CORRECT Answers
Infant Mortality Rate Contributing Factors Congenital malformations
Premature birth
Maternal complications of pregnancy
Pregnancy related: preexisting cardiovascular disease, Hemorrhage, Infection
Highest death rate among developed countries
24.6 per 100,000 birth - maternal death
History of Birthing Before 20th century it happened in-home with a "granny midwife"
19th century: hospital births by physicians become more common
Semmelweis: did research on infection in postpartum care and is kind of the
reason hospital births became a thing
Timing of ovulation Day 14 of 28-day cycle
Between ovulatory and luteal phase
Certified Nurse-Midwife (CNM) Only cares for uncomplicated pregnancies.
Take complete health histories and perform physical exams
Provide complete care during pregnancy, childbirth, and postpartum
Annual well woman exams, gynecology services, family-planning, and
counseling
Nurse Practitioner Complete health histories, perform physical exams, order and interpret labs,
and dx
Work with physicians or independently depending on states
DO NOT perform deliveries during childbirth
Can also be:
Family NP
Neonatal NP
Pediatric NP
Clinical Nurse Specialist (CNS) RNs with graduate level degrees with expertise in care of childbearing women
with complex problems
Direct care, consultation, systems leadership, collaboration, coaching,
research, and ethical decision making
DO NOT provide primary care
The basic principles of family-centered care • Childbirth is usually a normal, healthy event in the life of a family.
• Childbirth affects the entire family, and family relationships will need to be
restructured.
• Families can make decisions about care if they are given adequate information
and professional support.
• Maintaining a focus on family or other support can benefit a woman as she
seeks to maintain health."
Definition of family centered nursing care "Family-centered care describes safe, high-quality care that recognizes and
adapts to both the physical and psychosocial needs of the family, including the
newborn. The goal is to foster family unity while maintaining physical safety.