Test 1 - mother baby
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Questions and Answers

What does folic acid help prevent?

  • Neural tube defects (correct)
  • Heart disease
  • High blood pressure
  • Cancer

    • The best way to prevent deaths in childbirth is

  • Early prenatal care (correct)
  • Improving nutrition during pregnancy
  • Increasing the number of cesarean sections
  • Providing more hospital beds

    • In women's health, we provide _____ - centered care because all roles and members are affected.

  • community
  • family (correct)
  • individual
  • patient

    • Patient education should reflect current, _______________ knowledge.

    <p>evidence-based</p> Signup and view all the answers

    Mothers and newborns should stay together.

    <p>True</p> Signup and view all the answers

    What is the term for the number of deaths of any cause during pregnancy?

    <p>Maternal Mortality</p> Signup and view all the answers

    What type of deaths are referred to after 20 weeks of gestation?

    <p>Fetal</p> Signup and view all the answers

    What term describes deaths within the first 28 days of birth?

    <p>Neonatal</p> Signup and view all the answers

    What is the term for deaths occurring within the first 12 months of life?

    <p>Infant mortality</p> Signup and view all the answers

    Infant mortality is higher in African American, Native American, and Alaska Native infants.

    <p>True</p> Signup and view all the answers

    What is the number one cause of death in pregnant women?

    <p>Preeclampsia</p> Signup and view all the answers

    What does a heart healthy lifestyle include?

    <p>Regular physical activity and a balanced diet</p> Signup and view all the answers

    What is the number one barrier that prevents people from seeking healthcare?

    <p>Finances</p> Signup and view all the answers

    Which of these methods is used to ask questions about violence/abuse in the home?

    <p>RADAR</p> Signup and view all the answers

    RADAR stands for: Routinely screen for abuse, Affirm feelings, Document findings, Assess for safety, Review options and make referrals.

    <p>True</p> Signup and view all the answers

    How long is a typical hospital stay after a vaginal delivery?

    <p>24-48 hours</p> Signup and view all the answers

    What is the typical discharge time after a C-section that had no complications?

    <p>2-3 days</p> Signup and view all the answers

    Which of the following is the nurse responsible for with informed consent? Select all that apply.

    <p>Serving as a witness and ensuring the form is completed with signatures</p> Signup and view all the answers

    Key elements of informed consent. Select all that apply

    <p>Must be old enough and competent</p> Signup and view all the answers

    Helping with resources and assistance programs is an example of

    <p>Family-centered care</p> Signup and view all the answers

    Types of support

    <p>Informational = patient education Emotional = therapeutic communication Appraisal / esteem = Encouragement Instrumental = Examples include phototherapy, lactation consultation, and diaper bank</p> Signup and view all the answers

    This kind of nursing focuses on health promotion and primary healthcare. Examples are case managing, research, quality improvement and discharge planning as well as staff and program development.

    <p>Community-based nursing</p> Signup and view all the answers

    Community based nursing interventions

    <p>Health screening = Mammogram, pap smear, vision, and hearing checks Health education programs = childbirth classes, how to do a breast self-exam, drug awareness program Medication administration = hormone therapy in menopausal women Telephone consultation = speak with a mother with a newborn with colic or a parent who's child has fever or is vomiting.</p> Signup and view all the answers

    Community based nursing interventions

    <p>Health system referral = sending for a breast prosthesis after mastectomy Instructional = childbirth classes, BLS classes for parents Nutritional counseling = WIC program, counselor interviewing a woman who has anemia Risk identification = genetic counseling or genetic screening</p> Signup and view all the answers

    Preventing the disease or condition before it occurs through health promotion activities, environmental protection, and specific protection against disease or injury. Examples include education, handwashing, and vaccinations. What is this approach called?

    <p>Primary prevention</p> Signup and view all the answers

    What term describes the early identification of people who have already developed a disease at an early stage, aimed at halting or shortening the disease and its severity? Examples include health screenings, tests, mammograms, and examinations.

