Term
| This branch of medicine is cares for childbearing women and unborn baby. Deals with pregnancy, labor and postpartum |
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Definition
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Term
| This fungus/herb was used to induce labor in the early 20th century |
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Definition
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Term
| in the early 20th century, Post partum infections, uterine infections and pueperal fever were all known back then as |
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Definition
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Term
| _________ is a strong anticholinergic which caused an amnesia effect during delivery. |
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Definition
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Term
| ___________ is Scopolamine and Morphine mixed to provide childbirth without pain |
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Definition
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Term
| The ________ ACT of 1921 provided funding to care for |
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Definition
| Sheppard-Towner Act of 1921 |
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Term
| Title V & the Social Security Act ensure funds for the _______ programs |
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Definition
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Term
| At CRMC, this number of vistors is allowed in the room during labor and delivery |
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Definition
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Term
| Insurance laws dictate that they must pay for ____ hours atleast for a standard deliver |
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Definition
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Term
| Insurance laws dictate that they must pay for ____ hours atleast for a C-section |
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Definition
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Term
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Definition
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Term
| Maternal mortality is 15.1 in _______ live births. |
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Definition
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Term
| Infant mortality is _____ in 1000 live births |
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Definition
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Term
| 3 causes of maternal mortality |
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Definition
Hemorrhage, Puerparal Infection and Hyptertensive Disorders
"H P H" |
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Term
| 2/3s of infant deaths are in the ________ period which is the 1st 27 days after birth. |
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Definition
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Term
| __________ means from the 28th day after birth to 1 year |
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Definition
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Term
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Definition
| Respiratory Distress Syndrome |
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Term
| #1 Cause of infant mortality is |
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Definition
| Congenital Anomalies (followed by prematurity) |
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Term
| A Nurse-Midwife, Practitioner and Specialist all require a ________ degree. |
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Definition
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Term
| Nurse practitioners DO/DO NOT do deliveries? |
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Definition
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Term
| 5 nursing steps are (think ADPIE) |
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Definition
| Assessment, Diagnosis, Planning, Implementation, and Evaluation |
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Term
| Describe a nuclear family |
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Definition
| Husband and Wife may or may not have children |
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Term
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Definition
| Composed fo children from prior relationships or faster children |
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Term
| Define Alternate Pattern families: |
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Definition
| Gay, Skip generation familes, Partners |
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Term
| _____% of marriages end in divorce |
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Definition
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Term
| T/F: For the first tiem in history, there are more living parents than children |
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Definition
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Term
| Humor, Sharing thoughts, feelings activities and problem solving as a group are considered ________ coping strategies |
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Definition
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Term
| Spiritual support, social support of family & friends, and community resources are considered _______ coping strategies |
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Definition
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Term
| _________ stress usually come from job changes, illness, etc |
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Definition
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Term
| ___________ stress usually comes from life stage cahnges such as marriage, birth, empty nest syndrome.... |
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Definition
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Term
| Regarding birth, Jehovahs witnesses dont believe in |
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Definition
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Term
| _________ is a system of teaching and nurturing that prepares children to acheive competence, self control and caring for others |
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Definition
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Term
| The 3 types of parenting styles are |
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Definition
Authoritarian
Authorative
Permissive |
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Term
| 3 Temperments of children |
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Definition
Easy
Difficult
"Slow to warm up" |
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Term
| _________ teaches a child how to function in society |
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Definition
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Term
| ___________ is distracting a child with another activity |
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Definition
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Term
| _________ is explaining why a behavior is not acceptable |
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Definition
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Term
| _________ is removing attention from the child acting inappropriately and is 1/minute per age "in the corner" |
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Definition
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Term
| _________ consequences occur spontaneously like a child leaving a bike outside and someone steals it, and the parent doesnt replace it. |
