Exam Ii Nrs 206

Front 1

First menstrual period

Back 1

Menarche

Front 2

By what age should menarch occur before physicians do a work up

Back 2

Age 16

Front 3

When does follice secretion of estrogen begin

Back 3

2-3 years before puberty

Front 4

The famale reproductive cycle constists of these two cycles that take place simultaneously

Back 4

Ovarian and Menstrual

Front 5

The major target organs of the female hormones are:

Back 5

Ovaries, vagina, uterus, and fallopian tubes

Front 6

The ovarian hormones are:

Back 6

Estrogen, Progesterone,and Testosterone

Front 7

The overay is sensitive to which hormones

Back 7

FSH, LH

Front 8

The uterus is sensitive to which hormones

Back 8

Estrogen, and Progesterone

Front 9

This hormone is secreted in large amounts by the ovaries in non-pregnant women

Back 9

Estrogen (Estrone, B-estridiol, and estriol)

Front 10

"Femaleness", Secondary Sex Characteristics, breast development, widening hips, maturation of ovarian follice, and endometrial proliferation are caused by whate hormone?

Back 10

Estrogen(s)

Front 11

In which stage of the menstural cycle are estrogens greatest?

Back 11

Proliferative phase

Front 12

This hormone is secreted by the corpus luteum (attached to ovum).

Back 12

Progesterone

Front 13

Progesterone has what function in the uterus?

Back 13

Decreases motility and contractility

Front 14

During ovulation the body has a temperature rise of approximately how much?

Back 14

0.5 degrees F

Front 15

Where are prostaglandins produced

Back 15

By cells in the endometrium

Front 16

What are the two types of prostaglandins?

Back 16

PGE's, and PGF's.

Front 17

What is the function of PGE

Back 17

Relaxes smooth muscle (vasodilator)

Front 18

What is the function of PGF

Back 18

Increases contractility of muscles/arteries (vasoconstriction)

Front 19

This type of prostaglandin increases during follicular maturation and is essential to ovulation. It is thought to cause extrusion of the ovum, and increases constriction and contractility of the myometrium which contributes to ischemia preceding menstruation.

Back 19

PGF

Front 20

What are the two types of Neurohormones?

Back 20

FSH, LH

Front 21

FSH is responsible for what function

Back 21

The maturation of the ovarian follice

Front 22

LH is responsible for what function

Back 22

Final maturation of the follice. "Luteinizes" specific cells.

Front 23

What are the two phases of the ovarian cycle?

Back 23

Follicular and Luteal

Front 24

What days of the ovarian cycle does the follicular phase occur?

Back 24

1-13

Front 25

The luteal phase occurs during what days of the ovarian cycle?

Back 25

15-28

Front 26

What are the four phases of the menstrual cycle

Back 26

Menstrual, proliferative, secretory, and ischemic

Front 27

Progesterone is responsible for which phases of the menstrual cycle

Back 27

Menstrual, proliferative and secretory

Front 28

As ovulation nears, the cervical mucosa shows increased elastisity called?

Back 28

Spinnbarkeit

Front 29

Patients should avoid using superabsorbent tampons due to the linkage to what syndrome?

Back 29

Toxic Shock

Front 30

What is the causative organism of TSS?

Back 30

Staph aureas

Front 31

When does the basal body temperature rise in relation to ovulation

Back 31

Temperature rises after ovulation

Front 32

A family planning method that can be used by women with irregular periods is:

Back 32

The cervical mucus method (Billings Method)

Front 33

How long should a diaphragm be left in place after intercourse?

Back 33

6 hours

Front 34

This type of mechanical contraceptive is not recommended for women who have a history of UTI's.

Back 34

Diaphragm

Front 35

How long can a cervical cap be left in place.

Back 35

48 hours

Front 36

Women with a hx of DVT or breast cancer should avoid which contraceptive

Back 36

BCP

Front 37

Women who have a contraindication to the strogen component suchas as a hx of thrombophlebitis should choose which type of pill?

Back 37

Minipill

Front 38

Women with a hx of mood changes and depression should avoid which contraceptive?

Back 38

Norplant

Front 39

This long acting progestin, provides birth control for three months

Back 39

Depo-provera

Front 40

A husband has a vasectomy. How soon after his procedure can he begin to have unprotected intercourse?

Back 40

4-6 weeks and 6-36 ejaculations

Front 41

Oxytocin is responsible for what reflex in breastfeeding?

Back 41

Milk Letdown

Front 42

Prolactin is responsible for what reflex in breastfeeding?

Back 42

Milk production

Front 43

What action provides stimulus for prolactin and oxytocin release?

Back 43

Suckling

Front 44

What are the stages of human milk production

Back 44

Colostrum, transistional milk, mature milk.

Front 45

When is colostrum present

Back 45

post partum days 1-5

Front 46

When is transition milk present.

Back 46

2-5 days to 2 weeks post partum

Front 47

Which type of mature milk contains more fat content and satisfies hunger and promotes wieght gain?

Back 47

Hind Milk

Front 48

Which immunoglobulin is transferred to baby through breastmilk?

