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Unit 6 - Women's Health - Reproductive Life Cycle
Test 2
46
Nursing
Undergraduate 3
07/18/2014

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Cards

Term
What is Menarche?
Definition
beginning of Menstruation
Term
What are the drugs used during menarche?
Definition
-Pain Control
-Birth Control
Term
What is pregnancy?
Definition
from intercourse to fertilization
Term
How long does it take for the egg to become fertilized?
Definition
Less than 5 hours
Term
What drugs are used during menopause?
Definition
Hormone therapy for symptoms (hotflashes etc.)
Term
What hormone is responsible for maturation of the ovarian follicle?
Definition
Folicle stimulating
Term
What hormone is responsible for luteinization (formation of corpus luteum) of the ruptured follicle?
Definition
Luteinizing hormone
Term
What hormone increases while the follicle is being prepared and made? For what reason?
Definition
Estrogen because it is needed for follicle development and maturation
Term
What hormone increases during luteinization? For what reason?
Definition
Progesterone increases swelling
Term
What causes ovulation to happen?
Definition
A drop in estrogen
Term
What does a rise in estrogen cause?
Definition
Follicles to develop
Term
What are the phases of the 28 day cycle/
Definition
0-2 = Menstrual
3-13 = Proliferation
14 = Ovulation
15-28 = Secretory Phase
Term
Where do follicle stimulating and lutenizing hormones come from?
Definition
Pituitary Gland
Term
What is contraception?
Definition
Any method that prevents conception
Term
What are behavioral methods to contraception?
Definition
Abstinence, fertility awareness, withdrawal, lactational amenorrhea
Term
What are barrier methods to contraception?
Definition
Condom, diaphragm, cervical caps, sponge
Term
What are hormonal methods to contraception?
Definition
oral, injectable, transdermal, vaginal ring, implantable, intrauterine
Term
What are permanent methods to contraception?
Definition
tubal ligation or vasectomy
Term
What are hormonal methods to contraception?
Definition
Vaginal Ring
Oral Contraception (Ortho-Novum)
Emergency oral contraceptive (morning after pill)
Transdermal contraceptive patch
Injectable progestins (Depo-Provera)
Implantable progestin levonorgestrel (Norplant)
Intrauterine device (IUD)
Term
What are surgical methods to contraception?
Definition
Female sterilization (bilateral tubal ligation)
Male sterilization (vasectomy)
Term
A couple reports their condom broke while they were having sexual intercourse last night. What would you advise to prevent pregnancy?
Definition
obtain emergency contraceptives and take them immediately
Term
What is CHC?
Definition
(combined hormone contraception)
Term
What is combined in the CHC?
Definition
usually an estrogen and a progestin (progesterone-like)
Term
How did CHC work?
Definition
The estrogen inhibits ovulation by preventing the formation of the dominant follicle
The Progestin suppresses the LH surge and ovulation is inhibited
Term
What does ACHES stand for?
Definition
Abdominal pain,
Chest pain,
Headaches,
Eye problems,
Sweling and/or aching in the legs and thighs
Term
What are the reasons for contraceptive failure?
Definition
Not following instructions for the contraceptive
Inconsistence
Condom breakage
Use of antibiotics or herbal
Belief that at certain times (i.e. during menstration) you CAN NOT get pregnant
Term
What nursing assessments are r/t contraceptives?
Definition
Introducing the subject
Determining the woman’s understanding
Assessing satisfaction
Assessing appropriate choices
Determine need for informed consent
Term
What nursing interventions are r/t contraceptives?
Definition
Increasing understanding of chosen method
Teaching about other methods
Protecting from sexually transmitted diseases
Including woman’s partner
Ongoing teaching
Term
A 15 year old girl would like to take birth control pills. She is in the 9th grade and knows nothing about the pill. A friend told her she can get cancer from taking it.
Definition
Liberal use of AV aids to explore other methods
How much is she having sex?
Encourage delayed sexual activity or abstenince
Discuss effects of pregnancy
Choose oral contraceptives because they are not messy, safe
Concern: taking pills everyday, does not protect from STD’s, using back up methods: condoms
ASSESS for contraindications (below)
What might be an alternate option for this client? Depo-Provera and condoms
Term
Who are contraceptives contraindicated in?
Definition
Thrombophelbitis, CVA, estrogen cancers, HTN, migraines…VASCULAR issues
SUSPECTED PREGNANCY, smoker, major surgery and prolonged bedrest
Term
A pregnant 35 year old woman with six children asks about a tubal ligation after her baby is born. She states her husband feels strongly that she should have this procedure. She admits that she is not sure if she wants to be sterile.
Definition
What other options are available for her? IUD, OC, Vasectomy….why NOT rhythm?
Must have informed consent
Term
What is menopause?
Definition
1 year without menses
Term
What is the average age of menopause?
Definition
51.4 years old
Term
What is perimenopause?
Definition
2-9 years prior to menopause cessation of menses
Term
What causes menopause?
Definition
Estrogen decreases by 90%
Term
How does low estrogen effect the brain?
Definition
hot flashes, disturbed sleep, mood and memory problems
Term
How does low estrogen effect the heart?
Definition
lower levels of HDL and increased risk of CVD
Term
How does low estrogen effect the skeletal system?
Definition
loss of bone density
Term
How does low estrogen effect the boobs?
Definition
replacement of glandular tissue with fat
Term
How does low estrogen effect the urinary/genitals?
Definition
Vaginal dryness, incontinence, cystitis
Term
How does low estrogen effect the GI tract?
Definition
less absorption of calcium thus fractures
Term
How does low estrogen effect the skin?
Definition
dry, decreased collagen
Term
How does low estrogen effect the shape of the body?
Definition
more abdominal fat; waist and hips equal
Term
What ways can a menopausal woman manage her symptoms?
Definition
-Androgen/Estrogen
-Progestin
-Clonidine
-Neurotin
-Acupuncture
-Propanolol
-Ambien
-Gabapentin
-Venlafiaxine
-Paroxetine
-Vitamin E
-HT (Premarin)
-Calcitonin etc.
Term
What is Estrogen replacement therapy?
Definition
Introduction of Estrogen back into the women's body to handle the side effects of menopause.
Term
Who is EPT contraindicated in?
Definition
Pregnancy
Endometrial cancer
breast cancer
thromboembolitic disoders
acute liver disease
chronic liver impairment
gallbladder or pancreatic disease
CAD
endometriosis
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