 23

Deals with normal, healthy pregnancies that are low risk.
Focus on physical and psychosocial assessments
Conduct some diagnostic tests and procedures
Obtain historical information
Perform comprehensive physical examination
Make clinical judgments based on assessment data

Front 24

Nursing roles requiring MSN

Back 24

Certified Registered Nurse
Nurse Practitioner
Clinical Nurse Specialist

Front 25

Nursing roles not requiring MSN

Back 25

Certified Nurse Midwife
Professional Nurse

Front 26

Certified Nurse-Midwives

Back 26

Educated in 2 disciplines: nursing and midwifery
Manages independently:
Client with low-risk pregnancy
Normal newborn

Front 27

Clinical Nurse Specialists

Back 27

Clinical nurse specialists (CNSs) have master’s degree and specialized knowledge; competent in specific clinical area.
Often work with maternal-newborn clients on various units:
Mother-baby units
Pediatric units
Intensive care units

Assist unit staff to provide evidenced-based care

Front 28

Advance Practice Nurses

Back 28

APNs- describes nurses by education and practice.

Master degree or higher

Front 29

Acculturation

Back 29

the process of adopting the cultural traits or social patterns of another group.

Cheeseburger

Front 30

Assimilation

Back 30

The process by which a person or persons acquire the social and psychological characteristics of a group.

Front 31

Gestation

Back 31

Number of weeks since the first day of the last menstrual period

Front 32

Abortion

Back 32

Birth occurring before the end of 20 weeks’ gestation

Front 33

Term

Back 33

Normal duration of pregnancy (38 to 42 weeks’ gestation)

Front 34

Antepartum

Back 34

Time between conception and the onset of labor

Front 35

Intrapartum

Back 35

Period from the onset of true labor until the birth of the infant and placenta

Front 36

Postpartum

Back 36

Time from birth until the woman’s body returns to prepregnant condition

Front 37

Preterm or premature labor

Back 37

Labor that occurs after 20 weeks’ but before completion of 37 weeks’ gestation

Front 38

Nullipara

Back 38

Woman who has had no births at more than 20 weeks’ gestation

Front 39

Primipara

Back 39

Woman who has had one birth at more than 20 weeks’ gestation

Front 40

Multipara

Back 40

Woman who has had two or more births at more than 20 weeks’ gestation

Front 41

Stillbirth

Back 41

Infant born dead after 20 weeks’ gestation

Front 42

Multigravida

Back 42

Woman in second or any subsequent pregnancy

Front 43

Gravida

Back 43

any pregnancy, including present.

Nulligravida: never been pregnant
Primigravida: in first pregnancy
Multigravida: 2nd or more pregnancy

Front 44

Para

Back 44

birth after 20 wks gestation (before 20 wks: spontaneous abortion (SAB))

Multiples such as twins are counted as ONE birth

Front 45

TPAL

Back 45

T = # of term infants born (37 wks+)
P = # of preterm infants (> 20, < 37 wks)
A = # pregnancies ending in spontaneous or therapeutic abortion (SAB/TAB)
L = # of currently living children