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KN JD NPTE: OTHER SYSTEMS > OTH: Genital/Reprod System (Female) > Flashcards

OTH: Genital/Reprod System (Female) Flashcards

1
Q

Female Reprod: Ovaries store ova and produce female sex hormones. What are the two?

A

Estrogen and progesterone

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2
Q

Female Reprod: The ovaries are under the control of the _____ and _____ _____ ____

A

Hypothalamus and ANT pituitary gland

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3
Q

Female Reprod: the hypothalamus releases what?

A

Gonadotropin releasing hormone

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4
Q

Female Reprod: the ant pit gland secretes what?

A

Gonadotropic FSH and leutinzing hormone

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5
Q

Female Reprod: Estrogens _____ rate of bone resorption

A

Decreased

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6
Q

Female Reprod: Estrogens ______ production of thyroid and increase HDL

A

Increase

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7
Q

Female Reprod: After menopause, at risk for _______ and ____ ____

A

Osteoporosis

Bone fracture

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8
Q

Female Reprod: When do heart disease and stroke risk increase?

A

After menopause

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9
Q

Female Reprod: The breasts are located where?

A

Btw ribs 3-7

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10
Q

Female Reprod: Pregnancy:

How much weight will one gain?

A

20-30 #

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11
Q 
Female Reprod: Pregnancy:
Relaxation training includes:
\_\_\_\_\_\_ progressive relaxation,
Relaxation response
Mental imagery
Yoga
A

Jacobsen’s

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12
Q

Female Reprod: Pregnancy:

What kind of breathing should you teach?

A

DB
Lamaze techniques

NO VALSALVA

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13
Q 
Female Reprod: Pregnancy:
Common changes: Postural:
Kyphosis with scapular \_\_\_\_\_\_\_\_
C/S \_\_\_\_\_\_\_
FHP
L/S \_\_\_\_\_\_\_
A

Protraction
Lordosis
Lordosis

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14
Q

Female Reprod: Pregnancy:
Common changes: Postural:
What pelvic stabilization exercise should you teach?

A

Posterior pelvic tilt

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15
Q

Female Reprod: Pregnancy:
Common changes: Postural:
What activities should you limit in the 3rd trimester?

A

Supine and bridging

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16
Q

Female Reprod: Pregnancy:
Common changes: Balance:
COG shifts in what direction?

A

UP and FORWARD

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17
Q

Female Reprod: Pregnancy:
Common changes: Balance:
What happens with advanced pregnancy?

A

Wide BOS

Difficulty with ambulation and stairs

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18
Q

Female Reprod: Pregnancy:
Common changes: Lig Laxity:
Secondary to what hormone?
Joint hypermobility, especially at _____

A

Relaxin

SIJ

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19
Q

Female Reprod: Pregnancy:
Common changes: Muscle Weakness:
The abdominal muscles are ______ and _______
_____ _____ is weak

A

Stretched and weak

Pelvic floor

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20
Q

Female Reprod: Pregnancy:
Common changes: Muscle Weakness:
What kind of incontinence do they have?

A

STRESS, due to pelvic floor dysfunction

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21
Q

Female Reprod: Pregnancy:
Common changes: Urinary Changes:
Increased indicidence of _____ and _____

A

Reflux and UTI

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22
Q

Female Reprod: Pregnancy:
Common changes: Resp changes:
______ of diaphragm, widening of thoracic cage
Hyperventilation, dyspnea with MILD exericse

A

Elevation

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23
Q 
Female Reprod: Pregnancy:
Common changes: CV Changes:
Blood volume \_\_\_\_
Venous pressure in LE \_\_\_\_
HR \_\_\_
CO \_\_\_
BP \_\_\_
A 
Inc
Inc
Inc
Inc
DEC BP due to venous distensibility

EVERYTHING INC EXCEPT FOR BP

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24
Q 
Female Reprod: Pregnancy:
Common changes: CV Changes:
Exercise in moderation, frequent \_\_\_\_\_\_
Use of FAMILIAR activities
Ankle pumps and elevation for LE edema
A

REST

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25
Q

Female Reprod: Pregnancy:
Common changes: Thermoregulation:
____ Basal Metabolic Rate
____ Heat production

A

Inc

Inc

26
Q

Pregnancy Related and Pelvic Floor Patho:
Diastasis Recti:
Split of rec abdominals from linea alba greater than ___ cm

A

2

27
Q

Pregnancy Related and Pelvic Floor Patho:

Diastasis Recti: associated with loss of ______ wall support and ____ ____ pain

A

Abd

Low back

28
Q

Pregnancy Related and Pelvic Floor Patho:

Diastasis Recti: what exercises should be avoided?

A

Sit ups and B/L SLR

29
Q

Pregnancy Related and Pelvic Floor Patho:

Diastasis Recti: When can one resume exercise?

A

When separation is less than 2 cm

Start with partial sit ups, pelvic tilts

30
Q

Pregnancy Related and Pelvic Floor Patho:
Pelvic floor disorders:
What muscle is weak?

A

Pubococcygeal muscle (PC)

31
Q

Pregnancy Related and Pelvic Floor Patho:
PF Disorders:
Cystocele is herniation of ____ into _____

A

Bladder into vagina

32
Q

Pregnancy Related and Pelvic Floor Patho:
PF Disorders:
Rectocele is herniation of _____ into _____

A

Rectum into vagina

33
Q

Pregnancy Related and Pelvic Floor Patho:
PF Disorders:
Uterine prolapse is bulging of ____ into ______
How do you fix this?

