Antenatal Chapter 2 Flashcards

1
Q

the will and ability of parents to respond to the needs
and aspirations of the family and children.

A

Responsible Parenthood

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2
Q

Duties and Responsibilities of Parents to their Children:

A
  1. Provision of Physical Care and Love
  2. Inculcating discipline
  3. Developing social competence
  4. Providing education
  5. Citizenship training
  6. Teaching the wise use of money
  7. Financial aspect of responsibility
  8. Spiritual formation
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3
Q

a normal cyclic physiologic event signifying the reproductive
years in the human female.

A

Mestruation

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4
Q

is also defined as an episodic uterine bleeding in response to cyclic hormonal changes or it is the shedding of the lining of the uterus which include blood, some endometrial tissue, white blood cells and mucus.

A

Mestruation

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5
Q

the rhythmic preparation of the uterus to receive a fertilized egg and the discharge of the uterine lining usually at monthly intervals when no fertilized egg enters
the uterus (prepares the uterus for pregnancy).

A

Menstrual Cycle

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6
Q

Purposes of Menstrual Cycle:

A
  1. to bring an ovum to maturity
  2. to renew uterine tissue bed that will be responsible to its growth should it be
    fertilized
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7
Q

What are the four body structures involved in the physiology of menstrual cycle?

A

Hypothalamus
Pituitary Gland
Ovaries
Uterus

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8
Q

The shedding of the functional 2/3 of the endometrium which is initiated by periodic vasoconstriction of the spiral arterioles most marked in the upper layers
of the endometrium.

A

Menstrual Phase - approximately 4 days

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9
Q

decrease estrogen level in the blood stimulates the hypothalamus to release Gonadotrophin Releasing Factors (GnRF), FSHRF, LHRF, FSHRF stimulates the APG to produce FSH that act on a primodial follicle in an ovary-producing estrogen.

A

Proliferative Phase - approximately 10 days

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10
Q

low level of progesterone in the blood stimulates the hypothalamus to release LHRF that further stimulates the APG to produce LH, responsible for the production of progesterone. Increase amount of ES and Pro pushes the new mature ovum to the surface of the ovary. Graafian follicle ruptures and release the mature ovum thus ovulation occur. Graafian follicle turns to corpus luteum that contains an increasing amount of progesterone and giving it a yellowish appearance.

A

Progestational Phase - approximately 11 days

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11
Q

if the mature ovum is not fertilized, the amounts of hormone in the corpus luteum will start to decrease and turns to white called corpus albicans. After 3-4 days, the thickened lining of the uterus start to degenerate and slough off and capillaries ruptures thus menstruation.

A

Regressive/ Premenstrual Phase - approximately 3 days

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12
Q

IDENTIFY THE HORMONE:
inhibits the production of FSH

A

Estrogen

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13
Q

IDENTIFY THE HORMONE:

causes hypertrophy of the
myometrium

A

Estrogen

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14
Q

IDENTIFY THE HORMONE:

increases quantity and pH of
cervical mucus

A

Estrogen

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15
Q

IDENTIFY THE HORMONE:

stimulates growth of the ductile
structures of the breast

A

Estrogen

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16
Q

The marital meaning is only present when the natural sexual act occurs between a man and a woman married to each other

A

Marital Act

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17
Q

A family grows from the marriage and union of a male and female. The spouses’ union
achieves the twofold end of marriage:

A

The good of the spouses themselves
The transmission of life

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18
Q

Purposes of Marriage:

A

Unitive
Procreation

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18
Q

are the characteristics that make a man, a man, or a woman, a woman. This includes the man’s or woman’s capability for sexual feelings and behavior. It also includes his or her total personality.

A

Human Sexuality

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18
Q
  • clitoris to increase in size
  • mucoid fluid to appear on vaginal walls as lubrication.
  • vagina widens in diameter and increases in length
  • nipples become erect
A

Excitement Phase

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18
Q

5 major components of Human Sexuality:

A

Biological Sex
Sexual Orientation
Sexual Identity
Gender Identity
Values, attitudes, feelings and emotion

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19
Q

*penile erection occurs, as well as
scrotal thickening and elevation of
the testes.

A

Excitement Phase

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19
Q

there is an increase in heart and respiratory rates and blood pressure

A

Excitement Phase

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20
Q

▪ clitoris is drawn forward and retracts under the clitoral prepuce; the lower part of the
vagina becomes extremely congested (formation of the orgasmic platform), and
▪ there is increased nipple elevation.

