Introduction to Maternity and Women’s Health Care questions and correct answers

Introduction to Maternity and Women’s Health Care questions and correct answers What are some examples of Healthy People 2030 goals? - ANSWERS Reduce the rate of fatal and infant deaths, reduce the rate of maternal mortality, reduce preterm births, reduce the number of C sections in low risk women Have the amount of C sections increased or decreased? - ANSWERS Increased Where is the US in terms of reducing the rate of fatal and infant deaths? - ANSWERS Needs improvement, at the bottom of developed countries What is needed to be done with IPE? - ANSWERS Health professionals need to work together to see improvements in care, need to use SBAR and team STEPPS to communicate effectively, use teamwork What are interprofessional collaborative practice competencies? - ANSWERS Values/ethics for IPE, roles/responsibilities, interprofessional communications, teams and teamwork What are problems with the US health care system? - ANSWERS Fragmented structure, reducing medical errors (3rd leading cause of death in the US), high cost, limited access to care (transportation, childcare, lack of insurance), health literacy (use simple words, assess understanding, focus on important points) Affordable Care Act - ANSWERS Aimed to make insurance affordable, contain costs, improve Medicare and Medicaid, and reform insurance market Accountable Care Organizations - ANSWERS A group of healthcare providers and health care agencies that are accountable for improving the health of populations, while containing costs What are recent fertility rates? - ANSWERS Births per 1000 women ages 15-44 (decreased) What are recent birth rates? - ANSWERS Births per 1000 women (decreased) What was the % of C sections in 2020? - ANSWERS About 33.8% What does it mean to have LBW? - ANSWERS Weigh less 2500 gm (about 5 lbs) What was the % of LBW infants in 2020? - ANSWERS 8.24% What does preterm birth mean? - ANSWERS Less than 37 weeks What is infant mortality rate? - ANSWERS The number of deaths per 1000 live births In which race is infant mortality seen in the most? - ANSWERS African Americans (4 times due to LBW) What are maternal mortality trends? - ANSWERS Number of deaths per 100,000 (more than doubled during pandemic) Which races are more likely to suffer from maternal mortality? - ANSWERS Black and Native American/Alaska Native women (3 times more likely) What are factors that contribute to maternal morbidity? - ANSWERS Obesity (diabetes, HTN, heart disease) What % of women are obese ages 20-39? - ANSWERS 31% What % of women are overweight ages 20-30? - ANSWERS 58.5% What is ambulatory care? - ANSWERS Basic, specialized care, or sub-specialty care What is community-based care? - ANSWERS Home health, shelters, mobile care What is high technology care? - ANSWERS Telehealth, social media influences, can know sex of the baby with blood tests in first trimester Who can provide prenatal care? - ANSWERS Midwives, NPs, PAs, physicians, and traditional birth attendants What are women's health issues? - ANSWERS Heart disease and violence What are international concerns in women's health? - ANSWERS Female genital mutilation, human trafficking, HIV transmission, Covid-19 How has the future of nursing changed? - ANSWERS Shift from inpatient to outpatient care —> more independence and involvement of nurses outside the hospital What is outcomes-oriented practice? - ANSWERS Measures effectiveness of care against benchmarks and standards What is standard of care? - ANSWERS The level of practice that a reasonably prudent nurse would provide in the same or similar circumstances What is risk management? - ANSWERS Identifies risks, established preventative practices, reporting mechanisms, and manage legal issues What is a sentinel event? - ANSWERS Any event that is not due to underlying conditions or natural courses of a patient's condition that affects a patient, resulting in death, permanent harm, or severe temporary harm What is failure to rescue? - ANSWERS Failure to recognize or act on early signs of distress What is QSEN? - ANSWERS An initiative that was developed to integrate quality and safety competencies into nursing education What are ethical issues? - ANSWERS Reproductive technology (IVF), allocation of resources, olderage pregnancies, third-party payers, induced ovulation, multifetal pregnancy reduction (remove some embryos from IVF), intrauterine fetal surgery, treatment of LBW infants (who decides whether to save the baby or not