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Definition
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Term
| _________ consequences are directly related to misbehavior, such as 2 children fighting over a toy and the parent removes BOTH of them. |
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Definition
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Term
| ___________ consequences are purposely imposed, such as a child coming home after midnight and grounded for a week |
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Definition
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Term
| Spanking is AKA as _____________ |
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Definition
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Term
| To reward positive and ingore negative behavior is known as |
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Definition
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Term
| In family planning, this period is from 24-72 hours after the egg is released |
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Definition
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Term
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Definition
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Term
| A released egg can live for |
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Definition
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Term
| Menopause occurs between what ages? |
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Definition
45-55yo
and can last ntil 1 year after last menstral period |
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Term
| A woman can stop contraception _____ years after her last menstral period. |
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Definition
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Term
| Methods of Contraceptions: A vascetomy and tubal ligation are considered ____________ |
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Definition
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Term
| Sterilzation is __________ |
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Definition
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Term
| Sterilzation is __________ |
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Definition
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Term
| T/F: Sterization reveral is less than 50% effective |
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Definition
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Term
| Tubal ligation has a 99% effectiveness. In this process the _________ is cut or occluded. |
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Definition
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Term
| A _______ is where a spring is inserted in each falopian tube w/o surgery causing scarring over 3 months, and closing that conduit |
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Definition
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Term
| The vas deferens are severed in this: |
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Definition
VASECTOMY
You gotta wait 15 ejaculations til you're zero sperm count |
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Term
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Definition
| Like Norplant, its inserted in arm in a few minutes. But will cause irregular periods. |
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Term
| Depo-Provera is given ________ and can cause __________- |
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Definition
| every 3 months and causes heavy bleeing (can take up to 1 year for fertility to return) |
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Term
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Definition
| estrogen and progesterone |
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Term
| The "Pill" works by prevenint release of these hormones |
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Definition
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Term
| The "Pill" is convenient to start taking on a Sunday. The active ingredients are active only for what periods of time? |
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Definition
| 21 days... 7 are inactive |
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Term
| Pills (like Micronor) have only this hormone _________ |
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Definition
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Term
| T/F You can take the pill while breast feeding |
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Definition
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Term
| "Pills" work by thickening vaginal secretions so sperm cant get to the uterus. |
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Definition
| Keep going, doing great!!! |
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Term
| "Seaonsal" pill is taken how _______ |
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Definition
Daily for 3 month cycles, then 1 week off
(side effect include irregular bleeding) |
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Term
| Do not take oral contracptives if you have a history of what? |
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Definition
Thrombophlebitis
Cardio&Cerebro vascular disorders
Breast Cancer
Liver Tumors |
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Term
| Pill can decrease this type of cancer |
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Definition
| Endometrial and Ovarian Cancers |
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Term
| Dont take oral contraception if you have |
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Definition
High BP, Diabetes, Cholesterol issues, Obese and Smoker
Antibiotics DECREASE "pills" effectiveness |
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Term
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Definition
| the Patch... worn for 1 week, then no patch during the 4th week |
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Term
| the Nuva Ring can remain in place for _____. It releases estrogren and progestin. Its ineffective if left out for more than _____ hours |
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Definition
3 weeks
ineffective after 3 hours if left out |
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Term
| Morning after pill gives a short burst of synthetic hormones and is given how: |
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Definition
| within 72 hours (first pill) then next dose 12 hours after 1st pill |
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Term
| RU486 (Mifepristone) can be used up to ________ weeks for a medically induced abortion |
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Definition
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Term
| IUDs are 99.9% effective and can last for 10 years. Side effects can be |
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Definition
| Menorrhagia (excessive bleeding) and Dysmenorrhea (painful bleeding) |
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Term
| Mirena works for _____ years and releases progesterone |
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Definition
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Term
| Spermacides are ____% effective and last about an hour. |
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Definition
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Term
| Male condoms are 86% effective but the female condomn is only |
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Definition
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Term
