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Reproductive > Exam 1 part 1 > Flashcards

Exam 1 part 1 Flashcards

1
Q

even when planned the mother/father may experience a sense of surprise conception actually occurred
May have thoughts of abortion and feel guilty about it

A

Ambivalence

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2
Q

turning in on ones self

A

introversion

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3
Q

identified 4 major tasks that a pregnant woman undertakes to maintain her intactness and that of her family and at the same time incorporating her new child into the family system

A

reva rubin

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4
Q

4 tasks of Rubin

A

Ensuring a safe passage for herself and child
Ensuring social acceptance of the child by significant others
Attaching or binding in to the child
Giving oneself to the demands of being a mother

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5
Q

Lederman’s & dimensions of maternal role development

A

Accepting the pregnancy
Identification with motherhood role
Relationship with own mother
Reordering relationship with husband or partner
Preparation for labor
Prenatal fear of loss of control in labor
Prenatal fear or loss of self-esteem

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6
Q

Life crisis age 0-1 1/2

A

trust vs mistrust

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7
Q

life crisis age 1 1/2-3

A

autonomy vs doubt

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8
Q

life crisis age 3-5

A

initiative vs guilt

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9
Q

life crisis age 5-12

A

industry vs inferiority

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10
Q

life crisis age 12-18

A

identity vs confusion

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11
Q

life crisis age 18-40

A

intimacy vs isolation

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12
Q

life crisis age 40-65

A

generatively vs self-absorption

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13
Q

life crisis age 65+

A

integrity vs despair

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14
Q

men experience similar discomforts and symptoms as pregnant partners

A

Couvade syndrome

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15
Q

When fathers explore all aspects of the pregnancy, childbirth, parenting
Emotional, technical, and physical

A

Explorers

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16
Q

When fathers are task-orientated (coaches, direct women’s diet/rest)
Detach from emotional aspects

A

Mangers

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17
Q

When fathers sit back and just observe

Might be present but prefer not to participate

A

Observers

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18
Q

when fathers remove oneself from whole situation (its a woman’s domain) more cultural influence here

A

Removers

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19
Q

Health and illness are determined by supernatural forces

May gain comfort from prayer, healing rituals and faith healing

A

magico-relgious belief

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20
Q

illness caused by virus, bacteria, fungi or damage to the body
Expect medical intervention

A

scientific biomedical belief

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21
Q

Illness os a result of when natural balance or harmony is disturbed
Holistic approaches

A

Holistic health belief

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22
Q

Expected behavior of pregnant women during childbearing period

A

prescriptive behaviors

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23
Q

Activities which are limited during childbearing period

A

restrictive behaviors

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24
Q

Restrictions believed to have serious supernatural consequences

A

Taboos

25
Q

secreted by ovaries-Corpus Luteum- placenta

A

estrogen

26
Q

Increase early in pregnancy then decreases then increases again
Increases blood flow to the uterus
Changes the sensitivity of the reparatory system to carob dioxide
Develops mammary tissue and increases prolactin
Soften cervix

A

Estrogen

27
Q

Secreted by the corpus luteum in the first 5 weeks then by the placenta

A

Progesterone

28
Q

Causes relaxation of the smooth muscles of the uterus and the gastrointestinal tract
It relaxes the smooth muscle of the urinary tract which enlarges the ureters and increases the bladder capacity
Prepares breast for lactation (lobules and Acini)

A

Progesterone

29
Q

Secreted by the troblastic tissue surrounding the embryo and maintains function of corpus luteum then the chorionic villi (placenta) take over

A

Human Chorionic Gonadotropin hCG

30
Q

Detectable 7 days in maternal serum/10 days in urine
maintains the corpus luteum in early pregnancy by producing progesterone and doubles every 2 days
Pregnancy hormone

A

hCG

31
Q

secreted by the placenta soon after implantation and gradually rises
Peaks at 36 weeks

A

Human Placental Lactogen hPL

32
Q

Decreases maternal glucose metabolism
Increases maternal circulating free fatty acids
Insulin antagonist

A

hPL

33
Q

inhibits uterine activity, diminishes contraction strength
Softens cervix
Aids in remodeling collagen (pelvic structure)

A

Relaxin

34
Q

Secreted by the anterior pituitary

A

prolactin

35
Q

lactation hormone

A

prolactin

36
Q

labs that are decreased during pregnancy

A

Hemoglobin
Hematocrite
Both can because because of hemodilution
Fibroinolysis

37
Q

labs that increase during pregnancy

A 
Fibrinogen 
Coagulation factors
Both Protect mother from hemorrhage 
RBC
WBC
38
Q

Salivary glands more active

A

ptyalism

39
Q

softening of the cervix and uterus

usually an elastic feel

A

Goodells sign

40
Q

softening of the ishmus

A

Hegar’s sign

41
Q

palpate the fetal head and gently bouncing it and feeling it rebound
this is considered a probable sign of pregnancy

A

Ballotment sign

42
Q

irregular, inconstant, painless contractions

A

braxton hicks contractions

43
Q

Cyanosis of the cervix due to increase vascularity and edema

A

chadwicks sign

44
Q

painless dilation of the cervix prior to full term usually in the 2nd trimester
cerclage needed

A

incompetent cervix

45
Q

separation of rectus abdomens muscle

A

diastasis recti

46
Q

the mask of pregnancy

A

cholasma

47
Q

silvery or reddish slightly depresses streaks

A

striae gravidarum

48
Q

how much folic acid is needed

A

0.4 mg daily

49
Q

natural childbirth methodes

A

Dick-reed

50
Q

psychoprophylaxis method

A

lamaze

51
Q

husband coached childbirth

A

bradley

52
Q

1st trimester

A

weeks 1-14

53
Q

2nd trimester

A

weeks 15-27

54
Q

3rd trimester

A

weeks 28-40

55
Q

how often are office visits until 28 weeks

A

every 4 weeks

56
Q

how often are office visits until 36 weeks

A

2 weeks

57
Q

how often are office vistas until delivery

A

every week

58
Q

Ways to estimate gestational age

A

Nageles rule
Fundal height
Ultrasound

59
Q

How to use Nageles rule

A

First day of LMP
Subtract 3 months
Add 7 days

Reproductive (19 decks)

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