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NUR 332 > reproductive Health Pt2 > Flashcards

reproductive Health Pt2 Flashcards

1
Q

week four

A

** heartbeat
Arms and legs buds present
Somites develop – vertebrae
Primary lung buds develop
Eyes and ears begin to form

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2
Q

Week six

A

body straightens
Trachea develops
Nares present
liver – blood cells
Tail recedes

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3
Q

week 12

A

Faced develops, eyelids closed
Tooth budd appear
Genitals differentiated
urine production
**spontaneous movement
Heart tones heard

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4
Q

can the mom feel the spontaneous movement week 12?

A

nope

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5
Q

week 20

A

sub Q fat
Vernix forms
Lanugo over body
**Fetal movement felt
Heart tones

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6
Q

week 24

A

eyes complete
Alveoli begin to form
Finger/toe prints
** viable

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7
Q

week, 28

A

Brain development
Nervous system begins to regulate
Eyelids open
Testes descend
Lungs – gas exchange

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8
Q

Week, 36

A

increased sub Q fat
lanugo disappears

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9
Q

Week 38

A

Term – 37 weeks
skin- smooth and polished
vernix in creases and folds
Head bigger than chest

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10
Q

fibrotic breast changes

A

Thickening of normal breast tissue
Imbalance of estrogen/progesterone

Cyclic pain, tender, mass felt

Mammogram, MRI

Limit caffeine, sodium, oral birth control

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11
Q

Endometriosis

A

presence of endometrial tissue outside of uterine cavity

Backflow of menstrual flow, inflamed, endometrium

Pelvic pain at menses, trouble getting pregnant

Laparoscopy

Surgical removal of tissue, NSAIDS, birth control

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12
Q

Polycystic ovarian syndrome

A

ovaries in large and contain cysts along edge of ovaries

Unknown cause

Irregular menses, increase testosterone and androgen
Hirsutism, deep voice, alopecia

Irregular labs, obesity, insulin resistance

H/P, ultrasound

MetForman, spironolactone

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13
Q

Toxic shock syndrome

A

staph A, tampon left into long

Fever, sunburn rash on trunk, vomiting, hypotension, inflamed, mucous membranes

Increased BUN, AST, ALT, bilirubin
Decreased platelets

Hospitalization, IVF, antibiotics

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14
Q

bacterial vaginosis

A

Decreased normal vaginal flora

Overgrowth of bacteria, douching, frequent sex

Increased, thin, watery, fishy discharge

Vaginal pH greater than 4.5.

Metronidazole, Clindomycin

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15
Q

Vaginal candidiasis

A

yeast infection

Antibiotics, immunosuppression, diabetes, birth control

thick, curdy , discharge, severe itch

Fluconazole, nystatin

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16
Q

Trichomoniasis

A

STI

Yellow/green, discharge, inflammation , itch, dysuria

Visual organism on microscope

Medtronidazole, no TX*

17
Q

Chlamydia

A

STD

purulent discharge, dysuria, Lower abdominal pain, ASX

Lab culture

Azithromycin

  • tested for prenatally
18
Q

Gonorrhea

A

increased risk of PID

Pertinent green/yellow, dysuria, vulva swelling, ASX

Ceftriaxone plus azithromycin

19
Q

What can happen if the mom is untreated for gonorrhea?

A

Conjunctivitis and blindness

20
Q

syphilis

A

Contact with an open wound or acquired congenitally

Canker sores

blood test VDRL/RPR

Penicillin

21
Q

HPV

A

Genital warts

Biopsy lesion, abnormal Pap smear

Cryotherapy, shave excision, acid removal, vaccines

22
Q

PID

A

multiple sex partners, IUD, untreated, gonorrhea, or chlamydia

Bilateral sharp cramp pain, ASX

Cultures, CBC, VDRL/RPR

Multiple antibiotics, combos

23
Q

lower, UTI – cystitis

A

E. coli, enterococcus, staph

Low-grade fever, hematuria, dysuria

Clean catch

Antibiotics

24
Q

upper UTI – pyelonephritis

A

Proceeds lower UTI

High fever/chills, one-sided flank pain

Labs

IVF, IV antibiotics

25
Q

what is considered primary infertility

A

Unprotected sex over 12 months with no conception

26
Q

what is considered secondary infertility

A

Unable to conceive or sustain pregnancy after one or more successful pregnancies

27
Q

infertility meds

A

helps induce ovulation and more eggs

Clomid, progesterone

28
Q

Insemination

A

donor or husband sperm into cervical os or uterine mechanics

used for Motility problems

29
Q

IVF

A

egg from ovary fertilized in lab, then implanted into uterus after embryo development starts

Used for surrogacy, older woman, donor egg, same sex marriage

30
Q

gamete intro fallopian transfer

A

Egg removed, laparoscopically and placed with sperm fertilized in fallopian tube, egg placed in uterus

Used for more normal type of transfer and fertilization

Embryo not developed

31
Q

zygote intra fallopian transfer

A

eggs retrieved and incubated with sperm and back to fallopian tubes once fertilized

32
Q

karyotype

A

Pictorial view of chromosomes

33
Q

Phenotype

A

Observable expression of trait

Hair, eyecolor

34
Q

autosomal dominant syndrome

A

Infected person has affected parent

50% chance of passing on to children

Examples – Huntington’s disease, dwarfism

35
Q

Autosomal recessive inheritance

A

affected person has normal parents
Those parents are carriers, 25% passing on to children, 50% chance carrier

Example- cystic fibrosis

NUR 332 (14 decks)

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