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- For each hormone, select whether the hormone is increasing or decreasing at the beginning of parturition. In addition, select the correct effect that the change in hormone secretion causes. Hormone Levels Resulting Effect Increasing Decreasing Causes the endometrial layer to break away from the uterus Causes the endometrial layer to be maintained Increases uterine contractions Decreases uterine contractions Increases milk production in the mother's breasts Decrease milk production in the mother's breasts Hormone Hormone Levels Resulting Effect Estrogen Progesterone Oxytocin Prostaglandins ProlactinMr. and Mrs. Smith have arrived for their first fertility appointment after trying unsuccessfully to get pregnant for the past year. Mrs. Smith is withdrawn, her voice is monotone, and she becomes tearful when the nurse begins to take a health history. Mr. Smith hugs her and holds her hand, but Mrs. Smith doesn't seem to notice. What is the best nursing action to take at this time? O Get a box of tissues and encourage Mrs. Smith to discuss what she's feeling. O Ask Mr. Smith to leave the room and ask Mrs. Smith if she feels safe at home and how long she's been abused. O Tell Mrs. Smith she's being silly; the clinic will make everything better. O Continue taking the history; this is just part of the job.Normal physiological changes due to increased hormone production during pregnancy include which of the following? Select all that apply. Vasodilation and reduced blood pressure O Increased GI motility and emptying O Linea nigra and chloasma formation O Maintenance of the corpus luteum for the first 12 weeks of gestation Uterine and cervical hypotrophy
- Conditions that cause the fallopian tubes to be narrower than normal may result in: Implantation of a fertilized ovum within the tube. More rapid propulsion of the ovum through the tube. Increased likelihood of pregnancy during each cycle. Excessive cramping and bleeding during menstruation .After hearing this information, should Sue and Tim feel that their chances of having a child with a cleft lip are increased over that of the general population? Sue and Tim were referred for genetic counseling after they inquired about the risk of having a child with a cleft lip. Tim was born with a mild cleft lip that was surgically repaired. He expressed concern that his future children could be at risk for a more severe form of clefting. Sue was in her 12th week of pregnancy, and both were anxious about the pregnancy because Sue had had a difficult time conceiving. The couple stated that they would not consider terminating the pregnancy for any reason but wanted to be prepared for the possibility of having a child with a birth defect. The genetic counselor took a three-generation family history from both Sue and Tim and found that Tim was the only person to have had a cleft lip. Sues family history showed no cases of cleft lip. Tim and Sue had several misconceptions about clefting, and the genetic counselor spent time explaining how cleft lips occur and some of the known causes of this birth defect. The following list summarizes the counselors discussion with the couple. Fathers, as well as mothers, can pass on genes that cause clefting. Some clefts are caused by environmental factors, meaning that the condition didnt come from the father or the mother. One child in 33 is born with some sort of birth defect. One in 700 is born with a cleft-related birth defect. Most clefts occur in boys; however, a girl can be born with a cleft. If a person (male or female) is born with a cleft, the chances of that person having a child with a cleft, given no other obvious factor, is 7 in 100. Some clefts are related to identifiable syndromes. Of those, some are autosomal dominant. A person with an autosomal dominant gene has a 50% probability of passing the gene to an offspring. Many clefts run in families even when there does not seem to be any identifiable syndrome present. Clefting seems to be related to ethnicity, occurring most often among Asians, Latinos, and Native Americans (1 : 500); next most often among persons of European ethnicity (1 : 700); and least often among persons of African origin (1 : 1,000). A cleft condition develops during the fourth to the eighth week of pregnancy. After that critical period, nothing the mother does can cause a cleft. Sometimes a cleft develops even before the mother is aware that she is pregnant. Women who smoke are twice as likely to give birth to a child with a cleft. Women who ingest large quantities of vitamin A or low quantities of folic acid are more likely to have children with a cleft. In about 70% of cases, the fetal face is clearly visible using ultrasound. Facial disorders have been detected at the 15th gestational week of pregnancy. Ultrasound can be precise and reliable in diagnosing fetal craniofacial conditions.A patient presents requesting hormonal contraception . She has been researching her options on the Web and has become confused by the large variety of OC pills available , including monophasic, multiphasic , and progesterone only . She asks how the pill prevents pregnancy and why the variety of preparations . Which of the following is the primary mechanism by which OCs prevent pregnancy ? Increasing cervical mucus viscosity Inhibiting serum follicle stimulating hormone (FSH) levels Inducing lymphocytic endometritis Inhibiting serum luteinizing hormone (LH ) levels
- solve the question and explain the reason for your choice of answer. A client has given birth to a baby girl with a visible birth defect. Which of the following maternal responses would lead the nurse to suspect poor mother-infant bonding? 1. The mother states, “I’m so tired. Please feed the baby in the nursery for me.” 2. The mother states, “Her eyes look like mine, but her chin is her Dad’s.” 3. The mother says, “We have decided to name her Sarah after my mother.” 4. The mother says, “I breastfed her. I still need help swaddling her, though.”Which hormones are responsible for stimulating the mammary glands to produce and release milk after childbirth? Select all that apply. Estrogen Progesterone Prolactin Oxytocin CortisolProstaglandin is a synthetic oxytocin, may be prescribed to induce labor or increase the frequency and strength of contractions during labor. Group of answer choices -True -False
- Hormonal contraceptives can be cyclic or non-cyclic. Non-cyclic hormonal contraceptives provide a constant level of hormones everyday for months or years. Examples of non-cyclic hormonal contraceptives include the hormonal IUD (Mirena, Skyla or Lilletta brandnames), the hormonal implant (Norplant or Implanon), and the hormonal injection (Depo-Provera). Cyclic contraceptives provide hormones for about 3 weeks, then one week of no hormones. Examples of these include various types of birth control pills containing 3 weeks of hormonal pills then one week of placebo (sugar pills); and the vaginal ring (NuvaRing, which is kept in for 3 weeks then removed for one week.) Many females using hormonal contraceptives in general tend to have lighter and shorter menstrual periods after a few months, but those using non-cyclic methods often do not have any menstruation at all. Why might this be? Write a paragraph describing a potential mechanism.Which of these are a possible complication of epidural anaesthesia? Select one or more: a. Prolonged labour b. Increased likelihood of an instrumental birth Oc. Chronic backache Od. HeadacheDuring the first trimester of pregnancy, many women feel anxious about ingesting the right amount of nutrients. True False