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PNUR 104 (OB)
1st half of course (OB)
149
Nursing
Undergraduate 1
10/01/2009

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Term
Healthy People 2010
Definition
A statement of national health promotion and disease prevention objectives facilitated by the national government.
Term
A period of rapid change in the lives of boys and girls during during which the reproductive systems mature and become capable of reproduction.
Definition
puberty
Term
When does puberty end?
Definition
When mature sperm are formed or when regular menstruation begins.
Term
What is the first indicator of puberty in boys?
Definition
Around the age of 10 when the size of the penis and testes increases and there is a general growth spurt.
Term
What causes boys to grow taller, become more muscular, and develop secondary sex characteristics?
Definition
testosterone
Term
What is the first indicator of puberty in girls?
Definition
Breast buds.
Term
How long after breast buds form does menstruation start?
Definition
2-2.5 years later
Term
What are secondary sex characteristics of boys?
Definition
pubic hair, facial hair, and deep voice
Term
What are the secondary sex characteristics of girls?
Definition
hips broaden, pubic and axillary hair appear
Term
How long after puberty begins in boys does it end?
Definition
6 years later
Term
Do nocternal emissions contain sperm?
Definition
no
Term
What are gonads?
Definition
A sex gland- ovaries in females, testes in males
Term
spermatogenesis?
Definition
normal sperm production
Term
What is needed for normal spermatogenesis?
Definition
cooling
Term
What do accessary glands do?
Definition
They produce secretions to nurish sperm, protect the sperm from acidic environment of the woman's vagina, and enhance the movement of the sperm.
Term
What is semen?
Definition
The plasma and sperm together.
Term
Vulva?
Definition
the female external genitalia
Term
A pad of fatty tissue covered by course skin and hair and what does it do?
Definition
mons pubis. It protects the symphysis pubis.
Term
Two folds of of fatty tissue on each side of the vaginal vestibule?
Definition
labia majora
Term
Two thin walls of erectile tissue that are seen when the labia majora are seperated?
Definition
labia minora
Term
What is special about the labia minora?
Definition
These glands are bactericidal to reduce infection and also to lubricate and protect the skin of the vulva.
Term
Fourchette?
Definition
A fold of tissue just below the vagina. Lacerations in this area often occur during childbirth.
Term
Functionally the most erotic, sensitive part of the female genitalia?
Definition
clitoris
Term
What does the clitoris produce?
Definition
Smegma which is a cheeselike secretion of the sebaceous glands in the area.
Term
The area seen when he labia minora are seperated?
Definition
vaginal vestibule
Term
What produces lubrication for the vaginal introitus during sexual arousal and are not normally visible?
Definition
The ducts of the Bartholin glands
Term
A strong, muscular area between the vaginal opening and the anus?
Definition
perineum
Term
A tubular structure made of muscle and membranous tissue that connects the external genitalia to the uterus?
Definition
vagina
Term
A hollow muscular organ in which a fertilized ovum is implanted?
Definition
uterus (womb)
Term
Narrow and tubular and opens to the upper vagina?
Definition
the cervix
Term
What are the functions of the cervix' mucosal lining?
Definition
lubricates the vagina, acts as a bacterialstatic agent, provides alkaline environment to shelter sperm, produces a mucous plug (to protect against infection).
Term
Where is the site of fertilazation?
Definition
Outer third of fallopian tube, near the overies.
Term
Ovaries?
Definition
two almond-shaped glands which produce FSH, estrogen, and progesterone
Term
obstetrix?
Definition
Means "stand by". Care of a woman during pregnancy, childbirth, and postpartum period.
Term
What is Family Centered Care?
Definition
Family is the core of planning and implementing healthcare; empowerment.
Term
Who was Ignaz Semmelweiss?
Definition
He found the relationship b/w puerperal fever in mothers and unwashed hands medical student's hands.
Term
Who was Louis Pasteur?
Definition
Determined that hand washing was the most important means of preventing the spread of infection.
Term
How long is the hospital stay for a normal vaginal delivery?
Definition
48 hours
Term
How long is the hospital stay for a c-section?
Definition
4 days
Term
Orchidometer?
Definition
Used to measure testicle size and the sexual development in biys.
Term
What is the classic, most favorable pelvis type?
