ch. 4: assessment and health promotion Flashcards
What vaccines can be administered to pregnant women?
- tetanus/toxoid (killed/inactivated) toxoids
- flu vaccine
What vaccines should be avoided for pregnant women?
- NO LIVE VACCINES
- NO: BCG (TB vax), cholera, measles, mumps, rubella typhoid, varicella
Where are cells scraped from for PAP tests?
- squamocolumnar junction/transformation zone
- most common site for neoplasmic changes
What are the three primary purposes of the bony pelvis?
1) protection of pelvic structures
2) accommodation of growing fetus
3) anchorage of pelvic support structures
When does the menstrual cycle begin?
14 days after ovulation
What 3 feedback systems control the menstrual cycle?
1) ENDOMETRIAL
2) HYPOTHALMIC-PITUITARY
3) OVARIAN
Low levels of ESTROGEN & PROGESTERONE stimulate the hypothalamus to secrete ____
GONADATROPIN-RELEASING HORMONE (GnRh)
The release of GnRh stimulates the anterior pituitary gland to secrete _____ & _____
FOLICLE STIMULATING HORMONE (FSH) & LUTEINIZING HORMONE (LH)
What hormones influence the ovarian cycle?
FSH, ESTROGEN, LH, PROGESTERONE
What are prostaglandins?
- oxygenated fatty acids classified as hormones
- produced in most organs
- affect SMOOTH muscle contractility
- modulate hormone activity
- key role in ovulation
What are four phases of the endometrial cycle?
1) menstrual
2) proliferative
3) secretory
4) ischemic
What is the menstrual phase of the endometrial cycle?
shedding of endometrial lining
What is the proliferative phase of the the endometrial cycle?
enlargement of endometrial lining
What is the secretory phase of the endometrial cycle?
Increase in vascularity of the uterus
What is the ischemic phase of the endometrial cycle?
if no fertilization occurs, estrogen and progesterone levels drop, causing degeneration of corpus luteum
