Award Date

May 2023

Degree Type


Degree Name

Doctor of Nursing (ND)



First Committee Member

Jennifer Vanderlaan

Second Committee Member

Susan Van Beuge

Third Committee Member

Angela Silvestri-Elmore

Fourth Committee Member

James Alexander

Fifth Committee Member

Jay Shen

Number of Pages



In the United States, (U.S.) technological advancement and increased accessibility to health care resources have not deterred the increasing maternal morbidity and mortality rates (CDC, 2022). In 2019, 754 maternal deaths were reported; in 2020, 861 deaths were reported. In a span of one year, the maternal mortality rate increased by 14% (CDC,2022). American Indian/Alaska Native and Black birthing people are 2 to 3 times more likely to die from a pregnancy-related cause than White birthing people (CDC, 2019). 80% percent of all pregnancy related deaths can be prevented (CDC, 2022). Risk-appropriate care is a strategy used to improve perinatal care. Delivery of risk-appropriate care is dependent on a maternity hospital or birthing facility’s availability of technology, equipment, and staffing capable of providing the appropriate care based on the patients’ medical risks (Ryan, 1976). Currently, risk-appropriate care has not been assessed in maternity hospitals and birthing facilities in the State of Nevada. This project served to assess the level of risk-appropriate care through the implementation of the CDC Levels of Care Assessment (LOCATe) tool.


CDC LOCATe Tool; Levels of Care; Perinatal regionalization; risk-appropriate care



Degree Grantor

University of Nevada, Las Vegas




IN COPYRIGHT. For more information about this rights statement, please visit

Included in

Nursing Commons