| A diaphragm should be inserted up to ______ prior to intercourse and removed only after _____ hours of intercourse |
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Definition
| 2 hours before, 6 hours after |
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Term
| A cervical cap can stay in place for _____hours, and should be left in place for 8 hours after intercourse. They're about 85% effective. |
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Definition
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Term
| (FAM) is a collection of practices that help a woman know which days of the month she is most likely to get pregnant |
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Definition
| Fertility Awareness Method |
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Term
| Pregnancy is most likely if intercourse occurs anywhere from 3 days before ovulation until 2-3 days after ovulation. Since the exact time of ovulation cannot be predicted, we add 2 to 3 days to the beginning and end |
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Definition
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Term
| The _________ is based on timing of ovulation 14 days prior to start of menses. Its LEAST reliable... catholics.... |
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Definition
Rhythm method
(need to keep a 6 cycle record for a pattern) |
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Term
| Basil Body Temperature refers to what |
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Definition
| body temp rises 24-72 hours after ovulation |
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Term
| As estrogen increases, cervical mucous becomes (THICKER/THINNER) |
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Definition
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Term
| After ovulation, the mucous normally becomes |
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Definition
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Term
| The "Billings Method" refers to |
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Definition
| the thickness of cervial mucous (clear,stretch eggwhite-like)... avoid intercourse until 4 days after this time. |
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Term
| The SYmptothermal method combines a calendar, temperature and mucous appearance.... |
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Definition
| Prevents pregancy but really a bad method |
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Term
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Definition
| ....uh... like yeah, this works, but c'mon!!!! |
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Term
| Difference in Primary VS Secondary infertiltiy |
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Definition
| Primary the woman has never been pregnant before. Secondary, she has. |
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Term
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Definition
| Stimulate maturation of the follicle |
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Term
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Definition
| Causes RELEASE of the ovum from the follicle |
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Term
| progesterone and estrogen released from corpus luteum why? |
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Definition
| to prepare endometrium for implantation |
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Term
| If low estrogen levels, mucus will remain thick, preventing sperm from getting through. |
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Definition
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Term
| Clomid and Pergonal in women |
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Definition
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Term
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Definition
| Inhibits prolactin secretion |
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Term
| GnRh agonsists like Lupron-Depot supresses |
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Definition
| ovarian function and endometriosis |
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Term
| Clomid and Pergonal in men does what |
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Definition
| Increases sperm production |
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Term
| This surgery is minimally invasive and helps relieve obstructions |
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Definition
| Laparoscopic surgery (even endoscopic) |
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Term
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Definition
| Ova removed, fertilzed with sperm, replaced back in uterus |
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Term
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Definition
| Ova placed in fallopian tube then "spermed" mechanically |
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Term
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Definition
| Like GIFT, but its "spermed" outside the body then implanted. |
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Term
| Describe: Intracycloplasmic sperm injection |
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Definition
| single sperm injection into the ovum |
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Term
| Females have 22 autosomes and 1 X chromosome. Males have________ |
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Definition
| 22 autosomes and 1 X or Y chromosome. Men determine the sex of the baby. |
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Term
| The zona pellucida and corona radiata are what? |
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Definition
| 2 protective layers of the ovum allowing only ONE sperm to penetrate |
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Term
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Definition
Alkaline
so it can survive thru the acidic vagina |
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Term
| men have what sperm range generally |
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Definition
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Term
| Ferilzation takes places in what location? |
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Definition
| Distal portion of fallopian tube |
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Term
| A fertilized human egg is also called a |
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Definition
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Term
| The Pre-Embrionic period is when? |
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Definition
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Term
| Week 3 thru 8 is known as the ________ period |
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Definition
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Term
| A fertilized egg is called a |
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Definition
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Term
| The fertilized zygote enters the uterus how many days after contraception? |
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Definition
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Term
| Zygotes secrete hCG to signal corpus luteum to continue to supply estrogen and progesterone |
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Definition
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Term
| ___________ endometrium cells that change to provide nourishment to embryo, also prevent fetal tissue from invading uterine wall. |
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Definition