Definition
gynecoid
Term
Montgomery's Glands?
Definition
small, sebaceous glands that secrete substance to lubricate and protect breasts during lactation.
Term
What is FSH?
Definition
A hormone that stimulates maturation of the follicle.
Term
Which hormone stimulates fianl maturation and release of an ovum?
Definition
A surge in LH-14 days before next cycle.
Term
What are the two types of cell division?
Definition
Mitosis and Meiosis
Term
Reproductive cell division?
Definition
meiosis
Term
When is sex determined?
Definition
At fertilization.
Term
What is a teratogen?
Definition
A nongenetic factor that can cause birth defects in a fetus.
Term
What are the 4 hormones that the placenta produces?
Definition
progesterone, astrogen, HCG, and Human placental lactogen
Term
What is the umbilical cord?
Definition
It is the lifeline b/w the mother and the fetus.
Term
What does the umbilical cord consist of?
Definition
Two unbilical arteries and one umbilical vein.
Term
Wharton's Jelly?
Definition
Yellow-white gelatinous material that surrounds and protects the vessels of the umbilical cord.
Term
The difference b/w monozygotic and Dizygotic twins?
Definition
Mono are identical and come from a single fertilized ovum. Di are fraternal and develope from two seperate ova & two seperate sperm.
Term
What is the goal of prenatal care?
Definition
To ensure a safe birth for mother and child. Educate. Provide physical care. Prepare.
Term
What is the goal of preconception care?
Definition
To identify the risk factors before conception to reduce negative impact on pregnancy.
Term
When should prenatal care begin?
Definition
As soon as the woman suspects she is pregnamt.
Term
What is the recommended schedule for prenatal visits?
Definition
to 28 weeks- q4wks, 29-36 -q2/3wks, 37 to birth - weekly
Term
Leopold's Maneuvers?
Definition
Pressing the belly at certain places to detect the location of the fetus.
Term
Fundal height?
Definition
The size of the belly in relation to how many weeks pregnant the woman is.
Term
Any pregnancy, relardless of duration?
Definition
Gravida
Term
Never been pregnant?
Definition
Nulligravida
Term
Pregnant for the first time?
Definition
Primigravida
Term
Pregnant before, regardless of duration?
Definition
Multigravida
Term
Given birth to one or more viable children?
Definition
Para
Term
Given birth to first child?
Definition
Primipara
Term
Given birth to 2 or more children?
Definition
Multipara
Term
Not given birth to child who has reached viability?
Definition
Nullipara
Term
Termination of pregnancy before viability; spontaneous or induced?
Definition
Abortion
Term
Prenatal age of developing fetus?
Definition
Gestational age
Term
What is Nagele's Rule?
Definition
A way to determine expected delivery date. Identify the first day of last menstrual period. Count backward 3 months. Add 7 days.
Term
What are Presumptive signs of pregnancy?
Definition
A definate diagnosis cannot be made. Amenorrhea, breast changes, fatigue, quickening.
Term
What are Probable signs of pregnancy?
Definition
Stronger evidence of pregnancy. Pregnancy tests, Goodell's sign, Chadwick's sign, uterine enlargement, braxten hicks, fetal outline.
Term
What are Positive signs of pregnancy?
Definition
Caused only by developing fetus. Fetal heart beat, fetal movements, (felt by examiner), ultrasound identification.
Term
What are some normal physiological changes in pregnancy?
Definition
Uterus increases in size, cervix color changes, increase of blood supply, vaginal secretions, breast prepare for lactation, overies do not produce eggs, woman breaths more deeply, oxygen consumption increases by 15%, diaphram rises, edema in nose which can cause nasal discharge, blood volume increases in the heart, pulse increases, HYPOtesion, palpations, increased clotting factor, increased salvation, elimination is slower, constipation, hemorrhoids, altered glucose metabolism, glycosuria, urinary frequency, sweat glands are more active, posure changes, palms are redder, pelvis relaxes, weight gain.
Term
What is the recommended weight gain during pregnancy?
Definition
Normal- 25-35 lbs; Underweight-15-25 lbs; Overweight- 28-40 lbs
Term
What are the nutritional requirements during preg?
Definition
300 calories per day, protein, calcium, iron, folic acid
Term
Exercise during pregnancy?
