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MODULE 1 PART 1 REVIEW OF REPRODUCTIVE ANATOMY AND PHYSIOLOGY. . REVIEWREPRODUCTIVE A
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1. MATERNAL NEWBORN NURSING REVIEW OF REPRODUCTIVE A&P, FETAL CONCEPTION AND DEVELOPMENT
ANTEPARTUM TERMINOLOGY
ANTEPARTUM ASSESSMENT
PHYSIOLOGICAL CHANGES IN PREGNANCY
PSYCHO-SOCIAL CHANGES IN PREGNANCY
MATERNAL NUTRITION
ASSESSMENT OF FETAL WELL BEING
2. MODULE 1 PART 1 REVIEW OF REPRODUCTIVE ANATOMY AND PHYSIOLOGY
3. REVIEW
REPRODUCTIVE A&P, FETAL CONCEPTION & DEVELOPMENT—REVIEW BEFORE CLASS I MEETING
THIS WILL NOT BE COVERED IN THIS CLASS
PLEASE ANSWER THE QUESTIONS AT THE END OF THE REVIEW
4. Review of Reproductive A&P External Genitals
Internal Reproductive Organs
Vagina
Uterus
Uterine corpus
Cervix
Uterine ligaments
Fallopian Tubes
Ovaries
8. REVIEW OF REPRODUCTIVE A&P UTERINE LIGAMENTS
ROUND LIGAMENTS
OVARIAN LIGAMENTS
CARDINAL LIGAMENTS
INFUNDIBULOPELVIC LIGAMENT
UTEROSACRAL LIGAMENT
13. MODULE 1 PART 2 REVIEW OF REPRODUCTIVE A & P
14. PELVIC STRUCTURE
Innominate bones
ILIUM
ILIAC CREST
ISCHIUM
ISCHIAL TUBEROSITY
ISCHIAL SPINES
PUBIS
SYMPHYSIS PUBIS
Sacrum
SACRAL PROMOTORY, SACROILIAC JOINTS
Coccyx
15. REVIEW OF REPRODUCTIVE A&P PELVIC DIVISION
TRUE PELVIS
INLET
PELVIC CAVITY
OUTLET
19. REVIEW OF REPRODUCTIVE A&P PELVIC DIAPHRAGM
LEVATOR ANI
COCCYGEAL MUSCLES
DEEP FASCIA
PELVIC FLOOR MUSCLES
LEVATOR ANI
ILLIOCOCCYGEUS
PUBOCOCCYGEUS, COCCYGEUS
PUBORECTALIS, PUBORECTALIS
PUBOVAGINALIS
21. REVIEW OF REPRODUCTIVE A&P BREASTS
NIPPLE
AREOLA
TUBERCLES OF MONTGOMERY
LACTIFEROUS DUCTS
ADIPOSE, GLANDULAR, FIBROUS TISSUE
COOPER’S LIGAMENTS
23. MODULE 1 PART 3 CONCEPTION
24. MATURATION OF OVARIAN FOLLICLE
OVULATION
CORPUS LUTEUM
NEUROHUMORAL RESPONSE
HYPOTHALMUS RELEASES GONADATROPIN-RELEASING HORMONE TO PITUITARY FROM RESPONES FROM CNS
ANTERIOR PITUITARY THEN SECRETES FSH AND LH
25. FEMALE REPRODUCTIVE CYCLE
OVARIAN CYCLE
FOLLICULAR PHASE
LUTEAL PHASE
FEMALE HORMONES
ESTROGEN
PROGESTERONE
PROSTAGLANDINS
UTERINE CYCLE (MENSTRUAL)
