Ch 15 Female Reproductive System Flashcards

1
Q

T or F. Ova develop during fetal life.

A

True

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2
Q

Menstrual cycle is typically __ days.

A

28

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3
Q

T or F. The vagina is muscular.

A

True

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4
Q

What are 4 main female reproductive structures?

A
  1. Ovaries
  2. Uterine (Fallopian) Tubes
  3. Uterus
  4. Vagina
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5
Q

What are the 2 hormones secreted by the ovaries?

A
  1. Estrogen

2. Progesterone

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6
Q

What is the purpose of the uterus?

A

Fertilization of egg and nourishment of fetus

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7
Q

What are other female reproductive structures?

A
  1. vulva (external genitalia)
  2. perineum
  3. mammary glands (breasts)
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8
Q

episiotomy

A

incision of the perineum

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9
Q

gyn/o, gynec/o

A

woman

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10
Q

men/o, mens

A

month, menstruation

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11
Q

oo

A

ovum, egg cell

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12
Q

ov/o, ovul/o

A

ovum, egg cell

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13
Q

ovari/o

A

ovary

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14
Q

oophor/o

A

ovary

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15
Q

salping/o

A

oviduct, tube

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16
Q

uter/o

A

uterus

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17
Q

metr/o, metr/i

A

uterus

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18
Q

hyster/o

A

uterus

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19
Q

BSO

A

bilateral salpingo-oophorectomy

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20
Q

cervic/o

A

cervix

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21
Q

vagin/o

A

vagina

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22
Q

colp/o

A

vagina

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23
Q

vulv/o

A

vulva

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24
Q

episi/o

A

vulva

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25
Q

perine/o

A

perineum

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26
Q

clitor/o, clitorid/o

A

clitoris

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27
Q

mamm/o

A

breast

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28
Q

mast/o

A

breast

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29
Q

amnio

A

amnion, amniotic sac

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30
Q

embry/o

A

embryo

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31
Q

fet/o

A

fetus

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32
Q

toc/o

A

labor

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33
Q

nat/i

A

birth

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34
Q

lact/o

A

milk

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35
Q

galact/o

A

milk

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36
Q

gravida

A

pregnant woman

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37
Q

para

A

woman who has given birth (500 g or more or over 20 weeks gestation) regardless of whether infant is alive at birth or whether the birth is single or multiple

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38
Q

bradytocia

A

condition of slow labor

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39
Q

The menstrual cycle has __ stages, usually lasting __ days.

A

3 stages, 28 days

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40
Q

How many days does the menstrual phase last?

A

5 days

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41
Q

What happens in the menstrual phase?

A

Endometrial lining is shed

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42
Q

How many days does the proliferative phase?

A

10 days

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43
Q

The ______ causes several ova (about 20) and their surrounding follicles to start developing; only one continues to develop

A

The follicle-stimulating hormone causes several ova (about 20) and their surrounding follicles to start developing; only one continues to develop

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44
Q

The follicle starts secreting estrogens which leads to the ____ of the endometrium

A

thickening

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45
Q

In the proliferative phase, the luteinizing hormone increases and induces ______.

A

ovulation

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46
Q

During the proliferative phase, the cervical mucus becomes ____ which allows sperm through.

A

thin

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47
Q

Ovulation occurs between the ____ and ____ phases.

A

proliferative and secretory phases

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48
Q

During the secretory phase, the ______ ruptures, the _____ is released and starts traveling to the uterus via _____.

A

mature follicle, ovum, fallopian tube

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49
Q

During the secretory phase, the luteinizing hormone causes the ruptured follicle to change into the _____.

A

corpus luteum

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50
Q

The corpus luteum secretes ____ and ____.

A

estrogen and progesterone

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51
Q

T or F. The corpus luteum is maintained only if fertilization occurs.

A

True.

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52
Q

DJB

A

Dysfunctional Uterine Bleeding

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53
Q

Breast cancer metastasizes easily through the ____ system.

A

Lymph system

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54
Q

What are the 3 types of mastectomy?

A

radical, modified radical, segmental (lumpectomy)

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55
Q

Mastectomy during which the breast, muscles and axillary lymph nodes are removed.

A

Radical

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56
Q

Mastectomy during which the breast and axillary lymph nodes are removed.