Back 48

IGA

Front 49

What are contraindications for breastfeeding?

Back 49

Breast cancer, HIV, galactosemia (infant), Flagyl, TB

Front 50

What are four types of positions for breastfeeding?

Back 50

Cradle-hold, football hold, side-lying, and across lap

Front 51

How should the mother remove infant from suction

Back 51

Inserting a finger gently into the corner of the mouth between infant's gums

Front 52

What should be avoided as an intervention for flat or inverted nipples

Back 52

Rubber nipple shields because infant can use sheild as a pacifier, which does not stimulate milk production

Front 53

Which pelvic type has a rounded inlet with all inlet diameters adequate. Midpelvis diameters adequate with parallel sidewalls favorable for vaginal birth?

Back 53

Gyencoid

Front 54

This pelvic shape is heart shaped with short posterior sagital diameter. "Male pelvis.". NOt favorable for vaginal birth.

Back 54

Android

Front 55

This pelvic shape is oval, with long anteroposterior diameter. It is favorable for vaginal birth

Back 55

Anthropoid

Front 56

This pelvic shape is oval, with long transverse diameters. It is not favorable for vaginal birth.

Back 56

Platypelloid

Front 57

According to the cardiff count to ten method the mother should be able to count what?

Back 57

10 movements in 10 hours or less

Front 58

If the mom does not feel 10 movements for 2 consecutive hours what should she do

Back 58

Call MD or Midwife

Front 59

What is a systematic way to evaluate the gravid abdomen?

Back 59

Leopold's maneuver

Front 60

Fetal growth, detection of congenital anomolies, placental maturity, placental location, and cervical length can be determined by which test?

Back 60

Ultrasound

Front 61

Amnoitic Fluid measurements are done by ultrasound. Pockets that measure 2cm=_____, <2cm=_______, >2cm=_________.

Back 61

1)Normal
2)Oligohydramnios
3) Polyhydramnios

Front 62

What are three oligohydramnios interventions?

Back 62

Increased rest periods, bed rest, increased hydration

Front 63

A BPP score of 8 with normal amniotic fluid calls for what intervention?

Back 63

Nothing,this is a normal finding

Front 64

A BPP score of 9 with abnormal fluid volume requires what intervention?

Back 64

Delivery of baby

Front 65

A BPP score of 0,2, or 4 requires what intervention?

Back 65

Delivery of fetus

Front 66

When is antepartum fetal monitoring begun?

Back 66

30-35 wks gestation

Front 67

Define reactive NST

Back 67

2 or more FHR accelertions of at least 15bpm lasting at least 15 sec in a 20 min period. Baseline rate should be normal.

Front 68

Define non-reactive NST

Back 68

Abscence of accelerations of FHR after 40 min.

Front 69

If a client has persistent NST what is usually the next recommended test?

Back 69

CST

Front 70

A common response to FAST or VST is?

Back 70

Tachycardia

Front 71

When should the FAST or VST be avoided?

Back 71

In an already compromised fetus

Front 72

What is a positive CTS?

Back 72

If the baby can not tolerate mild contractions then it can probably not tolerate labor

Front 73

FHR in the normal heart range (110-160) without wide fluctuations from the average rate is:

Back 73

Reassuring FHR

Front 74

Tachycardia FHR is defined as:

Back 74

HR >160 for 10 min or an increase from baseline by 20 bpm for 10 min or longer

Front 75

Bradycardia FHR is defined as:

Back 75

HR <120 for 10 min or decreased from baseline by 20 bpm for 10 min or longer

Front 76

The push pull effect between SNS which increases the HR and the PNS which decreases the HR is known as:

Back 76

Variability

Front 77

What is necessary to measure short term variability?

Back 77

Scalp electrode

Front 78

If you see short term variability but not long term variability what does this indicate?

Back 78

Baby is sleeping

Front 79

What are the three phases of uterine contractions?

Back 79

Increment, acme, and decrement

Front 80

Fromt he onset of one contraction to the onset of the next contraction is:

Back 80

Frequency

Front 81

This refers to the intensity of the contraction assessed by palpating the uterus or measuring by a fetal monitor

Back 81

Intensity or amplitude

Front 82

This is measured from the beginning of the increment to the completion of the decrement

Back 82

Duration

Front 83

This si the intrauterine pressure between contractions when the uterus is at rest

Back 83

Resting tonus

Front 84

This sithe steady rhythm that allows labor to progress

Back 84

Rhythmicity

Front 85

Define accelerations during labor

Back 85

5-15 bpm above baseline FHR for 15 seconds

Front 86

Early decelerations usually indicate:

Back 86

head compression

Front 87

What shape do early decelerations have on the strip?

Back 87

U shaped

Front 88

Late decelerations usually indicate:

Back 88

decreased uteroplacental profusion

Front 89

For nonreassuring late decelerations what interventions are required

Back 89

Left lateral position, elevate legs, increase iv rate, d/c pit, O2 @8-12, term of labor

Front 90

Variable decelerations usually indicate:

Back 90

Umbilical cord compression