Maternity Quiz 1

provides for up to 12 weeks unpaid leave after child birth, adoption, or faster placement, for care of a child, spouse, or parent who is seriously ill.

Agenda for improving health. Two overarching goals: 1. increase the quality and years of healthy life. 2. To eliminate health disparities

young maternal age, unmarried status, overty, lack of prenatal care, smoking, poor nutrition, smoking/alcohol abuse, maternal health (poor health/hypertension).

Trends: high rate of LBW infants (US is 27th in infant mortality)

Involves health promotion and disease prevention activities to decrease the occurrence of illness and enhance general health and quality of life. Precedes the disease or dysfunction and encourages individual to achieve the optimal level of health possible.

aimed at early detection of a disease and prompt treatment to either cure a disease or to slow the progression and prevent subsequent disability. Ex: BP screenings, cholesterol screenings.

Follows the occurence of a defect or disability and is aimed at preventing disabiltiy through restoration of optimal functioning. Treated to prevent complications and further deterioration.

Providing care based on evidence gained through research and clinical trials.

1.Antenatal steroids: give to patients that are in preterm labor (between 24-32 weeks).

2.Exclusive breastfeeding

The level of practive that a reasonable and prudent nurse would provide.

Married parents, married-blended, cohabitating parents, single-parent family, no parent family.

A group of 2 or more persons related by blood, adoption, or emotional commitment who work together to meet life goals and needs.

Changes occuring in one family member affect entire family. View the family as a unit, understand how members influence and interact with each other.

• The family is made up of subsystems. Family is able to create balance between change and stability.
• Table 2-1

Consider all aspects of culture: communication, space, thime orientation, and family roles.

adaptation of care in a manner that is congruent with the client's culture.

women, racial/ethnic minorities, adolescent girls, older women, low literacy, incarcerated women, migrant women, homeless, rural, refugee/immigrant

120-160 beats/min

When umbilical cord is clamped, pulmonary vascular resistance decreases and systemic vascular resistance increases. Listen to HR for full minute.

Most likely a murmur

infection or anemia, hyperthermia, hypovolemia

congenital heart block, hyposemia

30-60 breaths per minute

nasal flaring, retraction of the tissue between the ribs, grunting with respirations, pallor, central cyanosis

A "cheese like" substance that acts as a protective covering on the baby.

blue in extremities. can appear over the first 7-10 days especially with exposure to cold.

an edematour are of the scalp due to trauma during birth.

collection of blood between the skull bone and the periosteum. Does not cross cranial suture lines.

bleeding into the subgaleal compartment---can cross cranial suture lines

peeling of the skin. occurs a few days after birth for term infants, Presence at birth indicated post maturity

bluish black spots that occur on the exterior surface of the body of an infant. Usually occur in Mediterranean, Latin American, Asian, and African infants.

"stork bites" appear on upper eyelids, nose upper lips of infants. No clinical significance and usually fade by the second year of life.

flea bite dermatitis. lesions in different stages. thought to be an inflammatory response

liver produces clotting factors and stores iron for the first few months

newborns have an immature carb metabolism and can have trouble regulating blood glucose---should be 40-80 mg/dL. Large for gestational age and small gestational age babies should should have accucheck done.

Yellow pigment created when RBCs breakdown

If it appears before 24 hours of age, increases more than 0.5 mg/dl an hour, peaks at greater than 13mg/dL in a term infant, or is associated with anemia/hepatosplenomegaly

when RBCs breakdown they are carried to the liver as unconjugated bilirubin bound to albumin. Some bilirubin is bound converted to conjugated bilirubin and broken down and excreted in the GI. Unconjugated bilirubin stays with albumin and goes into circulation. Liver can't break it down and it gets into baby's skin and causes it to turn yellow.

It is a substance unique to newborns. Used by infants to produce heat

Increases metabolic rate, O2 demand and caloric consumption

babinski, moro, rooting, sucking, grasp, extrusion, Glabellar (tap forehead), Tonic neck, stepping, crawling

weight is above the 90th percentile at any week

weight falls between the 10th and 90th percentile for infant's age

weight is below the 10th percentile at any week

weight of 2500 grams or less at birth

weight of 1500 grams or less at birth

term applied to the fetus whose rate of growth does not meet expected norms.