21St Century Maternity & Women's Health Nursing Ch 1

Front 1

Number of live births in 1 year per 1000 population

Back 1

Birth rate

Front 2

Embryo or fetus that is removed or expelled from the uterus at 20 weeks of gestation or less, weights 500 g or less, or measure 25 cm or less

Back 2

Abortus

Front 3

Number of maternal deaths from births and complications of pregnancy, childbirth, and the peurperium (the 1st 42 days after termination of the pregnancy) per 100,000 live births.

Back 3

Maternal mortality rate

Front 4

An infant who at birth demonstrates no sins of life, such as breathing, heartbeat, or voluntary muscle movements.

Back 4

Stillbirth

Front 5

Number of stillbirths and number of neonatal deaths per 1000 live births.

Back 5

Perinatal mortality rate

Front 6

Number of births per 1000 women between the ages of 15 and 44 years (inclusive), calculated on a yearly basis.

Back 6

Fertility rate

Front 7

Infant whose weight at birth is less than 2500 g (5 lb, 8 oz)

Back 7

Low-birth-weight infant

Front 8

Number of deaths of infants less than 1 year of age per 1000 live births.

Back 8

Infant mortality rate

Front 9

Number of deaths of infants less than 28 days of age per 1000 live births.

Back 9

Neonatal mortality rate

Front 10

Infant born before 38 weeks of gestation.

Back 10

Preterm infant

Front 11

Specialty area of nursing that focuses on the care of childbearing women and their families through all stages of pregnancy and childbirth, as well as the first 4 weeks after birth

Back 11

Maternity nursing

Front 12

Health care that focuses on the physical, psychologic, and social needs of women throughout their lives

Back 12

women's health care

Front 13

A set of goals that reflects the nation's agenda for improving health with the ultimate aims to increase the quality and years of health life and to eliminate health disparities

Back 13

Healthy People 2010, 2020

Front 14

Approach to health care that encompasses complementary and alternative therapies in combination with conventional Western modalities of treatment

Back 14

Millennium Developmental Goals (MDGs)

Front 15

Approach to health care that encompasses complementary and alternative therapies in combination with conventional Western modalities of treatment

Back 15

integrative health care

Front 16

An umbrella term for the use of communication technologies and electronic information to provide or support health care when the participants are separated by distance

Back 16

telehealth

Front 17

Terms used to describe procedures in which part or all of the female external genitalia are removed for cultural or nontherapeutic reasons

Back 17

female genital mutilation, infibulation, circumcision

Front 18

Trained and experienced female labor attendants who provide a continual one-on-one caring presence throughout the labor and birth process

Back 18

doula

Front 19

Term used to refer to a spectrum of abilities, ranging from reading an appointment slip to interpreting medication instructions

Back 19

health literacy

Front 20

Comprehensive standardized language that describes interventions performed by generalist or specialist nurses

Back 20

Nursing Intervention Classification (NIC)

Front 21

Health care that is based on information gained through research and clinical trials

Back 21

evidence-based practice

Front 22

Approach to care that measures effectiveness of care against benchmarks or standards. It is a measure of the value of nursing using quality indicators and answers the question, "Did the client benefit or not benefit from the care provided?"

Back 22

outcomes-oriented care

Front 23

Guidelines for nursing practice that reflect current knowledge, represent levels of practice agreed on by leaders in the specialty, and can be used for clinical benchmarking

Back 23

standards of practice

Front 24

Term used to refer to the level of practice that a reasonably prudent nurse would provide in the same or similar circumstances.

Back 24

standard of care

Front 25

An evolving process that is used to identify risks, establish preventive practices, develop reporting mechanisms, and delineate procedures for managing lawsuits

Back 25

risk management

Front 26

Term used by the Joint Commission to describe an unexpected occurrence involving death or serious physical or psychologic injury or risk thereof

Back 26

Sentinel event

Front 27

Process used to evaluate the quality and quantity of nursing care by comparing the number of surgical clients who develop common complications who survive versus those who do not; in OB, its aim is to evaluate the perinatal team's ability to decrease risk of adverse outcomes by measuring processes involved in common complications and emergencies

Back 27

failure to rescue

Front 28

Effort to provide nurses with the competencies to improve the quality and safety of the systems of health care in which they practice

Back 28

QSEN

Front 29

Technique that gives a specific framework for communication among health care providers. It is an easy to remember, useful, concrete mechanism for communicating important information that requires a clinician's immediate attention.

Back 29

SBAR

Front 30

Approach developed by the Department of Defense's Patient Safety Program in collaboration with the Agency for Healthcare Research and quality as a teamwork system for health professionals to provide higher quality, safer client care. It provides an evidence base to improve communication and teamwork skills.

Back 30

Team STEPPS

Front 31

An integrative health care approach implies:
a. the focus is on the whole person
b. conventional Western modalities of treatment are not included
c. the beliefs, value, and desires of the client in terms of health and health care are respected
d. client autonomy is limited in terms of choosing alternative therapies
e. the client's disease complex is considered when choosing treatment approaches

Back 31

a, c and e

Front 32

A nurse manager of a prenatal clinic should recognize that the most significant barrier encountered by pregnant women in accessing health care is:
a. lack of transportation to the clinic
b. child care responsibilities
c. inability to pay
d. deficient knowledge related to the benefits of prenatal care

Back 32

c
all apply but inability to pay is most significant

Front 33

Both worldwide and in the United States, the leading cause of maternal mortality is:
a. hemorrhage
b. infection
c. diabetes
d. gestational hypertension

Back 33

d

Front 34

After teaching a group of women about hazards of smoking during pregnancy, a woman answers a question by listing the hazards. Which hazard, if included by the woman in her list, indicate the need for further teaching?
a. intrauterine growth restriction
b. congenital anomalies
c. low birth weight
d. premature labor and birth

Back 34

b
smoking's not associated with anomalies, because smoking adversely affects circulation and thus placental perfusion A, C and D are all possible complications

Front 35

Pregnant women who are obese are more likely to develop one or both of the the 2 most frequently reported maternal risk factors. These factors include:
a. premature labor and infection
b. hemorrhage and gestational hypertension
c. infection and diabetes
diabetes and gestational hypertension

Back 35

d