pregnancy and lactation Flashcards

1
Q

fertilisation

A

-visibility- oocyte for 24 hours, sperm for 48 hours
-fertilisation occurs in the uterine tube no more than 24 hours
-sperm travel to uterine tube
-sperm enzymes undergoes second meiotic division to produce ovum and a polar body

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2
Q

contraception: preventing pregnancy

A

-vasectomy
-combination pill
-tubal ligation
-MAR or emergency contraceptive pill
-condoms
-abstinence

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3
Q

vasectomy

A

-cutting ductus deferens prevention of sperm
-promotes sterility
-male retains secondary sex characteristics

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4
Q

combination pill

A

-constant supply of ovarian hormones
-ovarian folicles do not mature
-ovulation ceases
-menstrual flow reduces

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5
Q

tubal litigation

A

-cut or cauterize uterine tubes

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6
Q

MAP or emergency contraceptive pill

A

-taken within three days
-disrupts hormone signals preventing fertilization

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7
Q

religious views of reproduction

A

-differing views over abortion
-in some religions only allowed in certain situations

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8
Q

teratogens

A

-any agent or influence that can cause developmental defects in an embryo

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9
Q

teratogens

A

-alcohol
-viruses
-industrial chemicals
-some hormones
-antibiotics
-cocaine
-smoking
-ionizing radiation

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10
Q

what does alcohol cause for the fetus?

A

fetal alcohol syndrome-neurological abnormalities

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11
Q

what does smoking cause for the fetus?

A

-linked to low infant birth weight
-cardiac abnormalities
-anencephaly
-higher infant
-fetal mortality rates

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12
Q

what does ionizing radiation cause to the fetus?

A

-exposure of the mother to x rays or radioactive radiation isotopes during pregnancy may cause microcephaly (small head), mental defects and skeletal deformities

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13
Q

what are environmental tertogens?

A

-exposure to developing fetuses to air pollution and increasing extreme heat due to climate change

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14
Q

what can environmental teratogens cause?

A

-premature birth, stillborn and abnormal birth weight
-poor neurodevelopment
-poor lung development
-increased respiratory and cardiovascular disease in adulthood
-greater risk of cancer, diabetes and obesity

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15
Q

impacts of human chorion gondatropin (hCG)

A

-hCG levels peak at about the 9th week
-hCG inhibits menstruation, prevents corpus luteum degenerating
-the chorion secretes oestrogen after the first 3 or 4 weeks of pregnancy and progesterone by the 9th week
-maintains endometrium, prepares mother’s body for birth and mammary glands for lactation

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16
Q

maternal changes during pregnancy

A

-in early pregnancy, mother tires easily
-morning sickness due to elevated progesterone and oestrogen
-weight increase
-posture changes
-accentuated spinal curvature
-blood volume, blood pressure and pulse increases

17
Q

what does organ crowding lead to?

A

-heartburn
-constipation
-bladder compression
-stress incontinence
-dyspnea (difficulity)

18
Q

childbirth/labour

A

-dilation stage (6-12 hours)
-expulsion stage (50 min-2 hours)
-placental stage (15 min after birth)

19
Q

dilation stage

A

-cervix dilates
-uterine contractions begin

20
Q

expulsion stage

A

-infant passes through the cervix and vagina

21
Q

placental stage

A

-afterbirth
-delivery of placenta and attached fetal membranes
-all fragments should be removed to prevent bleeding

22
Q

false and true labour

A

-false labour: irregular contractions, discharge of blood with mucus
-true labour: uterine contractions occur at regular intervals

23
Q

female mammary glands

A

-modified sweat glands, present in males, but only functions in females
-function is to produce milk to nourish a newborn (lactation) stimulated by oxytocin and prolactin
-stimulated by sex hormones
-alveolar glands- produce milk when a woman is lactating

24
Q

the physiology of lactation

25
Q

benefits of associated with breast feeding

A

-supports optimal infant growth
-chemical composition of mother’s milk is ideal for the baby’s brain development, growth and digestion
-breast feeding leads to a reduction in several diseased
-several types of white blood cells

26
Q

mammogram

A

-x ray examination that detects breast cancer too small to feel
-offered to young women who have a family history or specific gene mutation such as BRCA 1/2

27
Q

breast cancer treatments

A

-lumpectomy
-mastectomy
-chemotherapy
-hormone therapy