Newborn Care Practices and Fetal Monitoring
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Questions and Answers

What is the major cause of death for children older than 1 year?

  • Unintentional injuries (correct)
  • Chronic illnesses
  • Homicide
  • Suicide
  • Infant mortality in the United States, compared to other developed nations, is:

  • Similar to that of Canada
  • Average among developed nations
  • The highest (correct)
  • The lowest
  • Which of the following substances can lead to miscarriage and preterm labor when used by a pregnant woman?

  • Caffeine
  • Cocaine (correct)
  • Nicotine
  • Alcoholic beverages
  • What plays a significant role in diagnosing fetal alcohol syndrome (FAS)?

    <p>Visible markers in three specific domains</p> Signup and view all the answers

    The stimulated release of gonadotropin-releasing hormone and follicle-stimulating hormone is primarily part of which system?

    <p>Hypothalamus and pituitary cycle</p> Signup and view all the answers

    Prostaglandins, classified as hormones, are produced primarily in which organ?

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

    Which factor is not a risk associated with prenatal exposure to alcohol?

    <p>High cognitive function</p> Signup and view all the answers

    In the context of pregnancy anatomy, which characteristic is generally associated with breast development?

    <p>Variability in breast size</p> Signup and view all the answers

    Which factor is most closely associated with higher rates of infant mortality in the context of teenage pregnancies?

    <p>Inadequate prenatal care</p> Signup and view all the answers

    What is a critical intervention to reduce infant mortality related to substance use during pregnancy?

    <p>Providing substance cessation programs</p> Signup and view all the answers

    What is the main concern related to intrauterine growth restriction in pregnant women who smoke?

    <p>Low birth weight</p> Signup and view all the answers

    Hormonal levels during pregnancy can lead to which of the following changes in the menstrual cycle?

    <p>No impact on the cycle</p> Signup and view all the answers

    Which of the following is considered a characteristic symptom of Fetal Alcohol Syndrome?

    <p>Facial deformities</p> Signup and view all the answers

    Which of the following is a key indicator of childhood morbidity?

    <p>Poor access to healthcare services</p> Signup and view all the answers

    During pregnancy, which anatomical change is least expected in a woman's body?

    <p>Stagnation of lymphatic flow</p> Signup and view all the answers

    What is the primary rationale for estimating fetal growth using the Bartholomew's categories during pregnancy?

    <p>To evaluate gestational age accurately</p> Signup and view all the answers

    Which approach is essential for nurses to help ensure better outcomes for mothers and infants during prenatal visits?

    <p>Involving partners in health discussions</p> Signup and view all the answers

    Which statement is most accurate regarding the effects of substance use during pregnancy on fetal development?

    <p>Alcohol and nicotine are linked to more severe developmental issues</p> Signup and view all the answers

    An important aspect of managing care for pregnant women with limited English proficiency is to ensure the patient:

    <p>Has a basic understanding of discussions</p> Signup and view all the answers

    Which risk factor is associated with Fetal Alcohol Syndrome (FAS)?

    <p>Consumption of alcohol during the first trimester</p> Signup and view all the answers

    What recent trend concerning childbirth practices indicates a potential barrier to reducing infant mortality?

    <p>Decline in prenatal education programs</p> Signup and view all the answers

    In what way can hormonal regulation affect the menstrual cycle?

    <p>It regulates the interplay between estrogen and progesterone levels</p> Signup and view all the answers

    What is a characteristic feature of a consanguineous family?

    <p>Members are related by blood</p> Signup and view all the answers

    Which factor is NOT typically associated with a diagnosis of Fetal Alcohol Syndrome?

    <p>Unexplained respiratory condition</p> Signup and view all the answers

    Study Notes

    Newborn Care Practices

    • Recommended by DOH, PhilHealth, and WHO to ensure safe and quality care for mother and newborn.

    Fetal Heart Rate Monitoring

    • If fetal heart rate consistently above 160 bpm during monitoring, further assessment and monitoring (normal range 120-160 bpm) is needed.

    Confirming Pregnancy and Gestational Age

    • Primary method is using Last Menstrual Period (LMP).

    Fetal Heart Rate Accelerations

    • Accelerations in fetal heart rate monitoring during pregnancy indicates fetal well-being.

    Doppler Amplifier/Fetuscope

    • Used in fetal monitoring to listen to fetal heart tone.

