MCN Lecture

Includes the topics: Framework of MCN, Diversity and MCN, The Childbearing and Childrearing Family and the Community, Family, Sexuality and Sexual Identity, ANAPHY, and Menstrual cycle

* Family-centered
* Community-centered
* Evidence-based

What are the concepts included in the philosophy of MCN?

* Increase quality and years of life
* Eliminate health disparities

What are the 2 pillars of the 2020 national health goals?

* Health promotion
* Health maintenance
* Health restoration
* Health rehabilitation

What are the 4 phases of healthcare?

Culture

This is defined as the view of the world and a set of traditions a specific social group uses and transmits to the next generation

Gender identity

This is refers to the inner sense of a person as a male or female being.

Family

This is a group of people united by ties of marriage, blood or adoption, constituting a single household, interacting and communicating with each other.

Nuclear

This is also known as primary or elementary family. It is composed of the father, mother and the children.

Extended

Composed of two or more nuclear families related to each other economically or socially.

Patrilocal

This is a classification of family structure based on place of residence wherein a newlywed couple lives with the family of the groom or near the residence of the parents of the groom

Matrilocal

This is a classification of family structure based on the place of residence that requires the newlywed couple to live with or near the residence of the bride’s parents.

Bilocal

This is a classification of family structure based on the place of residence where the newlywed couple stays with either the groom’s or the bride’s parents

Neolocal

This is a classification of family structure based on the place of residence wherein the newlywed reside independently of their parents.

Avuncolocal

This is a classification of family structure based on the place of residence that prescribes the newlywed couple to reside with or near the maternal uncle of the groom

Patrilineal

This is a classification of family structure based on descent that affiliates a person with a group of relatives through their father.

Matrilineal

This is a classification of family structure based on descent that affiliates a person with a group of relatives through their mother.

Bilateral

This is a classification of family structure based on descent that affiliates a person with a group of relatives through both parents .

Patriarchal

This is a classification of of family structure based on authority that is vested in the oldest male in the family, often the father.

Matriarchal

This is a classification of of family structure based on authority that is vested in the oldest female in the family, often the mother.

Egalitarian

This is a classification of of family structure based on authority wherein the husband and wife exercises a more or less equal amount of authority.

Beginning Family

This is a stage of the family wherein tasks include: Establishing a mutually satisfying marriage and planning to not/have children.

Child-bearing Family

This is a stage of the family wherein tasks include: Having and adjusting to an infant, supporting the needs of all three members, and renegotiating marital relationships.

Family with school-age children

This is a stage of the family wherein tasks include: Adjusting to the activity of the growing children, promoting joint decisions between children and parents, and encouraging children’s educational achievements.

Family with teenagers and young-adults

This is a stage of the family wherein tasks include: Maintaining open communication among members, supporting ethical & moral values within the family, balancing freedom with responsibility of teenagers, and releasing young adults with appropriate

Post parental Family

This is a stage of the family wherein tasks include: Strengthening marital relationships and maintaining a supportive home base.

Aging Family

This is a stage of the family wherein tasks include: Preparing for retirement, maintaining ties with younger generations, adjusting to retirement, adjusting to the loss of a spouse, and closing the family house.

Special prevention

This is a type of protection that measures against specific diseases agents like protection of the individual, or the establishment of barriers against agents in the environment.

Primary Prevention

This is a level of prevention that measures to promote positive general health, development of good health habits and hygiene, proper nutrition, proper attitude towards sickness, and proper and prompt utilization of available health and medical facilities.

Secondary Prevention

This is a level of prevention where early diagnosis and prompt treatment of the disease in order to arrest the disease/ problem and prevent its spread to other people is done. Ex. public education to promote breast self-examination and screening programs for hypertension, diabetes, etc…

Tertiary Prevention

This is a level of prevention that begins early in the period of recovery from illness.

Human Sexuality

This encompasses the complex emotions, feelings, preferences, attitudes, and behaviors that are related to sexual self and eroticism and is a byproduct of biological and cultural components.

15-44 years

What is the reproductive years when the nurse performs the vital role of promoting sexual health.

Biologic gender

This refers to a person’s chromosomal sex

Gender role

This is the male or female behavior a person exhibits.

William Masters and Virginia Johnsons

Who discovered sexual response in 1966?

Vasoconstriction

This refers to the congestion of blood vessels

Myotonia

This refers to increase muscle tension

100-175 bpm

This is the heartrate of a person undergoing vasocongestion.

8-15 contraction

This is the average number of female contraction in the orgasmic stage

Orgasm Stage

This is the shortest stage in sexual response

Refractory Period

This period is only present in males, wherein he cannot be restimulated for about 10-15 mins.

Sexual orientation

This is the direction of one’s sexual interests, and can be toward members of the same gender, opposite or both genders.

Heterosexual

This is attraction & preference for romantic relationships with other gender.

Homosexual

This is attraction & preference for romantic relationships with the same gender.

Bisexual

This is attraction & interest for romantic relationships with both genders.

Kinsey Scale

This is a 7-point heterosexual-homosexual scale that classifies people according to their homosexual behavior & the magnitude of their attraction to members of their own gender.

Atypical Behavior

This refers to sexual behaviors that are unusual or abnormal; sexual arousal involving a preference for non-genital sexual outlets

Paraphilias

This refers to the patterns of sexual behavior or arousal that appear problematic in the eyes of the individual or society?