    <p>Secondary prevention</p> Signup and view all the answers

    Which of the following terms describes a strategy designed to reduce or limit the progression of a permanent, irreversible disease or disability?

    <p>Tertiary prevention</p> Signup and view all the answers

    Which types of cultural humility are correct? (Select all that apply)

    <p>Related to providers</p> Signup and view all the answers

    What kind of medicine combines scientific methods and therapies to be more effective together?

    <p>Integrative medicine</p> Signup and view all the answers

    Which are community-based nursing care settings? Select all that apply.

    <p>Doctors offices and clinics</p> Signup and view all the answers

    What is the most common setting for birth?

    <p>Hospital</p> Signup and view all the answers

    As a nurse, what do we want to be?

    <p>A duck</p> Signup and view all the answers

    What is the absence of a period? (PCOS is the most common cause and these patients can receive metformin)

    <p>Amenorrhea</p> Signup and view all the answers

    What are the two kinds of amenorrhea?

    <p>Primary</p> Signup and view all the answers

    Amenorrhea is classified into two types: Primary amenorrhea, which is the absence of menstruation in someone by age 14 with no boobs, and Secondary amenorrhea, which is the absence of menstruation by 16 with boobs who has bled before.

    <p>True</p> Signup and view all the answers

    What is the most common kind of secondary dysmenorrhea?

    <p>Endometriosis</p> Signup and view all the answers

    What are the two types of dysmenorrhea?

    <p>Primary spasmodic</p> Signup and view all the answers

    What do we tell patients with dysmenorrhea to avoid?

    <p>Caffeine</p> Signup and view all the answers

    What is the term for abnormal period bleeding characterized by prolonged, painless, excessive, irregular bleeding with no underlying cause, often occurring at the beginning and ending of the reproductive period?

    <p>Dysfunctional uterine bleeding (DUB/AUB)</p> Signup and view all the answers

    Which condition is treated by normalizing bleeding, correcting anemia, preventing and diagnosing early cancer, and restoring quality of life through pharmacotherapy and surgical intervention?

    <p>Dysfunctional Uterine Bleeding (DUB) / Abnormal Uterine Bleeding (AUB)</p> Signup and view all the answers

    What condition is described as having mild signs and symptoms such as moodiness and cramps, affecting 75% of women while still allowing them to function (go to work or school)?

    <p>PMS</p> Signup and view all the answers

    What condition affects 3-8% of women and is characterized as a severe form of PMS with physical and psychiatric symptoms, including anger, depression, and tension that can significantly impact daily life?

    <p>Premenstrual Dysphoric Disorder (PMDD)</p> Signup and view all the answers

    Which of the following conditions can be treated with multivitamins, vitamin E, calcium, magnesium, rest, stress reduction, NSAIDs, and SSRIs?

    <p>PMS and PMDD</p> Signup and view all the answers

    What is the most likely condition associated with the treatment of NSAIDs and surgery as well as the assessment of infertility and pelvic pain due to possible masses?

    <p>Endometriosis</p> Signup and view all the answers

    Infertility facts - select all that apply

    <p>Under 35 - trying for 12 months</p> Signup and view all the answers

    What does it mean if someone has never been able to conceive?

    <p>Primary infertility</p> Signup and view all the answers

    What is the term for the inability to conceive after a previous pregnancy?

    <p>Secondary infertility</p> Signup and view all the answers

    Abstinence, withdrawal (coitus interruptus), lactation amenorrhea method, and fertility awareness methods (cervical mucus ovulation, basal body temperature, symptom-thermal method, standard days method) are all what kinds of contraception?

    <p>Behavioral</p> Signup and view all the answers

    What method of contraception?

