maternal Flashcards

1
Q

6 weeks after child birth also known as the 4th trimester

A

PERPUERIUM

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1
Q

pregnancy or time before giving birth-

A

PRENATAL

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2
Q

20weeks of pregnancy or 4weeks-

A

PERINATAL

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3
Q

first 28days of life-

A

NEONATAL

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4
Q

refers to the relationship of mother and child to one another and consideration of the entire family-

A

MATERNAL AND CHILD HEALTH NURSING

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5
Q

a scientific form of problem solving serves as the basis for assessing, making a nursing diag-

A

NURSING PROCESS

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5
Q

four phases of health care-

A

HEALTH PROMOTION, RESTORATION, MAINTANANCE, REHABILITION

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6
Q

is the conscientious, explicit and judicious use of current base evidence in makingf decisions-

A

EVIDENCE BASED PRACTICE

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7
Q

6 qsen competencises

A

PATIENT CENTERED, TEAMWORKCOLLABORATION, EVIDENCE BASED PRACTICE, QUALITY IMPROVEMENT, SAFETY, INFORMATICS

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7
Q

composed of knowledge skill and attitudes required of licensed nurse

A

QUALITY, SAFETY AND EDUCATION FOR NURSES

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8
Q

a systematic investigation of problems that have implications for nursing practice and usually carred out by nurses

A

NURSING RESEARCH

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9
Q

Educating parents and children to follow sound health practies through teaching and role modelling

A

HEALTH PROMOTION

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9
Q

intervening to maintain health when risk of illness is present

A

HEALTH MAINTENANCE

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10
Q

return patient to wellness most rapidly-

A

HEALTH RESTORATION

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11
Q

preventing further complication from an illness, bringing client back to an optimal state of wellness-

A

HEALTH REHABILITATION

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12
Q

stresses that an important role of the nurse is to help patient adapt to change caused by illness or other stressors

A

CALISTA ROYS THEORY

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12
Q

offer a helpful ways to view clients so that nursing activities can best meet client needs

A

NURSING THEORIES

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13
Q

philosopy of chn -

A

FAMILY CENTERED, COMMUNITY CENTERED, EVIDENCE BASED PRACTICE

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13
Q

concentrates on examining patients ability to perform self care

A

DOROTHEA OREMS THEORY

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14
Q

the way nurses move from novice to expert as they become more experienced and prepared

A

PATRICIA BENNER

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15
Q

primary goal of mchn

A

HEALTHY INFANTS, HEALTHY, ADULT, HEALTHY ADOLESCENTS, HEALTHY CHILDREN, HEALTHY PREGNANCIES, HEALTHY FAMILIES

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16
Q

The nurses systematically evaluate the quality and effectiveness of pediatric nursing practice

A

QUALITY CARE

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17
Q

The nurse acquires and maintain current knowledge and competency

A

EDUCATION

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17
Q

The nurse evaluates his or her own nursing practice in relation to professional practice standard

