Shared Flashcard Set

Details

859-III Women's Health
Maternal and Perinatal Moribidity and Mortality
19
Nursing
Graduate
01/15/2012

Additional Nursing Flashcards

 


 

Cards

Term
Define maternal mortality ratio. (MMR)
Definition
Number of maternal deaths per 100,000 live births
Term

The death of a woman while pregnant or within __ days of pregnancy termination is a maternal death.  

 

Definition
42 days
Term

T or F

The death of a woman while pregnant or within 42 days of termination of pregnancy, irrespective of the duration and site of the pregnancy, from any cause related to or aggravated by the pregnancy is classified a maternal death.

Definition
True
Term
If a woman is pregnant and dies in a car accident, is this considered a maternal death? Why or why not?
Definition
No.  
Accidental and incidental causes of death while pregnant are not considered maternal deaths because the death did not result from the pregnancy or its management. 
Term
List the five causes of maternal death in developing countries.
Definition
  • hemorrhage
  • preeclampsia/eclampsia
  • infection
  • obstructed labor
  • unsafe abortion
Term

List the five causes of maternal death in the US.

 

Definition
  • embolism (20%)
  • hemorrhage (17%)
  • preeclampsia and eclampsia (16%)
  • infection (13%)
  • cardiomyopathy (8%)
Term

T or F

The maternal death rate of women who do receive prenatal care is equal to that of women who do not receive prenatal care.

Definition
False.  Women who do not receive prenatal care are 3-4 times more likely to die than woman who do.
Term
The US recommends 13 prenatal care visits.  Ideally care is initiated in the first trimester.  Which to groups in the US receive less than the recommended number of visits?
Definition
African American and Native American
Term
What percentage of maternal deaths in the US occurs between 1 and 42 days following birth?
Definition
55%
Term
Sharon lecture stated that routine postpartum care consists of how many visits? What are the time intervals?
Definition

Two visits.

One visit at 2 weeks and one visit at 6 weeks.

Term
Define infant mortality.
Definition
Death of a child in the first year of life compared to 1,000 live births.
Term
In the US, infant mortality is due to what two factors?
Definition
  • preterm birth
  • low birth weight
Term
Define neonatal mortality.
Definition
Infants who die before reaching 28 days of age
Term
Neonatal mortality accounts for what percentage of deaths under 5 years of age?
Definition
41%
Term
List the major causes of neonatal mortality.
Definition
  • short gestation
  • low birth weight
  • congenital malformations
  • maternal complications (during pregnancy or birth)
Term
List the 5 causes of severe maternal morbidity.
Definition
  • embolism
  • stroke
  • seizures
  • infection
  • hemorrhage
Term
List the causes of "mild" maternal morbidity.
Definition
  • depression
  • pelvic pain/adhesions
  • dyspareunia
  • incontinence (fecal/urinary)
  • back pain
  • anemia
  • superficial phlebitis
Term
Repeat cesareans increase the risk for maternal morbidity.  List the major sequelae that result from repeat cesareans.
Definition
  • placental implantation problems (hemorrhage)
  • surgical manipulation (post op pain, ileus)
  • distorted anatomy (bowel/bladder perforation)
  • hemorrhage (hysterectomy)
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