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Questions and Answers
What percentage of women of reproductive age is considered for the prevalence of infertility?
What percentage of women of reproductive age is considered for the prevalence of infertility?
Which of the following is included in the measure of HIV prevalence among pregnant women?
Which of the following is included in the measure of HIV prevalence among pregnant women?
What level of hemoglobin indicates anemia in pregnant women?
What level of hemoglobin indicates anemia in pregnant women?
What is the total fertility rate (TFR) primarily associated with?
What is the total fertility rate (TFR) primarily associated with?
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What does the statistic measuring obstetric and gynecological admissions due to abortion exclude?
What does the statistic measuring obstetric and gynecological admissions due to abortion exclude?
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Which group of women is assessed for anemia prevalence based on hemoglobin levels?
Which group of women is assessed for anemia prevalence based on hemoglobin levels?
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Which group is concerned with knowledge of HIV-related prevention practices?
Which group is concerned with knowledge of HIV-related prevention practices?
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How is total fertility rate typically displayed when survey data is used?
How is total fertility rate typically displayed when survey data is used?
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What does the Total Fertility Rate (TFR) indicate?
What does the Total Fertility Rate (TFR) indicate?
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Which reproductive health indicator measures the annual maternal deaths per 100,000 live births?
Which reproductive health indicator measures the annual maternal deaths per 100,000 live births?
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What does the Contraceptive Prevalence Rate (CPR) indicate?
What does the Contraceptive Prevalence Rate (CPR) indicate?
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What is included in the Antenatal Care Coverage indicator?
What is included in the Antenatal Care Coverage indicator?
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Which indicator assesses the availability of facilities providing basic obstetric care?
Which indicator assesses the availability of facilities providing basic obstetric care?
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What does the Low Birth Weight Prevalence indicator measure?
What does the Low Birth Weight Prevalence indicator measure?
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What does the Perinatal Mortality Rate (PMR) quantify?
What does the Perinatal Mortality Rate (PMR) quantify?
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What is meant by Comprehensive Essential Obstetric Care?
What is meant by Comprehensive Essential Obstetric Care?
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What is a maternal death as defined in the context provided?
What is a maternal death as defined in the context provided?
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What percentage of maternal deaths occurred in low and lower middle-income countries in 2020?
What percentage of maternal deaths occurred in low and lower middle-income countries in 2020?
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Which of the following complications is a significant cause of maternal deaths?
Which of the following complications is a significant cause of maternal deaths?
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What does the maternal mortality ratio (MMR) indicate?
What does the maternal mortality ratio (MMR) indicate?
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Which complication is associated with high blood pressure during pregnancy?
Which complication is associated with high blood pressure during pregnancy?
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How many women died from preventable causes related to pregnancy and childbirth daily in 2020?
How many women died from preventable causes related to pregnancy and childbirth daily in 2020?
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What is a key factor that can help reduce maternal deaths?
What is a key factor that can help reduce maternal deaths?
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What does a high maternal mortality ratio (>250 per 100,000) suggest?
What does a high maternal mortality ratio (>250 per 100,000) suggest?
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What is the maternal mortality rate (MMRate)?
What is the maternal mortality rate (MMRate)?
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How is the lifetime risk of maternal death calculated?
How is the lifetime risk of maternal death calculated?
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What does the proportion of maternal deaths among deaths of women of reproductive age (PM) represent?
What does the proportion of maternal deaths among deaths of women of reproductive age (PM) represent?
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What is the definition of perinatal mortality?
What is the definition of perinatal mortality?
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According to the World Health Organization, at what point does the perinatal period commence?
According to the World Health Organization, at what point does the perinatal period commence?
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What is the perinatal mortality rate in Turkey as of 2019?
What is the perinatal mortality rate in Turkey as of 2019?
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What qualifies as a live birth?
What qualifies as a live birth?
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How is fetal death defined?
How is fetal death defined?
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Study Notes
Istanbul Gelisim University
- Istanbul Gelisim University is focused on Ecological, Economic and Social Sustainability.
- Website: www.gelisim.edu.tr
Department of Nursing (ENG)
- Name of Course: WOMEN'S HEALTH AND DISEASES NURSING
- Name of Lecturer: Dr. N. Alper Sahbaz, MD
Course Information
- Course credit: 8 Credit /9 ECTS
- GBS Linki: https://gbs.gelisim.edu.tr/en/lesson-details-17-319-12715-2
- Week: 17
What we are going to learn in this week?
- Anatomy and physiology of male and female reproductive organs
Female Puberty
- Average age of onset: 8
- Puberty Events and Ages
- Growth of breasts (thelarche): 13 years old
- Growth of pubic hair (adrenarche): 14 years old
- Body Growth: 9 1/2-14 ½ years old
- First Menstruation (menarche): 10-16-2 years
- Underarm Hair (adrenarche): Around the same time as underarm hair appears.