A

PERFORMANCE APPRAISAL

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18
The nurse interacts with and contributes to the professional development of peers, colleagues
COLLEGIALITY
19
The nurse assessment, action and recommendations on behalf of children and their families are determined in an ethical manner
ETHICS
20
The nurse contributes to nursing and pediatric health care through research
RESEARCH
20
The nurse collaborate with the child, family and other health care providers
COLLABORATION
21
The nurses considers factors related to safetym effectiveness and cost in planning and delivering patient care -
RESOURCES UTILIZATION
22
Network is established in all provinces for maternal and newborn health service delivery-
CEmONC - BEmONC
23
end referral facilities , cesarian sections, -
CEmONC
24
normal vaginal delivery-
BEmONC
25
pregnancy tracking, birth planning home visits -
community level service provider
26
The number of deaths per 1000 populations-
birth death rate
27
the rate number of prenancies per 1000 women of child bearing age-
fertility rate
28
the number of fetal deaths per 1000 live births
fetal death rate
29
the number of deaths per 1000 live births occuring at birth or in the first 28days
neonatal death rate
30
the number of deaths during the perinatal time period
perinatal death rate
31
the number of maternal deaths per 100,000 live births that occur as a direct result of the reproductive process
maternal mortality rate
32
the number of deaths per 1,000 live births occuring at birth or in the first 12months of life
infant mortality rate
33
the number of deaths per 1,000 population in children age 1 to 14 years
childhood mortality rate
34
measure how fast people are added to the population through births
crude birth rate
35
common causes of neonate mortality
CONGENITAL MALFORMATION RELATED TO GESTATION
36
more specific than CBR
GENERAL FERTILIY RATE
36
GFR of 200/1000 =
HIGH FERTILITY
37
GFR of 60/1000 =
LOW FERTILITY
38
Deaths among infants 28 days to less than 1 year of age in a calendar year. -
POST NEONATAL MORTALITY RATE
39
Refers to the probability of dying between birth and exactly 5 years of age expressed per 1,000 live births. It encompasses neonatal mortality -
UNDER 5 MORTALITY RATE
40
Is the annual number of female deaths per 100,000 live births from any causes related to or aggravated by pregnancy or its management -
MATERNAL MORTALITY RATIO
41
Is the death of a woman while pregnant or within 42 days of termination of pregnancy -
MATERNAL MORTALITY
42
Any health condition attributed to and / or aggravated by the pregnancy and childbirth that has a negative impact on woman’s well – being
MATERNAL MORBIDITY
43
Maternal and child health nursing can be visualized within a framework in which nurses use
NURSING PROCESS, NURSING THEORY, QUALITY , SAFETY AND EDUCATION FOR NURSES
44
The maternal child nurse serves in roles related to
labor, delivery, recovery, operational, postpartum, management of high risk pregnancies
45
Care for families during child – bearing and child rearing years and through the four phases of health care
HEALTH PROMOTION, HEALTH RESTORATION, HEALTH MAINTENANCE, HEALTH REHABILITATION
46
Specific roles they may perform include :
fetal monitoring, ASSISTING IN CESAREAN DELIVERY, IDENTIYING POSTPARTUM COMPLICATION
47
Basic nursing skills are a necessity
PAIN MANAGEMENT, PATIENT AND FAMILY EDUCATION, ASSESSMENT, DIAGNOSIS, COMMUNICATION
48
ROLES and Responsibilities of Maternal Child Nurse
HEALTH CARE PROVIDER, HEALTH EDUCATOR, COUNSELOR, RESEARCHER, MANAGER OF CARE
48
Areas of expertise in MCN
TREATING A PREGNANT TEENAGER, A CRITICALLY ILL CHILD, ANOTHER GROUP WITHIN THE COMMUNITY
49
Advanced Practice roles of MCN nurses
PEDIATRIC NURSE PRACTITIONER, NEONATAL NURSE PRACTITIONER, FAMILY NURSE PRACTITIONER, WOMENS HEALTH NURSE PRACTITIONER, CARE MANAGER, CLINIC NURSE SPECIALIST
50
Advanced Practice roles of MCN nurses
51
Five Universal Characteristics of Family
A SOCIAL SYSTEM, PERFORM CERTAIN BASIC FUNCTION, HAS STRUCTURE, HAS ITS OWN CULTURAL VALUES AND RULES, MOVES THROUGH STAGES IN ITS LIFE CYCLE
