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Name the three parts of the uterus
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Is the middle portion and it plays an active role in menstruation and pregnancy
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Chapter 1-7

Maternity

QuestionAnswer
Name the three parts of the uterus Fundus, corpus, and cervix
Is the middle portion and it plays an active role in menstruation and pregnancy Copus (body)
the fallopian tubes enter the uterus on each side Fundus
The fundus and corpus have 3 distinct layers Perimetrium, myometrium, endometrium
Is the outermost or serosal layer that envelops the uterus Perimetrium
Is the middle muscular layer that functions during pregnancy and birth Myometrium
The myometrium has three involuntary muscle layers A longitudinal outer layer, a figure of eight interlacing middle layer and a circular inner layer that forms sphincters at the fallopian tuve attachments and at the internal opening of the cervix
Is the inner or mucosal layer that is functional during menstruation and implantation of the fertilized ovum. it is governed by cyclical hormonal changes Endometrium
is narrow and tubular and opens into the upper vaginia Cervix (lower part)
consist of cervical canal with an internal opening near the uterine corpus Cervix (the internal os)
an opening into the vagina external os (cervix)
what four functions of the mucosal lining of the cervix have? lubricates the vagina, acts as a bacteriostatic agent, provides and alkaline environment to shelter depostited sperm from the acidic ph of the vagina, produces a muccous plug in the cervical canal during pregnancy
Location for implantation of the fertilized ovum and growth of fetus Uterus
female organ of sexual intercourse Vagina
uterine layer that responds to hormone changes during the menstrual cycle Endometrium
Sensitive erectile body that gives erotic sensations when stimulated clitoris
passage for menstrual flow and fetus vagina
folds or ridges of the vaginal mucous membrane Rugae
Produce vaginal lubrication during sexual arousal Bartholin's glands (vulvovaginal glands)
Uterine layer in which fertilized ovum implants Endometrium
site of fertilization and early embyonic development Fallopian Tubes
Produce ova (female germ cells) and female hormones ovaries
Muscular uterine layer to expel fetus at birth myometrium
provides an environment favorable to sperm's survival Fallopian Tube
lubricate urethra and vaginal orifice Skene's ducts (paraurethral ducts)
division between external and internal female genitals Vaginal introitus
location for urine to be expelled urethral meatus
narrow tubular part of the uterus Cervix
produces the mucous plug during pregnancy Cervix
produces bacteriostatic vaginal lubrication Cervix
organs that produce spermatozoa and male sex hormones Testes
Seminal plasma plus sperm Semen
male sex hormones Testosterone
primary male hormone Androgens
male germ (reproductive) cells Spermatozoa
male organ for urination and sexual intercourse Penis
production of spermatozoa Spermatogenesis
Skin sac that suspends testes away from the body Scrotum
spermatozoa are produced in the? Scrotum
Testosterone is produced in the ______ of the Testes? Leydig cells
The accessory glands are the siminal vesicles, the prostate gland, and the bulbourethral glands are also called the ? Cowper's gland
The first outward change of puberty in females is? Development of breast
what age does menarche begin? age 11 to 15 years
what are the 2 functions of the scrotum? Manufactures male germ cells (spermatozoa or sperm Secrete male hormones (androgens)
what age does male hormonal changes begin? 10 and 16 years
outward changes become apparent in the males when? the size of the penis and testes increases and there is a general growth spurt
the penis and the scrotum which contain the testes are the male? External genitalia
widened area of a duct that holds milk Lactiferous sinus
Glands that secrete milk Alveolus/alveoli
carry milk from alveoli to nipple Lactiferous duct
area of darker skin surrounding nipple areola
provide support for breast Cooper's ligaments
painful sexual intercourse dyspareunia
empty follicle after ovum is released corpus luteum
first menstrual period Menarche
release of mature ovum ovulation
cavity containing single ovum follicle
Normal number of chromosomes in each mature sperm or ovum Diploid
Normal number of chromosomes in nonreproductive cells haploid
cell division in sex cells Meiosis
Cell division in non-sex cells to allow growth and replacement of cells Mitosis
formation of spermatozoa Spermatogenesis
formation of ova Oogenesis
an ovum or spermatozoon Gamete
An ovum survives how long after ovulation 24 hours
sperm survives up to how many days after ejaculation 5 days
cell formed by union of a sperm and ovum Zygote
inner fetal membrane that envelops the embryo and fetus Amnion
What is the normal amount of amniotic fluid near the end of pregnancy? 1000 ML
prenatal development from the ninth week after fertilization until birth Fetus
Prenatal development from the second week until the end of the eighth week after fertilization Embryo