    <p>Barrier = Condoms, Diaphragm, cervical cap, sponge Hormonal = Oral, injectable, implantable, intrauterine, emergency, transdermal patches and vaginal rings. Sterilization = Tubal ligation (tubes tied or burned) or Vasectomy Behavioral = Abstinence, withdraw (coitus interruptus), lactation amenorrhea method, fertility awareness (cervical mucus ovulation, basal body temperature, symptom thermo method, standard days method.</p> Signup and view all the answers

    Which of the following is a risk factor for abuse?

    <p>Low academic achievements</p> Signup and view all the answers

    Which of the following best describes the factors for abuse listed: young age, heavy drinking, personality disorders, depression, witnessing violence as a child, low income, no job, desire for power, anger?

    <p>Individual factors</p> Signup and view all the answers

    Which category do the following factors belong to: marital conflict, economic stress, dysfunctional family, marital instability, cohabitation, having outside sex partners, and taking out aggression on others while growing up?

    <p>Relationship factors</p> Signup and view all the answers

    What is the longest phase in which verbal or minor physical abuse occurs, characterized by tension-building and feelings of walking on eggshells?

    <p>Tension building</p> Signup and view all the answers

    What is the phase of abuse that includes explosive injury, is an uncontrollable discharge of tension, and where contact is made unpredictably?

    <p>Acute battering / physically abusive</p> Signup and view all the answers

    What phase of abuse is characterized by the abuser becoming loving and apologetic after a period of shame and blame?

    <p>Honeymoon phase</p> Signup and view all the answers

    Four phases of rape recovery

    <p>acute phase = not a phase to interview patient in outward adjustment = goes back to school or work but denies the incident reorganization = life changes because ignoring it doesn't work integration and recovery = survivor stabilizes and can advocate for other victims</p> Signup and view all the answers

    What is the most important thing we can help a rape victim do?

    <p>Get back their power</p> Signup and view all the answers

    With the SAVE model we want to: SCREEN clients for violence, ASK direct questions in a non judgmental way, VALIDATE client, and EVALUATE, educate and refer

    <p>True</p> Signup and view all the answers

    Match

    <p>Ectoderm = forms the central nervous system, special senses, skin, and glands Mesoderm = forms skeletal, urinary, circulatory, and reproductive organs Endoderm = forms respiratory system, liver, pancreas, and digestive system One of the placenta's functions = Protecting the fetus from immune attacks by the mother</p> Signup and view all the answers

    Match

    <p>Hcg = Pregnancy test, preserves corpus letuem Hpl = Lactation and maternal metabolism HCS = decrease mother's glucose and increases the fetus' Relaxin = relaxes ligaments</p> Signup and view all the answers

    match

    <p>Ductus venosus = connects the umbilical vein to the inferior vena cava Ductus arteriosus = connects the main pulmonary artery to the aorta Foramen ovale = anatomic opening between the right and left atrium MATCH = MATCH</p> Signup and view all the answers

    Match

    <p>Autosomal dominant inheritance = One parent is affected, 50/50 chance at passing it on, example is Huntington's disease Autosomal recessive inheritance = Parents are carriers, must have 2 copies to be passed on, (50% carrier, 25% normal, 25% affected) X-linked recessive inheritance = Majority is males affected, examples are hemophilia A and red-green colorblindness X-linked dominant inheritance = Both sexes can be affected, 50/50 chance, and examples are Fragile X-syndrome and Martin-bell syndrome</p> Signup and view all the answers

    Study Notes

    Folic Acid and Childbirth

    • Folic acid helps prevent neural tube defects in developing fetuses.
    • To prevent deaths during childbirth, comprehensive prenatal care and education are vital.

    Women’s Health Care

    • Women's health care emphasizes patient-centered approaches, recognizing that all stakeholders are affected.
    • Patient education should align with current evidence-based knowledge.

    Maternal and Infant Mortality

    • The term for the number of deaths of any cause during pregnancy is "maternal mortality."
    • Deaths after 20 weeks of gestation are categorized as "late maternal deaths."
    • Deaths occurring within the first 28 days of birth are referred to as "neonatal mortality."
    • Deaths within the first 12 months of life are termed "infant mortality."
    • Infant mortality rates are notably higher among African American, Native American, and Alaska Native infants.