52
Classification of family based on internal Organization
CONJUGAL FAMILY AND NUCLEAR FAMILY, EXTENDED FAMILY
52
Functions of the Family
PROVISION OF FAMILY BASIC NEEDS, ALLOCATION RESOURCES, DIVISION OF LABOR, SOCIALIZATION, REPRODUCTION, MAINTENANCE OF ORDER, ASSITANCE WITH FITTING INTO THE LARGER SOCIETY, MAINTENANCE OF MOTIVATION AND MORALE
53
Classification of family based on family descent
PATRILINEAL FAMILY, MATRILINEAL FAMILY, BILATERAL FAMILY
54
Classification of family Based on authority
PATRIARCHAL, MATRIARCHAL, EGALITARIAN ,MATRICENTRIC
55
Classification of family based on residence
PATRILOCAL, MATRILOCAL, BILOCAL, NEOLOCAL, AVUNCOLOCAL
56
A family structure of parents and their offspring
NUCLEAR FAMILY
57
Compose of relatives' nuclear families such as grandparents
EXTENDED FAMILY
58
is viewed as an autonomous unit in which both parents reside in the home with their children
TRADITIONAL FAMILY
59
In two career or dual career families both partners are employed
TWO CAREER FAMILY
60
Single parenthood
SINGLE PARENT
61
Young parents that are often developmentally
ADOLESCENT FAMILY
62
With or without their own children may house more than one fosters
FOSTER FAMILY
63
Existing families units who join together to form new families, also called step
BLENDED FAMILY
64
Also called as communal families consists of unrelated indiviualds or families who live under one roof
COHABITING FAMILY
65
Children continually live with their parents even after having their own children
INTRAGENERATIONAL FAMILY
66
Refers to the unmarried individuals in a committed partnership living together with or without children
COHABITATIONS
67
Intimate partners of the same sex may live together
GAY OR LESBIAN
68
Several people together
COMMUNAL FAMILY
69
 It brings the couple together unlike any other act can. It is love giving, union of two individual that is mutually agreed to become one
UNITIVE
70
 By bringing the sperm to the egg
PROCREATIVE
71
 Man and woman unite as one flesh ( sex is unitive)
MARRIAGE
72
 We do this when we use artificial means to procreate, such as artificial insemination
TAKING OUT THE UNITIVE
73
2 PURPOSE IN MARRIAGE
UNITIVE, PROCREATIVE
74
XY
 Male
74
XX
 Females
75
 The chromosomal sex or biologic sex is formed at
FERTILIZATION
76
 During early fetal life, _______ are formed in the 6th and 10th week in the yolk sac
primordial germ cells
77
is a body organ that produces sex cells
GONADS
78
 At ____ week primitive gonadal tissue is already formed
5th
79
 At ____ week, the human embryo has neutral gonads with two pairs of duct system
8th to 10th
80
 If the germ cell is XY the gonads become
testes
81
 Mullerian duct inhibited which cause Mullerian duct to self destruct
 APOPTOSIS
82
 Testosterone produced by the
LEYDIC CELLS
83
causes the development of the prostate gland. Also responsible for the development of the male external genitalia
 DIHYDROTESTOSTERONE
84
 Develop into oviducts, uterus, and upper vagina
 MULLERIAN DUCTS
85
 Disappear without stimulation from testosterone
WOLLFIAN DUCTS
86
 is the stage of life at which secondary sex changes beings
PUBERTY
87
 Under the stimulation of hypothalamus, the ______ releases _____
PITUITARY GLANDS and GONADOTROPHIN HORMONES
88
 Puberty ends with
MENARCH
89
 The first sign of pubescence in females is usually
breast bud formation
90
are the hormones responsible for muscular development
 Androgenic hormones
91
 In MALES, androgenic hormones are produced by the _____ and the ___
ADRENAL CORTEX AND TESTES
91
 In FEMALES , by the ____ and ___
ADRENAL CORTEX AND THE OVARIES
92
 The appearance of male pubic, axillary, and facial hair; laryngeal enlargement with its accompanying voice change
 ADRENARCHE
93
 The beginning of breast development
 THELARCHE
93
 When triggered at puberty by FSH, ovarian follicles in females begin to excrete a high level of the hormone
ESTROGEN
93
 FUNCTIONS estrogen