The umbilical cord should have? 1 vein (s) and 2 artery's
Diverts some blood away from the liver as it returns from the placenta Ductus venosus
Diverts most blood fromt the right atrium directly to the left atrium rather than circulating it to the lungs Foramen ovale
diverts most blood from the pulmonary artery into the aorta Ductus Arteriosus
What age is (age of viablility? 20 weeks
which sex chromosome combination results in conception of a male? XY
Between the second and the eighth week of pregnancy the developing baby is known as a embryo
cell division that results in the formation of reproductive cells is known as meiosis
how many chromosomes should be contatined in the normal sperm or ovum? 23
Hereditary or genetic traits are passed from one generation to the next within the chromosomes
after six weeks gestation fetal red blood cells are manufactured in the Placenta
Which is the outer fetal membrane chorion
what is the second membrane it is a thin structure that envelops and protects the embryo Amnion
The primary function of Wharton's jelly is to separate maternal blood from fetal blood in the placenta
most fetal blood bypasses circulation to the lungs by way of the ? Foramen Ovale
The fetal circulatory structure that carries blood with the lowest oxygen saturation is the ? Ductus Arteriosus
After fertilization the zygote grows by Gametogenesis
The foramen ovale closes permanently in about _____ after birth? 3 months
When do you give ROGAM? 72 hours after giving birth, bleeding, a 28 weeks after amniocenthesis
Where does fertilization happen? fallopian tubes
what male structure is responsible for sperm? Testes
what layer of the uterus for menstration endometrium
uterine layer for contractions? myometrium
What is early signs of edema? excessive weight gain
what are natural body pain relievers? endorphins
what are signs of hyperventalation? rapid breathing, dizzy, tingling in fingers
Why folic acid? to prevent birth defects
what is the age for viability? 20 weeks
drug of choice for eclampsia ? magnesium sulfate
recommedned weight gain during pregnancy with a single fetus for a normal-weight 25-35 lbs
recommended weight gain during pregnancy with a single fetus for underweight women? 28-40 lbs
a women overweight at the beginning of pregnancy should gain how much wight? 11- 25 lbs
a women obese at the beginning of pregnancy should gain how much weight? 11-20
a women carrying twins should gain more weight for a normal weight women how much ? 37-54 lbs
a women carrying twins should gain more weight, for an overweight women how much? 31-50 lbs
a women carrying twins should gain more weight, for an obese women how much? 25-42 lbs
the drug used to reverse magnesium toxicity is? Calcium Gluconate
list the 4 P's of the birth process? Powers, Passage, Passenger, Psyche
Name the two powers of labor? Uternine contractions effacement, thinning Mothers pushing efforts dilation open
excessive nausea and vomiting that can significantly interfere with her food intake and fluid balance is called? Hyperemesis Gravidarum
what drug is given to RH negative women after any abortion to prevent the development of antibodies that might harm the fetus druing a subsequent pregnancy? RhoGAM 300 or the lower dose MICRhoGAM
occurs when the chorionic villi fringelike structures that form the placenta increase abnormally and develop vesicles small sacs that resemble tiny grapes what is this called? Hydatidiform Mole (gestational Trophoblastic disease also known as molar pregnancy
Signs of hydatidiform that occure early in pregnancy? Bleeding which may range from spotting to profuse hemorrhage cramping Rapid uterine growth and a uterine size that is larger than expected for the gestation failure to detect heart beat hyperemesis gravidarum
Placenta previa signs? Bleeding Usually bright no pain, uterus soft, fetus may be in an abnormal presentation, such as breech or transverse Abnormal implantation of the placenta in the lower uterus
Abruptio Placentae Signs? premature separation of the normally implanted placenta, visual dark vaginal bleeding or concealed bleeding within the uterus, gradual or abrupt onset of pain, uterus hard firm and boardlike, fetal presentation usually normal, impaired blood clotting
Low implantation in the lower part of the uterus? Placenta
name risk factors for gestational hypertension First pregnancy, obesity, family history of GH, age over 40 years or under 19 years, multifetal pregnancy, chronic hypertension, chronic renal disease, diabetes mellitus
This medication is the only oral hypoglycemic agent that can be considered for use after the first trimester when the benefits out weigh the risks for the mother and fetus Glyburide
This medication is the preferred drug to lower blood glucose levels during pregnancy because it does not cross the placenta Insulin
Signs of congestive heart failure during pregnancy?c orthopnea, persistent cough, moist lung sounds, difficulty breathing on exertion, palpatations, fatigue or fainting on exertion, severe pitting edema of the lower extremities or generalized edema, changes in fetal heart rate indicating hypoxia or growth
