NFDN 2004 Midterm (Units 1-4)
exam with verified solutions
Prenatal nursing - Promotes physical, emotional, social, and spiritual well-
being of the whole family.
Work collaboratively with child-bearing women and their families
throughout the child-bearing year from preconception through pregnancy
and childbirth and over postpartum transition periods.
Care for child-bearing women and families in many settings, including the
hospital, home, and variety of ambulatory and community settings.
principles of prenatal nursing - caring, health and well-being, informed
decision making, dignity, confidentiality, justice, accountability, and
quality practice environment
vulnerable populations indigenous women - prenatal morbidity and
mortality rates are higher
vulnerable populations immigrant and refugee women - some have higher
rates of chronic disease, including diabetes and AIDS which result in
preterm labor, gestational hypertension, intrauterine growth restriction
Vulnerable populations homeless women - at risk for pregnancy
complications due to lack of prenatal care, poor nutrition, stress, exposure
to violence
Vulnerable populations LGBTQ parents - may become parents and deserve
respectful care during the childbearing experience as well as during
health screening and wellness care.
members of the interdisciplinary team in maternity nursing - RN, LPN, OB
,What is looked at involving birth weight research? - areas, population,
age, career-related
infant mortality rate - number of deaths of infants under 1 year of age/
1000 live births
fetal death rate - Death in utero of fetus weighing 500 g or more (roughly
20 weeks pregnancy) / 1000 births
causes of fetal death rate - •Premature labour
•maternal illness
•maternal malnutrition
•fetal factors such as chromosomal disorders, poor placental attachment.
neonatal mortality rate - number of deaths of infants under 28 days of age
/ 1000 live births
causes of neonatal mortality rate - •Prematurity, congenital issues, other.
•The neonatal death rate reflects the quality of prenatal care, care in
labour and care of the newborn.
•Number one cause of neonatal death: prematurity
prenatal mortality rate - •Number of stillbirths and number of neonatal
deaths per 1000 live births, includes the fetal and neonatal death rate.
most common severe maternal morbidities - •Blood transfusions
•Post-partum hemorrhage
•Hysterectomy
•Cardiac arrest
•Myocardial infarction
•Pulmonary edema
•Pueperal sepsis
,•Uterine rupture
•Eclampsia (high BP)
Maternal Mortality Rate - Death as a result of the reproductive process or
within 42 days of the termination of the pregnancy.
(does not include accidental death or incidental death )
trends in maternity - •Childbearing delayed until 35 years or older
•Teen pregnancies steadily decreasing
•Significant variations and birth rates across the country
•Increase in multiple births
•Breastfeeding initiation rates steadily increasing in Canada
•C-section rates in Alberta increasing 17% in 1995 to 28% in 2009
•98% of births take place in a hospital setting
Why is the infant mortality rate considered an indicator of a country's
general health? - Infant mortality measures the quality of pregnancy,
nutrition, and sanitation as well as infant health in a country.
Name some possible causes of maternal death directly related to
pregnancy. - Ectopic pregnancy, placenta previa, PIH, anesthesia,
hemorrhage, infection
How many weeks' gestation does a woman need to be before her baby is
considered full term? - 37-42 weeks of gestation.
fertilization - Conception occurs not as an isolated event, but as a part of a
sequential process
gamete formation - formation of sex cells, egg and sperm
, ovulation - the ovum is released from the ruptured ovarian follicle. High
estrogen levels increase the motility of the uterine tubes so that their cilia
can capture the ovum and propel it forward.
how long are sperm viable within the woman's reproductive system? - 2-3
days
sperm transit time - as little as 5 minutes, however the average transit
time is 4-6 hours.
zygote - once sperm penetrates the ovum the chromosomal material fuses
and this forms. Undergoes rapid cell division and travels through fallopian
tube for 3-4 days.
fertilization requirements - -Equal maturation of both sperm and ovum
-Ability of the sperm to reach the ovum
-The ability of the sperm to penetrate the ovum and reach fertilization
where does fertilization take place? - Takes place in the outer third of the
fallopian tube, near the ovary
blastocyst - Stem cells are derived from the inner cell mass, the out cells
become the trophoblast
trophoblast - Trophoblast cells displace endometrial cells at the
implantation site and the blastocyst embeds in the endometrium (this
happens 6-10 days after fertilization)
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pre-embryonic stage - -Lasts from conception until day 14
-This period covers cellular replication, blastocyst formation, initial
development of the embryonic membranes, and establishment of the
primary germ layers.