 Supports the growth and regeneration of female reproductive tissues  Regulates the menstrual cycle  Affects the growth of breast tissue  Assis in keeping a health libido in women  Helps to maintain healthy levels of cholesterol  Keeps the pelvic floor strong and health  Support the health of skin, hair and bones  Affects the mood and overall brain function
94
 The average age at which MENARCHE occurs is ____yrs of age
12.4
95
 Once a girl has started to menstruate, she is physically able to become pregnant
 FEMALE FERTILITY
96
 A boy cannot control when he will have an erection or wet dream
 MALE FERTILITY
97
 The place where a baby develops
UTERUS
98
 Time in life when a woman's menstruation ends
MENOPAUSE
98
 Forceful release of semen from the penis
EJACULATION
99
 A thick fluid that is discharged from the penis during ejaculation
SEMEN
100
 The part of the woman that takes the egg from the ovaries to the uterus
FALLOPIAN TUBES
101
 Release of an egg from an ovary
OVULATION
101
 The part of the woman that takes the egg from the ovaries to the uterus
FALLOPIAN TUBE
102
 Place where sperm is produced
TESTICLE
103
 Process of becoming an adult
PUBERTY
104
 Study of the male reproductive system
ANDROLOGY
104
ERECTION
 Hardening of the penis
105
MALE REPRODUCTIVE SYSTEM  External Structures
 Scrotum  Testes  Penis
106
 Supports the testes and helps regulate the temperature of the sperm
 SCROTUM
107
 Internal Structures male
 Epididymis  Vas deferens  Seminal Vesicles  Prostate Gland  Bulbourethral Glands
108
 Responsible for the production of testosterone  TESTOSTERONE the most prevalent androgen, promotes the development of masculine
 TESTES
109
 Is the organ of COPULATION medical term for sexual intercourse
 PENIS
110
 Comma shaped organ about 4cm long that lies along the posterior border of each testis
 EPIDIDYMIS
111
 Carries sperm from the Epididymis through the Inguinal canal the abdominal Cavity
 VAS DEFERENS
112
 2 convoluted pouches
 SEMINAL VESICLES
113
 Chestnut sized gland  Lies below the Urinary Bladder  Secretes thin, Alkaline fluid
 PROSTATE GLAND
113
the hood-like fold of the skin that covers the glans
 Prepuce
113
 Pass through the prostate gland and join the seminal vesicles to the urethra
 EJACULATORY DUCTS
114
 Lies beside the prostate glands
Bulbourethral Glands
115
 Occurs when your penis fills with blood, causing it to expand and become firm
 ERECTION
116
 Tubes called the vasa deferentia squeeze sperm from the testes toward the back of the urethra
 EJACULATION
117
 Mixture of sperm and seminal fluid
 SEMEN
118
 Hollow tube leading from the base of the Bladder
 Urethra
118
 Study of the female productive system
GYNECOLOGY
119
EXTERNAL STRUCTURE FEMALE
 Mons veneris  Labia minora  Labia Majora  Vestibule  Clitoris  Skene glands  Bartholin glands  Fourchette  Hymen
120
 Fatty tissue containing folds of skin that extend down ward from the Mons Veneris around the external vaginal opening
 LABIA MAJORA
121
 Rounded, soft fullness over the symphysis pubis
 MONS VENERIS
122
 Narrow folds of skin and fibrous- areolar tissue extending from the clitoris to the fourchette
 LABIA MINORA
123
 Homologous to the Penis Erectile organ fixed beneath the arc of the pubis
 CLITORIS
124
is the flattened, smooth surface inside the labia. The openings to the bladder and the uterus both arise from this space
 VESTIBULE
124
 Paired elongated masses of erectile tissue,  Located at the sides of the vaginal orifice
 BULBS OF THE VESTIBULE
125
 Pink, reddened, slit-like opening.  Marks the terminal or distal urethra
 URETHRAL MEATUS
126
 2 very short tubular structures  Located posterolateral inside the urethral meatus
 PARAURETHRAL GLANDS
127
 Diamond shape is medial to the thighs and buttocks of both males and females  It contains the external Genitalia and Anus
PERINEUM
128
 Ridge of tissue formed by the posterior joining of the labia minora and the labia majora.  This is the structure that sometimes tears or is cut during childbirth
 FOURCHETTE
129
INTERNAL STRUCTURS FEMALE
OVARIES, FALLOPIAN TUBE, UTERUS, VAGINA
129
 Located on each side of the vaginal opening with ducts that open into the proximal vagina near the labia minora and hymen
 BARTHOLIN GLANDS
130
 A tough but elastic semicircle of tissue that covers the opening to the vagina during childhook