Definition
Mild to moderate is beneficial. Maintain the level of exercise that woman was used to prior to pregnancy.
Term
What are some danger signs during pregnancy?
Definition
sudden gush of fluid from the vagina, vagianl bleeding, abdominal pain, persistant vomiting, epigastric pain, edema of face and hands, severe headaches, blurred vision, chills and fever of 100.4, painful urination or reduced urine output.
Term
Hyperemesis Gravidarium?
Definition
Excessive nausea and vomiting which ultimately leads to dehydration and electrolyte imbalance.
Term
Treatment for hyperemesis gravidarium?
Definition
IV fluids, antiemetics
Term
Bleeding disorders of EARLY pregnancy can indicate?
Definition
miscarriage, ectopic pregnancy
Term
Bleeding disorders of LATE pregnancy can indicate?
Definition
Abruptio Placentae, Placenta Previa
Term
The premature seperation of the placenta that is normally planted; may develop DIC?
Definition
Abruptio Placentae
Term
Occurs when the placenta develops in the lower part of the uterus. Will need a c-section. ?
Definition
Placentia Previa
Term
Nursing care of Pregnancy Induced Hypertention (PIH)?
Definition
Promote prenatal care i.e. identify early, bedrest, medications, moniter BP, CNS irritbility
Term
Preeclampsia?
Definition
PIH with proteinuria
Term
Eclampsia?
Definition
PIH with seizures
Term
Rh incompatability?
Definition
Rh incompatibility b/w the woman and the fetus. Can occur ONLY if the mother is Rh negative and the fetus is Rh positive.
Term
What is the treatment for Rh incompat?
Definition
Rhogam if any vaginal bleeding in first trimenster, after any amniocentisis, and at 28 weeks, and after 72 hours after delivery.
Term
Complications of Diabetes Mellitus (Type 1, 2, or gestational) during pregnancy?
Definition
Pregnancy effects glucose metabolism. DM may cause spontaneous abortion, preterm labor, fetal congenital abnormalities, etc.
Term
Treatment of Gestational Diabetes?
Definition
Diet, blood glucose checks, ketone monitoring, insulin, excercise, and fetal assessment.
Term
TORCH?
Definition
Infections that cause pregnancy complications. Toxoplasmosis, Other infections (UTI, HIV), Rubella, Cytomegalovirus, Herpes.
Term
A substance that causes an adverse effect on the development of the embryo or fetus?
Definition
Teratogen.
Term
What are the four main teratogens of concern?
Definition
Drugs, chemicals, infectious agents, and radiation.
Term
What are the four components of the birth process?
Definition
Four P's= Powers, Passage, Passenger, Psyche
Term
Size of cervical dilation?
Definition
1=cheerio, 3=banana slice, 7=soda can top, 10=bagel
Term
Signs of impending labor?
Definition
Braxton Hicks, increased vaginal discharge, bloody show, rupture of membranes, energy spurt, weight loss
Term
When should a woman go to her birth center to give birth?
Definition
Increased contractions, ruptured membranes, bleeding other than bloody show, decreased fetal movement, any other concern
Term
Dilation and effacement
Definition
First stage of labor
Term
Expulsion
Definition
Second stage of labor
Term
Placental birth
Definition
Third stage of labor
Term
Immediate post-birth recovery period
Definition
Fourth stage of labor (1-4 hours post birth)
Term
Thinning and shortening of the cervix during the late stages of labor?
Definition
Effacement
Term
What are the nursing responsibilities during and after birth?
Definition
Prepare delivery instruments, perineal scrub prep, administer drugs to mother/fetus, provide initial care to newborns (warm, suction), assess APGAR scores, issue ID bands, assess mother's vitals, perineum, etc.
Term
Testes produce?
Definition
Sperm and testosterone.
Term
Ovaries produce?
Definition
estrogen, progesterone, FSH
Term
The hormone produced by chorionic villi and found in the urine of pregnant women?
Definition
HCG
Term
When is the fetal heart rate detectable?
Definition
At 10 weeks with a dopar.
Term
The first fetal movements felt by a preg woman?
Definition
Quickening. 16-18 weeks.
Term
How can a you tell the difference b/w a ruptured placenta and placenta previa?
