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OB TEST #3
3rd NUR 126 test
Question | Answer |
---|---|
Morbid obesity causes which pregnancy complications? | Gestational DM, LGA, Macrosmeia, shoulder dystocia, cephalopelvic disroportion |
Anorexia causes what complications? | Interuterince growth retardation |
How many pregnancies are high risk? | 500,000 of 4 miliion births in US each year or 1 out of 8 |
What constitutes High Risk? | when fetus or mother are at risk for morbidity or mortality |
High Risk mother | high risk status extends through post partum period but usually is resolved in 30 days |
Prenantal Morbidity | newborn complications can cause lingering effects |
How does high risk status affect the mother and her family | multiple tests are performed, are seen by MD twice as often as low risk, affects financially, psycologically, stress causes more stress |
What are the top 3 leading causes of maternal mortality? | Pregnancy induced Hypertension, Pulmonary embolism, and Hemmorrhage, worldwide it is infection |
Factors related to Maternal health problems and maternal death | Age (<20 >35) lack of prenantal care, low educational status, unmarried, nonwhite race |
How does age affect it? | After age 35 ^ risk of Downs, age 43 dramatic increase in Downs and Trisomy, girls who get pregnant within 2 yrs after starting period are at higher risk because of gyn development not complete |
Categories of fetal death | fetal death= in utero, neonatal death=1 week, perinatal death=1st month,pernatal death rate =total per 1000, infant mortality=1st year |
What is the leading cause of neonatal death? | congenital anomalies |
other causes of neonatal death include: | disorders realated to preterm or SGA LBW< 2500gms, SIDS, Respiatory distress syndrome, effects of maternal complications |
RDS | Respiratory distress syndrome, one of the most common complications, any pregnancy that ends before 38th week is at risk for RDS |
Regonilazation of health care | Basic, Speciality, and Subspeciality |
Assessment of risk factors (any one of these can put baby at risk) | Genetic disorders, health status, psychsocial risk, sociodemographic risks, enviromental hazards |