[NURS 3330] - Midterm Exam Guide - Everything you need to know! (148 pages long)

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LaGrange College
NURS 3330
MIDTERM EXAM
STUDY GUIDE
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Chapter 1: Maternity Nursing Overview
Wednesday, January 04, 2017
6:40 PM
Fertility and Birthrates
Fertility rate: the total number of live births, regardless of age of mother per 1,000 women of
reproductive age 15-44 years
Birthrate: the number of live births per 1,000 people
Past Trends
Present Trends
Focus on
physiological changes and needs
of the mother and infant
Family centered maternity nursing: focus on
both the physiological and psychosocial changes and
needs of the childbearing family
Primarily home
births
Primarily hospital births
Women labored in
one room and delivered in
another room
Women labor, deliver, and recover in the
same room
Expectant fathers
excluded from the labor and
birth process
Expectant fathers and family/friends involved in the labor
and birth experiences
Expectant fathers
excluded from cesarean births
Expectant fathers or family members in the
operating room during cesarean births
Labor pain
management: Amnesia or
twilight sleep" to natural
childbirth
Labor pain management: analgesics and
epidurals
Hospital postpartum
stay of 10 days
Hospital postpartum stay of 48 hours
Infant mortality rate
of 58.1 per 1000 live births in
1933
Infant mortality rate of 6.1 per 1000 live births in 2008
Maternal mortality
rate of 619.1 per 100,000 live
births
Maternal mortality rate of 24 per 100,000
live births in 2008
Induction of labor
rate of 9.5% in 1990
Induction of labor rate 23.2% in 2009
Cesarean section
rate of 20.7% in 1996
Cesarean section rate of 32.8% in 2010
Low probability of
Increased survival rates of infants born
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infants surviving who were born
at or before 28 weeks of
gestation
between 24 weeks and 28 weeks of gestation
Preterm Births
Very Premature: less than 32 weeks of gestation
Moderately premature: 32-34 weeks of gestation
Late premature: 34-37 weeks of gestation
Neonatal Birth Weight Rates
Low Birth Weight (LBW): birth weight that is less than 2,500 grams but greater than 1,500 grams
Very Low Birth Weight (VLBW): a birth weight that is less that 1,500 grams
Infant Mortality Rates
Infant Mortality= a death before the first birthday
Highest for mothers 16 and younger, and over 44
Maternal Death and Mortality Rates
Maternal Death: the death of a women during pregnancy or within 42 days of termination of
pregnancy
Direct Obstetric Death: a death resulting from complications during pregnancy, labor, and
postpartum and from interventions, omission of interventions or incorrect treatment
Indirect Obstetric Death: a death that is due to a preexisting disease or a disease that develops
during pregnancy that does not have a direct obstetrical cause
Late Maternal Death: a death that occurs more than 42 days after termination of pregnancy
from a direct or indirect obstetrical cause
Pregnancy-related Cause: maternal death during pregnancy or within 42 days of termination of
pregnancy regardless of cause of death
Issues
Birthrate for Teenagers
o Decreased by 43% from 1990-2010
o Higher in US than other developed countries
Tobacco Use During Pregnancy
o Cigarette smoking during pregnancy has decliened
o Smokers are less likely to breastfeed
o 45% of smokers quite during pregnancy
o 17% of women age 18-24 and 19% of women age 25-44 smoke
Substance Abuse during Pregnancy
o Associated with incidences of preterm birth, abruptio placenta, drug withdrawal for the
neonate, and a variety of congenital defects
Obesity
o 31% of women 20-39 are obese
o 17% of girls 12-19 years are obese
o Obese women are at higher risk for
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