A

Plateau Phase

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21
▪ vasocongestion leads to distention of the penis ▪ Heart rate increases to 100 to 175 beats per minute and respiratory rate to approximately 40 respirations per minute.
Plateau Phase
22
▪ average number of contractions for a woman is 8 to 15 contractions at intervals of 1 every 0.8 seconds.
Orgasm Phase
23
▪ muscle contractions surrounding the seminal vessels and prostate project semen into the proximal urethra. These contractions are followed immediately by three to seven propulsive ejaculatory contractions, occurring at the same time interval
Orgasm Phase
24
▪ do not go through this refractory period, so it is possible for women who are interested and properly stimulated to have additional orgasms immediately after the first
Resolution Phase
25
▪ a refractory period occurs during which further orgasm is impossible.
Resolution Phase
26
IDENTIFY THE HORMONE: stimulates growth of vagina and uterus, thickening of the endometrium
Estrogen
27
IDENTIFY THE HORMONE: increases sexual desire
Estrogen
28
IDENTIFY THE HORMONE: assist in the maturation of ovarian follicle
Estrogen
29
IDENTIFY THE HORMONE: inhibits the production of LH
Progesterone
29
IDENTIFY THE HORMONE: facilitates transport of the fertilized ovum through the fallopian tube
Progesterone
30
IDENTIFY THE HORMONE: increase endometrial tortousity
Progesterone
31
IDENTIFY THE HORMONE: inhibits uterine and gastrointestinal motility
Progesterone
32
IDENTIFY THE HORMONE: decreases muscle tone of urinary tract
Progesterone
33
IDENTIFY THE HORMONE: increase musculo-skelatal motility
Progesterone
34
IDENTIFY THE HORMONE: decreases renal threshold for lactose and dextrose
Progesterone
35
IDENTIFY THE HORMONE: increase fluid retention
Progesterone
36
IDENTIFY THE HORMONE: increases basal fibrinogen levels
Progesterone
37
IDENTIFY THE HORMONE: increases body temperature after ovulation
Progesterone
38
IDENTIFY THE HORMONE: growth of cells of vaginal epithelium, glycogen appears in cells
Estrogen
39
IDENTIFY THE HORMONE: growth and health of vulval tissues
Estrogen
40
IDENTIFY THE HORMONE: growth of cervical glands abundant secretion of clear thin mucus
Estrogen
41
IDENTIFY THE HORMONE: proliferation of endometrium stimulates growth of myometrium
Estrogen
42
IDENTIFY THE HORMONE: growth of duct system enlargement and pigmentation of nipple and areola
Estrogen
43
IDENTIFY THE HORMONE: maturation of cells of epithelium ceases, surface cells degenerate and are shed- release of glycogen
Progesterone
44
IDENTIFY THE HORMONE: changes secretion to scant but thick mucus
Progesterone
45
IDENTIFY THE HORMONE: enlargement of stromal cells glands, mucus and glycogen secretion, increases endometrial tortousity
Progesterone
46
IDENTIFY THE HORMONE: growth of breast alveoli
Progesterone
47
Signs and Symptoms of Ovulation:
- Presence of Mittelschmerz - Identification of fertile cervical mucus - Positive Spinnbarkeit test - Slight abrupt rise in basal body temperature (0.3-0.5 C) which is preceded by a slight drop
48
Factors Related to the Occurrence of PMS:
1. estrogen- progesterone imbalance 2. excess aldosterone 3. vitamin deficiencies 4. psychologic 5. high caffeine intake 6. increasing age 7. tobacco use 8. family history – identical twins(high)
49
Pharmacologic Interventions for PMS:
1. vitamin and mineral supplements 2. diuretics 3. psychotrophic drugs 4. progesterone and progesterone derivatives 5. flouxetine (serotonin uptake inhibitor) 6. anti-prostaglandins
50
- painful menstruation which may be due to physical or emotional
Dysmenorrhea
51
- absence of menstruation/ temporary cessation of menstruation
Amenorrhea
52
- excessive bleeding during menstruation
Menorrhagia or Hypermenorrhea
53
- bleeding between menstrual cycle
Metrorrhagia
54
- frequent menstruation occurring at interval of less than 3 weeks/periods occur too often
Polymenorrhea
55
- markedly diminished menstrual flow/bleeding more than 35 days apart with decreased amount of bleeding
Oligomenorrhea
56
- very light flow spotting
Hypomenorrhea
57
pain felt as mature ovum is released which is either RLQ or LLQ
Mittelschmerz
58
Normal menstrual period lasts for...
3-7 days
59
Hormones which regulate cyclic activities:
Follicle-stimulating Hormone Luteinizing hormone
60
Four body structures involved in the physiology of menstrual cycle:
Hypothalamus Pituitary Gland Ovaries Uterus
61
