E1 Class Rep health & fam

Question 1

What are the inner folds of skin that protect the opening of the vagina and produce bactericidal secretions?

Answer 1

Labia minora

Question 2

What is the fibromuscular area of the vulva between the anus and vagina that stretches for delivery?

Answer 2

Perineal body

Question 3

When NOT pregnant, the female’s uterus is typically tilted in what direction?

Answer 3

Posterior

Question 4

When pregnant, the female’s uterus is typically tilted in what direction?

Answer 4

Anterior

Question 5

What is the area around the cervix where semen can pool/collect?

Answer 5

Posterior fornix

Question 6

What is the muscular upper portion of the uterus?

Answer 6

Fundus

Question 7

What is the usual site for implantation of the fertilized egg?

Answer 7

Endometrium

Question 8

A 50 year old client has a hx of 4 previous vaginal deliveries of infants >9Ibs. She complains of feeling “fullness” in her vagina. A physical exam reveals a prolapsed uterus. Which ligament is showing a dysfunction?

Answer 8

Cardinal

Question 9

What ligament causes pain when going from lying to sitting position in pregnant women?

Answer 9

Round ligament

Question 10

Where is the egg typically fertilized?

Answer 10

Ampulla

Question 11

What is the narrowest part of the bony pelvis and plays a role in fetal station?

Answer 11

Ischial spines

Question 12

T/F If a women has a breast reduction, she will be unable to unsuccessfully feed her baby.

Answer 12

False

Question 13

A client is not using any contraceptive method but wants to avoid pregnancy. What days are most women fertile during a 28 day cycle?

Answer 13

Days 13-15

Question 14

What is the purpose of the scrotum?

Answer 14

Protect and control temperature of sperm

Question 15

How long are ova fertile?

Answer 15

12-24 hrs

Question 16

How long do sperm live?

Answer 16

48-72 hrs

Question 17

Where does fertilization take place?

Answer 17

Ampulla

Question 18

How many chromosomes from each egg and sperm?

Answer 18

23 egg
23 sperm

Question 19

What supplies nutrients to the baby before the placenta takes over?

Answer 19

Yolk sac

Question 20

Two seperate eggs each fertilized by different sperm is called

Answer 20

Fraternal

Question 21

One egg fertilized by one sperm and then blastocyst divides around 5 days. Fetuses share a chorion but each have their own bag of water?

Answer 21

Identical Mono/Di

Question 22

Fraternal Dichorionic Diamniotic

Answer 22

Sperate placenta
2 Chorions
2 Amnions
2 eggs 2 sperm

Question 23

Idential Dichorionic Diamniotic

Answer 23

Fused placenta
2 Chorions
2 Amnions
1 eggs 1 sperm
Division within 3 days

Question 24

Identical Monochorionic Diamniotic

Answer 24

Single placenta
1 Chorions
2 Amnions
1 eggs 1 sperm
Division within 5 days

Question 25

Identical Monochorionic Monoamniotic

Answer 25

Single placenta 1 Chorions 1 Amnions 1 eggs 1 sperm Division within 8-12 days

Question 26

What risk comes with Monochorionic Monoamniotic twins?

Answer 26

Umbilical cord tangles

Question 27

What risk comes with Monochorionic Diamniotic twins?

Answer 27

One baby may take majority of nutrients leading it to be bigger than its twin

Question 28

Will Diamniotic/ Dichorionic twins have 2 placentas?

Answer 28

Sometimes, depends on when blastocyte divides

Question 29

What does amniotic fluid do?

Answer 29

-cushions fetus & umbilical cord -Helps control temp -Allows fetus to change positions -Promote growth and lung development -Used for analysis of fetal lung maturity

Question 30

After 20 weeks the amniotic fluid is mostly made up of what?

Answer 30

Fecal urine

Question 31

What is Hydramnios and the causes?

Answer 31

Too much amniotic fluid (<2000mL) Causes- congenital disorder, maternal diabetes/high blood glucose

Question 32

What is Oligohydramnios and the causes

Answer 32

Too little fluid Causes- fetal kidneys not functioning, leaking fluid high BP

Question 33

How many veins are in the umbilical cord? arteries?

Answer 33

1 vein 2 arteries

Question 34

What is the special connective tissue that surrounds the umbilical cord?

Answer 34

Wharton's jelly

Question 35

What are the 5 functions of the placenta?

Answer 35

1. Immunologic properties-protect against antibody production 2. Excretion 3. Fetal respirations 4. Production fetal nutrients 5. Production of hormones

Question 36

Describe what the fetal side of the placenta looks like?

Answer 36

bluish color

Question 37

Describe what the maternal side of the placenta looks like?

Answer 37

beefy red

Question 38

The time at which fetal movement begins to be felt by most mothers?

Answer 38

20 weeks

Question 39

Weeks gestation when the heart begins to beat?

Answer 39

4 weeks

Question 40

Weeks gestation when considered "full term"

Answer 40

37 weeks

Question 41

Weeks gestation when viability is considered to begin

Answer 41

24 weeks

Question 42

You are in a grocery store and come upon a hispanic lady who just delivered a baby. The 911 responder ask you the gestational age of the baby. You observe that the baby does not have lanugo and you only see a minimal amount of vernix in the folds of the babys neck. That baby is rooting and crying. How many weeks gestation is the baby?

Answer 42

38 weeks

Question 43

Week 4

Answer 43

Heart begins to beat, arms, legs, eyes, ears form

Question 44

Week 6

Answer 44

Heart begins to circulate blood, liver functioning

Question 45

Week 12

Answer 45

Genitals differentiated, urine produced, FHTs heard with doppler

Question 46

Week 20

Answer 46

fetal movement felt by mother, vernix, lanugo, nails, nipples, subQ fat

Question 47

Week 24

Answer 47

Viability, alveoli form, startle and grasp reflexes present, eyes structurally complete, fingerprints and footprints

Question 48

Week 28

Answer 48

Nervous system regulates and brain develops rapidly, eyes open, lungs provide gas exchange

Question 49

Week 36

Answer 49

Increase in subQ fat, lanugo lessens

Question 50

Week 38

Answer 50

Full term, vernix creases and folds only, skin smooth and polished, head bigger than chest