50 MC – 7-8Select All That Apply & 2 MED MATH questions *SEE BLACKBOARD example*Lecture 1-Power Point 1 à15 MC Questions: Leading causes of Infant Mortality: -Congenital defects -Prematurity -LBW (low birth weight)/ Short gestation -SIDs (Sudden infant death syndrome) US Maternal Mortality: -Death from any cause of pregnancy & 42 days after the delivery (post-partum) -Reasons for mortality = severe hemorrhage, infection, pre-eclampsia/eclampsia, DVT (obesity and diabetes) Culturally competent care (clinical scenarios) -“Hot and Cold” àBalancing correct illness oChinese theory of yin/yang – Asia, India, Latin America oPregnancy is HOT– so consume cold foods oPost-Partum is COLD– consume hot foods **if you give a patient an ice pack, and they’re in post-partum period, they will refuse it if they practice this type of care**oIron supplement = HOT -Vietnamese Culture: oPregnancy = spinach, melons, beans oPost-Partum = soup w chili peppers, salty fish, herbs, and wine -Evil Eye Theory à80% of world’s population oHispanics term = Mal Ojo – belief that certain actions invite evil spirits to cause illness/death -Nonpharmacological therapies èTypes of Complementary and Alternative Therapies = for relaxation and alternative to pain medication oTraditional Chinese medicine (TCM) §Balance of energy (chi) §Yin and Yang §Acupuncture, acupressure §Herbal therapy §Nutrition oHydrotherapy oMassage oLight therapy oMusic oReiki oPhysical Exercise oAromatherapy oPrayer oVitamins Cultural Traditions: -Functional Diet = healthy diet, no junk food
oàenhances health and well being -Neutral = string around the forehead to avoid hiccups. oàneither enhances nor harms health/well being -Non-functional = female genital mutation – removes the clitorisoPotentially harmful -No male healthcare provider Ethical Issues: -Anencephaly àQuality of Life issue – when baby is born without a brain. – neural tube defect oCan’t survive more than a few hours oParents might want their baby to be resuscitated but healthcare workers will notwant to do it due to the fact that the baby will nothave a good quality of life. Conception/Fetal Development: -First day of your last menstrual period begins your menstrual cycle – until first day of your next menstrual cycle = CYCLE LENGTH-If you are trying to get pregnant, you would have sex 3 days before and 3 days later. – 7 days span of time – -Ovary = thousands of immature follicles (eggs) degenerate èONE will outgrow the others and pop out the edge = OVULATIONoDAY 12 = Estrogen reaches pituitary gland. o*DAY 14 – start of ovulation àLH surge* oOvum lives for 24 hours oIf there is no fertilization, then the egg will come out through the period oIf there is fertilization, then the egg will travel down -Spinbarket = when mucous is thin, more abundant and stretchy – -Middleschmerz – Middle of the month pain (during ovulation), cramping in the left or right side wherever the egg was ejected from.