A

Modified radical

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57
Q

Mastectomy during which just the tumor is removed

A

Segmental (lumpectomy)

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58
Q

What type of biopsy is done to access the spread of breast cancer>

A

sentinal node biopsy

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59
Q

Fertilization normally occurs in the _______.

A

fallopian tubes

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60
Q

A _____ is formed from an egg and sperm.

A

zygote

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61
Q

Where does the zygote implant?

A

endometrium

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62
Q

The zygote becomes an ___ and after two months becomes a _____.

A

embryo, fetus

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63
Q

Placenta is formed from the ___ and the ____.

A

chorion, endometrium

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64
Q

The outermost layer of the embryo

A

chorion

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65
Q

What is the purpose of the placenta?

A

nourishment of the fetus

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66
Q

The __ links the fetus to the placenta.

A

umbilical cord

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67
Q

T or F. Childbirth is also called parturition.

A

True.

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68
Q

What are the 3 stages of childbirth?

A
  1. onset of contractions and cervical dilation
  2. expulsion of fetus
  3. delivery of placenta
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69
Q

The simple assessment to determine the general health of a baby after childbirth.

A

Apgar scores

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70
Q

A woman who has been pregnant; Indicates the number of times a woman has been pregnant, regardless of whether these pregnancies were carried to term.

A

gravida

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71
Q

A woman who has given birth to one or more infants.

A

para

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72
Q

Para can be divided into what 4 sections?

A

term deliveries, preterm, abortions and living children (TPAL)

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73
Q

What are the five factors assessed for Apgar scores?

A
  1. appearance
  2. pulse
  3. grimace response
  4. activity
  5. respiration
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74
Q

T or F. Ovaries are held by ligaments in the pelvic cavity on either side of the uterus

A

T

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75
Q

The eggs, or female gametes, develop within the _____

A

ovaries

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76
Q

The cluster of cells within which ova ripen

A

graafian follicle

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77
Q

T or F. At the time of ovulation, all ova is released from the ovary.

A

False. At the time of ovulation, usually only one ovum is released from the ovary and the remainder of the ripening
ova degenerate.

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78
Q

The follicle remains behind and continues to function for ___ if there is no fertilization of the ovum and __ if the ovum is fertilized

A

2 weeks, 2 months

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79
Q

After ovulaton, the ovum travels into an ___

A

oviduct, also called the uterine or fallopian tube

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80
Q

One of the two tubes attached to the upper lateral portions of the uterus

A

oviduct

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81
Q

These tubes arch above the ovaries and have ___ that sweep the released ovum into the oviduct

A

fimbriae

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82
Q

Finger-like projections

A

fimbriae

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83
Q

Fertilization usually occurs in the _____

A

oviduct

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84
Q

The organ that nourishes the developing offspring

A

uterus

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85
Q

What makes up the uterus?

A
  1. upper rounded fundus
  2. triangular cavity
  3. lower narrow cervix that projects into the vagina

FUN TRI CAV CERV

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86
Q

What shape is the uterus?

A

pear-shaped

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87
Q

The innermost layer of

the uterine wall that receives the fertilized ovum and becomes part of the placenta during pregnancy

A

endometrium

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88
Q

T or F. The endometrium is rich in blood sipply

A

True

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89
Q

Shed during the menstrual period if no fertilization occurs

A

endometrium

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90
Q

The muscle layer of the uterine wall

A

myometrium

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91
Q

Muscular tube that receives the penis during intercourse, functions as a birth canal, and
transports the menstrual flow out of the body

A

vagina

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92
Q

All of the external female genital organs including the labia majora and labia minora

A

vulva

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93
Q

The large outer labia; the two large folds of skin that form the sides of the vulva

A

labia majora

94
Q

The small inner labia; the two small folds of skin within the labia majora

A

labia minora

95
Q

Enclose the openings of the vagina and the urethra

A

labia

96
Q

Anterior to the urethral opening; similar in origin to the penis and responds to sexual stimulation

A

clitoris

97
Q

The region between the thighs from the external genital organs to the anus

A

perineum

98
Q

Incision made during childbirth between the vagina and the anus to facilitate birth and prevent the tearing of tissue

A

episiotomy

99
Q

Should technically be a perineotomy in terms of medical terminology, but is an exception to the rule

