CMCA Part 1

• MCN involves care of the woman and family throughout pregnancy and child birth and the health promotion and illness care for the children and families.
• Primary Goal of MCN. The promotion and maintenance of optimal

  family health to ensure cycles of optimal

  childbearing and child rearing
• Estrogen: promotes breast dev’t & pubic hair distribution prevents osteoporosis keeps keeps cholesterol levels reduced & so limits effects of atherosclerosis.
• Produce estrogen and progesterone. Ovaries
• Almond shaped, Produce, mature and discharge ova. Ovaries
• organ which is the Site of fertilization. Fallopian tubes
• isthmus – cut/sealed in BTL
• ampulla – site of fertilization
• Organ of menstruation. Uterus
• Provide place for implantation & nourishment during fetal growth. Uterus
• uterine wall layers: endometrium; myometrium; perimetrium.
• Hollow muscular pear shaped organ
• glandular layer – inner layer influenced by estrogen and progesterone; thickens and shed off as menstrual flow.
• Myometrium – composed of 3 interwoven layers of smooth muscle; fibers are arranged in longitudinal; transverse and oblique directions giving it extreme strength
• glandular layer – inner layer influenced by estrogen and progesterone; thickens and shed off as menstrual flow.
• Acts as organ of copulation. vagina
• Expands to serve as birth canal. Vagina
• Vagina is Wall contains many folds or rugae making it very elastic.
• the stage of life at which secondary sex changes begins. Puberty
• the development and maturation of reproductive organs which occurs in female 10-13 years old & male at 12-14 yrs old.
• the hypothalamus serve as a gonadostat or regulation mechanism set to “turn on” gonad functioning at this age.
• the hypothalamus releases the GnRF which triggers the APG to form and release FSH and LH. (FSH & LH initiates production of androgen and estrogen ---> 2° sexual characteristics.
• Androgenic hormones – are produced by the testes, ovaries and adrenal cortex which is responsible for: muscular development, physical growth, inc. sebaceous gland secretions.
• testosterone – primary androgenic hormone
• Menstrual Cycle. Female reproductive cycle wherein periodic uterine bleeding occurs in response to cyclic hormonal changes.
• Its purpose it to bring an ovum to maturity; renew a uterine bed that will be responsive to the growth of a fertilized ovum. Menstrual cycle
• Interval between cycles – average 28 days
• Characteristics of Normal Menstruation Period: Color – dark red; with blood; mucus; and endometrial cells. Amount – average 30 – 80 ml ; heavy bleeding saturates pad in < 1 hour. Cycles 23 – 35 days
• Occurs approximately the 14th day before the onset of next cycle (2 weeks before). Ovulation
• If cycle is 20 days. ovulation is day 6
• If cycle is 44 days. ovulation is day 30
• Slight drop in BT (0.5 – 1 °F) just before day of ovulation due to low progesterone level then rises 1 °F on the day following ovulation
• Before the day of ovulation, there is a slight drop of BT.
• After the day of ovulation, there is an increase of BT.
• After the day of ovulation, there is an increase of 1 degree Fahrenheit in BT.
• panhysterectomy. surgical removal of the uterus and the ovaries and oviducts and cervix and related lymph nodes.
• Oophorectomy is the surgical removal of the ovary.