Week 3 quiz Flashcards
(40 cards)
Fertility Rate
Number of births per 1000 women between ages 15 and 44 (inclusive)
Infant mortality rate
Number of deaths of infants younger than 1 year per 1000 live births
Birth rate
Number of births in 1 year per 1000 population
Maternal mortality rate
Number of maternal deaths from births and complications from pregnancy, birth, and puerperium, per 100,000 live births
Neontal mortality rate
Number of deaths of infants younger than 28 days of age per 1000 live births.
Most common causes of neonate mortality
- Preterm birth
- Intrapartum-related complications
- Infections and birth defects
Perinatal mortality rate
Number of stillbirths and neonatal deaths per 1000 live births
Still birth
An infant who at birth shows no signs of life such as breathing, beating heart, or voluntary muscle movements.
The two ovarian hormones that impact the uterine endometrium and their impact.
- Estrogen: Effects bone growth in females, as higher levels help close the epiphyseal lines of long bones around the time of menarche
- Progesterone: Helps maintain pregnancy and also helps prepare the uterus for pregnancy
The two pituitary hormones that impact egg maturation in the human female
- Follicle-stimulating hormone (FSH
- Luteinizing hormone (LH)
The two pituitary hormones that impact egg maturation in the human female
- Follicle-stimulating hormone (FSH
- Luteinizing hormone (LH)
Signs of complications of IUD (PAINS)
○ P - period late, abnormal spotting or bleeding
○ A - abdominal pain, pain with intercourse
○ I - infection exposure, abnormal vaginal discharge
○ N - Not feeling well, fever or chills
○ S - string missing, shorter or longer
Medical and lifestyle Contraindications for use of IUD
- Heavy smokers over the age of 35
- HTN, coronary artery disease
- Strong familial history of diabetes with vascular complications
Medical and lifestyle Contraindications for use of birth control pills
- increased risk of cervical, endometrial, and ovarian cancer
- S/E: N/V, possible wt gain, possible breakthrough bleeding initially, Milf HTN,
breast tenderness, mood changes
Signs and complications w/ oral contraceptions (ACHES)
○ A - abdominal pain: may indicate a problem with liver or gallbladder
○ C - Chest pain or shortness of breath: indicates clot problem within lungs or heart
○ H - headaches (sudden or persistent): may be caused by CVA or HTN
○ E - eye problems: indicate vascular accident or HTN
○ S - severe leg pain: indicates a thromboembolic process
Contraindications of BCP
○ Hist of thromboembolic disorders
○ CVA or coronary artery disease
○ Breast cancer, Estrogen dependent tumors, and pregnancy
○ Impaired liver function, liver tumor, lactation less than 6 wks postpartum
○ Smoking if older than 35 years of age, migraine with aura
○ Surgery with prolonged immobilization or any surgery on the legs
○ HTN over or equal to 160/100, diabetes mellitus, and vascular disease
Baseline FHR
Approximate average FHR rounded to increments of 5 bpm during a 10
minute segment. Sometimes using a line that appears down the middle of the bpms can
be helpful.
Early labor
mild contractions every 5 - 15 minutes that last 60 - 90 seconds
Active labor
contractions about every 3 minutes, that last about 45 seconds.
Second stage of labor
contractions closer together (2 - 5 min) lasting 60 - 90 seconds. (When baby is delivered)
Stage 3 of labor
Placenta is delivered
Variability
Variability is good. We want it to vary in a range of 6 - 25 BPM (moderate).
Accelerations
Good ! Most common FHR change
○ abrupt increase in FHR above baseline peak
Early Decelerations
○ Early: assoc. w/ uterine contractions. 1st stage of labor. More than 15 bpm drop from baseline, lasting at least 2 min. Reassuring assoc. w/ baro & chemoreceptors.
