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WorksheetsMaternity Exam 2
Total questions: 65
Worksheet time: 1hrs 9mins
Serosal outermost layer composed of peritoneum
Endometrium
Myometrium
Perimetrium
Fallopian tubes
Muscular middle layer - includes the fallopian tubes, Present a unified reaction to various stimuli (ovulation, orgasm, & the deposit of a sperm in vagina)
Endometrium
Myometrium
Perimetrium
Fallopian tubes
Inner mucosal layer. From menarche to menopause, it goes through monthly renewal & degeneration in the absence of pregnancy in response to hormone cycles.
Endometrium
Myometrium
Perimetrium
Fallopian tubes
3 Functions of this reproductive system:
1. Provides transport for the ovum from the ovary to the uterus. Takes 3-4 days
2. Provides a site for fertilization
3. Serves as a warm, moist, nourishing environment for the ovum or zygote (fertilized egg)
Perimetrium
Myometrium
Endometrium
Fallopian Tubes
What is the function of the Longitudinal Muscle (Outer Layer)? See Picture
Prevent back flow of mensural blood into fallopian tubes & dilate cervix during labor/delivery
expel fetus
constrict blood vessels to stop bleeding & prevent hemorrhage
What is the function of Middle Layer? See picture
Prevent backflow of menstrual blood into fallopian tubes & dilate cervix during labor/delivery
expel fetus
constrict blood vessels into stop bleeding & prevent hemorrhage
What is the function of the inner layer? see picture
prevent backflow of menstrual blood into fallopian tubes & dilate cervix during labor /delivery
expel fetus
constrict blood vessels into stop bleeding and prevent hemorrhage
Which hormone Controls development of woman's secondary sex characteristics, maturation of ovarian follicles, causes enlargement of uterus, breasts, breast glandular disuse, increases vascularity and vasodilation, & produces in placenta by 7 wks. gestation
Progesterone
Prostaglandins
Estrogen
Follicular stimulating hormone
Which hormone is secreted by corpus luteum, known as the hormone of pregnancy, maintains pregnancy, and must be present in high levels for implantation which occurs at 7-10 days after ovulation
Estrogen
Progesterone
Follicular Stimulating hormone
Prostaglandins
Which hormone are oxygenated fatty acids produces by cells of endometrium, Group E relaxes smooth muscle (vasodilator) & Group F increases contractility of muscles (Vasoconstrictor)
Estrogen
Follicular Stimulating hormone
progesterone
prostaglandins
primary function is to deposit sperm into the female vagina so fertilization of the ovum can occur
testes
semen
scrotum
penis
protects the testes & sperm by maintaining a temperature lower than body temp & harm
semen
scrotum
penis
testes
has 2 functions:
1. Serves as the site of spermatogenesis
2. Produce testosterone
penis
scrotum
testes
semen
Seminal fluid made of spermatozoa & secretions of all accessory glands. Seminal fluid transport viable & motile sperm to the female. Effective transportation requires adequate nutrients & pH of 7.5
Semen
Penis
Testes
Scrotum
The process by which germ cells (ovum& sperm) are produced, half of the genetic material of typical body cell, haploid number of cells to form full zygote & meiosis occurs
Gametogenesis
Meiosis
Mitosis
Chromosomes
Reduction cell division- happens only in reproductive cell & results in the formation of sperm (gametes) & oocytes (ova). Creates two cells that contain half the genetic material of the parent cell.
Mitosis
Meiosis
oogenesis
gametogenesis
Occurs with somatic (tissue) cells of the body, allowing for new cells. Division of cells results in 2 daughter cells genetically identical to the original cell.
Mitosis
Meiosis
Gametogenesis
Oogenesis
one of two processes a sperm must undergo before fertilization can occur. Its the removal of plasma membrane & glycoprotein coat overlaying the spermatozoa's acrosomal area & the loss of seminal plasma proteins
Capacitation
Acrosomal Reaction
Cortical reaction
antepartum
the caps of the sperm surrounding the ovum release their enzymes & thus break down the hyaluronic acid that holds elongated cells of the corona radiata (outer layer of ovum)
capacitation
cortical reaction
antepartum
acrosomal reaction
Cellular change medicated by release of materials from the cortical granules, organelles found just below the ovum's surface at the moment of penetration by fertilizing sperm
Cortical reaction
Acrosomal reaction
capacitation
antepartum
What happens after fertilization takes places - as soon as implantation (Nidation) has occurred?
Pregnancy test will be negative
The sex has not been determined yet
The fertilized egg begins to secrete hCG
The lining of the uterus thins out
What are some of the amniotic fluids function? (Select all that apply)
acts as a cushion to protect the fetus
helps control temp. of embryo/fetus
allows umbilical cord to be free of compression
acts as extension of fetal extracellular space
TRUE or FALSE:
Fraternal twins share the same placenta?
(a)
At how many weeks does the embryo become a fetus?
at 3 weeks
at 5 weeks
at 9 weeks
at 12 weeks
The somatic cells contain how many chromosomes which is known as the diploid number?
1 chromosome
15 chromosomes
45 chromosomes
46 chromosomes
How many autosomes (non-sex chromosomes) are there excluding the 1 sex chromosome from each parent?
20
22
30
35
Pictorial analysis of an individuals chromosomes
Homozygous
Heterozygous
Karyotype
Gametes
a. 21 (Downs syndrome)
b. 13 & 18 - Not compatible with life. Usually die within the first 3 months
These two Chromosome abnormalities are known as what?