    Fundal Height Measurement

    • Empty bladder before measuring.
    • Woman should be in supine position with knees slightly flexed.
    • Significance in measuring between 18 and 32 weeks of gestation – determine approximate gestational age.

    Estimating Fetal Growth

    • Bartholomew's method is used to estimate fetal growth.

    Cultural Competence in Nursing Care

    • Factors like cultural behavior, degree of competition, and determination of social status may be influenced by culture.

    Group of People with Shared Values

    • People who share a set of values, beliefs, practices, and social relationships are described as a culture. (Includes law, politics, economics, and norms).

    Fetal Position, Presentation, Lie and Attitude during Pregnancy.

    • Leopold's Maneuvers is the primary tool used to determine fetal position, presentation, lie, and attitude during pregnancy.

    Trauma-Informed Pediatric Care

    • Include preparing the child before any unfamiliar treatment or medical procedure.

    Childhood Morbidity

    • Morbidity is not distributed randomly.

    Adolescents' Leading Causes of Death

    • Accidental death, homicide and suicide.

    Major Cause of Death for Children >1 Year

    • Unintentional injuries.

    Infant Mortality in the United States

    • Highest among other developed nations.

    Smoking and Cocaine in Pregnant Women

    • Common effects of both smoking and cocaine use in pregnant women is vasoconstriction.

    Fetal Alcohol Syndrome (FAS) Categories

    • Respiratory condition is not associated with FAS.
    • CNS abnormalities, impairment, and growth are associated with FAS.

    Cigarette Smoking in Pregnant Women

    • Intrauterine growth restriction is the most dangerous effect of maternal cigarette smoking.

    Breast Self-Examination (BSE)

    • Patient understands that BSE should be performed one week after the menstrual period.

    Adolescent Client and Pap Test

    • Client may demonstrate excess shyness and or discomfort. Nurses should be sensitive to the young women's potential discomfort and provide support.

    Central Nervous System Stimulants

    • Cocaine, can lead to miscarriage, preterm labor, placental separation (abruption), and stillbirth.

    Prostaglandins

    • These hormones found in many tissues and organs have many functions related to reporductive health.

    Ovarian Cycle Irregularities

    • Often caused by conditions in the pre-ovulatory phase.

    Hormone Responsible for Mammary Tissue Maturation

    • Progesterone is the hormone responsible for maturation of mammary gland tissue in females.

    Ovary Functions

    • Ovulation and hormone production are two primary functions of the ovary.

    Nurse's Home Visit Precaution

    • Should take precautions to ensure her safety, such as having access to a cell phone and avoiding areas with known safety risks.

    Cultural Competence - Family Values

    • Nurses should be aware of the family's values and beliefs when providing care. For families who make decisions with respect to care primarily regarding the family's values, this is important for the nurse to understand and ensure respect.

    Family Needs

    • Families meet the nutritional needs of their members.

    Socially Vulnerable Families

    • Single-parent families tend to be the most socially vulnerable.

    Cultural Considerations in Planning Care

    • When planning care, consider cultural factors such as silence may indicate a lack of trust, that constant eye contact may be viewed as aggressivity.
    • Increased health care spending in the United States is attributed to factors such as obesity among pregnant women.

    Identifying Health Care Roles for the Reduction in Infant Mortality Rates

    • Focused on programs ensuring participation in early and ongoing prenatal care.

    Patient Care Procedures

    • Nurses should consult procedures manuals when unsure about a procedure to ensure safety and reliability.

    Nursing Role in the Research Process

    • Research problems are identified and prioritized by practicing nurses.

    Barriers to Healthcare Access

    • Inability to pay is a significant barrier to accessing care for pregnant women, affecting access to care.

    Limited English Proficiency (LEP) Patient Assessment

    • Assess whether a patient understands discussion (LEP).

    Infant Mortality and the Nurse's Role

    • Nurses are educated on ways to implement plans to reduce infant mortality rates, including the importance of keeping prenatal care appointments.

    Tobacco and Cocaine Use in Pregnant Women

    • These substances cause vasoconstriction in pregnant women.

    Maternal Medical Risk Factors

    • Frequently reported maternal medical risk factors are assessed during patient care.

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    Related Documents

    Maternal Midterm PDF

    Description

    This quiz covers essential practices for newborn care and key aspects of fetal monitoring, including fetal heart rate, gestational age confirmation, and cultural competence in nursing. It is designed for those studying maternal and child health care principles. Test your knowledge on best practices recommended by health organizations.

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