The union/fusion of the sperm and the mature ovum in the outer third of the fallopian tub
FERTILIZATION/CONCEPTION/FECUNDATION/IMPREGNATION
62
Factors Necessary for Fertilization to Occur:
1. Maturation of both the ovum and the sperm 2. Ability of the sperm to reach the ovum 3. Ability of the sperm to penetrate the zona pellucida and cell membrane
63
Amount of semen per ejaculation
3-5cc or 1 tsp.
64
Number of sperms/cc
120-150 M
65
Mature ovum is capable of being fertilized for _________ after ovulation
24-48 hours
66
Sperms are capable of fertilizing even for ____________ after ejaculation.
3-4 days
67
Normal life span of sperm
7 days
68
Sperms once deposited in the vagina will generally reach the cervix within ____________ after ejaculation
90 seconds
69
Fertilized ovum (zygote) stays in the fallopian tube for ___________ during which time rapid cell division (Mitosis/Cleavage) is taking place.
3 days
70
After rapid cell division, the zygote are now called...
Blastomere
71
when there are already 16 BLASTOMERES, it is termed as...
Morula
72
It is in this morula form that it will start to travel (by ciliary action and peristaltic contractions of the fallopian tube) to the uterus where it will stay for another 3-4 days. When a cavity is formed in the morula, it is termed as...
Blastocyst
73
Fingerlike projections called ___________ form around the blastocyst and this trophoblast are the one’s which implant high on the anterior or posterior surface of the uterus thus implantation/nidation takes place about a week after fertilization (6-8 days).
trophoblast
74
It is the contact between the trophoblast and the uterine endothelium.
Implantation/Nidation
75
3 PROCESSES THAT OCCUR IN IMPLANTATION:
Apposition Adhesion Invasion
76
A process by which the blastocyst brushes the endometrial lining.
Apposition
77
A process by which the blastocyst begins to attach to the endometrial lining.
Adhesion
78
A process by which the blastocyst begins to settle down to the endometrial lining.
Invasion
79
Once implantation has taken place, endometrium is called...
Decidua
80
Divisions of the Decidua:
decidua basalis decidua capsularies decidua vera/ parietalis
81
Trophoblast Differentiation: At about three weeks, the trophoblast cells differentiate into two distinct layers:
Cytotrophoblast/ Langhan's Layer Syncytiotrophoblast/ Syncitial Layer
82
-inner layer which is present as early as 12 days gestation and appears to be functional early in pregnancy but then disappears between the 20th and 24th week.
Cytotrophoblast/ Langhan's Layer
83
-outer layer containing fingerlike projections called chorionic villi which gives rise to fetal membranes that arise from the zygote
Syncytiotrophoblast/ Syncitial Layer
84
- outer membrane, together with deciduas basalis gives rise to placenta which starts to form at 8th weeks gestational age
chorion
85
- inner layer which gives rise to umbilical cord/funis and amniotic fluid/ bag of water
amnion
86
o the lifeline that links the embryo/fetus and the placenta o contains 2 umbilical arteries that returns deoxygenated blood to the placenta and 1 umbilical vein that carries oxygenated blood to the fetus
umbilical cord/ funis
87
o begins to form at 11-15th weeks gestation o a pale, clear, straw colored albuminous fluid in which the baby floats o specific gravity = 1.007 to 1.025 o pH is neutral to slightly alkaline =7.0 to 7.25 o near term, is clear, colorless containing little white, peaks of vernix caseosa and other solid particles o produced at a rate of 500 ml in 24 hours and fetus swallows it at an equally rapid rate of 500 ml/24 hours o by 4th lunar month, urine is added to the amount of amniotic fluid derive chieflyfrom maternal serum and fetal urine
amniotic fluid/ bag of water
88
Purposes of BOW:
Protective function Diagnostic function
89
a. shields the fetus against blows or pressures on the mother’s abdomen b. protects the fetus against sudden changes in temperature since liquid changes temperature more slowly than air c. protects the fetus against infections
Protective function
90
– removal of amniotic fluid to diagnose chromosomal abnormalities
Amniocentesis
91
– stained amniotic fluid in non-breech presentation is a sign of fetal distress
Meconium
92
-arises out of trophoblastic tissues -chorion together with deciduas basalis gives rise to the placenta which starts to form at 8th week gestational age
Placentation
93
