NUR114CH01

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Author:
TomWruble
ID:
180209
Filename:
NUR114CH01
Updated:
2013-03-17 12:25:53
Tags:
nur114e1 overview
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Description:
Chapter 01: 21st Century Maternity Nursing: Culturally Competent, Family and Community Focused
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  1. low-birth-weight (LBW) infants
    Neonates weighing less than 2,500 grams (5 pounds, 8 ounces)

    [1]
  2. preterm infants
    Neonates born before 37 weeks ofgestation

    [1]
  3. In the United States, the maternal mortality rate for African-American women is X times higher than the maternal mortality rate for non-Hispanic white women.
    Four

    [1]
  4. In the United States, the leading causes of pregnancy-related deaths are:
    • hemorrhage
    • blood clots
    • hypertension
    • infection
    • stroke
    • amniotic fluid embolism
    • heart muscle disease.
  5. The family structure consisting of parents and their dependent children living together is known as a(n):

    A. Binuclear family.
    B. Nuclear family.
    C. Extended family.
    D. Reconstituted family.
    B. Nuclear family.

    Binuclear refers to the family after divorce. Reconstituted includes stepparents and stepchildren. Nuclear family includes parents and children (natural or adopted) who live in a common household. Extended family includes the nuclear family and other people related by blood.

    [1]
    (this multiple choice question has been scrambled)
  6. What has had the greatest impact on reducing infant mortality in the United States?

    A. Improvements in perinatal care
    B. Decreased incidence of congenital abnormalities
    C. Better maternal nutrition
    D. Improved funding for health care
    A. Improvements in perinatal care.

    The improvements in perinatal care, particularly care of the mother-baby dyad before birth, have had the greatest impact. There has been a decrease in some congenital anomalies such as spina bifida, but this has not had the greatest impact. Better maternal nutrition has had a positive influence but has not made the greatest overall impact. Changes in funding have not had the greatest impact.
    (this multiple choice question has been scrambled)
  7. A Native-American woman gave birth to a baby girl 12 hours ago. The nurse notes that the woman keeps her baby in the bassinet except for feeding and states that she will wait until she gets home to begin breastfeeding. The nurse recognizes that this behavior is most likely a reflection of:

    A. A belief that babies should not be fed colostrum.
    B. Disappointment that the baby is a girl.
    C.Delayed attachment.
    D. Embarrassment.
    A. A belief that babies should not be fed colostrum.

    [1]
    (this multiple choice question has been scrambled)
  8. 2005 Hosp/other ratio
    99-1

    [1]
  9. 2005 Doc/Nurse-midwive ratio
    92-8

    [1]
  10. Preterm on 2006
    • Black 18.4%
    • Hispanic 12.2%
    • White 11.7%

    [1]
  11. Non-hispanic black babies are X likely to be LBW as non-hispanic white babies
    Twice

    [1]
  12. LBW in 2006
    8.3%

    [1]
  13. Neonatal mortality rate
    deaths of infants less than 28 days per 1000 live births

    [1]
  14. Infant mortality rate
    deaths of infants less than 1 yr per 1000 live births
  15. Birthrate
    Live births in 1 year per 1000 population

    [1]
  16. Abortus
    Removed or expelled before 20 weeks, less than 500g, or less than 25cm long

    [1]
  17. HPV vaccine available
    2006
  18. Rape Pill approved by FDA
    1998

    [1]
  19. Newborns' and Mothers' Health Act
    • 1998
    • 48 hrs for vag, 96 for C-sect
  20. First home prgnancy kits approved by FDA
    1976

    [1]
  21. APGAR
    • 1953
    • Appearance, 2=no cyanosis body and extremities pink
    • Pulse, 2=≥100, 1=<100, 0=absent
    • Grimace or Reflex irratability, 2=cry or pull away when stimulated
    • Activity 2=flexed arms and legs that resist extension
    • Respiration, 2=strong, lusty cry
  22. CRASH
    • Culture
    • show Respect
    • Assess or Affirm differences
    • show Sensitivity or Self-awareness
    • do it all with Humility

    [1]
  23. Genogram
    Family treee over at least 3 generations

    [1]
  24. Standarad of care defined in agency procedure book
    If not met and harm resulted, neglegence occurred.
  25. Standards of care described by...
    • ANA - maternal-child
    • AWHONN - perinatal nurses
    • ACNM - midwives
    • NANN - neonates

    [1]
  26. The nurse is planning care for a patient with a cultural background different from her own. What would be an appropriate goal?

    A. Strive to keep the patient's cultural background from influencing health needs
    B. Encourage the continuation of cultural practices in the hospital setting
    C. In a nonjudgmental way, attempt to change the patient's cultural beliefs
    D. As necessary, adapt the patient's cultural practices to her health needs
    D. As necessary, adapt the patient's cultural practices to her health needs

    The cultural background is part of the individual. It would be very difficult to eliminate the influence of the patient's background. The cultural practices need to be evaluated within the context of the health care setting to determine whether they are conflicting. It is not appropriate to attempt to change someone’s cultural practices. Whenever possible, the nurse should facilitate the integration of cultural practices into health needs.
    (this multiple choice question has been scrambled)

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