Definition
Ruptured=PainFUL bleeding; Previa= PainLESS bleeding
Term
Frequency of contractions are measured?
Definition
From the BEGINNING of one contraction to the BEGINNING of the next contraction.
Term
What is meant by the duration of a contraction?
Definition
The beginning of one contraction until its end.
Term
Fetal hypoxia?
Definition
Contraction lasting longer than
Term
When is a fetus in danger of hypoxia?
Definition
Contraction lasting longer than 90 seconds or more frequenct than every 60 seconds.
Term
e
Definition
Term
Who was Crede?
Definition
He discovered the practice of using 2% silver nitrate in the eyes of newborns to prevent blindness secondary to gonorrhea.
Term
Who was Lister?
Definition
He revolutionized surgica; practice by introducing aseptic surgery.
Term
Avg menstrual cycle?
Definition
28 days
Term
Ave menstrual flow?
Definition
2-5 days
Term
Time after final menstruation is called?
Definition
Menopause
Term
Alveoli?
Definition
Breast structure that secretes milk after childbirth.
Term
How is breast size determined?
Definition
By the amount of fatty tissue. It is unrelated to the woman's ability to produce milk.
Term
In males, where is temperature regulated?
Definition
In the scrotum.
Term
True s/sx of labor?
Definition
Changes in the cervix. Effacement/dilation. Contractions develop a regular pattern. Contractions become stronger. Discomfort in the lower back.
Term
First stage of labor?
Definition
Dilation and Effacement. Lasts from 1 cm to 10 cm.
Term
The second stage of labor?
Definition
Expulsion. Lasts from full cervical dilation to the birth of the child.
Term
The third stage of labor?
Definition
Placental stage. Lasts from birth of child to birth of placenta.
Term
The fourth stage of labor?
Definition
Immediate post birth recovery period. Lasts from 1-4 hours after birth of child.
Term
What are the things a nurse will do to provide the INITIAL care of a newborn?
Definition
Assess APGAR score. Issue ID bands. Assess mother's (VS, lochia, meds, and perineum.) Observe color, charact., amount, odor, of clots.
Term
Lochia?
Definition
Vaginal discharge after delivery.
Term
How long can sperm live?
Definition
5 days.
Term
How long can ova live?
Definition
48 hours.
Term
Zygote?
Definition
Ovum/sperm until implantation.
Term
Embryo?
Definition
2nd-8th week.
Term
Fetus?
Definition
9th week until birth.
Term
What is progesterone and what is its function?
Definition
It is a hormone first produced by the corpus luteum and then by the placenta. 1.) It MAINTAINS uterine lining for implantation of zygote. 2.) It REDUCES uterine contractions to reduce chances of abortion. 3.) It PREPARES the breaast glands for lactation.
Term
What does HCG do?
Definition
1.) It sends a signal to corpus lateum that conception has occurred. 2.) It causes corpus lateum to continue production of estrogen / progesterone to sustain pregnancy.
Term
When is HCG detectable?
Definition
7-9 days after fertilization.
Term
How much floic acid should a woman take to reduce neural tube defects?
Definition
RDA 400 mcg
Term
Chadwick's sign?
Definition
Bluish discoloration of the cervix, vagina, and vulva which is due to increased vascular congestion.
Term
How much does the uterus increase in size during pregnancy?
Definition
From 2 oz to 2.2 lbs.
Term
How much does blood volume increase during pregnancy?
Definition
45%
Term
How much weight should a women gain?
Definition
3.5 lbs in the first trimester then 1 lb/week.
Term
Goodell's sign?
Definition
Softening of the cervix and vagina.
Term
Hegar's sign?
Definition
Softening of lower uterine segment
Term
Ectopic pregnancy?
Definition
Occurs when the fertilized ovum is implanted outside the uterine cavity. 95% of the time it occurs in the fallopian tube.
Term
What are the s/sx of ectopic pregnancy?
Definition
Lower back pain. Light or severe bleeding. Abdominal pain.
Term
What are the five factors evaluated for in an APGAR score?
Definition
Heart rate. Respiratory rate. Muscle tone. Reflex response to suction and stim of soles of feet. Skin color.
Term
How often are APGAR scores checked?
Definition
1 and 5 minutes after birth.
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