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ch.1-7
Maternity
Question | Answer |
---|---|
The number of live births per 1000 population in 1 year | Birth rate |
The number of births per 1000 woman ages 15-44 years in a given population | Fertility rate |
The number of fetal deaths(fetuses weighing 500g or more)per 1000 live births per year | Fetal mortality rate |
The number of deaths of infants under age 1 year per 1000 live births per year | Infant mortality rate |
The number of maternal deaths per 100,000 live births that occur as a direct results of pregnancy (includes the 42-day postpartum period) | Maternal mortality rate |
The number of deaths of infants less than age 28 days per 1000 live births per year | Neonatal mortality rate |
Includes both fetal/neonatal deaths per 1000 live births per year | Perinatal mortality rate |
The drug used to reverse magnesium toxicity is ? | Calcium gluconate |
Difference btw signs of abruptio placentae/those of placenta previa is that abruptio placentae involves: | Presence of pain |
The abnormal implantation of the placenta in the lower part of the uterus | Placenta previa |
The premature separation of the placenta that is normally implanted | Abruptio placentae |
A anticonvulsant given to prevent seizures: | Magnesium Sulfate |
The uterine layer that responds to hormonal changes/receives the fertilized ovum is : | Endometrium |
The typical pelvic type for a male is the : | Android |
The ideal pelvic type for a female is the: | Gynecoid |
The outermost or serosal layer that envelops the uterus: | Perimetrium |
The middle layer muscular layer that functions during pregnancy/birth | Myometrium |
Organs that produce spermatoza/male sex hormones: | Testes |
Seminal plasma plus sperm: | Semen |
Primary male hormone: | Androgens |
Skin sac that suspends testes away from the body: | Scrotum |
Male organ for urination/sexual intercourse: | Penis |
Male sex hormones: | testosterone |
Seminal plasma plus sperm: | Semen |
Male germ (reproductive) cells | Spermatozoa |
A strong muscle area btw the vaginal opening/ the anus: | Perineum |
What has one vein and 2 arteries? | The umbilical cord |
Foldlike appearance with a slit type of opening/serves as the exit for urine | Urethral meatus |
Lubricates urethra/vaginal orficice | Skene's ducts(paraurethral ducts) |
Division btw external/internal female genitals | Vaginal introitus |
Thin elastic membrane that closes the vagina from vestibule to various degress | Hymen |
Provide lubrication for the vaginal introitus during sexual arousal/are normally not visible | Ducts of the Bartholin glands |
Transverse ridges of the mucous membrane lining | Rugae |
Hollow muscular organ where fertilized ovum is implanted, embryo forms, fetus develops | Uterus |
Narrow tubular/opens into the upper vagina | Cervix |
How many chromosomes should be contained in the normal sperm or ovum? | 23 |
Cell division that results in the formation of reproductive cells is known as? | Meiosis |
Which sex chromosome combination results in conception of a male? | XY |
Passageway in which sperm meet the ovum,means of transporting the ovum or zygote to the corpus of the uterus | Fallopian tubes |
Production of hormones(progesterone/estrogen) | Ovaries |
What are the 5 components of Apgar score in order APGAR: | 1.heart rate,2.respiratory effort 3.muscle tone,4.reflex to suction or gentle stimulation on sole of the feet 5. skin color |
A Apagar score of 8-10 requires what kind of nursing intervention? | no action required |
A Apagar score of 4-7 requires what kind of nursing intervention? | means the infant needs gentle stimulation(rubbing the back) |
A Apagar score of <_3 requires what kind of nursing intervention? | infant needs active resuscitative measures |
What are the 4 P's of the birth process? | Powers, Passage, Passenger, Psyche |
2nd to 8th week of development is known as the embryonic stage..wht is the infant called? | Embryo |
9th week of development until birth what is the developing infant called? | Fetus |
Can prevent most neural tube defects such as spina bifida: | Folic Acid |
