NURS330 - Human Reproductive Health Flashcards

1
Q

Reproductive Health (by World Health Org - WHO)

A

A state of physical, mental, and social well-being in all matters relating to the reproductive system at all stages of life. Reproductive Health implies that people are able to have a satisfying sex life and the they have the capability to reproduce and the freedom to decide if, when, and how often to do so.

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2
Q

Factors that can affect reproductive health

A
  • Finances
  • Access to care
  • Lack of knowledge/information
  • Religion
  • Culture
  • Gender
  • Age
  • Population
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3
Q

7 essential features of human reproduction

A

1 - Liberation from an ovum, or egg

2 - Internal fertilization of the ovum by spermatozoa, or sperm cells

3 - Transport of the fertilized egg to the uterus

4 - Implantation of the blastocyst in the wall of the uterus

5 - Formation of a placenta and maintenance of the unborn child during the entire period of gestation

6 - Birth of the child and expulsion of the placenta

7 - Suckling and care for the child

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4
Q

The vulva

A

The external female genitals, which include:

  • Mons pubis (fatty tissue that covers the pubic bone)
  • Clitoris (center of sexual arousal)
  • Clitoral Hood (Prepuce – right above the clitoris)
  • Labia Majora (spongy flesh that encloses external genitals)
  • Labia Minora (smooth, hairless folds that meet above clitoris)
  • Urethral Opening
  • Anus
  • Vaginal opening (not the vagina, which is is internal - also known as Introitus or Vaginal Os)
  • Perineum (skin area between the vaginal opening and the anus – serves to episiotomy)
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5
Q

The vagina

A

Internal female sexual structure

  • flexible, muscular organ, approx. 3-4 inches long
  • between the vaginal opening and the cervix
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6
Q

Internal female sexual structures and

reproductive organs

A
  • Vagina
  • Uterus
  • Cervix
  • Ovaries – alternate release of eggs
  • Fallopian tubes
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7
Q

Hymen (Greek word for virginal membrane or thin skin)

A
  • thin, perforated membrane, that covers the Introitus prior to first intercourse or other intrusion
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8
Q

Purpose of vagina

A
  • menstruation
  • childbirth
  • intercourse
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9
Q

Cervix

A
  • between vagina and uterus
  • cervical Os
    • opening to the vagina
    • allows menstrual blood to flow out of the uterus into the vagina
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10
Q

Uterus (or Womb)

A
  • pear shaped organ
  • between bladder and lower intestine
  • 3 parts
    • body of the uterus (size of a fist)
    • cervix
    • fundus
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11
Q

Endometrium

A
  • lining of the uterus

- built up and then shed and expelled through the cervical Os during menstruation

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12
Q

Ovaries

A
  • produce eggs (or gametes - reproductive cells)

- hold approx. 150K to 500K follicles (sacks)

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13
Q

Fallopian Tubes (or Uterine Tubes)

A
  • site of fertilization
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14
Q

Female Genital Mutilation (FGM)

*Female Circumcision

A

Partial or total removal of the female external genitalia or other injury to the female genital organs for cultural or nontherapeutic reasons (WHO)

  • cultural, religious, and social factors
  • no health benefits
  • mostly on girls between infancy and 15
  • practiced in Africa, Asia, Middle East
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15
Q

4 types of Female Genital Mutilation (FGM)

A

Type I - excision of the prepuce (w/without excision of part or all clitoris)

Type II - excision of the clitoris (w/ partial or total excision of the labia minora)

Type III - infibulation (the most extreme
excision of part or all of the external genitalia and stitching/narrowing of the vaginal opening)

Type IV - pricking, piercing or incising of the clitoris and/or labia; stretching of the clitoris and/or labia; cauterization by burning of the clitoris and surrounding tissue

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16
Q

Consequences of Female Genital Mutilation (FGM)

A
  • severe bleeding
  • problems urinating
  • infections
  • infertility
  • complications in childbirth (increased risk of newborn deaths)
  • need for surgery
17
Q

Ovulation

A
  • occurs at about the middle of the menstruation cycle
  • mature ovarian follicle ruptures and releases an ovum (egg or oocyte)
  • egg is released alternatively from one of the ovaries
  • it travels for a few days down the fallopian (uterine) tube
    (if the egg is not fertilized by a sperm, it will dissolve)
  • the released egg, unless fertilized, only lasts 12 to 24 hours
18
Q

The Path of the Egg

A
  • Released from follicle
  • Swept into fallopian tube
  • Moves slowly toward uterus
  • Reaches uterus in about 2-4 days after ovulation
19
Q

Pituitary Hormones

A
  • Luteinizing Hormone (LH)

- Follicle Stimulating Hormone (FSH)

20
Q

Ovarian Hormones (aka sex hormones)

A
  • Estrogen

- Progesterone

21
Q

3 phases of the menstrual cycle

A
  1. Menstruation
  2. Proliferative Phase (endometrial tissue builds up)
  3. Secretory Phase (produces nutrients to sustain an embryo)