Fetishism

This refers to sexual arousal caused by an inanimate object. Ex. rubber, leather, silk, high-heeled shoe, or panties.

Partialism

This is related to fetishism; exaggerated sexual arousal to a particular body part.

Transvestism

This is when a person (almost always male) repeatedly cross-dresses for sexual arousal or is bothered by recurring urges to cross-dress

Exhibitionism

This refers to the persistent, powerful urges & sexual fantasies involving exposing one’s genitals to unsuspecting strangers for sexual arousal of oneself.

Voyeurism

These are strong, repetitive urges to watch unsuspecting stranger who are naked, undressing or having sex.

Frotteurism

This is a recurring, powerful urge to rub against or touch a nonconsenting person

Sadism

This is the desire or need to inflict pain or humiliation on others for sexual arousal

Masochism

This is the desire or need for pain or humiliation to be inflicted on oneself for sexual arousal

Zoophilia

This is a repeated urge and fantasy involving sexual contact with animals.

Necrophilia

This is the desire for sexual activity with corpses

Nyphomania

This refers to an excessive sex drive or sexual appetite in women that is insatiable

Satyriasis

This refers to an excessive sex drive or sexual appetite in men that is insatiable.

Gynecology

This is the study of the female reproductive organ

Mons Pubis

Also known as the Mons Veneris, meaning “Mountain of Venus.” It is mound of fatty tissues that lies over the symphysis pubis covered by skin.

Tanner Scale

This is a scale that measures the stages of pubic hair development.

Labia Majora

This is also known as the “Large Lips,” defined as two longitudinal folds of pigmented skin that extends from the symphysis pubis to perineum.

Dartus Mulieris

This is responsible for the wrinkle-like appearance of the labia majora

Labia Minora

Also known as “Nymphae,” which are two thin folds of delicate tissue. Upper fold is called the prepuce and unite posteriorly to the fourchette.

Glans Clitoris

This is derived from the Greek work meaning “Key.” Is a pea-shaped composed of erectile tissues and sensitive nerve endings which is the site of sexual arousal.

Vestibule

This refers to the narrow space that is seen when the labia minora are separated

Right Mediolateral Episiotomy

What is the most common cut for an episiotomy?

Urinary Meatus

This is the external opening of the urethra; serves for urination.

Skene’s Glands (lesser vestibule)

Also known as the “Paraurethral glands”. These are two small mucus secreting substances that serves for lubrication during sexual intercourse.

Bartholin’s glands (greater vestibule)

Also known as the “Paravaginal/ Vulvovaginal glands” that secrete alkaline substances, which neutralize the acidity of the vagina.

Doberleine’s bacillus

This controls the acidity of the vagina.

Vaginal orifice/ Introitus

This is the external opening of the vagina covered by a thin membrane in virgins

Hymen

This is the membranous tissue that covers the vaginal orifice

Shorter external urinary tract

Why are women more prone to UTI’s?

Perineum

This refers to the area from the lower border of the vaginal orifice to the anus

Vagina

This is a 3-4 inch long dilatable canal located between the bladder and the rectum

Rugae

These are a series of ridges produced by folding of a wall of an organ, which permit a considerable amount of stretching without tearing.

Uterus

This is a hollow pear-shaped fibromuscular organ held in place by broad ligaments from the sides of the uterus to pelvic walls; also holds the fallopian tubes and ovaries in place

Endometrium

This is one of the muscle layer of the uterus which lines the non pregnant uterus (inner), muscle layer for menstruation.

Myometrium

This is largest of the muscle layer of the uterus; the muscle layer for pregnancy (the power of labor). It is a smooth muscle that is considered to be the “living ligature” of the body.

Perimetrium

This is also known as the Parietal Peritoneum which protects the entire uterus.

Fundus

This is the upper cylindrical layer of the uterus

Corpus

This is the upper triangular portion of the uterus

Cervix

This refers to the lower cylindrical portion and the narrowest & lowest end of the uterus.

Isthmus

This is called as the lower uterine segment that joins the cervix to the corpus

Bicornuate Uterus

This is a uterine malformation that is produced due to an impairment in the fusion of Mullerian ducts

Anteversion

This is a uterine deviation wherein the condition of the fundus is tipped forward.

Retroversion

This is a uterine deviation wherein the condition of the fundus is tipped back.

Anteflexion

This is a condition in which the body of the uterus is bent sharply forward at the junction with the cervix.

Retroflexion

This is a condition in which the body of the uterus is bent sharply back just above the cervix.

Fallopian Tubes

This is a 2-3 inches long tube that serves as a passageway for sperm or mature ovum

Infundubulum

This is a most distal part of the fallopian tube

Ampulla

This is the outer 3rd and 2nd half of the segments of the fallopian tube; site for fertilization; common site for ectopic pregnancy.

Isthmus

This is a segment in the fallopian tube where female sterilization is done; site for bilateral tubal ligation

Interstitial

This is a segment in the fallopian tube considered to be the most dangerous site of ectopic pregnancy

Endometriosis

This is the abnormal proliferation of endometrial lining outside the uterus causing pain or infertility.

Ovaries

These are almond-shaped, dull white sex glands near the fimbriae, and kept in place by ligaments. They produce mature ovum and manufacture estrogen and testosterone.

Andrology

This is the study of the male reproductive organs

Spermatozoa

What are produced in the testes and stored until maturity?