1. low-birth-weight (LBW) infants
    Neonates weighing less than 2,500 grams (5 pounds, 8 ounces)

  2. preterm infants
    Neonates born before 37 weeks ofgestation

  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.

  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. 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.

  6. What has had the greatest impact on reducing infant mortality in the United States?

    C. 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.
  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:

    C. A belief that babies should not be fed colostrum.

  8. 2005 Hosp/other ratio

  9. 2005 Doc/Nurse-midwive ratio

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

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

  12. LBW in 2006

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

  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

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

  17. HPV vaccine available
  18. Rape Pill approved by FDA

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

  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

  23. Genogram
    Family treee over at least 3 generations

  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

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

    C. 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.
Card Set
Chapter 01: 21st Century Maternity Nursing: Culturally Competent, Family and Community Focused