NUR 375/OB Exam 1 Study guide Chapter 1
Latest updated 2021/2022
Maternity nursing encompasses:
preconception, pregnancy, childbirth and first 6 weeks of child’s life
Health disparities – refer to differences in the health status of different groups of
people. Some groups of people have higher rates of certain diseases and
more deaths and suffering from them, compared to others (linked to: biologic
factors, environment, socioeconomic factors, health behaviors)
Morbidity:
unhealthy state of an individual within a
population Mortality:
# of people who died within a population
Healthy people 2020:
Science based assessments for improving health of all Americans
4 goals:
- attaining high quality, longer lives free from preventable
disease, disability, injury and premature death
- achieving health equity, eliminating disparities, improving health of
all groups
- creating social and physical environments that promote good health
for all
- promoting quality of life, healthy development and healthy
behaviors across all life stages
Contemporary issues:
Integrative health care:
Holistic heath care, complementary and alternative therapies
Interprofessional education:
Collaborative learning, interprofessional communication, SBAR
Failure to communicate is a major cause of errors
To the patient, to peers, to health care provider, etc.
Problems with health care delivery system
Structure of system, don’t take short cuts, reduce med errors (3rd leading
cause ofdeath in US)
High cost of
, healthcare Health
literacy Limited
access to care
Inability to pay, lack of transportation, childcare, insurance
Trends in fertility:
Low birth weight and preterm
- less than 2500 grams or 5lbs 8 oz
, - preterm is before 37 weeks
gestation Maternal mortality
- cardiovascular disease, non-cardiovascular, infection, unsafe
abortion
- age is strongly related, less than 20 and more
than 35 Maternal morbidity- (results in high risk
pregnancy)
- Obesity - risk factors pregnancy induced hypertension (PIH)
& diabetes Decreased fertility, congenital anomalies,
miscarriage and fetal death
Regional services –
Availability of services for high risk prenatal
patients Ambulatory care
Basic care – OB, family physicians, midwifes
- routine prenatal care
Specialty care
- OB’s for fetal diagnostic testing and managing of complications
Subspecialty care – maternal fetal medicine specialized and
reproductive geneticists
- includes genetic testing, advanced fetal therapy, severe
maternal / fetal complications
Evidence based practice:
providing care based on evidence gained through research and clinical trials
- AWHONN – association of women’s health, OB and neonatal nurses
- WHO – world health organization
- QSEN – quality and education for nurses
Prevention of errors:
Don’t use abbreviations
Consult agency policies if unsure on how to perform a procedure
Ethical issues:
Technology, scientific advances, informed consent
Reproductive technology:
Fetal surgery in uterine, therapeutic insemination, stem cell research, genetic
engineering, surrogate childbearing, treatment of VLBW (low birth weight
babies)
, Chapter 3:
Barriers to entering health care system:
Finances, cultural, sexual orientation (gender issues)
Latest updated 2021/2022
Maternity nursing encompasses:
preconception, pregnancy, childbirth and first 6 weeks of child’s life
Health disparities – refer to differences in the health status of different groups of
people. Some groups of people have higher rates of certain diseases and
more deaths and suffering from them, compared to others (linked to: biologic
factors, environment, socioeconomic factors, health behaviors)
Morbidity:
unhealthy state of an individual within a
population Mortality:
# of people who died within a population
Healthy people 2020:
Science based assessments for improving health of all Americans
4 goals:
- attaining high quality, longer lives free from preventable
disease, disability, injury and premature death
- achieving health equity, eliminating disparities, improving health of
all groups
- creating social and physical environments that promote good health
for all
- promoting quality of life, healthy development and healthy
behaviors across all life stages
Contemporary issues:
Integrative health care:
Holistic heath care, complementary and alternative therapies
Interprofessional education:
Collaborative learning, interprofessional communication, SBAR
Failure to communicate is a major cause of errors
To the patient, to peers, to health care provider, etc.
Problems with health care delivery system
Structure of system, don’t take short cuts, reduce med errors (3rd leading
cause ofdeath in US)
High cost of
, healthcare Health
literacy Limited
access to care
Inability to pay, lack of transportation, childcare, insurance
Trends in fertility:
Low birth weight and preterm
- less than 2500 grams or 5lbs 8 oz
, - preterm is before 37 weeks
gestation Maternal mortality
- cardiovascular disease, non-cardiovascular, infection, unsafe
abortion
- age is strongly related, less than 20 and more
than 35 Maternal morbidity- (results in high risk
pregnancy)
- Obesity - risk factors pregnancy induced hypertension (PIH)
& diabetes Decreased fertility, congenital anomalies,
miscarriage and fetal death
Regional services –
Availability of services for high risk prenatal
patients Ambulatory care
Basic care – OB, family physicians, midwifes
- routine prenatal care
Specialty care
- OB’s for fetal diagnostic testing and managing of complications
Subspecialty care – maternal fetal medicine specialized and
reproductive geneticists
- includes genetic testing, advanced fetal therapy, severe
maternal / fetal complications
Evidence based practice:
providing care based on evidence gained through research and clinical trials
- AWHONN – association of women’s health, OB and neonatal nurses
- WHO – world health organization
- QSEN – quality and education for nurses
Prevention of errors:
Don’t use abbreviations
Consult agency policies if unsure on how to perform a procedure
Ethical issues:
Technology, scientific advances, informed consent
Reproductive technology:
Fetal surgery in uterine, therapeutic insemination, stem cell research, genetic
engineering, surrogate childbearing, treatment of VLBW (low birth weight
babies)
, Chapter 3:
Barriers to entering health care system:
Finances, cultural, sexual orientation (gender issues)
