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Flashcards in Exam 1 Maternity Deck (31)
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1

4 Goals of healthy people 2020

1) attaining high quality longer lives free of preventable disease, disability, injury and premature death

2) achieving health equity, eliminating disparities, and improving the health of all groups

3) creating social and physical environments that promote good health for all

4) promoting quality of life, healthy development, and healthy behaviors across all life stages

2

Healthy people 2020 maternity goals: (4)

Reduce the rate of fetal and infant deaths

reduce the rate of maternal mortality

reduce preterm births

reduce cesarean births among low risk women

3

Interprofessional collaborative practice competency domains (4)

values/ethics for inter professional practice

roles/responsibilities

interprofessional communication

teams and teamwork

4

Barriers to access for care

inability to pay (most significant)

lack of transportation and dependent child care

lack of providers for low income women

5

Abortus

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

6

Birth rate

number of live births in 1 year per 1000 population

7

Fertility rate

number of births per 1000 women between the ages of 15 and 44 years calculated on a yearly basis

8

Infant mortality rate

number of deaths of infants younger than 1 year of age per 1000 live births

9

Maternal mortality rate

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

10

Neonatal mortality rate

number of deaths of infants younger than 28 days of age per 1000 live births

11

Perinatal mortality rate

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

12

stillbirth

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

13

3 major causes of maternal death attributable to pregnancy

hypertensive disorders

infection

hemorrhage

14

leading cause of death in women

heart disease followed by malignant neoplasms including breast cancer

15

Outcomes oriented care measures

effectiveness of car against benchmarks or standards

measure of the value of nursing using quality indicators and answers the question "did the client benefit or not benefit from the care provided?"

16

Standard of care:

level of practice that a reasonably prudent nurse would provide in the same or similar circumstances

17

Sentinel event and some examples

unexpected occurrence involving death or serious physical or psychological injury or risk thereof

any maternal death related to process of birth

any perinatal death unrelated to a congenital condition in an infant having a greater than 2500g

severe neonatal hyperbilirubinemia (bilirubin greater than 30 mg/dl)

infant discharge to wrong family

18

TeamSTEPPS:

Team strategies to enhance performance and patient safety developed by the department of defense patient safety program in collaboration with the AHRQ as a teamwork system for health professionals to provide higher quality, safer client care

19

3 phases of TeamSTEPPS delivery system

assess the need

plan, train and implement the TeamSTEPPS initiative

sustain the improvements in performance, processes and outcomes that result from the initiative

20

Predictive testing

used to clarify the genetic status of asymptomatic family members

21

Carrier screening test

used to identify individuals who have a gene mutation for a genetic condition but do not show symptoms of the condition because it is an autosomal recessive condition

22

Presymptomatic testing

mutation analysis for HD, a neurodegenerative disorder is an example of presymptomatic testing- if the gene mutation for HD is present, symptoms of HD are certain to appear if the individual lives long enough

23

Example of predispositional testing

testing for a BRCA 1 gene mutation to determine breast cancer susceptibility

24

Difference between predispositional testing and presymptomatic testing

a positive results (presence of BRCA 1 mutation) does not indicate a 100% risk of developing the condition (breast cancer)

25

Most common trisomal abnormality

down syndrome

26

Most common sex chromosome abnormality in females and males

Turner syndrome or monosomy X for females
female is missing an X chromosome - underdeveloped ovaries, webbed neck, low hairline, low ears

Klinefelter syndrome for males
male has an extra X chromosome and exhibits poorly developed secondary sex characteristics and small testes- infertile, tall, slow to learn

27

Examples of autosomal recessive inherited disorders

PKU

galactosemia

maple syrup urine disease

tay-sachs

sickle cell anemia

CF

28

Phases of sexual response

Excitement phase

plateau phase

orgasmic phase

resolution phase

29

Components of preconception care

Health promotion: general teaching

Risk factor assessment

Interventions

30

Major goals of prenatal care

define health status of the mother and fetus

determine the gestational age of the fetus and monitor fetal development

identify the woman at risk for complications and minimize the risk whenever possible

provide appropriate education and counseling