Quiz 2

Question 1

common male factors that lead to infertility (6)

Answer 1

*decreased sperm count
*Increased scrotal heat
*Impaired sperm motility/movement
*smoking
*Meds (steroids, prednisone, antihypertensive, tagamet)
*Chronic disabilities

Question 2

Common female factors that lead to infertility (7)

Answer 2

*>35 y.o.
*Anovulation (no ovulation) r/t hypothyroidism, poor health, consistent strenuous exercise
*Pelvic inflammatory disease
*STDs
*Obesity/under wt
*POI: Primary ovarian insufficiency
*PCOS: Polycystic ovary syndrome

Question 3

GIFT

Answer 3

Gamete Intra Fallopian Transfer:
*procedure of removing egg just b4 ovulation, then placing the egg and sperm together into the fallopian tube.

Question 4

IVF

Answer 4

In Vetero Fertilization:
*removing one or more eggs just before ovulation, then egg placed w/ sperm to fertilize, then fertilized embryo transferred to woman for implantation

Question 5

TDI

Answer 5

Therapeutic Donor Insemination
*donor sperm is used to fertilize egg (formerly AID)

Question 6

Chromosomal abnormalities and locations for common genetic disorders: Downs syndrome

Answer 6

*Chromosome 21 abnormality
*Baby possess and extra copy

Question 7

Chromosomal abnormalities and locations for common genetic disorders: Turners syndrome

Answer 7

*Most common female deviation
*Chromosomal mutation called monosomy X
*An error in mitosis (cell division) early in development
*One of the X chromosomes (sex chroms) is missing or partially missing, causing juvenile genitals or underdeveloped ovaries

Question 8

Chromosomal abnormalities and locations for common genetic disorders: Klinefelter syndrome

Answer 8

*Most common deviation in males
*caused by additional X chromosomes
*Interferes w/ development of testicles (will produce less testosterone) leading to delayed ot incomplete puberty, gynecomastia, and less facial hair

Question 9

Fetal HR decelerations

Answer 9

• Variable decels: Not good. w/ or w/ out contractions. Drop in at least 15 bpm, for 15 sec to 2 min.
  *Early: assoc. w/ uterine contractions. 1st stage of labor
• Late: After peak or “nadir” of contraction. Lasts less than 2 min.

Question 10

LOA

Answer 10

Left occipital Anterior (most common and best alignment)
*Back of head is on L, Back of head is being used, Back of head is face down

Question 11

LOP

Answer 11

Left occipital Posterior
*Back of head is on L, Back of head is being used, posterior is towards the bed

Question 12

ROA

Answer 12

Right Occipital Anterior

Question 13

ROP

Answer 13

Right Occipital Posterior

Question 14

Normal pregnancy vital signs

Answer 14

*Baby: HR – 110-160 bpm,

*Mom: RR: 18-20, HR: +10-20 bpm in 1st trimester, BP: - 5-10/10-15 in 2nd trimester

Question 15

Interpreting a client’s gravidity: G1

Answer 15

Gravida: # of pregnancies
*G1 = 1 pregnancy

Question 16

Interpreting a client’s parity: P1

Answer 16

Para: # of gestationally viable births
*P1 = 1 living/term baby

Question 17

TPAL

Answer 17

T: Term births
P: Preterm births
A: Abortions (spontaneous and therapeutic)
L: Living children

Question 18

Naegele’s Rule

Answer 18

An estimated due date can be calculated by following steps 1 through 3:
➢ First, determine the first day of your last menstrual period (LMP).
➢ Next, count back 3 calendar months from that date.
➢ Lastly, add 1 year and 7 days to that date.

Question 19

Nutrition in pregnancy: Recommended (6)

Answer 19

• Increased folate and folic acid intake (leafy greens)
• Increased iron intake (fish, leafy greens, beans, dark fruits)
• Increased calcium intake (Dairy, edamame, winter squash)
• Increased vit D intake (supplements)
• Increased protein intake (beans, nuts, non-starchy veggies)
• Increased B12 (meat, fish, cheese, eggs)

Question 20

Nutrition in pregnancy: What to avoid

Answer 20

undercooked meat and eggs, sushi, smoked salmon, under pasteurized milk, soft cheeses, pate/liver, high mercury fish, alcohol