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Chapter 1-7
Maternity
Question | Answer |
---|---|
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. |