A

episiotomy; episi/o is the root for vulva

100
Q

Composed mainly of glandular tissue and fat amd provide nourishment for the newborn

A

mammary glands or breasts

101
Q

Milk secreted by the glands is carried in ducts to the ____

A

nipple

102
Q

The first menstrual period

A

menarche

103
Q

Reproductive activity in the female normally begins during puberty with this event

A

menarche

104
Q

The menstrual cycle is controlled by hormones from the _____ gland

A

anterior pituitary gland

105
Q

____ hormone begins the cycle

A

FSH

106
Q

The FSH begins the menstrual cycle by causing the ___ to ripen in the graafian follicle

A

ovum

107
Q

The follicle secretes ___, a hormone that starts development of the endometrium in preparation for the fertilized egg

A

estrogen

108
Q

This hormone then triggers ovulation and conversion of the follicle to the corpus luteum

A

LH

109
Q

Structure left behind in the ovary that secretes progesterone and estrogen

A

corpus luteum

110
Q

Progesterone and estrogen further the ___ of the endometrium

A

growth

111
Q

What happens if no fertilization occurs?

A
  1. hormone levels decline

2. endometrium sloughs off in the menstruation process

112
Q

Steps in the menstrual cycle

A

FSH: ovum ripes in graafian follicle > graafian follicle secretes estrogen > endometrium starts developing > LH: ovulation > graafian follicle becomes the corpus luteum > corpus luteum secretes progesterone and estrogen > endometrium continues growing > no fertilzation > hormone levels decline > endometrium sheds > menstuation

113
Q

First day of menstruation is considered day _ while ovulation occurring on about day _

A

day 1 and day 14

114
Q

Throughout the menstrual cycle, ___ and ___ feed back to the pituitary to regulate the production of FSH and LH

A

estrogen and progesterone

115
Q

Birth control act by supplying estrogen and progesterone. This inhibits the ___ and prevents ___.

A

pituitary, ovulation

116
Q

T or F. Birth control interferes with menstruation.

A

False

117
Q

Cessation of monthly menstrual cycles

A

menopause

118
Q

When does menopause generally occur?

A

between the ages of 45 and 55 years

119
Q

Levels of reprroductive hormones decline, and egg cells in the ovaries gradually degenerate

A

menopause

120
Q

HRT

A

hormone replacement therapy

121
Q

The use of artificial methods to prevent fertilization of the ovum or its implantation in the
uterus

A

contraception

122
Q

List the different methods of contraception

A
  1. block sperm penetration of the uterus - condoms
  2. prevent implantation - IUDs
  3. prevent ovulation - birth control pill
123
Q

Surgical sterilization for females

A

tubal ligation

124
Q

When an ovulated egg cell is penetrated by a sperm cell

A

fertilization

125
Q

The nuclei of the sperm and egg cells fuse, restoring the ___ number and forming a ___

A

chromosome, zygote

126
Q

Steps in fertilization

A

egg cell penetrated by sperm cell > fertilization > nuclei fuse > chromosome number restored > zygote formed > travels through oviduct > divides rapidly > 6 to 7 days > fertilized egg reaches uterus > implants into the endometrium > embryo develops

127
Q

All of the major body systems are established within the first __ weeks of growth.

A

8

128
Q

Embryonic tissue produces ____, a hormone that keeps the corpus luteum functional in the ovary to maintain the endometrium

A

human chorionic gonadotropin (HCG)

129
Q

HCG

A

human chorionic gonadotropin

130
Q

T or F. The presence of HCG in urine is the basis for the most commonly used pregnancy tests

A

T

131
Q

After 2 months, ____ hormones take over endometrium maintenance and the corpus luteum degenerates

A

placental hormones

132
Q

When the corpus luteum degenerates, the embryo becomes a ____

A

fetus

133
Q

During development, the fetus is nourished by the ____

A

placenta

134
Q

An organ formed from the chorion and the endometrium

A

placenta

135
Q

The outermost layer of the embryo

A

chorion

136
Q

Exchanges take place between the bloodstreams of the mother and the fetus through ___

A

fetal capillaries

137
Q

Contains the blood vessels that link the fetus to the placenta

A

umbilical cord

138
Q

Fetal blood is carried to

the placenta in two _____o

A

umbilical arteries

139
Q

While traveling through the placenta, the blood picks up ___ and ___ and gives up ___ and ___

