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Antepartum Nutrition

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Antepartum Nutrition
Menstrual cycle, Infertility, and Fertilization Lecture

Reading Assignment:
Chapter 3 Female reproductive cycle (Pgs 37-40)
Chapter 4 Conception and Fetal Development (Pgs 45-63)
Chapter 7 Families with special reproductive concerns (Infertility) (Pgs 115-129)
Chapter 9 Physical & Psychologic Changes of Pregnancy (Pgs 158-171)
Chapter 10 Antepartum Nursing Assessment
Chapter 11 The Expectant Family Needs and Care(Pgs 195-208)Chapter 13 Adolescent Pregnancy

1. List 5 hormones that are part of the hypothalamic-pituitary cycle and the function of these hormones in the menstrual cycle.
Estrogens-control the development of the female secondary sex characteristics; breast development, growth of body hair, widening of the hips, deposits of fat tissue in the buttocks and mons pubis. They also assist in the maturation of the ovarian follicles and cause the endometrial mucosa to proliferate following menstruation. Also cause the uterus to increase in size and weight.
Progesterone-secreted by the corpus luteum and found in the greatest amount during the secretory (luteal or progestational) phase on the menstrual cycle. Decreases uterine motility and contractility caused by estrogens, preparing the uterus for implantation after the ovum is fertilized. Its effects on the uterus allow pregnancy to be maintained.
Prostaglandins-oxygenated fatty acids produced by the cells of the endometrium and are also classified as hormones. PGE relaxes smooth muscles and is a potent vasodilator. PGF is a potent vasoconstrictor and increases the contractility of muscles and arteries. Production increases during follicular maturation. Critical during follicular rupture.
Gonadotropin releasing hormone-also called luetenizing hormone releasing hormone or follicle stimulating hormone releasing hormone. In response to this hormone the pituitary secretes follicle stimulating hormone and lutenizing hormone. FSH is responsible for the maturation of the ovarian

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