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OB Nursing - Durham & Chapman questions with correct answers
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OB Nursing - Durham & Chapman questions with correct answers
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OB Nursing - Durham & Chapman questions withcorrect answers
Why has Maternity nursing undergone numerous changes in the past 100
years? Correct Answer-Advances in Technology, Medicine, Nursing
Practice, New Research/evidence based practice, and individual desires
of childbearing couples.
Define Fertility Rate. Correct Answer-the total number of live births,
regardless of age of mother per 1,000 women OF REPRODUCTIVE
AGE (15-44 years).
Define Birth Rate. Correct Answer-the number of live births per 1,000
people. (parameter of the entire population)
Between the years 1910 - 2010 there was a major decline in fertility
rates and birth rates in the US. Why? Correct Answer--Availability to
effective contraceptive methods
-Increase in numbers of women delaying/limiting pregnancy or number
of children to focus on career
-Legalization and Availability of abortion
-Increasing cost of raising a child
Why is the preterm birth rate increasing? Correct Answer-increasing due
to women having children later in life.
,RATIONALE: pregnancy in women 35+ may cause increased risk for
complications.
Example) gestational diabetes or hypertension.
Very Premature: Correct Answer-Neonates born at less than 32 weeks of
gestation.
Moderately Premature: Correct Answer-Neonates born between 32 and
34 weeks of gestation.
Late Premature: Correct Answer-Neonates born between 34 and 37
weeks of gestation.
Explain how a preterm birth affects the family unit. Correct Answer--
Causes emotional distress
-Alters wellbeing of the parents
-The length and quality of life for the preterm infant
-Financial stress caused by medical bills
-Fear of the unknown
Explain Neonatal Birth Weight Rates. Correct Answer--Reported by the
CDC
-3 main categories
-weight is measured in grams
,How to convert grams to pounds: Correct Answer-1 gram = 0.0022
pounds
_________grams x 0.0022 = __________ pounds
Normal Birth Weight:
(healthy birth weight) Correct Answer-2,500 - 3,999 grams
(5.5 - 8.9 lbs)
Low Birth Weight:
(LBW) Correct Answer-1,500 - 2,500 grams
(3.3 -5.5 lbs)
Very Low Birth Weight:
(VLBW) Correct Answer-Less than 1,500 grams
(less than 3.3 lbs)
High Birth Weight: Correct Answer-4,000 grams or Greater
(8.8 lbs or greater)
How does birth weight correlate with morbidity and mortality rates?
Correct Answer--Neonates with birth weights between 4,000 and 4,999
grams have the lowest mortality rate during their first year of life.
-VLBW neonates are 100 times more likely to die during their first year
of life.
, -VLBW neonates account for 1.45% of all births, but account for 54% of
all infant deaths.
Mortality: Correct Answer-Death
Morbidity: Correct Answer-Disease
Why are premature and low birth weight babies at such high risk for
infant morbidity and infant mortality? Correct Answer--LBW babies are
generally born very small. They tend to have very little body fat to keep
warm. This may cause illness - keep in mind a common cold might be
life threatening to this small infant.
-Babies born preterm may have underdeveloped organs, which will
cause several complications or in extreme cases death.
Infant Mortality: Correct Answer-defined as an infant death before the
first birthday.
Infant Mortality rate has dramatically decreased from 47.0 per 1,000
births (1940) to 6.1 per 1,000 births (2011). Why has this number
decreased so much? Correct Answer--The use of ECMO
-Further knowledge of SIDS
-Advances in medical treatments
-Exogenous Pulmonary Surfactant tests
-Group B strep test
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