28. REVIEW OF CONCEPTION AND FETAL DEVELOPMENT CELLULAR DIVISION
MITOSIS
MEIOSIS
OOGENESIS
SPERMATOGENESIS
PRE-FERTILIZATION
CAPACIATION
ACROSOMAL REACTION
FERTILIZATION
29. PREEMBRYONIC STAGE
CELLULAR MULTIPLICATION
CLEAVAGE
MORULA
BLASTOCYST
TROPHOBLAST
IMPLANTATION
CHANGES IN ENDOMETRIUM
DECIDUA CAPSULARIS
DECIDUA BASALIS
DICIDUA VERA
34. MODULE 1 PART 4 REVIEW OF CONCEPTION AND FETAL DEVELOPMENT
35. CELLULAR DIFFERENTIATION
THREE PRIMARY GERM LAYERS
ECTODERM
MESODERM
ENDODERM
EMBRYONIC MEMBRANES
AMNION
CHORION
AMNIOTIC SAC
36. REVIEW FETAL DEVELOPMENT AMNIOTIC FLUID
UMBILICAL CORD
PLACENTA
37. REVIEW OF FETAL DEVELOPMENT EMBRYONIC AND FETAL DEVELOPMENT
EMBRYONIC STAGE—DAY 15 T0 8TH WEEK
FETAL STAGE—8TH WEEK TO BIRTH
44. MODULE 1 PART 5 REVIEW QUESTIONS
45. REVIEW QUESTIONS WHAT IS THE SIGNIFICANCE OF THE ENDOMETRIAL (MUCOSAL) LAYER OF THE UTERUS?
THE UTERUS IS MADE UP OF WHAT TYPE OF MUSCLE?
ESTROGEN IS SECRETED BY THE_______?
PROGESTERONE IS SECRETED BY THE_______?
WHAT IS THE FUNCTION OF LSH AND FH?
DESCRIBE MEIOSIS.
46. REVIEW QUESTIONS WHERE DOES FERTILIZATION OCCUR?
THE BLASTOCYST DEVELOPS INTO THE ______.
THE TROPHOBLAST DEVELOPS INTO THE ____.
THE PLACENTA DEVELOPS FROM THE ______.
WHICH SYSTEMS/STRUCTURES DEVELOP FROM THE MESODERM LAYER?
47. NAME THREE FACTORS THAT AFFECT FETAL DEVELOPMENT.
WHAT IS THE ROLE OF THE BROAD AND ROUND LIGAMENTS?
WHAT IS THE UPPER PORTION OF THE UTERUS CALLED?
WHATS CHANGES OCCUR IN THE FUNCTION OF THE OVARIES AT ABOUT THE 12- 14TH WEEK OF PREGNANCY?
48. MODULE 1 PART 6A PHYSIOLOGICAL CHANGES IN PREGNANCY
49. PHYSIOLOGICAL CHANGES IN PREGNANCY
50. REPRODUCTIVE SYSTEM
PLACENTA
AMNION
CHORION
UMBILICAL CORD
AMNIOTIC FLUID
51. REPRODUCTIVE SYSTEM
PLACENTAL FUNCTION
METABOLIC
TRANSPORT
ENDOCRINE
52. REPRODUCTIVE SYSTEM OVARIES
STOP PRODUCING OVA. CORPUS LUTEUM IS ACTIVE 10-12 WEEKS INTO PREGNANCY TO PRODUCE ESTROGEN AND PROGESTERONE. THEN WHAT HAPPENS?
BREASTS
INCREASED VASCULARITY AND SIZE
HYPERTROPHY OF MAMMARY AVEOLI
BECOME MORE NODULAR; NIPPLES ENLARGE
PIGMENTATION OF AREOLA; COLUSTRUM
53. REPRODUCTIVE SYSTEM
UTERUS
INCREASE IN SIZE, WEIGHT, AND VOLUME CAPACITY
FIBROUS TISSUE INCREASES
INCREASE IN BLOOD FLOW
CERVIX
GOODALL’S SIGN, CHADWICK’S SIGN
DEVELOPMENT OF MUCOS PLUG
54. REPRODUCTIVE SYSTEM
VAGINA
MUCOSA THICKENS
INCREASE IN SECRETIONS
LOOSENING OF CONNECTIVE TISSUE—WHY?
55. RESPIRATORY SYSTEM
O2 CONSUMPTION INCREASES
SUBCOSTAL ANGLE AND A/P DIAMETER INCREASE
BREATHING CHANGES FROM ABDOMINAL TO THORACIC
NASAL STUFFINESS AND EPITAXIS
INCREASED VACULARITY
DIAPHRAGM ELEVATES
56. CARDIOVASCULAR SYSTEM
BLOOD VOLUME INCREASES 40%-50%
PHYSIOLOGIC ANEMIA—WHY?