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Term
| Each of these 3 layers of the embrio form into different parts of the body |
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Definition
| ectoderm, mesoderm and endoderm |
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Term
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Definition
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Term
| Growth: By week 4 thsi develops: |
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Definition
| respiratory tract (and neural tube closes preventing spina bifida) |
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Term
| Growth: By week 6 this develops: |
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Definition
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Term
| Growth: By week 8 this develops: |
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Definition
| liver/kidney and intestines outside the body. Think Hannibal Lecther (ate liver & kidneys) |
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Term
| Growth: By week 9 this develops: |
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Definition
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Term
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Definition
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Term
| Growth: By week 13 this develops: |
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Definition
| MOVEMENT (think 13th floor elevator moving) |
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Term
| Growth: By week 21-24 this develops: |
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Definition
| SURFACTANT (you gotta be 21 to SURFboard well) |
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Term
| Growth: By week 25-28 this develops: |
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Definition
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Term
| Growth: By week 29-32 this develops: |
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Definition
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Term
| Growth: By week 33-38 this develops: |
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Definition
| Weight, Muscle, and PULMONARY SYSTEM |
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Term
| Gestational age is term used in pregnancy b/c may not know exactly when conception occurred. |
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Definition
| about 2 wks longer than the fertilization age |
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Term
| Normal length of pregnancy is 280 days or 40 weeks |
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Definition
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Term
| The placenta: it has two sides, a maternal side and a fetal side. Which attaches to the uterus? |
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Definition
| Maternal side.. its called DIRTY DUNCAN b/c its beefy red color |
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Term
| The fetal side of the placenta is what color? |
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Definition
| grey shiny (shiny Shultz) |
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Term
| The placent has ___ arteries and __ vein. |
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Definition
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Term
| Placental divided into 15 layers and 20 segments called |
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Definition
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Term
| What does the placenta do? |
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Definition
| Nutrients, gas-x, waste removal, immunity |
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Term
| This gland secretes hormones |
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Definition
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Term
| hPL allows more glucose to remain in bloodstream Helps with nutrition of fetus. hPL is also known as: |
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Definition
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Term
| _________ stimulate uterine growth, skin pigmentations, salviation |
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Definition
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Term
| ___________ decreases GI motility so more nutrients can be absorbed into the bloodstream for the baby. |
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Definition
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Term
| ________ membrane is continuous with and covers the fetal side of placenta. AKA, the inner membrane |
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Definition
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Term
| AKA, the OUTER membrane of the fetus |
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Definition
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Term
| The chorion is part of the placenta and containes the amion membrane. |
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Definition
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Term
| At term, there is about _______mL of amniotic fluid |
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Definition
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Term
| Low Amniotic fluid (less than 500mL) is considered |
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Definition
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Term
| High Amniotic fluid (over 2000mL) is considered |
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Definition
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Term
| Wharton's jelly does what? |
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Definition
| covers and cushions the cord vessels and keeps the vessels separated |
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Term
| Umbilical cord is coiled to allow stretching and normal length is about |
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Definition
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Term
| Fetal shunts are those little holes in the heart. Since the fetus doesnt breath, they stay open until birth then close up. These 3 "opening" are called |
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Definition
Ductus Venosus
Foramen Ovale
Ductus arteriosus |
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Term
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Definition
| From the time of the last menstrual period |
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Term
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Definition
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Term
| After a baby's first breath, what happens |
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Definition
| Foramen ovale closes, and the ductus arteriosus about 2 days later |
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Term
| T/F: Twins are 1 in 85 births |
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Definition
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Term
| IDENTIAL TWINS ARE ALSO KNOWN AS |
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Definition
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Term
| Fraternal twins are also known as |
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Definition
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Term
| Nursing interventions for estrogen: Monitor what |
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Definition
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Term
| Danazol should not be given to _________ women |
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Definition
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