nclex reproduction

55 terms by prudkin 

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nclex reproduction

leutinizing hormone LH

this hormone transforms follicle into corpus luteum which maintains pregnancy by producing progesterone

follicle stimulating hormone FSH

hormone influences ovum to mature via mieosis in ovaries

estrogen and progesterone

two hormones ovaries produces in pregnant and non pregnant women

sloughing off myometrium

menstruation occurs when ovum is not fertilized and corpus luteum disintegrates as progesterone and estrogen drop in last week of menstration causing this

one year of amennorhea

menopause is characterized by this __ and occurs on average at age 50

14% body fat or more

what % of female body fat is needed to support ovulation because estrogen is stored in body fat. If less than this % will result in irregular menses or amenorrhea.

estrogen

hormone produced by ovaries during ovulation, peaks in follicular stage of mensturation and inhibits FSH and LH

progesterone

hormone secreted by corpus luteum, peaks during luteal phase stimulates FSH and LH secretion

LH peaks

what hormone peaks at 10-12 hours during ovulation

cigarette smokers

cilia in fallopian tubes which propel ovum toward sperm have decreased motility in women who do this.

low sperm counts

Males who drink, smoke pot, cocaine, tight clothes sit in saunas, varicocele, increased scrotol temperatures causes this to sperm counts

varicocele

widening of the scrotal veins causing low sperm counts

increased body temperature of 0.5 or 1* F

body temperature does this which indicates ovulation and maintains until mensturation

fertility awareness

this is the process for women to check BBT (basal body temperature) and cervical mucus changes to detect ovulation

lack of progesterone

obtaining a endometrial biopsy to check for luteal phase defect or this __ for the reason of infertility

vasovagal response

after indeometrial biopsy must warn client of vaginal bleeding and sudden fainting caused by hypotension induced by this

hysterosalpingogram HSG

this test detects uterine anomalies with iodine based radiopaque dye instilled via catheter into uterus and tubes to outline durign xrays

laparoscopy

surgery with general or epidural anesthesia, three puncture approach used to introduce instruments into abdomen inflated with CO2 to view pelvic structures or surgery

hormonal therapy

therapy to induce ovulation in vitro fertilization

sub q or IM injections

what does the couple need to be taught for hormonal therapy for fertility

multiple births, ovarian hyperstimulation, enlarged ovary, abdominal distention, pain, and ovarian cysts

what are some complications for ovulation induction

clomid, serophene, clomiphene citrate

name three meds for induction of ovulation

artificial insemination

sperm washing, intrauterine insemination are both these

within 3 hours

sperm is collected within this time frame and then inserted into uterus via artificial insemination

returned to uterus in 2-3 days

how long does the four eggs returned to uterus after sperm is introduced for in vitro fertilization

synthetic FSH

what type of hormone injections are given sub q to stimulate ova production 5-6 days prior to in vitro fertilization

limit activity for 24 hours

what is told to client after egg retrival of invitro fetilization and after embryo placement

progesterone supplement

what is prescribed to invitro fertilization

ultra sound guided

what equipment is used in vitro fertilization to embryos

family planning

the goal of this __ is to assist in reproductive decision, pregnancy prevention, limit # of children, space between children, or voluntary interruption of pregnancy

least reliable contraceptive method

coitus interruptus (withdrawal) where the pull out to prevent pregnancy is ___ reliable

avoid intercourse when temperature drop and 3 days during ovulation

check BBT basal body temperature for these temperature variances to prevent pregnancy

BBT and cervical mucus

what are primary indicators of ovulation

toxic shock

if a diaphragm is used remove it within 24 hour period to decrease risk of this

oil base lubricants

what type of lube is avoided for diaphragm use

UTI and hx of toxic shock syndrome

what are some contraindications of diaphragm use

avoid during menses

when do you avoid diaphragm or cervical cap

annually by health care provider

who and when should the diaphragm or cervical be placed and replaced

DVT, leg pain, abd pain, chest pain HA

what are a few complications of oral contraceptive

PAINS

what acronym is used for s/s warning of IUD complications

DVTs, HA, fluid retention and nausea

four side effects of oral contraceptives

acne increased HDL cholesterol levels, depression and hirsutism

four side effects for progestin contraceptives

ACHES

oral contraceptives have side effects pneumonic -

menses regular and decreased flow

action of oral contraceptives cause menses to be

anticoagulants

COC's may decrease effectiveness of insulin and these

smoker, >35, DVT, breast cancer, HTN

what are a few contraindications for COC.

no patch worn on week 4 during menses

when does an contraceptive patch to be taken off within the month

postcoital exam

exam of collection of vaginal secretion examined for infection from a couple who had intercourse 8-12 hours prior and 1-2 days before ovulation

7 days

how long do sperm live

3 days

how long does egg last before sperm penetrates

day 21-27

when should an endometrial biopsy be performed

semen analysis

the most common cause of infertility are inadequate number of motility of sperm using this test

hysterosalpingogram

tubal anomoly or blockage are the most common cause of infertility for women using this test

not the breast

the ortho evra skin contraceptive skin patch can be placed on the outer arm, abdomen, buttocks or trunk but not __.

depo-provera

a long acting progestin injection that blocks LH surge, suppress ovulation and thickens cervical mucus to prevent sperm pentration every 3 months

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