DECREASE IN SYSTEMIC AND PULMONARY RESISTANCE IN THIRD SEMESTER—DUE TO ACCOMODATION OF HIGHER VASCULAR VOLUMES
INCREASE IN CARDIAC OUTPUT, PULSE (10-15 BPM)
57. MUSCULOSKELETAL SYSTEM
PELVIC JOINTS RELAX—INFLUENCED BY RELAXIN
CENTER OF GRAVITY CHANGES—LORDOSIS, GAIT
SEPARATION OF RECTUS ABDOMINUS
METABOLISM
EXTRA WATER, FAT, AND PROTEIN STORED
FATS ARE MORE COMPLETELY ABSORBED
BMR INCREASE (CAN BE UP TO 25%)
59. MODULE 1 PART 6B PHYSIOLOGICAL CHANGES IN PREGNANCY
60. GASTRONTESTINAL
SMOOTH MUSCLE RELAXATION—RELATED TO PROGESTERONE INFLUENCE
NAUSEA AND VOMITING, HEARTBURN
SOFTENING AND BLEEDING OF GUMS
INCREASE IN SALIVA
CONSTIPATION
GALLSTONES
HEMORRHOIDS
61. RENAL
PRESSURE ON BLADDER CAUSES FREQUENCY—IN WHICH TRIMESTER AND WHY?
DILATATION OF KIDNEYS, URETERS ELONGATE
INCREASED GFR, CREATININE CLEARANCE AND RENAL PLASMA FLOW
GYCOSURIA MAY OCCUR
THE GFR INCREASES—WHY?
62. INTEGUMENTARY
HYPERPIGMENTATION
STRIAE
CHLOASMA (MELASMA)
VASCULAR SPIDER NEVI
DECREASED HAIR GROWTH
HYPERACTIVE SWEAT AND SEBACEOUS GLANDS
63. ENDOCRINE SYSTEM
THYROID—T4 AND BMR INCREASE (25% BY TERM), TSH DECREASES
PITUITARY—FSH AND LH SUPPRESSED, SECRETION OF PROLACTIN, OXYTOCIN, AND VASOPRESSION
PANCREAS—INSULIN PRODUCTION INCREASE
TO COMPENSATE FOR PLACENTAL HORMONE INSULIN ANTAGONISTS
64. ENDOCRINE SYSTEM
THYROID—GLAND ENLARGES, INCREASED IODINE METABOLISM, INCREASED VASCULARITY
CONCENTRATION OF PARATHYROID HORMONE INCREASES—WHY IS THIS SIGNIFICANT?
INCREASED ALDOSTERONE
ADRENALS—LITTLE CHANGE
65. ENDOCRINE SYSTEM
ESTROGEN
RESPONSIBLE FOR DEVELOPMENT OF FEMALE SEX CHARACTERISTICS
CAUSES MYOMETRIAL CONTRACTILITY
CAUSES UTERUS TO INCREASE IN SIZE
READIES ENDOMETRIAL MUCOSA FOR IMPLANTATION
DEVELOPS DUCTAL SYSTEM IN BREASTS
EXCRETED PRIMARILY BY THE ______. DURING PREGNANCY
66. ENDOCRINE SYSTEM
hCG--(HUMAN CHORIOGONADATROPIC HORMONE)--STIMULATES PROGERTERONE AND ESTROGEN TO MAINTAIN PREGNANCY
hPL—(HUMAN PLACENTAL LACTOGEN)—DECREASES MATERNAL METABOLISM FOR GLUCOSE (INSULIN ANTAGONIST)
PROSTGLANDINS
67. ENDOCRINE SYSTEM
PROGESTERONE
CALLED THE “HORMONE OF PREGNANCY”
DECREASES CONTRACTILITY OF MYOMETRIUM SO EGG CAN IMPLANT
MAINTAINS ENDOMETRIUM; INHIBITS UTERINE CONTRACTILITY
PRODUCES APPROPRIATE NUTIENTS FOR DEVELOPING BLASTCYST
PREPARES BREAST FOR LACTATION
68. ENDOCRINE SYSTEM
RELAXIN
DECREASES UTERINE CONTRACTILITY
SOFTENS CERVIX
SOFTENS JOINTS
REMODELS COLLAGEN
69. MODULE 1 PART 7 PSYCHOLOGICAL CHANGES IN PREGNANCY
70. MODULE 1 PART 8 ANTEPARTUM TERMINOLOGY
71. GESTATION
ANTEPARTUM
INTRAPARTUM
POSTPARTUM
PRETERM LABOR
POSTTERM LABOR
72. GRAVIDA
NULLIGRAVIDA
PRIMIGRAVIDA
