EXAM 1 | NURS - Maternal Newborn Nursing, Quizzes of Nursing

Download EXAM 1 | NURS - Maternal Newborn Nursing and more Quizzes Nursing in PDF only on Docsity! TERM 1 Male Reproductive DEFINITION 1 Penis: deposits the sperm within the female reproductive tract.Secretes hormones: testosterone is the most importantAndrogen: male sex hormones affect secondary sexual characteristics.Fertility: related to sperm numbers, size, shape, and motility. Usually simple to diagnose if the male is infertile w/ semen analysis. Age-related development of the male reproductive system, enlarged prostate. TERM 2 Male Reproductive System is Regulated by DEFINITION 2 Hypothalamus Anterior Pituitary Gland Testes. TERM 3 KEY HORMONES OF MALES DEFINITION 3 Testosterone: responsible for sperm production in the testes. FSH: initiates sperm production in the testes LH: stimulates the secretion of testosterone by the testes. TERM 4 List Function of Testosterone DEFINITION 4 Promotes sperm MATURATION and initiates the development of SECONDARY SEX CHARACTERISTICS.The testes are found in the sac called the SCROTUM and produce SPERM and the hormone TESTOSTERONE (secreted by the testes). Semen has different products in it created by the glands that make the environment alkaline (the vagina is acidic). Without the alkaline environment of the penis, the vagina will kill the sperm. TERM 5 Secondary Sex Characteristics DEFINITION 5 Secondary Characteristics Includes facial and body hair, growth of larynx, increased protein synthesis in skeletal muscles and growth of reproductive organs. TERM 6 What is Spermatogenesis and Where Does it Occur? DEFINITION 6 It is the formation of sperm by a special type of cell division called MEIOSIS. Meiosis is how the reproductive cells divide. These cells only have 23 CHROMOSOMES. All other cells in the body have 46 chromosomes Ovum's(female reproductive cells ) also only have 23 chromosomes. TERM 7 Sperm Production Begins at What Age? DEFINITION 7 10-13 years of age. TERM 8 Once sperm cells are formed, Sperms will travel through... DEFINITION 8 Two epididymis Two vas (ductus) deferens Two ejaculatory ducts One urethra TERM 9 What Happens after Sperm goes through the Ducts? DEFINITION 9 Secretions are added to sperm as they travel through the ducts from three glands which are, Seminal vesicles, The Prostate Glands, and Bulbourethral Glands. The mixture of sperm and secretion is called SEMEN and it is a milky white alkaline liquid. The alkaline fluid is able to neutralize the acid of the vaginas. The external genitals of the male are the penis and scrotum. TERM 10 The Penis Has Two Functions: DEFINITION 10 It carries URINE outside the body via the urethra and acts as the ORGAN of sexual intercourse. TERM 21 Ischemic Phase DEFINITION 21 Last two days before menstruation day 14 you release and egg If you get pregnant the ischemic phase does not happen The estrogen will not fall if you get pregnant to help keep you pregnant If you don't get pregnant the estrogen will drop and the eggs will shed the cycle keeps going. TERM 22 Pelvis Types DEFINITION 22 Gynecoid: 50% of women, most ideal for childbirth. Android: resembles more of a male pelvis, can make it more difficult for the descend into the vaginal canal, can still vaginally deliver but more difficult. Anthropoid: p most likely a posterior delivery. Wants the baby born with the posterior head to the anterior mom. Platypelloid: CANNOT deliver vaginally. Baby will be transverse, have to have a C-Section. The nurse needs to document whether or not they can have a regular delivery. TERM 23 Oxytocin DEFINITION 23 causes the release of the milk and causes uterine contraction. TERM 24 Prolactin DEFINITION 24 makes milk, oxytocin releases it. Preparation for lactation can start as early as puberty Several different pores on the nipples that can get clogged that we may need to take care of May notice elevation around nipple Mongolian tubules, keep area moistened and prevents skin break down. DO NOT cover the skin in lotion or soap, will make it smell different. Chloasma comes in at 16 weeks TERM 25 Female Reproductive Puberty (Thelarche, Menache) DEFINITION 25 Thelarche between 9-11 yr old, beginning sexual maturation, breast bud formation, pubic hair growth. Menache: when they actually have their 1st period, educate them that they are not dying about 9-15 yr old (average 12- 13). TERM 26 Perimenopausal DEFINITION 26 Estrogen and progesterone start to decrease, where all symptoms for women start (hot flashes, vaginal dryness, irritability, skin changes, osteoporosis. W/ this some people go on hormone replacement therapy. Estrogen only increases the risk for uterine cancer, so prefer a hysterectomy before therapy. Combo therapy (progesterone and estrogen) increases clotting problems w/ Mis stroke, increased risk for cancer, like to limit to 3-5 years only bc of increased risk. TERM 27 Menopausal DEFINITION 27 Just means the last period for one whole year TERM 28 Post Menopausal Phase DEFINITION 28 Adrenal glands are the only ones now producing estrogen. TERM 29 Oral contraceptives increase the risk for? DEFINITION 29 clotting so none for smokers or >35. TERM 30 Female Hormones DEFINITION 30 FSH: initiate ovarian follicles development (an environment where the egg is created), can see these on ultrasounds. LH: causes ovulation, causes release of mature eggs. hCG: maintains the corpus luteum in early pregnancy Releasing Hormone: stimulates the secretion of FSH and LH 3. Progesterone: Stimulates the secretory phase and endometrial development. Menstrual cycle, prepares the uterus for implantation, some women have miscarriages because progesterone is messed up, need to have more of it. Estrogen: initates development of seconday sex characteristics (breast development, widening of the hips, how we deposit fat). LH: converts ruptured ovarian follicles into corpus luteum. TERM 31 Chlamydia Transmission and s/s DEFINITION 31 Transmission: Bacterial Sexual active individuals to be infected. During birth to the fetus (Gonorrhea can as well) The risk is neonatal blindness (all babies get erythromycin in the eyes even if they are not positive for chlamydia) S/S Asymptomatic for many; mucopurulent drainage (pusy). Many times not external, but can see the secretions on a cervical exam. More common <25 TERM 32 Chlamydia Treatment DEFINITION 32 Treatment :Penicillin or Erythromycin Retest mom three weeks later for STI to make sure its gone Very first Prenatal visit they get tested TERM 33 Syphilis Transmission and S/s DEFINITION 33 Transmission: Bacterial Sexual active individuals Treat this on the 18th week of pregnancy If not treated before 18th week of pregnancy can infect the fetus, Early identification is important S/S: Stage 1- Chancre sores-30-90 days, Stage 2- Palmar/Pedal rashe 4-10 weekss, Stage 3 multi-organ Involvement 3-15 yrs. TERM 34 Syphilis Treatment DEFINITION 34 Treatment:Penicillin-SHOT Treatable in stage 1&2, in stage 3 it is not treatable VDRL screen (RPR screen) Treatment on 18th week of pregnancy-IF NOT can INFECT BABY!! TERM 35 Gonnorhea Transmission and S/s DEFINITION 35 Transmission: Bacterial Sexually active individuals; <25 During birth from mom to fetus S/S Asymptomatic: Greenish/Yellow discharge Ophthalmia Neonatorum (blindness from gonorrhea or chlamydia) Greenish-yellow d/c (trichomonas- green-yellow, foul smell) Erythromycin to predict blindness in the baby