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Maternity Nursing Exam 1 Study Guide (1)

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Maternity Nursing Exam 1 Study Guide 1. Antepartum – prenatal care and care of both mother and baby during pregnancy 2. Intrapartum – care of mother and baby during birthing process 3. Post partum – care of mother aft ...

Maternity Nursing Exam 1 Study Guide 1. Antepartum – prenatal care and care of both mother and baby during pregnancy 2. Intrapartum – care of mother and baby during birthing process 3. Post partum – care of mother after birth 4. Birthrate—number of live births per 1000 5. Infant mortality rate—number infant deaths/ 1000 live births (2x in African Americans) 6. Neonatal mortality rate – number of infant deaths under 28 days old per 1000 live births 7. Maternal mortality rate – number of deaths/100,000 births (4x in African Americans) 8. Conception—union of egg and sperm at the beginning of pregnancy 9. Fertilization – in the ampulla of uterine tube, takes 3-4 days to travel to uterus 10. Implantation—6-10 days after conception, can have implantation bleeding 11. Anatomy Review a. Vagina—functions to discharge menstrual flow, pass the fetus, and sex i. Rugae are vaginal folds b. Uterus – muscular upside down pear shaped where implantation of fertilized ovum occurs (at the FUNDUS) and later contracts to expel fetus i. Fundus—dome shape at top of uterus where implantation should occur c. Cervix – connective tissue allows for stretching, opening where baby comes through into the vagina or where sperm pass through to get to fallopian tubes d. Uterine tubes (Fallopian Tubes) – where fertilization occurs e. Ovaries – almond shaped organs on each side of uterus that produce estrogen, progesterone, and androgen, they house the maturing eggs f. Bony Pelvis – protects pelvis structures and accommodates growing fetus during pregnancy, anchors pelvic support ligaments and structures i. Gynecoid pelvis—normal female pelvis, most favorable for labor and birth ii. Anthropoid pelvis iii. Android pelvis—resembles a male pelvis, not favorable for labor/birth iv. Platypelloid pelvis—flat shape making labor and birthing difficult g. Breasts—secrete milk (lactation) i. Estrogen and progesterone – stimulate milk sac and duct growth ii. Prolactin – stimulates milk production iii. Oxytocin—lets down milk (ejects milk) and causes contractions (ejects baby) iv. Montgomery Tubercles – sebaceous glands in areola h. Colostrum – 1st milk with all needed immunoglobulins needed for infant

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