MULTIGRAVIDA
73. PARA
NULLIPARA
PRIMIPARA
MULTIPARA
74. TPAL
T--NUMBER OF TERM PREGNANCIES
P--NUMBER OF BIRTHS AFTER 20 WEEKS
A—NUMBER OF ABORTIONS
L—NUMBER OF LIVING CHILDREN
76. G/TPAL EXERCISES G T P A L
G3 1 2 0 1
G2 0 3 1 3
G5 2 1 3 3
G2 0 5 0 3
77. MODULE 1 PART 9AANTEPARTUM PHYSICAL AND PSYCHO-SOCIAL ASSESSMENT
78. ANTEPARTUM PHYSICAL AND PSYCHOSOCIAL ASSESSMENT
79. CULTURAL BELIEFS AND PRACTICE ASSESSMENT IN ANTEPARTUM PERIOD HOME REMEDIES
NUTRITION
ALTERNATIVE HEALTH CARE PROVIDERS
FAMILY SUPPORT
EXERCISE
SPIRITUALITY
80. CULTURAL CONSIDERATIONS/ASSESSMENT IN ANTEPARTUM PERIOD VIEW OF PREGNANCY
SELF CARE PRACTICES
PAIN
CHILDBIRTH PRACTICES
CARE OF THE NEWBORN
POST PARTUM
82. MOTHER’S RESPONSE TO PREGNANCY AMBIVALENCE
ACCEPTANCE
INTROVERSION
MOOD SWINGS
FEAR
CHANGES IN BODY IMAGE
83. FATHER’S RESPONSE TO PREGNANCY CONFUSED BY PARTNER’S MOOD SWINGS
FEELS LEFT OUT
RESENTS ATTENTION GIVEN YO THE WOMAN
RESENTS CHANGES IN THEIR RELATIONSHIP
NEEDS TO RESOLVE CONFLICTS ABOUT FATHERING
COUVADE
84. SIGNS OF PREGNANCY SUBJECTIVE (PRESUMPTIVE)
OBJECTIVE (PROBABLE)
DIAGNOSTIC (POSITIVE)
85. DUE DATE EDD, EDC, EDB
NAEGLE’S RULE—SUBTRACT 3 MONTHS FROM FIRST DAY OF LAST MENSTRUAL PERIOD AND ADD 7 DAYS
EXAMPLE: LMP OCT. 12—EDB---JULY 19
86. CLIENT PROFILE CURRENT PREGNANCY
PAST PREGNANCY
CURRENT MEDICAL/SUGICAL HISTORY
GYN HISTORY
FAMILY MEDICAL HISTORY
RELIGIOUS, SPIRITUAL, CULTURAL HISTORY
OCCUPATIONAL HISTORY
PERSONAL INFORMATION—(PSYCHOSOCIAL)
87. ANTEPARTUM RISK FACTORS FACTORS RELATED TO:
ECONOMICS
ENVIRONMENT
CURRENT HEALTH STATUS/PRACTICES
AGE
NUTRITION
CHILDBIRTH HISTORY
SOCIAL ISSUES
PYSCHOLOGICAL STATUS
88. PSYCHO-SOCIAL ANTEPARTUM ASSESSMENT CULTURE
PSYCHOLOGIC STATUS
EDUCATIONAL NEEDS
SUPPORT SYSTEMS
FUNCTIONING OF FAMILY
ECONOMIC STATUS
ENVIRONMENT
89. CRITICAL THINKING
IN WHAT SYSTEMS/AREAS WOULD YOU EXPECT TO SEE DEVIATIONSAND/OR ALTERATIONS FROM EXPECTED FINDINGS IN THE PHYSICAL ASSESSMENT?
WHAT DEVIATIONS/ALTERATIONS MIGHT YOU OBSERVE?
90. MODULE 1 PART 9B ANTEPARTUM PHYSICAL AND PSYCHOSOCIAL ASSESSMENT
91. ANTEPARTUM PHYSICAL ASSESSMENT VS UTERUS
SKIN EXTERNAL GENITALS
MOUTH, EARS, NECK CERVIX, VAGINA
CHEST AND LUNGS ANUS AND RECTUM
BREASTS LAB EVALUATION
HEART
ABDOMEN
EXTREMITIES
REFLEXES
SPINE
92. MATERNAL NUTRITION AVERAGE WEIGHT GAIN
PATTERN OF WEIGHT GAIN
NUTRITIONAL REQUIREMENTS
CALORIES
PROTEIN
93. MATERNAL NUTRITION FAT
CARBS
VITAMINS
MINERALS
CULTURAL CONSIDERATIONS
94. MATERNAL NUTRITION VEGETARIANISM
LACTOSE DEFICIENCY
EATING DISORDERS
PICA
ADOLESCENT
WHAT TEACHING WOULD YOU DO FOR THESE ALTERATIONS/ CHANGES IN NUTRITION?
