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Monday, November 12, 2007

Myk's Nclex Study Notes - Womens Health And Maternal Newborn Nursing

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Women Health and Maternal Newborn Nursing

During ovulatory cycle -> FSH & LH is release from anterior pituitary (tropic hormone). They stimulate the follicles in the ovaries to produces estrogen. Mature egg release estrogen and progesterone to prepare the endometrium just incase you get pregnant. (month by month)

Menarchy - When the girl first menstrate

Infertility - inability to concieved after 1 year of regular intercourse (2-3x a week without using contraception)

Primary infertility - never been pregnant and cannot conceived
Secondary infertility - have kids but now cannot conceived

Male Infertility
1. MUMPS in post puberty
2. STD
3. Radiations or chemotheraphy
4. Alcohol
5. Elevated scrotal temperature tight underwear (use boxer shorts)

Female Infertility
1. On Pills all the time
3. Uterine abnormality (some woman have only one uterus)
4. Use of DES (Di-ethel silbesterol)
5. STD


1. Semen Test
2. Post coital test
3. Histrosalphingogram
4. Endometrium biopsy

How do we treat Infertility?

1. Basometabolic Temperature Measurement
- special thermometer, every morning before you get of bed, put thermometer

in vagina for 5 minuteS, document

* DIP IN TEMPERATURE - before you ovulate (good time to have sex)
* SPIKE IN TEMPERATURE -after you ovulate
* If pregnant, temperature stays up! If not, drop of temperature

Fertility Drugs:

1. Clomid
- weight gain
- multiple gestation (possible of depositing multiple eggs)

1. Put spermacidal in center and in the rim of diaphram
2. Once inserted, you got to make sure its covering the cervical cap
3. leave diaphram at least 6 hours after sex

Norplan Implant (Estrogen base)


- Dont ovulate and dont have a period
Coitus Interruptus
-pull out penis before ejaculation

Morning after pills (emergency contraceptions)
-4 pills or 2 pills depending on how you use it

For 4 pills - 2 low estrogen pills now and 2 pills in 12 hours
For 2 pills - 1 methelprogesteron and 1 in 12 hours


1. vasectomy
2. condoms
3. abstinence

Sexually Transmitted Disease
1.Use of oral contraceptive can increase the risk for STDs because it changes

your vagina ph. (vagina ph is acidic -> alkaline)

2. Candidiasis (yeast infection) - candida albican (normal in newborn -> mouth)
- vagina get mucosy

3. Diabetis - lots of sugar & immune system gets depleted

4. Systemic antibiotics - kills all normal flora in all body including in your

vaginal area, gives a chance to candida to grow

Trichomoniasis (Trichomonas vaginalis) Protozoa
- usually appear within 5 to 28 days of exposure
- heavy, yellow-green or gray vaginal discharge, discomfort during intercourse,

unpleasant vaginal odor, and painful urination
- does not go across the placenta
- susceptible to Premature rupture of the membrane
- metronidazole (flagile) crossess the placenta ( dont use in 1st trimester) NO

-gynelotramin (drugs)

BV (Bacterial Vaginosis) - garden variety bug
- normally exist in vagina
- oppurtunistic (if ph changes or use to much antibiotics)
- grayish fishy smell ( green discharge)
- metronidazole

Chlamydia (most common) Chlamydia trachomatis (nclex: C. Trachomatic)
- gram negative
- woman could be asymthomatic untreated: infertility, ectopic preg. (scar

- men - burning when urinating

syphilis -painless cancre

Primary- Contagious
Secondary- Contagious
Latent - Contagius
Tertiary- Not contagious (already in your system)

Herpes Simplex Virus - painful cancre

HSV 1 (oral)
HSV 2 (genetalia) Intervention: culture, acyclovir, no sex while lession are

presence -- woman will need C-Section because these lesion could be internal

Cryotheraphy, Obstetrics and Gynecology. It is also known as "freezing" of

wound. Freezing

PID - Pelvic Inflamatory Disease

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