OB Final Exam Review
Terms in this set (26)
What are risk factors for infant mortality?
-Late or no prenatal care
-Smoking during pregnancy
-Increasing trend of preventable childhood diseases reappearing
-Inadequate pregnancy weight gain
-Increased C-section rates
How does poverty affect the pregnant woman?
-Ability to receive prenatal care
-Ability to stay healthy
How does smoking affect the pregnant woman?
-Decreases O2 supply to baby
-Increases risk for SAB
What are risk factors for maternal mortality not associated w/ abortive outcome?
What is proper management for laboring mother w/ pulmonary embolism?
-Get mother to OR right away
What is the leading cause of maternal death?
What are risk factors for maternal mortality associated w/ abortive outcome?
-Gestational trophoblastic disease
Describe the Advanced Practice Nurse.
-Functions in expanded role
-Completed a graduate program of study
-Most frequently applies to NPs, CNSs, CRNAs, CNMs
Describe the Registered Nurse Practitioner.
-Received specialized education (MSN/DNP)
-Area of specialization determines NP's title (Family, Pediatric, Neonatal, etc.)
-Manages ante/postpartum, newborn care in outpatient settings
-Makes clinical judgments; begins appropriate treatments
-Focuses on physical/psychosocial assessment
What does the NP include in her physical/psychosocial assessment?
-Certain dx tests & procedures
Describe the Certified Nurse Midwife.
-Manages ante/intra/postpartum & newborn care for low-risk complications in outpatient & inpatient settings
-Can deliver babies
What organization certifies CNMs?
-American College of Nurse-Midwives
Describe the Clinical Nurse Specialist.
-Clinical expert in theory based and/or research based nursing
-Responsible for education of practicing nurses
-Resources for staff & management
-Assume leadership role w/in their specialty
-Work to improve pt care both directly/indirectly
Describe the Certified Registered Nurse Anesthetist.
-Intrapartum anesthesia care
-Provides pre/intra/post-operative care for C/S & other gynecological-related surgeries
-Collaborative practice w/ anesthesiologists
What can the CRNA consult on?
Describe the Traditional Nuclear Family.
-Stay at home wife
What type is the most common type of family in the US?
-Dual career/Dual earner families
Describe the Extended Family.
-Couple shares household responsibilities w/ parents, siblings, other relatives
-Multigenerational common in non-US cultures/working class families
What conditions preface a single-parent household?
What are some difficulties that the single mother typically faces?
-More financial difficulties
-Less educational achievement
What are some stresses on the stepparent/stepchild families?
-Strain w/ other biologic parent
Describe the Binuclear Family.
-Children now part of two households, alternate between two homes
-Joint custody= equal responsibility, legal rights
What are the benefits of the binuclear family?
-Ability to have both parents involved in child's upbringing
-Model for effective communication
-Additional support and role models from extended family
What is the function of Estrogen in BC?
-Suppresses FSH secretion
-Prevents emergence of dominating follicle
-Provides stability to the endometrium
-Increases action of progestin
What is the function of Progestin in BC?
-Suppresses LH secretion
-Creates endometrium that isn't favorable for ovum implantation
-Inhibits enzymes that are needed for sperm to penetrate ovum
-Back up if estrogen doesn't inhibit follicular growth
What is the most popular type of BC?