Exam (elaborations)
RNSG 1538 – REPRODUCTION EXAM QUESTIONS WITH CORRECT ANSWERS
- Course
- Institution
RNSG 1538 – REPRODUCTION EXAM QUESTIONS WITH CORRECT ANSWERS
[Show more]
Content preview
RNSG 1538 – REPRODUCTION EXAMQUESTIONS WITH CORRECT ANSWERS
Elements needed for conception - Answer--normal ovulation
-production of good sperm
-normal transport
-cleaving of embryo to endometrium
Define infertility (primary and secondary types) - Answer-Primary - The inability to
conceive a child after 1 year of regular sexual intercourse unprotected by contraception.
Secondary - inability to conceive after a previous pregnancy
Risk factors for infertility (female) - Answer--overweight/underweight
-hormonal imbalance leading to irregular ovulation
-uterine fibroids
-tubal blockage
-cervical stenosis
-poor oocyte quality
-chromosomal abnormalities
-immune system disorders
-chronic illness (diabetes, thyroid disease, asthma)
-Sexually transmitted disease
-ectopic pregnancy
-age older than 27
-endometriosis
-Turner Syndrome
-eating disorder
-history of pelvic inflammatory disease (PID)
-smoking and alcohol consumption
-multiple miscarriages
-menstrual abnormalities
-exposure to chemotherapeutic agents
-psychological stress
Risk factors for infertility (male) - Answer--exposure to toxins (mercury, x-rays, lead,
chemotherapy)
-cigarette and marijuana smoke
-heavy alcohol consumption
-prescription drugs for ulcers or psoriasis
-exposure of genitals to high temp (sauna's, hot tub)
-hernia repair
-obesity is associated with decreased sperm quality
-Cushing syndrome
, -frequent long distance cycling or running
-STIs
-undescended testes
-mumps after puberty
Assessment for infertility (male) - Answer--semen analysis (normal is >20 million per mL
with >50% motility,
-assessment of sexual characteristics (internal and external)
-digital prostate exam
Assessment for infertility (female) - Answer--ovulation predictor kits
-urinary LH level (luteinizing hormone)
-clomiphene citrate challenge test (provides additional assessment of ovarian reserve. It
is performed by measuring the day 3 FSH and estradiol levels. You take 100 mg of
Clomid on cycle days 5-9, and your FSH is measured again on day 10)
-assessment of pelvic organs
-PAP smear to rule out cervical cancer
-cervical culture to rule out STIs
-ultrasound to assess pelvic structures
-hysterosalpingography to visualize defects in uterus and tubes
-laparoscopy to visualize pelvic structures and to diagnose endometriosis
Treatment/management options for infertility - Answer--lifestyle changes (weight
loss/gain, smoking or alcohol cessation)
-clomid (oral)
-Pergonal (injection)
The therapeutic affect of clomid and pergonal are the same - estrogen is blocked, which
causes the hypothalamus and pituitary gland to release GnRH (gonadotropin-releasing
hormone), FSH and LH; which in turn stimulates the ovary to produce ova
-In Vitro Fertilization (IVF)
-Gamete Intra-fallopian Transfer (GIFT)
-if reproductive organ anomaly - surgery
-sperm or egg donation
-gestational carrier or surrogate
**Types of contraception - Answer-Behavioral
Barrier
Hormonal
Permanent
**Behavioral contraception - Answer--complete abstinence
-the rhythm method
-withdrawal
**Barrier contraception - Answer-prevention of a pregnancy using a device to prevent
sperm from meeting the ovum.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller biggdreamer. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75759 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now