CHAPTER 1 Flashcards

(29 cards)

1
Q

What is defined as the sum of stillbirths and neonatal deaths per 1000 total births?

A

Perinatal mortality rate

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2
Q

What is the term for a patient presenting with severe preeclampsia at 37 weeks gestation who collapses and is unable to be resuscitated?

A

Direct maternal death

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3
Q

When does the perinatal period start?

A

After delivery at 20 weeks gestation or older

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4
Q

When does the perinatal period end?

A

28 days after birth

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5
Q

Which of the following is an example of an indirect maternal death?
A Septic shock following an abortion
B Hemorrhage following uterine atony
C Aspiration following an eclamptic seizure D Aortic rupture at 36 weeks’ gestation in a patient with Marfan syndrome

A

A

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6
Q

Fill in the blank: The perinatal mortality rate is the sum of _______ and neonatal deaths per 1000 total births.

A

stillbirths

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7
Q

True or False: The neonatal mortality rate includes deaths that occur after the first 28 days of life.

A

False

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8
Q

What is the definition of fetal death rate?

A

The number of fetal deaths per 1000 total births

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9
Q

What is the main characteristic of an indirect maternal death?

A

Death resulting from a pre-existing condition aggravated by pregnancy

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10
Q

What is the typical duration of the perinatal period?

A

From 20 weeks gestation to 28 days after birth

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11
Q

What is the significance of the perinatal mortality rate?

A

It reflects the quality of prenatal and perinatal care

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12
Q

Fill in the blank: A patient with severe hemorrhage following uterine atony may experience a _______ maternal death.

A

direct

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13
Q

What is a common cause of indirect maternal death?

A

Pre-existing medical conditions such as diabetes

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14
Q

What is the importance of monitoring the perinatal mortality rate?

A

To assess and improve maternal and child health services

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15
Q

Fill in the blank: The perinatal mortality rate helps in understanding the impact of _______ on maternal health.

A

pregnancy complications

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16
Q

True or False: All stillbirths are classified under the perinatal mortality rate.

17
Q

What does the term ‘early term’ refer to in obstetrics?

A

Birth between 37 and 38 weeks of gestation

18
Q

What is the role of autopsy in maternal deaths?

A

To determine the cause of death and improve future care

19
Q

What is the term for the death of a neonate that occurs within the first few days of life?

A

Early neonatal death

20
Q

What is defined as the number of maternal deaths resulting from the reproductive process per 100,000 live births?

A

Maternal mortality rate

21
Q

What is the medical term for the deaths that occur during pregnancy and are related to the pregnancy itself?

A

Pregnancy-related death rate

22
Q

What group experiences most infant deaths?

A

Low-birthweight infants

23
Q

The increase in opioid abuse in pregnancy has led to what outcome?

A

A rise in neonatal abstinence syndrome.

24
Q

What percentage of births in the United States are covered by private insurance?

A

Approximately 62%

Private insurance is a significant source of coverage for births in the U.S.

25
What condition is evaluated in a fetus of an advanced-age mother?
Trisomy 21 and a double-outlet right ventricle
26
At what gestational age is the fetus screened?
12 weeks
27
What is the significance of a balanced translocation in the mother?
It can influence the chromosomal composition of the fetus.
28
What population is most affected by governmental interference with women's reproductive rights?
* A rise in neonatal abstinence syndrome * Increase in intrauterine growth restriction * Improvement in pain control during labor * Increase in neurologic anomalies diagnosed in utero
29
The increase in opioid abuse in pregnancy has led to which of the following? A Infant mortality rate B Perinatal mortality rate C Early neonatal death rate D All of the above
A