A

nutrients and oxygen, carbon dioxide and metabolic waste

140
Q

Restored blood is carried from the placenta to the fetus in a single _____

A

umbilical vein

141
Q

T or F. The bloodstreams of the mother and the fetus don’t mix

A

True

142
Q

Fetal proteins an enter the mother’s blood and cause ____

A

immunologic reactions

143
Q

The period of development

A

gestation

144
Q

The fetus is cushioned and protected by fluid contained in the amniotic sac

A

gestation

145
Q

The membranous sac filled with fluid that holds the fetus; sac rupturs at birth

A

amniotic sac (amnion)

146
Q

T or F. Lungs aren’t needed to oxygenate the blood in a fetus

A

T

147
Q

A small hole in the septum between the atria

A

foramen ovale

148
Q

Steps in fetal circulation

A

blood from placenta enters right atrium > foramen ovale allows blood to go into left atrium > bypasses the pulmonary artery > blood pumped out of the right ventricle > directly into the aorta through ductus arteriosus

149
Q

Short vessel that connects the pulmonary artery with the descending aorta

A

ductus arteriosus

150
Q

The foramen ovale and ductus arteriosus ___ at birth when the pulmonary circuit is established

A

close

151
Q

Failure to close hampers the work of the heart and requires ___

A

medical attention

152
Q

What is the length of pregnancy from fertilization of the ovum to birth?

A

38 weeks or 266 days

153
Q

LMP

A

last menstrual period

154
Q

In practice, pregnancy is calculated as __ days or __ weeks from the first day of the last menstrual period

A

280 days or 40 weeks

155
Q

Pregnancy is divided into 3-month periods called _____ during which defined changes can be observed in the fetus

A

trimesters

156
Q

Childbirth is also known as _____

A

parturition

157
Q

The hormone ____ from the posterior pituitary gland and ___ are involved in starting labor

A

oxytocin and prostaglandins

158
Q

The secretion of milk from the breasts

A

lactation

159
Q

What hormones start lactation?

A

prolactin from the anterior pituitary gland and hormones from the placenta

160
Q

The release of milk is stimulated by ____

A

suckling

161
Q

For the first few days after delivery, only ____ is produced, which has a slightly different composition
than milk, but like the milk, it has protective antibodies

A

colostrum

162
Q

The small yellow structure that develops from the graafian follicle after ovulation and secretes progesterone and estrogen

A

corpus luteum

163
Q

A group of hormones that produces female characteristics and prepares
the uterus for the fertilized egg.

A

estrogen

164
Q

What is the most active of estrogens?

A

estradiol

165
Q

In the female, it stimulates ripening of the eggs in the ovary

A

FSH

166
Q

A hormone secreted by the anterior pituitary that acts on the gonads. In the female, it stimulates ovulation and formation of the corpus luteum

A

LH

167
Q

The cyclic discharge of blood and mucosal tissues from the lining of the nonpregnant uterus

A

menstruation

168
Q

The union of an ovum and a spermatozoon

A

fertilization

169
Q
A pituitary hormone that stimulates contractions of the uterus. It also
stimulates release (“letdown”) of milk from the breasts.
A

oxytocin

170
Q

A group of hormones with varied effects, including the stimulation of
uterine contractions

A

prostaglandins

171
Q

DUB

A

dysfunctional uterine bleeding

172
Q

Menstrual abnormalities collectively

A

DUB

173
Q

PIH

A

pregancy induced hypertension, also known as pre-eclampsia or toxemia

174
Q

Development of a fertilized egg outside of its normal position in the uterine cavity

A

ectopic pregnancy

175
Q

loss of an embryo or fetus before the 20th week of pregnancy or before a weight of 500 g

A

abortion

176
Q

Most common cause of spontaneous abortions

A

fetal abnormalities

177
Q

D&E

A

dilatation and evacuation

178
Q

Common method for inducing an abortion in which the cervix is dilated and the fetal tissue is removed by suction

A

D&E

179
Q

The placenta attaches near or over the cervix instead of in the upper portion of the uterus

A

placenta previa

180
Q

Premature separation of the placenta from its point of attachment

A

placental abruption

181
Q

What are the two categories of congenital disorders?