 HYMEN
131
 Hollow muscular organ shaped like a flattened pear
 UTERUS
132
a normal bacterial flora of the vagina that maintains its acidity
 DODERLEINS BACILLI
133
 Hollow muscular organ shaped like a flattened pear
 UTERUS
134
 Neck or mouth of the uterus
 CERVIX
135
 It extends from the introitus to the cervix  Passageway for the sperms entrance
 VAGINA
136
 A constricted area immediately above the cervix  It descends and softens during pregnancy ( hegar’s signs ) and form the lower segment of the uterine segment  The portion of the uterus most commonly cut/incised during C birth
 ISTHMUS
137
 The body of the uterus
 CORPUS
138
 Top portion of the uterus
 FUNDUS
139
 LAYERS OF THE UTERUS
PERIMETRIUM, MYOMETRIUM, EDNOMETRIUM
140
POSTIONS OF THE UTERUS
ANTERVERSION, RETROVERISION, RETROFLEXION
141
TYPES OF LIGAMENTS
ROUND LIGAMENTS, BROAD LIGAMENTS, UTERO SACRAL LIGAMENTS
142
- Layer of the peritoneum which covers the uterus except at the side
 PERIMETRIUM
143
- Middle layer of uterus
 MYOMETRIUM
144
- Inner lining of uterus uterus
 ENDOMETRIUM
145
fundus is tipped back position of uterus
 RETROVERSION
145
 Fundus is tipped forward position of the uterus
 ANTERVERSION
146
The body is bent sharply above the cervix
 RETROFLEXION
147
 A double fold peritoneum extending outwards from the uterus attached to the side walks of the pelvis
 BROAD LIGAMENTS
148
 it has a little support but maintains the normal position of the uterus
 ROUND LIGAMENTS
149
 Consists of folds of peritoneum extending backward from the sides of the ISTHMUS
 UTERO SACRAL LIGAMENTS
150
FALLOPIAN TUBE parts
 Interstitial portion, isthmus,  Ampulla ,  Infundibulum
150
FUNCTION OF UTERUS
 Organ of reproduction  Organ of menstruation  Nourishes and protects the fertilized ovum for 40weeks  It expels the products of conception
151
 2 almond shaped gland  Located on the posterior surface the board ligament  Release the mature ovum monthly
ovaries
152
 Accessory organs of reproduction are composed of glandular, fibrous, and adipose tissue  Contains acini cells that produce milk
breast
153
 A small cylindrical body that projects slightly from the center each of breast
NIPPLE
154
a thin yellowish fluid composed of colostrum corpuscles, water fluid and fat
 COLOSTRUM
155
 ___and _____inhibits the release of prolactin from the anterior pituitary gland
ESTROGEN and PROGESTERONE
156
 Hormone from the posterior pituitary gland that stimulate expression of milk from the lactating breast “ let down reflex ( sound of the infant crying )
OXYTOCIN
157
 Serves to support and protect the reproductive and other pelvic organs
PELVIS
158
PARTS OF PELVIS
ilium, ischium, pubis
159
 forms the upper posterior portion of the pelvic ring  the wedge bone at the back of the pelvis
SACRUM
160
 composed of five very small bones fused together located below the sacrum
COCCYX
160
 for obstetric purposes, the pelvis is further subdivided by an imaginary line. The line terminalis
PELVIC LINES
161
- shallow upper part if the pelvis that supports the uterus during the late month of pregnancy
 false pelvis
162
TYPES OF PELVIS
 GYNECOID, ANTHROPOID, PLATYPELLOID, ANDROID
162
 True pelvis
- Lower, smaller but deeper part of the pelvis that must be adequate for the delivery process. Also known as the bony birth canal
163
MEASUREMENTS  External – Suggestive only of the pelvic size
 Intercristal  Interspinous  Intertrochanteric  External conjugate
163
  Normal female pelvis
 GYNECOID
164
 Internal – it gives the actual diameter of the inlet and the outlet MEASUREMENTS
 Diagonal conjugate  True conjugate  Biischial diameter
165
the distance between the sacral promontory and inferior margin of the symphysis pubis
DIAGONAL CONJUGATE
166
transverse diameter of the pelvic outlet
BIISCHIAL DIAMETER
167
distance between the anterior surface of the sacral promontory and the superior margin of the symphysis pubis
TRU CONJUGATE
168
 The process by which the seminiferous tubules of the testes produce sperm
SPERMATOGENESIS
169
ANDROGEN
 Male sex hormones, produced in testes and adrenal glands