Brief Information about Male and Female Puberty
- Puberty in males: 10-14 years (average 11-12)
- Puberty in Females: Starts approximately 1 year earlier than in males (10-11)
- Puberty Events in males, in order:
- Growth of the scrotum and testes
- Lengthening of the penis
- Pubic hair growth
- Growth spurt
- Facial and underarm hair growth
Hormones
- Hormone responsible for male puberty: Testosterone
Ovaries
- Two, small, solid oval structures.
- Located in the pelvic cavity
- Produce ova and secrete female hormones
- At birth, most contain 200,000-400,000 immature ova (oocytes).
- Menopause signals the end of child-bearing years.
- Climacteric is the period leading up to menopause.
Uterus
- About 7-8 cm long.
- Three parts:
- Fundus (upper portion)
- Body (middle portion)
- Cervix (lower portion)
- Three layers:
- Perimetrium (outer layer)
- Myometrium (middle layer)
- Endometrium (inner layer)
Fallopian Tubes
- 10-15 cm long
- Finger-like projections (fimbriae) pull the ovum into the tube
- Site of fertilization
- Zygote travels through tube to uterus (approx. 4-7 days)
Vagina
- Extends from cervix to outside of the body (8-10 cm)
- Releases menstrual fluids
- Birth canal
- Stimulates male penis during intercourse
- Slightly acidic to prevent pathogen growth
Movement of an Oocyte during the Female Cycle
- Diagrams of ovulation and fertilization stages
External Genitalia
- Vulva: Collective name for external female genitalia
- Consists of:
- Mons pubis
- Labia majora
- Labia minora
- Clitoris
- Perineum
- Bartholin's glands secrete a fluid into the area between labia minora during sexual activity.
Breasts
- Mammary glands varying in size according to age, heredity and amount of fatty tissue present
- 15-20 glandular lobes, separated by connective tissue.
- After childbirth, the pituitary gland stimulates these lobules with the hormone prolactin.
Front View of Breast
- Diagram showing various parts: Lymph Nodes, Muscles, Lobules, Ducts, Areola, Adipose tissue, Cooper's ligaments, Small ducts & Acini, Major ducts, Nipple and lobes
Pelvic Bone (standing)
- Diagram of the bony pelvis showing major anatomical structures.
Male Reproductive System: Scrotum
- Pouch of skin containing the testes and epididymis
- Scrotal tissue contracts to regulate temperature for sperm viability.
Male Reproductive System: Penis
- Urethra runs length of the penis.
- Fills with blood during arousal for copulation.
Male Reproductive System: Testicles
- Oval-shaped, divided into lobules.
- Sperm is formed in seminiferous tubes within the lobules.
- Mature sperm stored in epididymis (400-600 cm tube).
Male Reproductive System: Sperm
- Carry either X or Y chromosome.
- Head contains enzymes for penetrating ova.
- Midpiece provides energy (ATP).
- Tail provides motility.
Hormonal Control of Testosterone Secretion
- Diagram illustrating the hormonal processes involved in sperm production.
- Hypothalamus, anterior pituitary, GnRH (gonadotropin-releasing hormone), FSH(follicle-stimulating hormone), LH(luteinizing hormone) and Testosterone
Male Reproductive System: Vas Deferens and Seminal Vesicles
- Muscular tubes transporting sperm from epididymis to seminal vesicles.
- Seminal vesicles produce alkaline fluid that mixes with sperm in semen to protect from urethra and vagina acidity.
Male Reproductive System: Prostate and Cowper's glands
- Prostate: secretes alkaline fluid mixing with sperm (semen).
- Enlargement of prostate (benign prostatic hyperplasia) can obstruct urine flow.
- Cowper's glands produce mucous-alkaline fluid for semen.
Important Questions (Multiple Choice)
- Answers to questions regarding the subject matter. (see individual pages for the questions)
Preventative Care, High Risk Pregnancies, etc.
Important details of health care, with a particular focus on preventing obstetric complications, high risk pregnancies and the like.
Nurses' Roles in Prenatal Care
- Education and Counseling:
- Health Checkups and Tests:
- Blood pressure, Weight, Swelling, Blood tests, Ultrasound.
Nurses' Roles in Prenatal Care (continued)
- Double Test
- Triple Test
- Ultrasound Check-ups (First, Second & Third Trimester)
- Managing High-Risk Pregnancies:
- Hypertension
- Preeclampsia
- Eclampsia
- Family Planning; Breastfeeding recommendations
- Emotional support
- Spotting Emergencies; Acting Fast
The Role of Nurses in Postpartum Care
- Postpartum Depression
- Newborn Care
- Family Planning
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