COMPREHENSIVE OB NURSING EXAM
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,cultural influences on family adaption : pain management no meds allowed
cultural influences on family adaption : birth position specific culture positons
cultural influences on family adaption : traditional rituals postpartum
issues in pregnacy teen pregnancy
obesity
health disparties
education issues
tobacco and cig use
substance abuse
perinatal mood disorders
sexual devlopment genetic sex is determined at conception
reproductive organs are similar the first 6 weeks (difference at 12 weeks)
sex glands are inactive during infancy and childhood
gametes primary reproductive gland that produces reproductive cells
secondary sex characteristics puberty occurs in orderly sequence
anterior pitutary secretes FSH and LH = gametes mature when this increases
ovaries female gonads
estrogen and progestrone
testes testosterone
ampulla fertilization of ovum and takes place in fallopian tube
,mon pubis fleshy promainence over symphysis pubis
labia minora and majora 2 round fleshy fold of tissue that extend from mons to perinum
clitoris small projection at anterior junction of 2 labia minora
vestibule structure enclosed by labia minora
perineum most posterior part of external female organ
vagina tube of muscular/membraneous tissue
vagina function discharge of menstral flow
female organ of coitus
allow passage for fetus
uterus grow to fit body
uterus: corpus main body = implantation
uterus: isthmus between corpus and cervix
uterus: cervix lowest part (thin and expands)
uterus layer: perimetrum outer layer
uterus layer: myometrium middle layer
uterus layer: endometrium inner layer
fallopian tube pathway of ovum between ovary and uterus
bony pelvis basin shape structure at lower end of spine
, ovarian and endometrial cycle reflects the changes in the ovaries and uterine endometrium
driven by feedback loop between the anterior pitutary
- duration = 28 days
- range = 20-45 days
ovarian cycle responds to GnRH
hormone changes help with release of egg
follicular phase day 1-14
hormones overload! GnRH, FSH and LH are released and with the help of
increased estrogen (makes endo thick) it helps start ovulation phase by the
hormone stimulating the follicle within the ovaries
mature of follicle
1st day of menses
estrogen increases
endometrium begins to thicken
ovulatory phase day 14
ovaries release egg into uterus and endo THICKENS to help support new egg
middle of cycle
mature folicle ruptures
egg released from ovary
egg picked up from fimbrae of fallopian tube
luteal phase day 15-28
tiny eggs float away from ovary and goes into the fallopian tube.
the empty follicle gets broken down into corpus lutem which then secretes
estrogen and progesterone to help thicken the endo as much as it can to house
the baby
after ovulation
remaining follicle becomes corpus luteum
corpus leuteum secretes estrogen+ progestrone
prepare uterus for pregnancy
no fertilization corpus letum break down
estrogen and progestrone decreases
menstration begins
increase FSH and LH new cycle begins