What is the age of viability?, fetus is able to survive outside the uterus | 20weeks of gestation |
What week can a fetus heart beat be heard? | 3rd week |
When can fetal movements be felt? | 8weeks of gestation |
By what week does the infant respond to external stimuli? | 14th week |
Is detectable in maternal blood as soon as implantation occurs 7-9 days after fertilization,basis for most pregnancy test? | hCG |
Cuases decreased insulin sensitivity/utilization of glucose by the mother | hPL |
Diverts some blood away from the liver as it returns from the placenta | Ductus venosus |
Diverts most blood from the right atrium directly to the left atrium, rather than circulating it to the lungs | Foramen ovale |
Diverts most blood from the pulmonary artery into the aorta | Ductus arteriosus |
Provided funds for maternity care | Tile V of the social act passed in 1935 |
Established to increase educational exposure of preschool children | Head start program 1966 |
Established to provide supplemental food/education for families in need of assistance | The Woman's, Infants/Children (WIC)1966 |
Established a general minimum working age of 16 yrs/a minimum working age of 18yrs for jobs considered hazardous | Fair Labor Standards Act 1938 |
Increased access to care by indigent women | XIX Medicaid program 1993 |
How long is the ovum estimated to survive? | Up to 24hrs |
identical twins,genetically identicle, same sex/look alike, develope from a single fertilized ovum | Monozygotic |
Fraternal (dizygotic)twins result when : | two sperm fertilize two ova |
False labor : | contractions are irregular or do not increase in frequency,duration/intensity |
True labor: | Contractions gradually develop a regular pattern/become more frequent,longer/more intense |
Recommended weight gain for a normal-weight woman: | 25-35 lb |
Recommended weight gain for a under-weight woman: | 28-40lb |
Recommended weight gain for a overweight woman: | 11-25lb |
Recommended weight gain for a obese woman: | 11-20lb |
What is a natural pain reliever that the body produces? | Endorphine |
Identical twins, genetically identical,same sex/look alike, develop from a single fertilized ovum | Monozygotic |
What is the recommended schedule for prenatal visits in a uncomplicated pregnancy: | Conception 28wks-q4wks 29-36wks-g2to3wks 37wks to birth-weekly |
Presumptive signs of pregnancy: | Amenorrhea,nausea,breast change, pigmentation changes (chloasma"preg. mask) Urinary frequency Quickening |
Positive signs of pregnancy: | Audible fetal heartbeat Fetal movement felt by examiner Ultrasound visualization of fetus |
Probable signs of pregnancy:soften cervix/vagina | Goodell's sign |
Probable signs of pregnancy: bluish color of cervix,vagina/vulva | Chadwicks sign |
Probable signs of pregnancy:softened lower uterus | Hegar's sign |
Probable signs of pregnancy: abdominal/uterine enlargement | McDonalds sign |
Probable signs of pregnancy:irregular,painless uterine contractions | Braxton Hicks comtactions |
Probable signs of pregnancy:rebound of fetal part when tapped by examining finger during vaginal examination | Ballottement |
Probable signs of pregnancy:stretch marks | Abdominal striae |
When can a fetal heartbeat be detected? | 10 weeks of pregnancy |
When can fetal movement be felt? | 2nd trimester |
When can a fetus be identified by a ultrasound? | 4 to 5 weeks of gestation |
What is the first sign of fluid retention in a pregnant woman? | Excessive weight gain |
TORCH diseases of pregnancy include: | (to)oplasmosis (r)ubella (c)ytomegalovirus (h)erpes simplex virus "o" used to designate "other" infections |
Persistent contraction intervals shorter than 60 seconds may reduce? | fetal oxygen supply |
What narcotic id used to reverse respiratory depression,usually in the infant caused by meperidine | Naloxone (narcan) |
Signs/symptoms of hyperventilation: | dizziness,tingling hands/feet,cramps/muscle spasms of hands, numbness around nose/mouth |
What are corrective measures for hyperventilation? | breath slowly,breath into cupped hands, hold breath for a few seconds before exhaling |