charecteristics of a baby with fetal alcohol syndrome? Short palpebral eye fissures, a flat nasal bridege, a thin upper lip, a poorly formed groove at the center of the upper lip and a small head
contractions are irregular or do not increase in frequency duration and intensity True or False labor? False
Walking tends to relieve or decrease contractions? True or False labor False
Discomfort is felt in the abdomen and groin true or false labor? False
Bloody show is usually not present true or false labor? False
There is no change in effacement or dilation of the cervix? true or false labor False
Contractions gradually develop a regular pattern and become more frequent longer and more intense true or false labor True
Contractions become stronger and more effective with walking true or false labor? True
Discomfort is felt in the lower back and the lower abdomen true or false labor? True
Bloody show is often present especially in women having their first child true or false labor? True
Progressive effacement and dilation of the cervix true or false labor? True
What is the usual schedule of prenantal visits? 1 x a month then after 28 weeks 1 x a week
Gestation age is ? 3 weeks embryonic
amenorrhea, nausea, breast tenderness, deepening pigmentation, urinary frequency, quickening are sign of what type of pregnancy? Presumptive
Goodell's sign, chadwick's sign, hegar's sign, mcdonalds sign, abdominal enlargement, braxton hicks contractions, ballottement, striae, positive pregnancy test is what type of pregnancy? Probable
audible fetal heartbeat, fetal movement felt by examiner, ultrasound visualization of fetus is what type of pregnancy? Positive
is the softening of the cervix and the vagina caused by increased vascular congestion? Goodell's sign
Is the purplish or bluish discoloration of the cervix vagina and vulva caused by increased vascular congestion. Chadwick's sign
is a softening of the lower uterine segment Hegar's sign
because of the softening it is easy to flex the body of the uterus against the cervix which is known as? McDonald's sign
of the social security act, passed in 1935 provided funds for maternity care? Title V
were established to increase educational exposure of preschool children head start programs
Who deduced that puerperal fever was septic contagious, and transmitted by the unwashed hands of physicians and medical students Semmelweis
recognizes the strength and integrity of the family and places it at the core of planning and implementing health care family centered care
who recommended instilling 2% silver nitrate into the eyes of newborns to prevent blindness caused by gonorrhea Crede's
Amendment of the Public health Services Act established maternal infant care centers in public clinics Title V
a nurse who was interested in the welfare of children is credited with suggesting the establishment of a federal children's bureau Lillian Wald
includes both fetal and neonatal deaths per 1000 live births per year ? (vital statistic term) Perinatal Mortality Rate
The number of deaths of infants less than age 28 days per 1000 live births per year Neonatal mortality rate
The number of maternal deaths per 100,000 live births that occur as a direct result of pregnancy includes the 42 day postpartum period Maternal mortality rate
The number of deaths of infants under age 1 year per 1000 live births per year infant mortality rate
The number of fetal deaths fetuses weighing 500 g or more per 1000 live births per year Fetal mortality rate
The number of births per 1000 women ages 15 to 44 years in a given population Fertility rate
The number of live births per 1000 population in 1 year Birth rate
The Acronynm TORCH is used to describe infections that can be devistating for fetus they are? Toxoplasmosis, Rubella, Cytomegalovirus, Herpes simplex Virus, the O is sometimes used to designate Other Infections
In male what is the functions of testosterone? Changes of vocalcords, Hair, Muscle development and strength
If a patient is taking iron pills what would you teach? Take Vitamin C, Dont take it with milk, tarry stool
How do you eleviate morning sickness? Small meals, crackers, drink fluid inbetween
how many calories should a pregnant women ingest? 300
how many calories if she is breast feeding? 500
Foods high in Iron? Meats, chicken, fish, liver, legumes, green leafy vegetables, whole or enriched grain products, nuts, clackstrap, molases, tofu, eggs, dried fruit
foods high in folic acid green leafy vegetables, asparagus, green beans, fruits, whole grains, liver legumes yeast
foods high in vitamin C May inhance absorption of iron citrus fruits and juices, strawberries, cantaloupe, cabbage, green and red peppers, tomatoes, potatoes, green leafy vegtables
persistent contraction intervals shorter than how many seconds may reduce fetal oxygen supply? 60 seconds
women who are positve for hepatitis B should receive a single dose of hepatitis B immune globulin for temporary immunity right after birth. followed by the hepatitis B vaccine for long term immunity.
Created by: steph5023
 

 



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