A

Uterus into vagina

Needs surgical correction most likely

34
Q 
Pregnancy Related and Pelvic Floor Patho:
PF Disorders: Symptoms:
Where does pt feel pain? 
Urinary sxs?
Pain with what activities/position?

(RED FLAG) Where can pain radiate?

A 
PELVIC pain (perivaginal, perirectal, LOW abd quadrant)
Urinary incontinence

Pain during sex
Pain during prolonged standing

Can radiate down posterior thigh

Pain is usually decreased in supine

35
Q

Pregnancy Related and Pelvic Floor Patho:
PF Exercises:
Indicated for what population?

A 
F/M with B/B incontinence
F who have started menopause
CA Tx causing early menopause
F who are pregnant
Middle/old age F
36
Q

Pregnancy Related and Pelvic Floor Patho:

PF Exercises: What are contraindications? (3)

A

Recent surgery
Urinary cath in place
Excess pelvic pain

37
Q 
Pregnancy Related and Pelvic Floor Patho:
PF Exercises: Kegel’s
What position to start?
Bladder should be (full/empty?)
Technique?
Duration of hold and relax?
How many times per day? Progression?
A 
Position: supine with bent knees
Bladder should be empty
Tighten PF muscles (imagine sitting on toilet to pee and stopping flow)
Hold 5-10 seconds, relax 10 second
5x/day, progress to 10x 3 times a day
38
Q

Red flag: stopping and starting urine while emptying bladder is NOT kegel. This can interfere with urinary ______ and contribute to bladder _____

A

Reflexes

Infection

39
Q 
Pregnancy Related and Pelvic Floor Patho:
LBP and Pelvic Pain: 
\_\_\_\_ mattress
Muscle re-ed
Modalities, but NO \_\_\_\_\_ \_\_\_\_\_
A

Firm

NO DEEP HEAT

40
Q

SID: secondary to postural changes and ______ laxity

A

Ligament

41
Q

SID: where are the locations of pain?

A

Posterior pelvic pain
Pain in the butt
Pain may radiate into posterior thigh/knee

42
Q

SID: pain with what positions?

A

Prolonged sitting/standing/ambulation

43
Q

SID: PT can include giving external stabilization such as an SIJ ____
Avoid _____ ____ weight bearing - may aggravate pain

A

Belt

Single leg

44
Q

Varicose veins:
What position should you put LE?
What position should you avoid?
What equipment can you use?

A

Elevated
Avoid crossing legs
Can use elastic support stockings

45
Q

Pre-eclampsia:

Pregnancy induced acute htn after ___ weeks gestation

A

24

46
Q 
Pre-eclampsia:
Symptoms include:
\_\_\_\_tension
Edema
Sudden excess weight \_\_\_\_
HA
Visual disturbance
\_\_\_\_\_reflexia
A

HYPERtension
Weight gain
HYPERreflexia**

47
Q

Post C-Section Complications:
PT Interventions:
Post-op TENS for incision pain. How are electrodes placed?

A

Parallel to incision

48
Q 
Post C-Section Complications:
PT Interventions:
Assist in coughing/breathing
and
Gentle abd exercises, support with \_\_\_\_\_\_
Pelvic floor exercises
A

Pillow

49
Q

Post C-Section Complications:
PT Interventions:
Precautions about heavy lifting for ____ weeks

A

4-6

50
Q

Post C-Section Complications:
PT Interventions:
_____ massage

A

Friction

51
Q

Disorders of reprod system: Endrometriosis:

Ectopic growth and function of endometrial tissue _____ uterus

A

OUTSIDE

52
Q

Disorders of reprod system: Endrometriosis:

Ectopic tissue responds to hormonal influences, but is NOT ABLE TO ______

A

SHED

53
Q

Disorders of reprod system: Endrometriosis:

Endometrial tissue can lead to ____/_____

A

Cysts/rupture

54
Q 
Disorders of reprod system: Endrometriosis:
Symptoms:
Pain
Painful \_\_\_\_\_
Painful \_\_\_\_\_
Infertility
A

Period

Sex

55
Q

Disorders of reprod system: Endrometriosis:
(Red Flag) _____ pain complaints. Endometrial implants on muscles (_____ _____ and ____ ____) may produce pain with palp or contraction

A

Back

Psoas major
Pelvic floor

56
Q

Disorders of reprod system: Endrometriosis: Tx:
Meds for ______
Endometrial _____
Surgery

A

Pain

Suppression

57
Q

Disorders of reprod system: Pelvic Inflamm Disease:

Inflammation of ____ ____ ____ involving uterus, fallop tubes or ovaries

A

Upper reprod tract

58
Q

Disorders of reprod system: Pelvic Inflamm Disease:

Cause by ______ _____ that ascends thru endocervical canal

A

Polymicrobial agent

59
Q 
Disorders of reprod system: Pelvic Inflamm Disease:
Sx:
\_\_\_ \_\_\_\_ pain after period starts
\_\_\_\_\_\_\_ cervical discharge
pain in \_\_\_\_\_\_
Fever
What lab values are increases?
A

Low abdominal
Purulent
Cervical
INC WBC and ESR

60
Q

Disorders of reprod system: Pelvic Inflamm Disease:
Complication:
Pelvic adhesions, infertility, _______ pregnancy, chronic _____, abscess

A

Ectopic

Pain

61
Q

Disorders of reprod system: Pelvic Inflamm Disease:

meds?

A

Antibiotics

Because caused by polymicrobial agent

KN JD NPTE: OTHER SYSTEMS (12 decks)

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