A
  1. development disorders

2. hereditary disorders

182
Q

Disorders that occur during growth of the fetus

A

developmental

183
Q

Disorders that can be passed from parents to children through the germ cells

A

hereditary

184
Q

an individual who has a genetic defect that does not appear but that can
be passed to offspring

A

carrier

185
Q

factors that cause malformation of the developing fetus such as herpes simplex, alcohol, drugs, chemicals, etc

A

teratogens

186
Q

The fetus

is most susceptible to teratogenic effects during the first __ months of pregnancy

A

3

187
Q

both the spinal cord and membranes herniate through the defect

A

myelomeningocele

188
Q

congenital absence of a brain

A

anencephaly

189
Q

Congenital absence or closure of a normal body opening

A

atresia

190
Q

Convulsions and coma occurring during pregnancy or after delivery and associated with the conditions of pregnancy-induced hypertension

A

eclampsia

191
Q

Procedure in which the cervix is dilated (widened) and the lining of the uterus is scraped with a curette

A

D&C dilation and curettage

192
Q

CVS

A

chorionic villus sampling

193
Q

Appendages, such as the adnexa uteri—the ovaries, oviducts, and
uterine ligaments

A

adnexa

194
Q

A blind pouch, such as the recess between the rectum and the uterus;
the rectouterine pouch or pouch of Douglas

A

cul de sac

195
Q

An archlike space, such as the space between the uppermost wall of the vagina and the cervix

A

fornix

196
Q

A small mucus-secreting gland on the side of the vestibule near the vaginal opening; also called Bartholin gland

A

greater vestibular gland

197
Q

The rounded, fleshy elevation in front of the pubic joint that is covered with hair after puberty

A

mons pubis

198
Q

An immature ovum

A

oocyte

199
Q

The period immediately before and after menopause

A

perimenopause

200
Q

The space between the labia minora that contains the openings of the
urethra, vagina, and ducts of the greater vestibular glands

A

vestibule

201
Q

The placenta and membranes delivered after birth of a child

A

afterbirth

202
Q

A membrane-covered space between cranial bones in the fetus that later becomes ossified; a soft spot.

A

fontanel

203
Q

The first feces of the newborn

A

meconium

204
Q

Occurring before the 37th week of gestation; describing an infant
born before the 37th week of gestation

A

preterm

205
Q

The period of 42 days after childbirth, during which the mother’s
reproductive organs usually return to normal

A

puerperium

206
Q

The cheeselike deposit that covers and protects the fetus

A

vernix caseosa

207
Q

Benign tumor of smooth muscle. In the uterus, may cause bleeding
and pressure on the bladder or rectum.

A

leiomyoma

208
Q

A deficiency of amniotic fluid

A

oligohydramnios

209
Q

PDA

A

patent ductus arteriosus

210
Q

The first lymph nodes to receive drainage from a tumor. Biopsy of these nodes is used to determine spread of cancer in planning treatment.

A

sentinel nodese

211
Q

A fetal protein that may be at an elevated level in amniotic fluid and
maternal serum in cases of certain fetal disorders

A

alpha feto-protein (AFP)

212
Q

Puncture of the vaginal wall to sample fluid from the rectouterine space for diagnosis

A

culdocentesis

213
Q

IVF

A

in vitro fertilization

214
Q

Term describing the part of the fetus that can be felt by vaginal or rectal examination.

A

presentation

215
Q

In ___ presentation, head presents first. In ___ presentation, the buttocks present first.

A

Vertex, breech

216
Q

CIN

A

Cervical intraepithelial neoplasia

217
Q

BSO

A

Bilateral salpingo-oophorectomy

218
Q

TAH

A

Total abdominal hysterectomy

219
Q

TSS

A

toxic shock syndrome

220
Q

AGA

A

Appropriate for gestational age

221
Q

AI

A

artificial insemination

222
Q

ECMO

A

Extracorporeal membrane

oxygenation

223
Q

FHR

A

fetal heart rate

224
Q

FTND

A

full term normal delivery

225
Q

FTP

A

full term pregnancy

226
Q

LMP

A

last menstrual period

227
Q

NB

A

newborn

228
Q

SVD

A

spontaneous vaginal delivery

229
Q

UC

A

uterine contractions

230
Q

UTP

A

uterine term pregnancy

231
Q

VBAC

A

vaginal birth after cesarean section