repro / pregnancy and lactation (exam 2) Flashcards

1
Q

fetal cells give rise to ____ in women and _____ in men

A

ovaries, testes

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2
Q

ovaries and testes respond to _____ and ____

A

follicle-stimulating hormone (FSH) and luteinizing hormone (LH)

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3
Q

what are the two hormones that maintain female structures?

A

estrogen, progesterone

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4
Q

what is the goal of female hormones?

A

prepare and maintain pregnancy

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5
Q

when are effects of estrogen noticed?

A

at menarche (first period)

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6
Q

what is associated with female characteristics?

A

estrogen

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7
Q

what produces estrogen

A

the ovaries

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8
Q

when is progesterone released?

A

after ovulation

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9
Q

what hormone helps support the development of the fetus

A

progesterone

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10
Q

what hormone effects body temperature to indicate ovulation

A

progesterone

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11
Q

what hormone stimulates the anterior pituitary to release FSH and LH

A

GnRH (gonadotropin-releasing hormone)

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12
Q

what is the hormone that stimulates and maintains male structures?

A

testosterone

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13
Q

when does testosterone start to release

A

puberty

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14
Q

what maintains changes caused by testosterone?

A

androgens

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15
Q

when does puberty start in males?

A

9-14

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16
Q

what stimulates the production of sperm

A

FSH

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17
Q

what stimulates spermatogenesis

A

LH

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18
Q

what meds stop pre-term labor

A

tocolytics

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19
Q

what meds stimulate contraction

A

oxytocic agents

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20
Q

what meds stop hemorrhage in pregnancy?

A

uterogenics

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21
Q

infertility is the inability to conceive after _________

A

a year of trying

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22
Q

what are causes of infertility in women?

A

ovulation disorder, blocked fallopian, endometriosis, anomalies of uterus, old age

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23
Q

what are causes of infertility in men?

A

absence of sperm, declining sperm, testicular anomalies, ejaculatory dysfunction

24
Q

what is clomiphene citrate?

A

ovarian stimulator

25
Q

what is menotropin?

A

stimulate ovulation

26
Q

what is follitropin?

A

stimulate ovulation

27
Q

what is human chorionic gonadotropin?

A

stimulate ovulation

28
Q

what is leuprolide?

A

prevent premature ovulation, better egg quality

29
Q

what ways are infertility meds given?

A

PO, IM, SQ

30
Q

what are adverse effects of infertility drugs?

A

-multiple births
-hot flashes

31
Q

when is maternal-placental-fetal circulation complete?

A

by week 3

32
Q

when does placental transfer occur?

A

week 5

33
Q

what are 2nd and 3rd trimester effects?

A

-growth retardation
-respiratory problems
-infections
-bleeding

34
Q

what are the 2 highest pregnancy categories?

A

D and X

35
Q

how to prevent anemia in pregnant people?

A

pre-natal vitamins, increased iron diet

36
Q

what helps constipation in pregnant people?

A

psyllium
docusate
milk of magnesia

37
Q

what helps GERD in pregnant people?

A

histamine 2 blockers
antacids

38
Q

what helps gestational diabetes

A

injected insulin only

39
Q

how to treat group B strep in pregnant people?

A

penicillin

40
Q

what treats HIV in pregnancy

A

zidovudine

41
Q

what are maternal therapeutics?

A

meds to help the mother that wont affect baby

42
Q

what are fetal therapeutics?

A

meds given to mom to help fetus
-digoxin
-levothyroxine
-betamethasone

43
Q

what are drugs that inhibit labor and maintain pregnancy?

A

tocolytics

44
Q

preterm labor are contractions before ____ weeks

A

37

45
Q

example of tocolytics?

A

magnesium sulfate, nifedipine

46
Q

what meds induce labor?

A

prostaglandins and oxtocics

47
Q

what are the prostaglandins?

A

dinoprostole and misoprostol

48
Q

what are analgesics for labor and delivery?

A

nalbuphine, epidural containing fentanyl / local analgesic

49
Q

what kind of drugs are used to stop postpartum hemorrhage?

A

uterotonics

50
Q

what are examples of uterotonics?

A

-oxytocin, carboprost tromethamine, methylergonovine

51
Q

what med stimulates lactation?

A

metoclopramide

52
Q

what drugs are used to treat depression in lactating women

A

SSRIs

53
Q

what kind of birth control shouldn’t be used during lactation

A

progesterone only BC

54
Q

a couple has been trying to conceive for 8 mo without luck, what is their first choice drug?
-leuprolide
-human gonadotropin
-follitropin beta
-clomiphene citrate

A

clomiphene citrate (ovarian stimulator, inc. FSH and LH)

55
Q

woman w/ seizures tales phenytoin, she understands risk during pregnancy. What should the nurse advise?
-discuss w/ gynecologist and neurologist
-stop taking and start folic acid
-should start vitamin
-should talk to genetic counselor

A

gyno and neuro