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N3 Provider EXAM 2 > Sexuality and reproduction > Flashcards

Sexuality and reproduction Flashcards

1
Q

*External influences on sexuality

A

Family
Friends
Society

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2
Q

*Internal influences on sexuality

A
  • Self-concept
  • Self-esteem
  • Intimacy
  • reproduction
  • sexual responses
  • belonging
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3
Q

Negative examples of sexual identity/functioning

A
  • Perverts
  • pedophiles
  • human trafficking
  • child/elder abuse sexually
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4
Q
  • Sexuality in infancy and childhood
  • influences
  • expressions
A 
They are exploring their privates: hands in their pants, "whats in your pants"
Gendered toys (influence)
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5
Q
  • Sexuality in adolescents
  • influences
  • expressions
A
  • peer pressure (influence)
  • interest and curiosity in sexuality and exploring sexuality arises (influence and expression)
  • puberty occurs with a change in hormones and appearance
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6
Q

*Sexuality in adult females

A
  • having children, may feel like they are on a clock
  • career vs. family
  • climactic/menopause occurs
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7
Q

*Sexuality in adult males

A
  • provider vs. caregiver
  • balding
  • mid-life crisis
  • impotence
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8
Q

*Sexuality in older adults

A
  • impotence, use of Viagra
  • loss of partner –> new dating, isolation
  • body is changing (neg. weakening)
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9
Q

Factors influencing sexuality?(4)

A

Biology
Culture
Society
Family

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10
Q

Populations at greatest risk for sexual adverse effexts

A

Adolescents
Minorities
Intellectual and developmentally disabled
Newly unpartnered

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11
Q

Individual risk factors for sexual adverse affects

A

High-risk behaviors

  • multiple and causal partners
  • failure to practice safe sex

Use of alcohol, marijuana, and other illicit substances (inc. poor choices)

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12
Q

*Elements included in a sexual history

A
  • number of partners
  • usual sexual partners
  • frequency of sexal activity
  • satisfaction with sexual activity
  • perceived problems
  • knowledge level of sexual functioning
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13
Q

*Challenges to taking a sexual history

A
  • taboo in some cultures
  • low confidence or comfort of the nurse regarding the topic
  • having parents in the office with adolecents
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14
Q

Primary prevention related to sexuality and sexual health

A
  • Patient education
  • Condom use
  • Safe-sex practices
  • HPV vaccine
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15
Q

Secondary prevention related to sexuality and sexual health

A

Pap smear (cervical screening)
HIV screening
other STI screening

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16
Q

Tertiary prevention related to sexuality and sexual health

A

Pharmacological–treat sti, erectile dysfunction, menopause symptoms
Pessaries and/or surgery— pelvic organ prolapse
Sexual counseling

17
Q

Physiologic process of reproduction. (gamete production to fetus)

A 
gametogenesis (oogeneisis, spermatogenesis)
Ovulation
Ejaculation
fertilization
Cleavage
Implantation
Embryo/fetus
18
Q

When and where does implantation occur?

A

day 8-9 after fertilization

want in the top portion of the uterus

19
Q

Populations at greatest risk for problems with reproduction?

A
  • impoverished
  • adolescents
  • women over 40
20
Q

Why are impoverished populations at greater risk for reproductive problems

A

-do not have money four resources; prenatal vitamins, check ups, food

21
Q

Why are adolescents at greater risk for reproductive problems

A
  • body is not 100% ready for a baby
  • hips have not shifted to a bowl shape
  • breasts not ready
22
Q

Why are women over 40 at greater risk for reproductive problems

A
  • increased risk for chromosomal issues for baby
  • mom has dec. stamina
  • mom has inc. risk for illness
23
Q

*Areas to ask about regarding reproductive health history

A
  • present and past health history
  • family history
  • menstruation history
24
Q

*What is the purpose of GTPAL

A

Give a quick snapshot of the moms pregnancy history

25
Q

*What does GTPAL represent/stand for

A 
Gravida (# of pregnancy)
Term (3 of pregnancies to term)
Preterm (# of pregnancies preterm)
Abortion/miscarriage (# of pregnancies)
Living (# of kids)
26
Q

*Define gravida

A

number of pregnancies, including current

27
Q

*Define para

A

number of pregnancies carried to at least 20 weeks

28
Q

*What are the physical determinants of pregnancy

A

HCG

29
Q

*How to calculate the estimated due date?

A

Date of last period - 3 months + 7 days

N3 Provider EXAM 2 (7 decks)

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