reproductive Health Pt2

Question 1

week four

Answer 1

** heartbeat
Arms and legs buds present
Somites develop – vertebrae
Primary lung buds develop
Eyes and ears begin to form

Question 2

Week six

Answer 2

body straightens
Trachea develops
Nares present
liver – blood cells
Tail recedes

Question 3

week 12

Answer 3

Faced develops, eyelids closed
Tooth budd appear
Genitals differentiated
urine production
**spontaneous movement
Heart tones heard

Question 4

can the mom feel the spontaneous movement week 12?

Answer 4

nope

Question 5

week 20

Answer 5

sub Q fat
Vernix forms
Lanugo over body
**Fetal movement felt
Heart tones

Question 6

week 24

Answer 6

eyes complete
Alveoli begin to form
Finger/toe prints
** viable

Question 7

week, 28

Answer 7

Brain development
Nervous system begins to regulate
Eyelids open
Testes descend
Lungs – gas exchange

Question 8

Week, 36

Answer 8

increased sub Q fat
lanugo disappears

Question 9

Week 38

Answer 9

Term – 37 weeks
skin- smooth and polished
vernix in creases and folds
Head bigger than chest

Question 10

fibrotic breast changes

Answer 10

Thickening of normal breast tissue
Imbalance of estrogen/progesterone

Cyclic pain, tender, mass felt

Mammogram, MRI

Limit caffeine, sodium, oral birth control

Question 11

Endometriosis

Answer 11

presence of endometrial tissue outside of uterine cavity

Backflow of menstrual flow, inflamed, endometrium

Pelvic pain at menses, trouble getting pregnant

Laparoscopy

Surgical removal of tissue, NSAIDS, birth control

Question 12

Polycystic ovarian syndrome

Answer 12

ovaries in large and contain cysts along edge of ovaries

Unknown cause

Irregular menses, increase testosterone and androgen
Hirsutism, deep voice, alopecia

Irregular labs, obesity, insulin resistance

H/P, ultrasound

MetForman, spironolactone

Question 13

Toxic shock syndrome

Answer 13

staph A, tampon left into long

Fever, sunburn rash on trunk, vomiting, hypotension, inflamed, mucous membranes

Increased BUN, AST, ALT, bilirubin
Decreased platelets

Hospitalization, IVF, antibiotics

Question 14

bacterial vaginosis

Answer 14

Decreased normal vaginal flora

Overgrowth of bacteria, douching, frequent sex

Increased, thin, watery, fishy discharge

Vaginal pH greater than 4.5.

Metronidazole, Clindomycin

Question 15

Vaginal candidiasis

Answer 15

yeast infection

Antibiotics, immunosuppression, diabetes, birth control

thick, curdy , discharge, severe itch

Fluconazole, nystatin

Question 16

Trichomoniasis

Answer 16

STI

Yellow/green, discharge, inflammation , itch, dysuria

Visual organism on microscope

Medtronidazole, no TX*

Question 17

Chlamydia

Answer 17

STD

purulent discharge, dysuria, Lower abdominal pain, ASX

Lab culture

Azithromycin

• tested for prenatally

Question 18

Gonorrhea

Answer 18

increased risk of PID

Pertinent green/yellow, dysuria, vulva swelling, ASX

Ceftriaxone plus azithromycin

Question 19

What can happen if the mom is untreated for gonorrhea?

Answer 19

Conjunctivitis and blindness

Question 20

syphilis

Answer 20

Contact with an open wound or acquired congenitally

Canker sores

blood test VDRL/RPR

Penicillin

Question 21

HPV

Answer 21

Genital warts

Biopsy lesion, abnormal Pap smear

Cryotherapy, shave excision, acid removal, vaccines

Question 22

PID

Answer 22

multiple sex partners, IUD, untreated, gonorrhea, or chlamydia

Bilateral sharp cramp pain, ASX

Cultures, CBC, VDRL/RPR

Multiple antibiotics, combos

Question 23

lower, UTI – cystitis

Answer 23

E. coli, enterococcus, staph

Low-grade fever, hematuria, dysuria

Clean catch

Antibiotics

Question 24

upper UTI – pyelonephritis

Answer 24

Proceeds lower UTI

High fever/chills, one-sided flank pain

Labs

IVF, IV antibiotics

Question 25

what is considered primary infertility

Answer 25

Unprotected sex over 12 months with no conception

Question 26

what is considered secondary infertility

Answer 26

Unable to conceive or sustain pregnancy after one or more successful pregnancies

Question 27

infertility meds

Answer 27

helps induce ovulation and more eggs Clomid, progesterone

Question 28

Insemination

Answer 28

donor or husband sperm into cervical os or uterine mechanics used for Motility problems

Question 29

IVF

Answer 29

egg from ovary fertilized in lab, then implanted into uterus after embryo development starts Used for surrogacy, older woman, donor egg, same sex marriage

Question 30

gamete intro fallopian transfer

Answer 30

Egg removed, laparoscopically and placed with sperm fertilized in fallopian tube, egg placed in uterus Used for more normal type of transfer and fertilization Embryo not developed

Question 31

zygote intra fallopian transfer

Answer 31

eggs retrieved and incubated with sperm and back to fallopian tubes once fertilized

Question 32

karyotype

Answer 32

Pictorial view of chromosomes

Question 33

Phenotype

Answer 33

Observable expression of trait Hair, eyecolor

Question 34

autosomal dominant syndrome

Answer 34

Infected person has affected parent 50% chance of passing on to children Examples – Huntington’s disease, dwarfism

Question 35

Autosomal recessive inheritance

Answer 35

affected person has normal parents Those parents are carriers, 25% passing on to children, 50% chance carrier Example- cystic fibrosis