nurs 370 maternity test 1 study guide latest updated 2021
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NUR 370 MATERNITY TEST 1 STUDY GUIDE LATEST
UPDATED 2021/2022
Chapter 1
Health disparities - refer to differences in the health status of different groups of
people.
Morbidity - the unhealthy state of an individual within a population.
Mortality - the number of people who died within a population.
HEALTHY PEOPLE 2020- 4 goals
1. Attaining high quality health care
2. Achieving health equity
3. Creating social and physical environments that promote good health for all
4. Promoting quality of life, healthy development and healthy behaviors across
all life spans
**failure to communicate is a major cause of
errors. PROBLEMS WITH US HEALTH CARE-
DELIVERY SYSTEM
• Structure of the system
• Reducing medical errors – 3rd leading cause of death in the US
• High cost of health care – higher prices, technology, obesity. Only 21 states
allow NP full practice
• Limited access to care – most significant barrier is inability to pay.
o Lack of transportation, child care, insurance
• Health care reform – affordable care act
• Accountable care organizations
• Health literacy
TRENDS IN FERTILITY
• Low birth weight (<5 lbs 8 oz.), preterm labor (<37 weeks)
• International infant mortality trends (6.1/1000)
• Maternal mortality (17.3/100,000) - cardiovascular disease, non-cardio
disease, unsafe abortion, infection
• Maternal morbidity (obesity) - HTN, diabetes, decreased
fertility, congenital abnormalities, miscarriage, fetal death
EVIDENCE BASED PRACTICE- providing care based on evidence gained through
research and clinical trials. AWHONN (assoc. of women’s health, obstetric and
neonatal nurses, WHO (world health org.) QSEN (quality and safety education for
nurses)
STANDARDS OF PRACTICE AND LEGAL ISSUES-
◦ PREVENTION OF ERRORS- Joint commission list of abbreviations NOT to use:
◦ U, u (unit)
◦ IU (international unit)
◦ QD, qd, Q.D., q.d. (daily)
◦ QOD, etc. (every other day)
◦ Trailing 0 (2.0), lack of leading 0 (.2) - write 2 or 0.2
◦ MS – can mean morphine sulfate or magnesium sulfate
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