Unit 1 Flashcards
12 weeks
- Red blood cells are prodcued in the liver.
- Fusion of the palate is completed.
- External genitalia are developed to the point that sex of fetus can be noted with ultrasound.
- Eyelids are closed.
- Fetal heart tone can be heard by Doppler device.
16 weeks
- Lanugo is present on head.
- Meconium is formed in the intestines.
- Teeth begin to form.
- Sucking motions are made with the mouth.
- Skin is transparent.
20 weeks
- Lanugo covers the entire body.
- Vernix caseosa covers the body
- Nails are formed.
- Brown fat begins to develop.
24 weeks
- Eyes are developed. Alveoli form in the lungs and begin to produce surfactant.
- Footprints and fingerprints are forming.
- Respiratory movement can be detected.
28 weeks
- Eyelids are open. Adipose tissue develops rapidly.
- The respiratory system has developed to a point that has exchange is possible, but lungs are not fully mature.
32 weeks
- Bones are fully developed. Lungs are maturing.
- Increased amounts of adipose tissue are present.
36 weeks
- Lanugo begins to disappear. Labia majora and minora are equally prominent.
- Testes in upper portion of scrotum.
40 weeks
-Fetus is considered full term at 38 weeks. All organs/systems are fully developed.
Normal Menstrual Cycle Length
28 days according to NCLEX
At what day during the menstrual cycle does ovulation occur?
Day 14
Autosomal Dominant
Either have disease or healthy. Cannot be a carrier
Autosomal Recessive
can be a carrier
Risk Factors for male Infertility
- Excessive alcohol use
- Marijuana or Cocaine use
- Advanced age
- STI
- Smoker
Risk Factors for Female Infertility
- Diabetic
- Excessive alcohol use
- Obesity
- Advanced age
- STI
Post Operative Care
- Saturated pad within one hour is a big NO NO
- BP drop, HR increase = hemorrhage
- Give pillow for abdominal incisions incase she has to cough
- Pain is only the priority when it fixes the problem.
- Should be no blood in urine
Fever above ____?
100.4 F or 38 C is issue!
Education for Post Op Hysterectomy
Keep vagina dry, no douche
Pelvic Inflammatory Disease (PID)
S&S: abnormal vaginal discharge with foul odor
- Fever above 100.4
- Elevated WBC and ESR
Treatment for PID
- Test for STIs
- Give antibiotic
- Ibuprofen for pain
- Make sure patient knows to complete the antibiotic regiment
Candidiasis
- S&S: white, cheesy vaginal discharge
- Tx: Miconazole, Tioconazole, Fluconazole
- Education: avoid sex, warm water and soap to clean, wear cotton underwear
Bacterial Vaginosis (BV)
- S&S: fishy vaginal smell; discharge may be white or grey, milky
- Tx: Metronidazole, Miconazole;
Chlamydia
Incubation: 1-3 weeks
S&S: Men- dysuria, frequent urination, watery discharge
Female: asymptomatic, thick discharge with acrid odor, pelvic pain, yellow-colored discharge, dysmenorrhea
Tx: Doxycycline Hyclate
Education: may cause female infertility; notify contacts
Genital Warts / Condylomata acuminata
Incubation: 1-3 months
S&S: initially single, small papillary lesion, spreads into cauliflower-like cluster on perineum, vagina or penis; itching / burning sensation
Tx: Curettage, cryotherapy with liquid nitrogen or podophyllin resin; kerotyltic agents
Education: avoid intimate contact until lesions healed; notify contacts; atypical, pigmented or persistent warts should be biopsied, cervical carcinoma risk
Genital Herpes
Incubation: 3-14 days
• Symptoms
○ Initially pinpoint vesicles on a erythematous base
○ Vesicles ulcerate and become painful, draining lesions
○ Difficulty urinating
○ Recurrent at times of stress, infection, or menses
• Treatment
○ No cure
§ Symptomatic
□ Sitz bath
§ acyclovir
• Educate
• Notify contacts
• Precautions regarding vaginal delivery
• Cervical carcinoma risk
• Emotional support
