Concept of Reproduction- EXAM 1 Flashcards

1
Q

What is Obstetrics

A

The care of women during pregnancy, childbirth and postpartum period

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2
Q

What hormones stimulate the maturation of ovarian follicles

A

FSH and LH

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3
Q

Describe fertilization

A

Occurs when sperm penetrates the ovum and they unite
Takes place in the outer third of the Fallopian tube near the ovary

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4
Q

What determines the gender of the fetus

A

The male, they carry Y chromosome
women carry the X
XX = F
XY = M

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5
Q

Twins

A

Occur 1 in 80 pregnancies
Fraternal: operate placentas or Identical

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6
Q

Presumptive symptoms of pregnancy

A

Amenhorrhea
Urinary frequency
NVP
Changes in breasts
Fatigue and drowsiness
Deepening pigmentation
Quickening

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7
Q

What is quickening

A

Mothers perception of fetal movement
Occurs 18-20 weeks after LMP

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8
Q

Linea nigra

A

Dark line at the midline

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9
Q

Probable symptoms of pregnancy

A

Changes in prelvic organs
Hagar signs
McDonald sign
Goodell sign
Chadwick sign
Enlargement of abdomen
Abdominal striae
Positive pregnancy results
Braxton hicks contractions
Uterine souffle
Ballottment

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10
Q

Hagar sign

A

Softening of isthmus of uterus

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11
Q

McDonald sign

A

ease in flexing body of uterus against the cervix
Occurs 3-4 weeks

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12
Q

Goodell sign

A

Softening of the entire surface

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13
Q

Braxton hicks contractions

A

intermittent painless uterine contractions

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14
Q

Pregnancy tests

A

Urine or serum
Urine is an agglutination test, dipstick tests enzyme present
Serum involves immunoassay

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15
Q

Positive symptoms of pregnancy

A

Observable fetal heartbeat
Fetal movement felt by examiner
Visualization of fetus by ultrasound

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16
Q

What is the placenta

A

metabolic and nutrient exchange between embryonic and maternal circulations
Begins at 3rd week and expands until about 20 weeks
2 parts

17
Q

Placenta two parts

A

Maternal: rough, red and flesh like
Fetal:smooth, covered by amnion

18
Q

What is the amnionic fluid

A

Acts as a cushion to protect the embryo
Controls the embryos temperature
Permits development of the embryo
Allows umbilical to be free of compression
Antibacterial
Acts as lubricant during delivery

19
Q

What is the umbilical cord

A

Body stalk
Attaches embryo to yolk sac
Appears twisted or spiraled

20
Q

Nunchal cord

A

When the umbilical cord encircles the fetas neck

21
Q

Development of fetal circulatory system

A

Fetal CO2 is excreted into maternal bloodstream
Fetus obtains oxygen via diffusion from maternal circulation

22
Q

Vernix caseosa

A

present on baby after birth, acts as antibacterial for baby, not washed off immediately

23
Q

What hormones are required to maintain pregnancy

A

hCG, hPL, Estrogen, Progesterone, Relaxin and Prostaglandis

24
Q

Uterus changes in pregnancy

A

Expands 60g to 1100 g in weight
Increases from 10 mL to 5000 mL in capacity

25
Q

Breast changes

A

Enlarge, superficial veins become more prominent
Areolas darken
Striae develop
Colostrum may leak at week 10 and gradually converts to milk in the first few days after childbirth