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NUR 332 OB > E1 Class Rep health & fam > Flashcards

E1 Class Rep health & fam Flashcards

1
Q

What are the inner folds of skin that protect the opening of the vagina and produce bactericidal secretions?

A

Labia minora

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2
Q

What is the fibromuscular area of the vulva between the anus and vagina that stretches for delivery?

A

Perineal body

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3
Q

When NOT pregnant, the female’s uterus is typically tilted in what direction?

A

Posterior

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4
Q

When pregnant, the female’s uterus is typically tilted in what direction?

A

Anterior

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5
Q

What is the area around the cervix where semen can pool/collect?

A

Posterior fornix

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6
Q

What is the muscular upper portion of the uterus?

A

Fundus

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7
Q

What is the usual site for implantation of the fertilized egg?

A

Endometrium

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8
Q

A 50 year old client has a hx of 4 previous vaginal deliveries of infants >9Ibs. She complains of feeling “fullness” in her vagina. A physical exam reveals a prolapsed uterus. Which ligament is showing a dysfunction?

A

Cardinal

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9
Q

What ligament causes pain when going from lying to sitting position in pregnant women?

A

Round ligament

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10
Q

Where is the egg typically fertilized?

A

Ampulla

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11
Q

What is the narrowest part of the bony pelvis and plays a role in fetal station?

A

Ischial spines

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12
Q

T/F If a women has a breast reduction, she will be unable to unsuccessfully feed her baby.

A

False

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13
Q

A client is not using any contraceptive method but wants to avoid pregnancy. What days are most women fertile during a 28 day cycle?

A

Days 13-15

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14
Q

What is the purpose of the scrotum?

A

Protect and control temperature of sperm

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15
Q

How long are ova fertile?

A

12-24 hrs

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16
Q

How long do sperm live?

A

48-72 hrs

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17
Q

Where does fertilization take place?

A

Ampulla

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18
Q

How many chromosomes from each egg and sperm?

A

23 egg
23 sperm

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19
Q

What supplies nutrients to the baby before the placenta takes over?

A

Yolk sac

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20
Q

Two seperate eggs each fertilized by different sperm is called

A

Fraternal

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21
Q

One egg fertilized by one sperm and then blastocyst divides around 5 days. Fetuses share a chorion but each have their own bag of water?

A

Identical Mono/Di

22
Q

Fraternal Dichorionic Diamniotic

A

Sperate placenta
2 Chorions
2 Amnions
2 eggs 2 sperm

23
Q

Idential Dichorionic Diamniotic

A

Fused placenta
2 Chorions
2 Amnions
1 eggs 1 sperm
Division within 3 days

24
Q

Identical Monochorionic Diamniotic

A

Single placenta
1 Chorions
2 Amnions
1 eggs 1 sperm
Division within 5 days

25
Q

Identical Monochorionic Monoamniotic

A

Single placenta
1 Chorions
1 Amnions
1 eggs 1 sperm
Division within 8-12 days

26
Q

What risk comes with Monochorionic Monoamniotic twins?

A

Umbilical cord tangles

27
Q

What risk comes with Monochorionic Diamniotic twins?

A

One baby may take majority of nutrients leading it to be bigger than its twin

28
Q

Will Diamniotic/ Dichorionic twins have 2 placentas?

A

Sometimes, depends on when blastocyte divides

29
Q

What does amniotic fluid do?

A

-cushions fetus & umbilical cord
-Helps control temp
-Allows fetus to change positions
-Promote growth and lung development
-Used for analysis of fetal lung maturity

30
Q

After 20 weeks the amniotic fluid is mostly made up of what?

A

Fecal urine

31
Q

What is Hydramnios and the causes?

A

Too much amniotic fluid (<2000mL)
Causes- congenital disorder, maternal diabetes/high blood glucose

32
Q

What is Oligohydramnios and the causes

A

Too little fluid
Causes- fetal kidneys not functioning, leaking fluid high BP

33
Q

How many veins are in the umbilical cord? arteries?

A

1 vein
2 arteries

34
Q

What is the special connective tissue that surrounds the umbilical cord?

A

Wharton’s jelly

35
Q

What are the 5 functions of the placenta?

A
  1. Immunologic properties-protect against antibody production
  2. Excretion
  3. Fetal respirations
  4. Production fetal nutrients
  5. Production of hormones
36
Q

Describe what the fetal side of the placenta looks like?

A

bluish color

37
Q

Describe what the maternal side of the placenta looks like?

A

beefy red

38
Q

The time at which fetal movement begins to be felt by most mothers?

A

20 weeks

39
Q

Weeks gestation when the heart begins to beat?

A

4 weeks

40
Q

Weeks gestation when considered “full term”

A

37 weeks

41
Q

Weeks gestation when viability is considered to begin

A

24 weeks

42
Q

You are in a grocery store and come upon a hispanic lady who just delivered a baby. The 911 responder ask you the gestational age of the baby. You observe that the baby does not have lanugo and you only see a minimal amount of vernix in the folds of the babys neck. That baby is rooting and crying. How many weeks gestation is the baby?

A

38 weeks

43
Q

Week 4

A

Heart begins to beat, arms, legs, eyes, ears form

44
Q

Week 6

A

Heart begins to circulate blood, liver functioning

45
Q

Week 12

A

Genitals differentiated, urine produced, FHTs heard with doppler

46
Q

Week 20

A

fetal movement felt by mother, vernix, lanugo, nails, nipples, subQ fat

47
Q

Week 24

A

Viability, alveoli form, startle and grasp reflexes present, eyes structurally complete, fingerprints and footprints

48
Q

Week 28

A

Nervous system regulates and brain develops rapidly, eyes open, lungs provide gas exchange

49
Q

Week 36

A

Increase in subQ fat, lanugo lessens

50
Q

Week 38

A

Full term, vernix creases and folds only, skin smooth and polished, head bigger than chest

NUR 332 OB (6 decks)

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