170
is one major androgen
 Testosterone
171
secrete testosterone
 Leydi cells
172
PHYSIOLOGY OF MENSTRUATION  Four body structures are involved :
Hypothalamus  Pituitary gland  Ovaries  Uterus
172
 Is a cycle periodic uterine bleeding in response to cyclical hormones beginning at puberty and ending at menopause
MENSTRUAL CYCLE
173
 a hormone active early in the cycle that is responsible for the maturation of the ovum
FSH
174
 a hormone that becomes most active at the midpoint of the cycle and is responsible for ovulation
LH
175
 this stage of maturation, the small ovum with its surrounding follicular membrane and fluid
GRAAFIAN FOLLICLE
176
PHASES OF THE FEMALE REPRODUCTIVE CYCLE
 Menstrual phase  Preovulatory phase  Ovulation  Post ovulation phase
177
 Time between the end of menstruation and ovulation
PREOVULATORY PHASE ( PROLIFERATIVE )
178
POSTOVULATORY PHASE ( SECRETORY )
 Time between ovulation and onset of the next menses
179
the small amount of blood that leaks into the pelvic cavity from the ruptured follicle can cause pain
 MITTELSCHMERZ
180
 Cervical mucus forms fern like pattern when placed on a glass slide and allowed to dry
FERN TEST
181
 Is an episodic uterine bleeding in response to cycle hormonal changes
MENSTRUATION
181
FOUR PHASES THAT ARE CHARACTERIZED BY CHANGES IN THE UTERINE ENDOMETRIUM
 PROLIFERATIVE  SECRETORY  ISCHEMIC  MENSES
182
 First menstrual period in girls
MENARCHE
183
TEACHING ABOUT MENSTRUAL HEALTH
exercise, sexual relation, ADL, pain relief , rest, nutrition
184
 Is a multidimensional phenomenon that includes feelings, attitudes, and actions.
SEXUALITY
185
sex of the fetus somehow influences the physical structure and behavior of the mother
 AT pregnancy :
186
: boy has erection, boys and girls enjoy being touched, cleaned
 BABY
187
plays mommies and daddies, enjoy dressing as a girl or boy
 CHILD OF 6 YEARS
188
wet dreams, feeling sexy near others, interested in being a girl or boy
 CHILD OF 15 YEARS :
189
do what they have been taught at initiation
 MARRIED COUPLE
189
mother enjoys giving breast milk and cuddling baby
mother enjoys giving breast milk and cuddling baby
190
don’t have to worry about pregnancy, free from hard
 ELDERLY COUPLE :
191
 Refers to socially or culturally defined ideas
GENDER
192
 Male roles, attributes
 Masculinity
193
 female roles
 Femininity
194
DIMENSION OF SEX AND GENDER
ANATOMY, PHYSIOLOGY, GENETICS, HORMONES.. IDENTITY, ROLES AND NORMS, RELATION. POWER
195
 Inner sense as person has of being a male or a female
SEXUAL IDENTITY
196
 Occurs when stimulation proceeds through the Plateau stage to a point at which the body suddenly discharges accumulated sexual tension
ORGASM
196
 Widely held expectations on how males and females should think and behave are called gender norms
GENDER NORMS
197
 At birth, newborns are identified as male or female based on their sex organs
GENDER IDENTITY
198
 Period where external and genital organs return to an unaroused state
RESOLUTION
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SEXUAL ACTIVITY 1st Trimester -
LIBIDO down
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SEXUAL ACTIVITY 2nd Trimester -
increase sexual enjoyment due to increase blood supply to pelvic area
201
SEXUAL ACTIVITY 3rd Trimester -
sexual desire may remain high or decrease because of increase abdominal size
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 Is a universal law that provided universal access to methods on contraception, fertility control, sexual education, and maternal care
RA no. 10354
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president who signed the RH law in December 2012
BENIGNO S. AQUINO III
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 Is the will and ability of parents to respond to the needs and aspiration of the family and children
 RESPONSIBLE PARENTHOOD
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 Can be defined as a state of complete well being in matters relating to ones sexual and reproductive life
 REPRODUCTIVE HEALTH
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