Polyploidies
Trisomies
Monosomies
Mosaicism
What 2 syndromes are are part of the Monosomies? (Select all that apply)
Down's Syndrome
Turner Syndrome
XXXY - Klinefelter
Rett syndrome
No intellectual impairment. Facial & trunk abnormal features, underdeveloped secondary sex characteristics, amenorrhea, infertility, coacrtation of the aorta, renal anomalies
Turner Syndrome
13 & 18
Downs Syndrome
XXY- Klinefelter Syndrome
Which Syndrome includes: ADHD, autism, gynecomastia, infertility (underdeveloped secondary sex characteristics)
XXY- Klinefelter Syndrome
Downs Syndrome
Turner Syndrome
Rett Syndrome
Happens after fertilization. Tends to be more common in sex chromosomes- is an error in Mitosis
Mosaicism
Trisomies
Polypeptides
Karyotype
TRUE or FALSE: Huntington disease, Myotonic dystrophy and Fragile X syndrome are considered X-Linked Inheritance?
(a)
TRUE or FALSE:
If a male is either X- Linked Recessive or Dominnant Inheritance disorder, he can not pass the inheritance to his son, BUT can pass it on to his daughter?
(a)
Which inheritance disorder is the most rare?
Autosomal Dominant Inheritance
Autosomal Recessive Inheritance
X-Linked Recessive Inheritance
X- Linked Dominant Inheritance
Congenital malformation generally caused by an interaction of many genes & environmental factors is known as what?
X-Linked Dominant Inheritance
Multifactorial Inheritance
X-Linked Recessive Inheritance
Trinucleotide
What are some signs of Multifactorial Inheritance? (Select All that Apply)
Cleft palate, heart defect, spina bifida
ADHD, autism, gynecomastia, infertility
dislocated hips, clubfoot, pyloric stenosis
coarction of aorta, renal anomalies, underdeveloped sex characteristics
A diagnostic test that is done at 16-20 weeks, and can measure the thickness of tissue behind the neck that may indicate down syndrome or other genetic disorder
Maternal serum Screening
Genetic Ultrasound
Genetic Amniocentesis
MRI
What test measures specific hormones and proteins that determines the risk for Downs syndrome, trisomy 18 or open spina bifida
Genetic Ultrasound
Maternal Serum Screening
Genetic Amniocentesis
Blood test
A major method of prenatal diagnosis. Some indications include: maternal age 35 or older, Chromosomal abnormality, family history or neural tube defects
Genetic Amniocentesis
Maternal Serum Screening
Genetic Ultrasound
Blood Draw
What is considered false labor contractions
Eccentric Contractions
Isometric Contractions
Concentric Contraction
Braxton Hicks
Secretes a thick, tenacious mucus, which accumulates and thickens to form and seals the endocervical canal and prevents the ascent of bacteria or other substances into the uterus
Chadwick Sign
Placenta
Mucous Plug
Antepartum
The gravid uterus compresses the vena cava when the woman's is supine. This reduces the blood flow returning to the heart and may cause maternal hypotension
physiologic anemia of pregnancy
Chadwick sign
Orthostatic hypotension
Vena Cava Syndrome
TRUE or FALSE: Lordosis increases with pregnancy
(a)
Time between conception and onset of labor
postpartum
Gestation
Antepartum
Intrapartum
Time from onset of labor until birth of infant and placenta
Antepartum
Intrapartum
Gestation
Gravida
Time from birth until woman's body returns to prepregnant condition
Antepartum
Nulligravida
Gestation
Postpartum
Number of weeks since first day of of LMP (last menstrual period)
Gestation
postpartum
multigravida
Gravida
Labor after 30 weeks but before completion of 37 weeks of gestation
Preterm
Post term
antepartum
gravida
Labor after 42 weeks gestation
postpartum
pre term
Post term
Nulligravida
any pregnancy, including present
term
Gravida
gestation
nulligravida
Woman who has never been pregnant before
preterm
gravida
nulligravida
intrapartum
Woman in second or more pregnancy
Multigravida
gravida
postpartum
post term
What are some appropriate Initial Prenatal Assessment? (Select all that apply)
focus on woman holistically
prepare woman for physical exam
perform a cultural assessment, education, support systems, stable living conditions
Have the mother drink plenty of water
How do you determine a woman's due date? (Select all that apply)
Nagele's Rule
Early Ultrasound
EDB Wheel
MRI of the abdomen
How does Nageles rule determine a woman's estimated due date?
Count 10 months from first of LMP
Count 9 months from first day LMP
First day of LMP:
3 months + 7 days
Last day of LMP:
1 month + 5 days
For a normal pregnancy, how many weeks is considered full gestation?
40 weeks
43 weeks
37 weeks
36 weeks
TRUE or FALSE: Quickening is one assessment of fetal development?
(a)
When does a fetal heartbeat begin?
5 -9 weeks gestation
10-12 weeks gestation
1st week of gestation
15-20 weeks gestation
What are some signs of preterm? (Select all that apply)
Uterine contractions
painful like menstrual cramps
Leaking of water from vagina
Low backache
What are some discomforts of First Trimester? (Select all that apply)
hemorrhoids, constipation
Ankle edema, heartburn, varicose veins
Nausea, fatigue, breast tenderness
increased vaginal discharge, frequency urinating
What are some discomforts of the 2nd & 3rd trimester? (Select all that apply)
heartburn, constipation, flatulence (gas)
Ankle edema, varicose veins
backache, hemorrhoids
breast tenderness, nasal stuffiness, increased vaginal discharge
Which immunizations should a pregnant mother avoid? (Select all that apply)
Hepatitis B
Tdap
Varicella
Rubella (MMR) vaccine
TURE or FALSE: Caffeine is considered a teratogenic Substance
(a)
TRUE or FALSE: Subjective = Presumptive changes & Objective = Probable Change
(a)
