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ch.1-7

Maternity

QuestionAnswer
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
Created by: kry2223
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