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

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

1
Q

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

A

Human Genome Project

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2
Q

Human Genome project has led to: (4)

A

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

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3
Q

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

A

Family history

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4
Q

Gene identification and testing include: (2)

A

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

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5
Q

Carrier screenings are often included in ________, which includes:

A

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

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6
Q

Pharmacogenomics analyzes genes to:

A

guide clients drug therapy

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7
Q

Clinical genetic tests: (3)

A

-Trisomy
-Sex chromosome
-Cancer

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8
Q

Trisomy 21

A

Down syndrome

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9
Q

Trisomy 18

A

Edward Syndrome

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10
Q

Trisomy 13

A

Patau syndrome

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11
Q

Monosomy X female

A

Turner syndrome

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12
Q

Trisomy XXY male

A

Klinefelter syndrome

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13
Q

BRCA1 or BRCA2

A

hereditary breast/ovarian cancer

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14
Q

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

A

-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

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15
Q

Nursing implications in genetics

A

-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

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16
Q

Breast function (2)

A

-lactation
-sexual arousal in mature adults

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17
Q

Hormone stimulates growth in breasts and increases vascularity

A

Estrogen

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18
Q

Hormone causes mammary gland maturation

A

progesterone

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19
Q

Denotes first menstruation

A

Menarche

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20
Q

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

A

8-11 years
irregular

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21
Q

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

A

menstrual cycle

22
Q

Estrogen is high during ________ half of cycle

A

first

23
Q

progesterone is high during _________ half of cycle

A

second

24
Q

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

A

-28 days
-5-6 days

25
Q

shedding of the uterine lining

A

menses

26
Q

during menses, estrogen and progesterone are:

A

low

27
Q

Time between first day of period and ovulation

A

Follicular phase

28
Q

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

A

1-30 follicles
FSH and estrogen

29
Q

During ovulation: (3)

A

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

30
Q

Immediately follows ovulation and ends with menstruation

A

Luteal Phase

31
Q

During Luteal Phase:

A

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

32
Q

How long does Luteal phase last?

A

14 days

33
Q

Ovarian Cycle phases (in order) (3)

A

-Follicular phase
-Ovulation phase
-Luteal Phase

34
Q

Endometrial Cycle phases (in order) (4)

A

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

35
Q

Menstrual phase:

A

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

36
Q

Proliferative phase:

A

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

37
Q

Secretory phase: (3)

A

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

38
Q

Ischemic phase:

A

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

39
Q

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

A

Kegal exercises

40
Q

Kegel exercises are also beneficial:

A

-reduction of urinary incontinance
-during pregnancy
-postpartum

41
Q

Reasons for seeking healthcare (5)

A

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

42
Q

Barriers to seeking healthcare (5)

A

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

43
Q

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

A

intimate partner violence (IPV)

44
Q

Most common form of violence against women

A

intimate partner violence

45
Q

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

A

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

46
Q

Time when women are most at risk for IPV:

A

attempting to leave their partner

47
Q

Survivors of IPV may experience

A

PTSD

48
Q

IPV during pregnancy increases risk of: (4)

A

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

49
Q

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

A

1 in 5

50
Q

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

A

1 in 3

51
Q

common consequences of sexual assault (2)

A

-rape trauma
-PTSD

52
Q

Collaborative care for sexual violence patients include: (3)

A

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

OBGYN (6 decks)

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