Conception/ Genetics Flashcards

1
Q

what is TTC

A

trying to conceive

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

importance of genetics to fertility

A
  • provides tools to determine heredity component of many disease
    -improves ability to predict:
    susceptibility
    onset
    progression
    response
    to tx
  • earlier dx
    -ppl who would have previously died in childhood to survive into adulthood
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

genetic testing of in vitro embryos

A
  • testing done after the embryo cells (4-6 cell blastocyte) have fertilized and split in petri dish
  • one cell can be tested for genetic diseases
  • if (+), they dont use the embryo
  • if (-), they use the embryo
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

how much does each in vitro tx usually cost

A

40k

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

def genomics

A
  • tailoring meds to each pt based on genetics
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

disorders that are more susceptible in certain ethnic groups

A

tay sachs
thalasemias
PKU
CF

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

nursing role during genetics testing

A
  • collect, report, and record genetics info
  • prenatal screening and testing
  • offer info and resources
  • informed consent
  • care/counseling of families who have lost a child to a genetic condition
  • collect fam hx
  • referral for specialized services
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

a miscarriage in the 1st trimester is usually due to

A

chromosomal abnormalities

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

chromosomal abnormalities are a major cause of

A

reproductive loss
congenital problems
gyn disorders

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

abnormalities of chromosome structure

A

translocation
deletions
inversions

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

def unifactorial chromosomal abnormality

A
  • a single gene controlling a trait, disorder, or defect
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what kind of chromosomal abnormality is more common: unifactorial or multifactorial

A

unifactorial

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

what is the most common genetic malfx

A

multifactorial

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

what birth defects are a result of multifactorial genetic malfx

A

cleft lip/palate
neural tube defects
congenital heart disease
pyloric stenosis

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

what is the avg age of 1st menses

A

13 years old

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

why is the avg age of menses decreasing

A

environment and food

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

what is the avg # of days that women bleed for during their period

A

5 days

18
Q

what is the usual amt of blood loss during a period

A

50 cc

19
Q

phases of the ovarian cycle

A

follicular phase
ovulation
luteal phase

20
Q

what is the job of FSH

A

causes follicle to grow and be released

21
Q

a maternal egg is only viable for

A

24 hrs

22
Q

sperm is viable for

A

up to 72 hrs

23
Q

male sperm

A

swim faster but die quicker

24
Q

female sperm

A

swim slower but last longer

25
Q

LH level before ovulation

A

released/peaks right before ovulation (24 hrs)

26
Q

FSH level before ovulation

A

incr allows egg to grow and be released

27
Q

FSH level after ovulation

A

dramatically drops

28
Q

estrogen level before ovulation

A

rises until ovulation

29
Q

estrogen level following ovulation

A
  • drops if not pregnant–> back to menstual phase

- remains stable/incr if pregnant

30
Q

def corpus luteum

A

the empty follicle

31
Q

def luteal cyst

A

an empty follicle fills up with fluid and becomes a cyst

32
Q

what increases the risk of developing luteal cyst?

A

IUD’s

33
Q

phases of the menstrual cycle

A

menstruation
proliferative
secretory

34
Q

what occurs during menstruation phase

A

shedding of the endometrial lining

gradual incr of estrogen and progesterone

35
Q

what occurs during the proliferative phase

A
  • decr in estrogen right before ovulation

- follicles start developing

36
Q

approx what day does ovulation occur

A

day 14

37
Q

if pregnancy occurs, progesterone will remain high or drop?

A

remain high

38
Q

def oogenesis

A

process that produces the female gamete (ovum)

39
Q

how many chromosomes does a gamete contain

A

23

40
Q

def spermatogenesis

A

process that produces the male gamete (sperm)

41
Q

how many sperm are there in a single ejac?

A

200-500 mill