Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

OB > ch 1 female repro contraception > Flashcards

ch 1 female repro contraception Flashcards

1
Q

3 layers of uterus from inner to outer

A

endometrium
myometrium
perimetrium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

clusters of epithelial cells within lobules of breasts that secrete colostrum and milk

A

clusters of acini

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

changes in breasts throughout menstrual cycle (3)

A

sensitivity
size
nodularity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

when should women do self breast exams

A

5-7 days after period ends

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

regularity of menstrual cycle influenced by (4)

A

age
physical health/fitness
psychosocial/emotional status
environment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

menarche

A

first menstruation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

puberty

A

transitional stage between childhood and sexual maturity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

“normal” cycle average

A

28 days (1st day of flow to 1st day of next flow)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

variation in menstrual cycles (cycle of duration and # days)

A

21-35 days cycle

2-6 days flow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

normal blood loss during cycle

A

20-60 mL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

3 cycles within menstrual cycle

A
  1. chemical cycle (steroidogenesis) - brain
  2. ovarian cycle - ovary
  3. endometrial cycle - endometrium
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

hormones within chemical style of menstruation

A

GnRH
FSH
LH

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

hormones within ovarian cycle of menstruation

A

estrogen

progesterone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

purpose of LH

A

maturation and release of 1 ova (ovulation)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

endometrial response to increased progesterone and estrogen from ovaries

A

mature, edematous, vascular and glandular secretions ready for implantation of zygote

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

endometrial response to no fertilization, corpus luteum regresses, decreased progesterone and estrogen

A

vasospasm and vasoconstriction, necrosis of tissues, sloughing (menses)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

effect of HCG (human chorionic gonadotropin) on corpus luteum

A

keeps corpus luteum alive for 12 weeks through progesterone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

indicators of ovulation

A
  • basal body temp increases 0.5-1 degree F for 10-12 days
  • cervical secretions change (increased, spinnbarkeit, ferning)
  • cervical os dilation
  • mittelschmerz
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

what is spinnbarkeit

A

cervical mucus stretches > 6 cm

egg white

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

what is ferning during ovulation

A

dried, crystalline pattern of cervical mucus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

what is mittelschmerz during ovulation

A

sharp lower abdominal pain during ovulation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

lifespan of corpeus luteum if HCG is not present

A

14 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

pituitary: primary hormone during 1st half of cycle

A

FSH

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

what hormone is critical for maintaining zygote/embryo

A

progesterone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

pituitary: primary hormone during 2nd half of cycle

A

LH

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

ovarian: primary hormone during 1st half of cycle

A

follicular

  • estrogen dominant
  • maturation of ovarian follicle
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

ovarian: primary hormone during 2nd half of cycle

A

luteal

  • progesterone dominant
  • follicle after ovulation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

endometrial: 2 stages during 1st half of cycle

A
  • menstrual: shedding of endometrium

- proliferative: building up of endometrium

29
Q

endometrial: 2 stages during 2nd half of cycle

A
  • secretory: endometrium mature and functional

- ischemic: vasospasm and death of functional layer

30
Q

how long do you have to go without a period to be considered in menopause

A

12 months in a row

31
Q

climacteric

A

transitional phase during which ovarian function and hormone production decline

32
Q

perimenopause

A

period of time preceding menopause, lasts about 4 years

average onset is 51-52 years

33
Q

physical changes during perimenopause (4)

A
  • bleeding
  • genital changes
  • vasomotor instability (hot flash)
  • mood and behavioral changes
34
Q

health risks for perimenopausal women (3)

A
  • osteoporosis
  • coronary heart disease
  • UTIs
35
Q

factors to consider when choosing contraception

A
  • side effects/risk of use
  • reliability
  • ease of use
  • relative cost
  • STI protection
  • woman’s comfort level with method
  • partner’s willingness to use
  • culture and religion
36
Q

informed consent - BRAIDED

A 
Benefits
Risks
Alternatives
Inquiries and questions
Decisions, may change mind
Explanations
Documentation
37
Q

methods of contraception

A
  • coitus interruptus (withdrawal)
  • temporary methods (FAMs, barrier, hormonal)
  • long acting reversible (IUC/IUD, hormonal)
  • permanent (sterilization)
38
Q

FAMs

A

fertility awareness methods

-relies on avoidance of sex during ovulation

39
Q

how long can ova live

A

12-24 hr

40
Q

how long can sperm live

A

24-28 hr

41
Q

when does ovulation occur

A

14 days before next period begins

42
Q

billing method

A

using cervical secretions to determine fertility

43
Q

temporary methods: barriers (5)

A
  • spermicides
  • condoms (male/female)
  • diaphragm
  • cervical caps
  • contraceptive sponges
44
Q

method of action of spermicides

A
  • reduces sperm mobility

- destroys sperm cell membrane

45
Q

advantages of spermicides

A
  • safe
  • OTC
  • no male involvement
46
Q

important teaching for pt using spermicides

A

read instructions (varies)

47
Q

disadvantage of spermicides

A

-contradicted in those at high risk for HIV

48
Q

important teaching for pt using condoms

A
  • correct use is critical

- teach pt how to use condom

49
Q

teaching for pt using female condom

A

can’t use female and male condom at same time

50
Q

danger of using diaphragm/sponge

A

can lead to toxic shock syndrome

51
Q

teaching for use of diaphragm

A
  • leave in for atleast 6 hours after sex (but no more than 8 hours)
  • must be fitted by provider
52
Q

two categories hormonal methods

A
  • combined estrogen and progestin

- progestin only

53
Q

what type of birth control prevents ovulation

A

combined hormonal

54
Q

meds that interfere with combined oral contraceptive (5)

A
  • anticonvulsants
  • anti TB
  • antifungals
  • anti HIV
  • st johns wort
55
Q

contraindications for combined oral contraceptives (5)

A
  • pregnant/breastfeeding
  • Hx of thromboembolic disorders
  • breast cancer
  • smoking and over 35 yrs
  • diabetes with known vascular complications
56
Q

teaching for use of combined oral contraceptive patch

A
  • replaced every month

- less effective if >198 lbs

57
Q

warning signs for complications of using combined hormonal contraceptives - ACHES

A 
abdominal pain
chest pain
headache
eye problems
severe leg pain
58
Q

teaching for use of oral progestins (minipill)

A

must be taken at same time every day

59
Q

teaching for use of injectable progestins

A

do not massage site

60
Q

long acting reversible contraceptives

A
  • injectable progestin
  • implantable progestin
  • intrauterine contraceptive: progestin and copper
61
Q

cautions before inserting IUC/IUD (3)

A
  • undiagnosed vaginal bleeding
  • pregnancy
  • active/recent infection
62
Q

teaching for IUD/IUC

A
  • check strings
  • no signs of infection
  • don’t remove yourself
63
Q

warning signs IUD - PAINS

A 
period late
abdominal pain
infection exposure
not feeling well
strings
64
Q

permanent methods of contraception

A

female sterilization:

  • tubal occlusion
  • tubal reconstruction

male:
- vasectomy

65
Q

teaching for breastfeeding (lactational amenorrheal method) method of contraception

A
  • 6 months
  • no more than 4 hours between feeds during day
  • no more than 6 hours between feeds during night
  • no supplementation
66
Q

pregnancy that ends before 20 weeks

A

abortion

67
Q

least effective methods of contraception

A

fertility based awareness methods
spermicides
(withdrawal method)

68
Q

most effective methods of contraception

A

reversible:
- implant
- IUD

permanent:
- male sterilization vasectomy
- female sterilization

OB (21 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions