Conception/ Genetics Flashcards

1
Q

what is TTC

A

trying to conceive

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2
Q

importance of genetics to fertility

A
  • provides tools to determine heredity component of many disease
    -improves ability to predict:
    susceptibility
    onset
    progression
    response
    to tx
  • earlier dx
    -ppl who would have previously died in childhood to survive into adulthood
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3
Q

genetic testing of in vitro embryos

A
  • testing done after the embryo cells (4-6 cell blastocyte) have fertilized and split in petri dish
  • one cell can be tested for genetic diseases
  • if (+), they dont use the embryo
  • if (-), they use the embryo
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4
Q

how much does each in vitro tx usually cost

A

40k

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5
Q

def genomics

A
  • tailoring meds to each pt based on genetics
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6
Q

disorders that are more susceptible in certain ethnic groups

A

tay sachs
thalasemias
PKU
CF

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7
Q

nursing role during genetics testing

A
  • collect, report, and record genetics info
  • prenatal screening and testing
  • offer info and resources
  • informed consent
  • care/counseling of families who have lost a child to a genetic condition
  • collect fam hx
  • referral for specialized services
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8
Q

a miscarriage in the 1st trimester is usually due to

A

chromosomal abnormalities

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9
Q

chromosomal abnormalities are a major cause of

A

reproductive loss
congenital problems
gyn disorders

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10
Q

abnormalities of chromosome structure

A

translocation
deletions
inversions

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11
Q

def unifactorial chromosomal abnormality

A
  • a single gene controlling a trait, disorder, or defect
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12
Q

what kind of chromosomal abnormality is more common: unifactorial or multifactorial

A

unifactorial

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13
Q

what is the most common genetic malfx

A

multifactorial

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14
Q

what birth defects are a result of multifactorial genetic malfx

A

cleft lip/palate
neural tube defects
congenital heart disease
pyloric stenosis

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15
Q

what is the avg age of 1st menses

A

13 years old

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16
Q

why is the avg age of menses decreasing

A

environment and food

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17
Q

what is the avg # of days that women bleed for during their period

18
Q

what is the usual amt of blood loss during a period

19
Q

phases of the ovarian cycle

A

follicular phase
ovulation
luteal phase

20
Q

what is the job of FSH

A

causes follicle to grow and be released

21
Q

a maternal egg is only viable for

22
Q

sperm is viable for

A

up to 72 hrs

23
Q

male sperm

A

swim faster but die quicker

24
Q

female sperm

A

swim slower but last longer

25
LH level before ovulation
released/peaks right before ovulation (24 hrs)
26
FSH level before ovulation
incr allows egg to grow and be released
27
FSH level after ovulation
dramatically drops
28
estrogen level before ovulation
rises until ovulation
29
estrogen level following ovulation
- drops if not pregnant--> back to menstual phase | - remains stable/incr if pregnant
30
def corpus luteum
the empty follicle
31
def luteal cyst
an empty follicle fills up with fluid and becomes a cyst
32
what increases the risk of developing luteal cyst?
IUD's
33
phases of the menstrual cycle
menstruation proliferative secretory
34
what occurs during menstruation phase
shedding of the endometrial lining | gradual incr of estrogen and progesterone
35
what occurs during the proliferative phase
- decr in estrogen right before ovulation | - follicles start developing
36
approx what day does ovulation occur
day 14
37
if pregnancy occurs, progesterone will remain high or drop?
remain high
38
def oogenesis
process that produces the female gamete (ovum)
39
how many chromosomes does a gamete contain
23
40
def spermatogenesis
process that produces the male gamete (sperm)
41
how many sperm are there in a single ejac?
200-500 mill