97. LAB EVALUATIONS INITIAL ANTEPARTUM VISIT SCREENING TESTS
CBC
ABO AND Rh TYPING
WBC WITH DIFFERENTIAL
FIRST TRIMESTER ANEUPLOIDY
STD SCREENING, HIV
GLUCOSE
RUBELLA TITER
HEPATITS B
SICKLE CELL
PAP SMEAR
98. ANTEPARTUM ASSESSMENTFETAL DEVELOPMENT FUNDAL HEIGHT
QUICKENING
FETAL HEART RATE
ULTRASOUND
102. MODULE 1 PART 10 ASSESSMENT OF FETAL WELL BEING
103. FETAL ACTIVITY
ULTRASOUND
TRANSABDOMINAL
TRANSVAGINAL
NUCAL TRANSLUCENCY TESTING (NTT)
DOPPLER BLOOD FLOW STUDIES
104. AMNIOCENTESIS (AMNIOTIC FLUID ANALYSIS)
EVALUATION OF FETAL HEALTH
EVALUATION OF LUNG MATURITY
CHORIONIC VILLI SAMPLING (CVS)
WHAT IS THE ADVANTAGE OF THE CVS?
105. TERATOGENESIS MEDICATIONS MATERNAL: NUTRITION VIRUS
ALCOHOL RADIATION
COCAINE TOBACCO
HYPERTHERMIA
CAFFEINE
MARIJUANA
106. MODULE 1 PART 11 DANGERS/DISCOMFORTS IN PREGNANCY
107. DANGER SIGNS OF PREGNANCY VAGINAL BLEEDING
LEAKAGE OF FLUID FROM VAGINA
ABDOMINAL PAIN
TEMP > 101
DIZZINESS, BLURRING OF VISION
SEVERE HEADACHE
EDEMA OF HANDS, FACE, FEET
108. DANGER SIGNS OF PREGNANCY PERSISTENT VOMITING
MUSCULAR IRRITABILITY
EPIGASTRIC PAIN
OLIGURIA
DYSURIA
ABSENCE OF FETAL MOVEMENT
109. DISCOMFORTS OF PREGNANCY FIRST TRIMESTER
NAUSEA AND VOMITING
URINARY FREQUENCY
FATIGUE
BREAST TENDERNESS
110. DISCOMFORTS OF PREGNANCY INCREASED VAGINAL DISCHARGE
NASAL STUFFINESS & EPITAXIS
PTYALISM
111. DISCOMFORTS OF PREGNANCY SECOND & THIRD TRIMESTER
HEARTBURN
ANKLE EDEMA
VARICOSE VEINS
HEMORRHOIDS
112. DISCOMFORTS OF PREGNANCY CONSTIPATION
BACKACHE
LEG CRAMPS
FAINTNESS
113. DISCOMFORTS OF PREGNANCY DYSPNEA
FLATULENCE
CARPAL TUNNEL SYNDROME
DIFFICULTY SLEEPING
ROUND LIGAMENT PAIN
114. DISCOMFORTS OF PREGNANCY DETERMINE WHICH SYSTEM IS RESPONSIBLE FOR EACH OF THE DISCOMFORTS OF PREGNANCY.
EXPLAIN HOW THE PHYSIOLOGICAL CHANGES THAT OCCUR IN EACH SYSTEM DURING PREGNANCY CAN BE RESPONSIBLE FOR THE DISCOMFORTS.
115. VS
WEIGHT GAIN
EDEMA
UTERINE SIZE
FETAL HEART RATE
LAB EVALUATION--
116. SUBSEQUENT LAB EVALUATION HEMOGLOBIN
QUAD MARKER (15-20 WEEKS)
INDIRECT COOMBS
50 G 1 HOUR GLUCOSE SCREEN
URINALYSIS—GYCOSURIA, PROTEINURIA
GROUP B STREP SCREENING (35-37 WEEKS)
117. SELF CARE PROMOTION BATHING
EMPLOYMENT
TRAVEL
ACTIVITY, REST
FETAL ACTIVITY MONITORING
BREAST CARE
CLOTHING
BATHING
118. SELF CARE PROMOTION DENTAL CARE
IMMUNIZATIONS
SEXUAL ACTIVITY
COMPLEMENTARY & ALTERNATIVE THERAPIES
ABSTINENCE FROM ALCOHOL, TOBACCO, DRUGS
PSYCHO-SOCIALSUPPORT