Exam 1: Genomics & Assessment/Health Promotion & Violence and Women

Question 1

Found that all human beings are 99.9% identical at the DNA level

Answer 1

Human Genome Project

Question 2

Human Genome project has led to: (4)

Answer 2

-molecular-based medicine
-biotechnology
-waste control/environmental cleanup
-genetic risk assessments for clinical use

Question 3

Single most cost-effective piece of genetic information for understanding a patient’s risk for disease

Answer 3

Family history

Question 4

Gene identification and testing include: (2)

Answer 4

-genetic testing registry
-predictive testing
(presymptomatic & predispositional)

Question 5

Carrier screenings are often included in ________, which includes:

Answer 5

newborn assessments
-cystic fibrosis
-sickle cell
-tay-sachs

Question 6

Pharmacogenomics analyzes genes to:

Answer 6

guide clients drug therapy

Question 7

Clinical genetic tests: (3)

Answer 7

-Trisomy
-Sex chromosome
-Cancer

Question 8

Trisomy 21

Answer 8

Down syndrome

Question 9

Trisomy 18

Answer 9

Edward Syndrome

Question 10

Trisomy 13

Answer 10

Patau syndrome

Question 11

Monosomy X female

Answer 11

Turner syndrome

Question 12

Trisomy XXY male

Answer 12

Klinefelter syndrome

Question 13

BRCA1 or BRCA2

Answer 13

hereditary breast/ovarian cancer

Question 14

Ethical, legal, and social implications of gene studies (4)

Answer 14

-privacy and fairness in use and interpretation of genetic information
-clinical integration of genetic technology
-Ethical issues regarding informed consent
-Education of professionals and the public about genetics and research

Question 15

Nursing implications in genetics

Answer 15

-Genetic counseling will be intertwined in Women’s Health Clinics
-Nurses should know about testing and be able to present clients w/ facts and reliable resources
-Nurses should respect patient’s choices to pursue testing and decisions that may follow after results

Question 16

Breast function (2)

Answer 16

-lactation
-sexual arousal in mature adults

Question 17

Hormone stimulates growth in breasts and increases vascularity

Answer 17

Estrogen

Question 18

Hormone causes mammary gland maturation

Answer 18

progesterone

Question 19

Denotes first menstruation

Answer 19

Menarche

Question 20

Menses is expected to start around ages _________ and is expected to be _______ over the first year

Answer 20

8-11 years
irregular

Question 21

day one is the first day of bleeding and ends with the first day of the next period

Answer 21

menstrual cycle

Question 22

Estrogen is high during ________ half of cycle

Answer 22

first

Question 23

progesterone is high during _________ half of cycle

Answer 23

second

Question 24

Average length of menstrual cycle is _______; average length of menses ___________

Answer 24

-28 days
-5-6 days

Question 25

shedding of the uterine lining

Answer 25

menses

Question 26

during menses, estrogen and progesterone are:

Answer 26

low

Question 27

Time between first day of period and ovulation

Answer 27

Follicular phase

Question 28

During Follicular phase, ________ follicles mature under influence of hormones ____ and _____

Answer 28

1-30 follicles FSH and estrogen

Question 29

During ovulation: (3)

Answer 29

-LH surge causes rapid development of one follicle -Drop in estrogen levels -Release of egg into fallopian tube

Question 30

Immediately follows ovulation and ends with menstruation

Answer 30

Luteal Phase

Question 31

During Luteal Phase:

Answer 31

-Estrogen and progesterone are secreted by corpus luteum -Body prepares for fertilization and pregnancy

Question 32

How long does Luteal phase last?

Answer 32

14 days

Question 33

Ovarian Cycle phases (in order) (3)

Answer 33

-Follicular phase -Ovulation phase -Luteal Phase

Question 34

Endometrial Cycle phases (in order) (4)

Answer 34

-Menstrual phase -Proliferative phase -Secretory phase -Ischemic phase

Question 35

Menstrual phase:

Answer 35

Shedding of functional two-thirds of endometrium initiated by periodic vasoconstriction (active bleeding, menses)

Question 36

Proliferative phase:

Answer 36

rapid growth of endometrial tissue starting from 5th day-ovulation

Question 37

Secretory phase: (3)

Answer 37

-Extends from ovulation to 3 days before next menses -High levels of progesterone, vascularization of endometrium -Preparation to support pregnancy

Question 38

Ischemic phase:

Answer 38

Blood supply to functional endometrium is blocked in preparation of menstrual phase and menses

Question 39

pelvic muscle exercise designed to strengthen the muscles that support the pelvic floor

Answer 39

Kegal exercises

Question 40

Kegel exercises are also beneficial:

Answer 40

-reduction of urinary incontinance -during pregnancy -postpartum

Question 41

Reasons for seeking healthcare (5)

Answer 41

-preconception counseling and care -pregnancy/abortion -menstrual problems -well and sick care -fertility control/infertility

Question 42

Barriers to seeking healthcare (5)

Answer 42

-social determinants of health -financial issues -cultural issues -gender issues -sexual orientation

Question 43

behavior by an intimate partner or ex-partner that causes physical, sexual or psychological harm, including physical aggression, sexual coercion, psychological abuse and controlling behavior

Answer 43

intimate partner violence (IPV)

Question 44

Most common form of violence against women

Answer 44

intimate partner violence

Question 45

Socio-ecological model: involves strategies of: ___(7)___ to establish power and control

Answer 45

-intimidation -coercion and threats -economic abuse -male privilege -children -denial and blaming -isolation and emotional abuse

Question 46

Time when women are most at risk for IPV:

Answer 46

attempting to leave their partner

Question 47

Survivors of IPV may experience

Answer 47

PTSD

Question 48

IPV during pregnancy increases risk of: (4)

Answer 48

-spontaneous abortion -preterm delivery -low birthweight -neonatal death

Question 49

Almost __ in ____ women have experienced rape at some point in their lives

Answer 49

1 in 5

Question 50

__ in ___ women have experienced some form of sexual violence in their lives

Answer 50

1 in 3

Question 51

common consequences of sexual assault (2)

Answer 51

-rape trauma -PTSD

Question 52

Collaborative care for sexual violence patients include: (3)

Answer 52

-psych first aid -sexual assault exam by SANEs -History, collection of evidence and documentation