Unit 1 Level II process

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Unit 1 Level II process
2013-09-03 06:57:59
SCF Level II

Maternal/ newborn Level II UNit I
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  1. Define Birth Rate:
    Number of live births in 1 year per 1,000 population
  2. An infant whose age at birth is less than 37 weeks is called __________.
    Preterm Infant
  3. Define Maternal Mortality Rate:
    # of maternal deaths from births and complications of pregnancy, childbirth, and puerperium per 100,000 live births.
  4. Puerperium is what?
    the first 42 days following birth or abortion in which the females body returns to "normal"
  5. The number of stillbirths and number of neonatal deaths per 1,000 live births is the ____ rate.
    Perinatal Mortality Rate
  6. Define Fertility Rate:
    Number of births per 1000 women between the ages of 15 and 44, calculated on a yearly basis.
  7. Low birth rate =
    weighing less than 2500g (5lbs, 8oz)
  8. Maternity Nursing focuses on what?
    the care of childbearing women and their families through all stages of pregnancy and childbirth, as well as the first 4 weeks after birth.
  9. Healthy People 2010 set what goal?
    to improve health in aims of increasing the quality of year of healthy life and eliminating health disparities.
  10. This approach to health care encompasses complementary and alternative therapies along with Western modalities of treatment.
    Integrative Health Care
  11. ______ is a trained, experienced female labor attendant who provides a continuos one-on-one caring presence throughout the labor and birth process.
  12. ____ refers to guidelines for nursing practice that reflect current knowledge, represent levels of practice agreed upon by leaders in the specialty, and can be used for clinical benchmarking.
    Standards of Practice
  13. Define Acculturation :
    changes that occur within one group or among several groups when people from different cultures come in contact with one another.  Retaining some of their own practice, but start to adopt some of the new.
  14. Gravida refers to what?
    a woman who is pregnant.
  15. Gravidity refers to what?
  16. Multigravida refers to what?
    a woman who has had 2 or more pregnancies.
  17. Multipara refers to what?
    a woman who has completed 2 or more pregnancies to 20 weeks of gestation.
  18. Nulligravida refers to what?
    a woman who has never been pregnant
  19. Primigravida refers to what?
    a woman who is pregnant for the first time
  20. Parity refers to what?
    the # of pregnancies in which the fetus/fetuses reached 20 weeks gestation - whether fetus is stillborn or live.
  21. A fetus is viable at ____ weeks / weight.
    20-25 weeks / 500g
  22. Postdate/ postterm pregnancy goes to how many weeks?
    beyond 42 weeks
  23. Term pregnancies are ______ weeks.
  24. Preterm pregnancies are from __ - __ weeks.
  25. The umbilical cord contains what? 
    2 arteries / 1 vein

  26. Normal range of fetal heart rate is ___ bpm.
    110-160 beat per minute
  27. Accelerations that come with fetal movement are called _______.
    Accelerations - these are good
  28. Non- reassuring FHR are associated with:
    • Fetal Hypoxemia (deficiency of oxygen on arterial blood)
    • Inadequate supply of oxygen at cellular level
  29. What is IA?
    Intermittent Auscultation - listening to fetal heart sounds periodically
  30. How long is a baseline rate (minutes)?
    10 minutes
  31. How long will Lochia Rubra last?
    1-3 days
  32. How long will Lochia alba last?
    eleven days or 3-6 weeks
  33. How long will Lochia serosa last?
    4-10 days
  34. In what order will Lochia progress?
    • Rubra
    • Serosa 
    • Alba
  35. Normal head circumference is ____ inches.
    13-14 (33-34.4 cm)
  36. The transient bluish color of infant’s hands and feet after delivery; common in
    newborns is called ________.
  37. What is Cephalhematoma?
    • A raised area caused by effusion of blood between the skull and bone that is the result of pressure against the fetal skull during labor.
    • Does not cross suture lines.
  38. The soft tissue edema of the scalp in newborns is called ____.
    Caput seccedaneum - extends across suture lines - caused by vacuum extraction
  39. What is the normal resting heartbeat for an infant?
    80-160 bpm
  40. What does Human placental lactogen regulate?
    glucose for the fetus
  41. How does progesterone work?
    relaxes smooth muscle to avoid contractions
  42. Oligohydramnios is what?
    Amniotic fluid less than 300-500 mL at term - is associated with renal abnormalities.
  43. Cephalic presentation is what?
    head first
  44. Breech is what?
    feet or Buttocks first
  45. Effacement refers to what?
    the shortening and thinning of the cervix during the first stage of labor  (0-100%)
  46. What are the three phases of labor?
    • Latent (0-3 cm dilation)
    • Active (4-7 cm)
    • Transition (8-10 cm)