Pregnancy (Tutorial) Flashcards

1
Q

What are the two cycles of the menstrual cycle?

A

Ovarian, uterine

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2
Q

What phases occur in the ovarian cycle?

A

Follicle, luteal

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3
Q

What are the phases that occur in the uterine cycle?

A

menstrual, proliferative, and secretory phase

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4
Q

What does the hypothalmus stimulate?

A

GNRH

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5
Q

What does the anterioro pituitary secrete?

A

LH and FSH

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6
Q

True or False: Estrogen and progesterone are released from the overies and acts as an inhibitor to LH and FSH

A

True

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7
Q

What is the typical age of unset in menopause?

A

45-55

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8
Q

What are the four reasons why menopause occurs?

A

Limited number of eggs

Sex hormones diminish

Estrogen inversely related to LH and FSH level

Estrogen decreases, therefore, FSH and LH significantly increase

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9
Q

What are the most coomon sympotoms of menopause?

A

hot flashes, insomniam mood swings and irregular periods

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10
Q

What are the 6 stages to meopause?

A
  1. Decrease in primordial follicle capability (due to aging)
  2. Resulting in a decrease in estrogen production (due to decreased ovulation)
  3. FSH increases as a compensatory mechanism
  4. In turn, follicles become desensitized to FSH
  5. FSH fails to elicit ovulation
  6. Ovulation ends completely (menopause as we know it)
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11
Q

WHat are 3 ways to cope with menopause?

A

Meditation, adequate water, hormone replacement therapy

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12
Q

Why can late menopause occur

A

Longer life longevity, health benefits

longer estrogen in body

genetic inheritance, behavioural factors, physical activity and
fitness levels, and mostly age of menarche

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13
Q

WHat are the benefits to late menopause?

A
  • Decreased risk of cardiovascular diseases and chance of stroke

• Decreased loss of bone density

• Estrogen exposure tightens skin-
look younger

• Longer fertility and potential for reproduction

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14
Q

What are the risks of late menopause?

A
  • Increased chance of reproductive cancer development

* Psychological, social and sexual well-being jeopardized

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15
Q

What percent of the population has early menopause?

A

1%

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16
Q

What are the health risks with early menopause?

A

• Increased chance of bone degenerative diseases
• Increased chance of cardiovascular diseases, ischemic attacks, angina and
cardiovascular mortality
• Women have reported lower general and sexual well-being due to loss of ability
to reproduce

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17
Q

Fertilization occurs when each ______ sex cell fuses together to form a ______ cell within the uterine tubes.

A

Haploid, Diploid

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18
Q

Sperm breaks down the corona radiata of the oocyte to get to the ______ containing proteins.

A

Zona pellucida

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19
Q

The first sperm reaching the oocyte is transported into the egg’s cytoplasm which stimulates ______ and develops into an ovum.

A

Meiosis II

20
Q

the DNA is replicated to prepare for its first mitotic division of the cell as a ______.

21
Q

______ is the cellular and vascular changes occurring in the endometrium

A

Decidual response

22
Q

The ______ occurs 3-4 days after fertilization.

23
Q

______ pregnancy occurs when implantation occurs outside the uterus.

24
Q

The ______ attaches to the uterine wall.

A

Blastocyte

25
The trophoblast secretes ______ to help ingest endometrium
Proteolytic enzymes
26
When approximately is the placenta fully functional?
18 weeks
27
What is HCG secreted by?
chorionic portion of the placenta
28
True or False: The the corpus luteum secretes large amounts of estrogen and progesterone
true
29
______ is manufactured from androgens secreted by the adrenal cortex of the fetus
Estrogen
30
When is the placenta fully functional?
18 weeks
31
At the end of 1st trimester, the fetus will have?
Closed eyelids
32
At the end of 2nd trimester, the fetus will have?
Major organ systems
33
When can the fetus be born prematurely and have a high risk of survival?
7 months
34
When does adrenarche stage occur?
6-7 in girls, 8-9 for boys
35
When does gonadarche (release of primary sex hormones) occur?
11-12 for girls, 12-13 for boys
36
What is the order of progression for females?
Thelarche, growthspurt pubarche menarche
37
What is the order of progression for males?
Pubarche, Growth spurt, semanarche
38
______ is stimulated by estrogen.
Prolactin
39
______ promotes development of the alveoli
Progesterone
40
______ promotes the development of tissue in the ducts
Estrogen
41
True or False: Estrogen/Progesterone inhibit milk production where prolactin stimulates it.
True
42
The hypothalamus inhibits prolactin production via ______.
PIH (prolactin inhibiting hormone)
43
What are the physiological consequences in the follicular phase?
no LH receptor leads to underdeveloped oocyte
44
What are the physiological consequences in the ovulatory phase?
Anovulation, Oocyte not secreted from mature follicle
45
What are the physiological consequences in the luteal phase?
Endometriosis, POS, Hyperprolactinemia, miscarriage
46
______ cause persistent high LH levels causing anovulation and arrest of follicle development
POS
47
______ is when increased prolactin secretion suppresses GnRH leads to inhibits secretion of FSH and LH
Hyperprolactinemia