NRSG 376 - Exam 1 Questions With Complete Solutions

family centered care - ANS innovative approach to the planning, delivery, and evaluation of health care that is grounded in a mutually beneficial partnership among patients, families, and healthcare professionals maternal mortality rate - ANS annual number of deaths of women from pregnancy related causes - per 100,000 live births infant mortality rate - ANS annual number of deaths of infants from 29 days of age until 12 months - per 1,000 live births neonatal mortality rate - ANS annual number of deaths of infants under 28 days of age - per 1,000 live births intimate partner violence - ANS violence that occurs between individuals who maintain a romantic or sexual relationship, includes physical, sexual, emotional, social, and economic abuse, occurs at all economic and educational levels, stages are building tension, battering, and honeymoon communication techniques with pregnant adolescents - ANS be welcoming and nonjudgemental, provide options, offer counseling, importance of STD screening, developmental tasks may be interrupted implications for maternal health with pregnant adolescents - ANS increased risk for anemia, dystocia, preeclampsia, preterm birth delayed pregnancy advantages - ANS financial resources, psychosocial maturity, self confidence delayed pregnancy disadvantages - ANS pregnancy complications, exhaustion, anxiety about antepartum testing cord blood banking - ANS collection of umbilical cord blood at time of birth, rich in stem cells, may help with future medical needs for their child or another biologically matched person maternal-fetal conflict - ANS any situation where maternal well-being or wishes contradict fetal benefit cultural influences on childbearing - ANS health beliefs (health maintenance during pregnancy, preventing illness, belief in faith, modesty), communication techniques (language, decision making, eye contact, touch) positive signs of pregnancy - ANS auscultation of fetal heart sounds, fetal movements felt by examiner, visualization of fetus function of placenta - ANS transfer of nourishment and oxygen to the fetus from the mothers blood, helps with metabolic and endocrine development function of amniotic fluid - ANS derived from fetal urine and maternal blood cells, allows growth and movement, protects the fetus from injury, maintains constant temperature, promotes development 1st trimester - ANS 1-12 weeks 2nd trimester - ANS 13-27 weeks 3rd trimester - ANS 28-40 weeks spontaneous abortion - ANS 20 weeks term of viability - ANS 24 weeks full term - ANS 37 weeks weight gain during pregnancy - ANS 2-4 pounds in the 1st trimester, 1 pound a week after that, 25-35 pounds in total uterus measurement fundus - ANS after 20 weeks the measurement should equal the gestational age, 26 weeks = 26 cm. assessment for intra uterine growth restriction - ANS fundus height measurement of 4 cm. or more behind expected measurement, doing a fetal ultrasound or doppler ultrasound fetal heart rate during pregnancy - ANS 110-170 beats per minute, can be heard 10-12 weeks with doppler, is quicker during the 1st trimester and slows with growth fetal movements during pregnancy - ANS begins 17-20 weeks, known as quickening, between 20-40 weeks there should be at least 10 movements in 2 hours