- develops into 15-20 lobes or cotyledons/each functioning unit and each cotyledons are separated by fenestrated septa
Placenta
94
Purpose of Placenta:
Respiratory System Gastrointestinal System Circulatory System Endocrine System Protective
95
- exchange of oxygen and carbon dioxide takes place in the placenta not in the fetal lungs
Respiratory System
96
- nutrients pass to the fetus via the placenta by means of diffusion through placental tissues
Gastrointestinal System
97
- feto-placental circulation takes place by selective osmosis via the umbilical arteries and umbilical vein
Circulatory System
98
- waste products are excreted through the placenta. It is the mother’s liver that detoxifies the waste products of the fetus
Renal System
99
orders the corpus luteum to keep on producing Estrogen and Progesterone that is why there is amenorrhea during pregnancy. Basis for pregnancy tests
HCG
100
promotes growth of the mammary glands necessary for lactation
Human Placental Lactogen HPL
101
There are specialized structures present in the fetus which shunt blood flow:
a. ductus venosus b. foramen ovale c. ductus arteriosus
102
Circulating blood bypasses the lungs and liver by flowing in different pathways and through special openings called _________.
shunts
103
Identify which lunar month: Steady increase in overall growth and organ system
First Lunar Month
104
Identify which lunar month: Germ layers differentiate by the second week
First Lunar Month
105
Identify which lunar month: Fetal membranes
First Lunar Month
106
Identify which lunar month: nervous system
First Lunar Month
107
Identify which lunar month: cardiovascular system
First Lunar Month
108
Identify which lunar month: digestive system and respiratory tract exist as a single tube
First Lunar Month
109
Identify which lunar month: all vital organs are formed by the 8th week
Second Lunar Month
110
Identify which lunar month: Placenta developed
Second Lunar Month
111
Identify which lunar month: Sex organs (ovaries/testes) are formed by the 8th week
Second Lunar Month
112
Identify which lunar month: Brain is the largest organ of the body so head is disproportionately large
Second Lunar Month
113
Identify which lunar month: Meconium is formed in the intestines
Second Lunar Month
114
Identify which lunar month: Kidneys are able to function
Third Lunar Month
115
Identify which lunar month: Buds of milk teeth
Third Lunar Month
115
Identify which lunar month: Beginning bone ossification
Third lunar month
116
Identify which lunar month: Fetus swallows
Third Lunar Month
117
Identify which lunar month: Feto-placental circulation is established by selective osmosis
Third Lunar Month
118
Identify which lunar month: Lanugo appears
Fourth Lunar Month
119
Identify which lunar month: Buds of permanent teeth form
Fourth Lunar Month
120
Identify which lunar month: Heart beats maybe audible
Fourth Lunar Month
121
Identify which lunar month: Vernix caseosa appears
Fifth Lunar Month
122
Identify which lunar month: Lanugo covers entire body
Fifth Lunar Month
123
Identify which lunar month: Quickening felt
Fifth Lunar Month
124
Identify which lunar month: Fetal heart beats very audible
Fifth Lunar Month
125
Identify which lunar month: Skin markedly wrinkled
Sixth Lunar Month
126
Identify which lunar month: Attains proportion of full term baby
Sixth Lunar Month
127
Identify which lunar month: Alveoli begins to form
Seventh Lunar Month
128
Identify which lunar month: May survive with excellent nursing care
Seventh Lunar Month
129
Identify which lunar month: Fetus is viable
Eight Lunar Month
130
Identify which lunar month: Lanugo begins to disappear
Eight Lunar Month
131
Identify which lunar month: Nails extends to ends of fingers
Eight Lunar Month
132
Identify which lunar month: Subcutaneous fat deposition begins
Eight Lunar Month
133
Identify which lunar month: Vigorous fetal movement
Eight Lunar Month
134
Identify which lunar month: Stores minerals, iron
Eight Lunar Month
135
Identify which lunar month: Lanugo and vernix caseosa disappear
Ninth Lunar Month
136
Identify which lunar month: Face and body have a loose wrinkled appearance
Ninth Lunar Month
137
Identify which lunar month: Amniotic fluid volume somewhat decreases
Ninth Lunar Month
138
Identify which lunar month: All organs are functioning
Tenth Lunar Month
139
Identify which lunar month: Bones of skull are ossified
Tenth Lunar Month
140
Identify which lunar month: Has all the characteristics of a normal newborn
Tenth Lunar Month