    Causes of Mortality

    • The leading cause of death in pregnant women is cardiovascular complications.
    • A heart-healthy lifestyle includes regular exercise, balanced nutrition, and weight management.
    • The primary barrier preventing individuals from seeking healthcare is perceived costs.

    Screening for Abuse

    • The RADAR method involves routines to screen for domestic violence:
      • Routinely screen for abuse
      • Affirm feelings
      • Document findings
      • Assess for safety
      • Review options and make referrals

    Hospital Stay Duration

    • Typical hospital stay after a vaginal delivery is about 24 to 48 hours.
    • Typical discharge time after an uncomplicated C-section is around 3 to 5 days.
    • Nurses play a key role in obtaining informed consent, which includes:
      • Providing relevant information
      • Ensuring patient understanding
      • Confirming voluntary agreement

    Community-Based Nursing

    • Community-based nursing interventions focus on health promotion and access to care.
    • Preventive healthcare includes activities like education, vaccinations, and environmental protection.

    Screening and Disease Prevention

    • Preventing diseases before they occur is called primary prevention.
    • Early disease identification aimed at halting progression is termed secondary prevention.
    • Strategies that limit the progression of irreversible diseases fall under tertiary prevention.

    Cultural Humility

    • Cultural humility encompasses ongoing self-reflection and personal growth regarding cultural competence.

    Integrative Medicine

    • Integrative medicine combines conventional and alternative therapies to optimize healthcare efficacy.

    Common Birth Settings

    • The most common setting for childbirth is the hospital.

    Amenorrhea and Dysmenorrhea

    • Amenorrhea is classified into:
      • Primary amenorrhea: absence of menstruation by age 14.
      • Secondary amenorrhea: absence of menstruation by 16 despite prior menstruation.
    • The most frequent cause of secondary dysmenorrhea is endometriosis.
    • Dysmenorrhea types include:
      • Primary dysmenorrhea: typically related to menstrual cramps.
      • Secondary dysmenorrhea: often linked to underlying reproductive health issues.
    • Patients with dysmenorrhea should avoid excess caffeine, stress, and lack of exercise.

    Abnormal Bleeding Conditions

    • Dysfunctional uterine bleeding is characterized by prolonged, excessive, and irregular bleeding without identifiable causes.
    • Treatment focuses on normalizing bleeding, correcting anemia, and preventing early cancer diagnosis through interventions.

    PMS and PMDD

    • Premenstrual syndrome (PMS) affects 75% of women, causing mood and physical symptoms without significant life disruption.
    • Premenstrual dysphoric disorder (PMDD) affects 3-8% of women, presenting severe symptoms impacting daily life.

    Infertility

    • Primary infertility refers to individuals who have never conceived.
    • Secondary infertility pertains to those unable to conceive after a previous pregnancy.

    Contraceptive Methods

    • Methods include abstinence, withdrawal, lactation amenorrhea, and fertility awareness methods.

    Factors of Abuse

    • Risk factors for abuse include young age, heavy drinking, personality disorders, economic stress, and a history of violence exposure.
    • The longest phase of abuse is the tension-building phase, characterized by heightened stress and anxiety.

    Phases of Abuse

    • The explosive phase includes an uncontrollable outbreak of violence.
    • The reconciliation phase shows the abuser displaying loving behavior and apologizing after an incident.

    Rape Recovery

    • Helping rape victims is crucial, emphasizing the importance of providing a supportive environment.
    • The SAVE model strives to screen for violence, ask direct questions, validate the victim's feelings, and educate.

    Matching Concepts

    • Various concepts can be matched to their definitions or related terms for deeper understanding.

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    Description

    Test your knowledge on the benefits of folic acid and its preventive qualities. This quiz will cover essential information about how folic acid contributes to health, particularly in the context of pregnancy and other health conditions. Discover what you know and learn more about this vital nutrient.

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