NM702 EXAM 1 QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED LATEST UPDATE
maternal mortality
"The death of a woman while pregnant or within 42 days of termination of pregnancy,
irrespective of the duration and site of the pregnancy, from any cause related to or
aggravated by the pregnancy or its management but not from accidental or incidental
causes."
birth rate
the number of live births per thousand of population per year
neonatal mortality rate:
The number of neonatal deaths (death during the first 28 days of life) per 1000 live
births
perinatal mortality rate
The number of perinatal deaths (stillbirths or death of a live newborn within the first 7
days of life) per 1000 total births
stillbirth
a baby born with no signs of life at or after 20 weeks' gestation. (CDC)
infant death
The number of deaths of infants under one year of age per 1,000 live births.
direct maternal death
death that is the result of a complication of the pregnancy, delivery, or management of
the two
,indirect maternal death
maternal death resulting from previous existing disease or disease that developed
during pregnancy and which was not due to direct obstetric causes, but which was
aggravated by physiologic effects of pregnancy
maternal mortality ratio
"Death from obstetric causes <42 days postpartum, per 100,000 live births."
Pregnancy related death
"The death of a woman while pregnant or within 42 days of termination of pregnancy,
irrespective of the cause of death."
"internatal" care:
care from birth of one baby to the next, this care includes wide variety of health
promotion topics including parenting, support system, infant care, etc
Roberts priorities in prenatal education, descending order of importance
-responding to a woman's specific questions
-addressing essential health and safety issues
-providing anticipatory guidance about pregnancy changes, birth, and infant care;
-adding detailed explanations on any topics and institutional policies that were beyond
the woman's immediate needs.
The Four Ps of a Sexual History
Partners (Number, gender, length of time, health behaviors of partners)
Practices
,Protection (condoms? Her perception of her own risk status, concerns about STIs or
partner's exposures?)
Previous History (of STIs)
The Five Ps of Substance Use
- Peers (have a problem with substance abuse?)
- Partner have a problem with substance abuse?)
- Parents have a problem with substance abuse?)
- Past use - before you were pregnant, how often did you drink...
- Present use- in the past month..
- Smoking: how many cig in the month prior to pregnancy?
The Three Delays
-Delay in recognizing there is a problem and making the decision to seek care
- Delay in reaching the appropriate level of care once the problem or complication has
been recognized
- Delay in receiving the appropriate care after arrival at the service site
The Four C Questions to Elicit Cultural Beliefs
- What do you CALL your condition?
- What do you think CAUSED your problem?
- How do. You COPE with your condition?
- What CONCERNS do you have regarding your problem?
6. __________% of pregnancies are unintended
45%
, How does receiving prenatal care influence women's obstetrical outcomes?
1. Women who do not receive prenatal care are 5x more likely to die than women who
do receive prenatal care (Berg 2010)
2. Group prenatal care dramatically improves health outcomes
1. Prenatal care is associated with improved rates of preterm birth, breastfeeding rates,
maternal satisfaction with care, feel more prepared for birth and parenting
How has the maternal death rate in the US changed over the last 15 to 20 years,
and what is the rationale for this change? How do you think receiving prenatal
care affects the maternal death rate?
1. 1987: 17.2%
2. 2013: 17.3%
3. Causes: preexisting chronic illnesses, hemorrhage, infection, thrombi, cardiovascular
diseases
4. Significant racial disparities (black women 3x more likely to die as white)
What populations of women are most at risk for adverse obstetrical outcomes,
and what can you do to decrease this risk?
At risk: Latino, African American, Native American, Adolescents
What can you do?
1. Group prenatal care
2. Preconception visits
3. Adopting quality care bundles (like the ones from California Maternal Quality Care
Collaboration)
SOLUTIONS VERIFIED LATEST UPDATE
maternal mortality
"The death of a woman while pregnant or within 42 days of termination of pregnancy,
irrespective of the duration and site of the pregnancy, from any cause related to or
aggravated by the pregnancy or its management but not from accidental or incidental
causes."
birth rate
the number of live births per thousand of population per year
neonatal mortality rate:
The number of neonatal deaths (death during the first 28 days of life) per 1000 live
births
perinatal mortality rate
The number of perinatal deaths (stillbirths or death of a live newborn within the first 7
days of life) per 1000 total births
stillbirth
a baby born with no signs of life at or after 20 weeks' gestation. (CDC)
infant death
The number of deaths of infants under one year of age per 1,000 live births.
direct maternal death
death that is the result of a complication of the pregnancy, delivery, or management of
the two
,indirect maternal death
maternal death resulting from previous existing disease or disease that developed
during pregnancy and which was not due to direct obstetric causes, but which was
aggravated by physiologic effects of pregnancy
maternal mortality ratio
"Death from obstetric causes <42 days postpartum, per 100,000 live births."
Pregnancy related death
"The death of a woman while pregnant or within 42 days of termination of pregnancy,
irrespective of the cause of death."
"internatal" care:
care from birth of one baby to the next, this care includes wide variety of health
promotion topics including parenting, support system, infant care, etc
Roberts priorities in prenatal education, descending order of importance
-responding to a woman's specific questions
-addressing essential health and safety issues
-providing anticipatory guidance about pregnancy changes, birth, and infant care;
-adding detailed explanations on any topics and institutional policies that were beyond
the woman's immediate needs.
The Four Ps of a Sexual History
Partners (Number, gender, length of time, health behaviors of partners)
Practices
,Protection (condoms? Her perception of her own risk status, concerns about STIs or
partner's exposures?)
Previous History (of STIs)
The Five Ps of Substance Use
- Peers (have a problem with substance abuse?)
- Partner have a problem with substance abuse?)
- Parents have a problem with substance abuse?)
- Past use - before you were pregnant, how often did you drink...
- Present use- in the past month..
- Smoking: how many cig in the month prior to pregnancy?
The Three Delays
-Delay in recognizing there is a problem and making the decision to seek care
- Delay in reaching the appropriate level of care once the problem or complication has
been recognized
- Delay in receiving the appropriate care after arrival at the service site
The Four C Questions to Elicit Cultural Beliefs
- What do you CALL your condition?
- What do you think CAUSED your problem?
- How do. You COPE with your condition?
- What CONCERNS do you have regarding your problem?
6. __________% of pregnancies are unintended
45%
, How does receiving prenatal care influence women's obstetrical outcomes?
1. Women who do not receive prenatal care are 5x more likely to die than women who
do receive prenatal care (Berg 2010)
2. Group prenatal care dramatically improves health outcomes
1. Prenatal care is associated with improved rates of preterm birth, breastfeeding rates,
maternal satisfaction with care, feel more prepared for birth and parenting
How has the maternal death rate in the US changed over the last 15 to 20 years,
and what is the rationale for this change? How do you think receiving prenatal
care affects the maternal death rate?
1. 1987: 17.2%
2. 2013: 17.3%
3. Causes: preexisting chronic illnesses, hemorrhage, infection, thrombi, cardiovascular
diseases
4. Significant racial disparities (black women 3x more likely to die as white)
What populations of women are most at risk for adverse obstetrical outcomes,
and what can you do to decrease this risk?
At risk: Latino, African American, Native American, Adolescents
What can you do?
1. Group prenatal care
2. Preconception visits
3. Adopting quality care bundles (like the ones from California Maternal Quality Care
Collaboration)
