nurs 280 midterm Flashcards

(72 cards)

1
Q

What is sexual health?

A

A state of physical, emotional, mental, and social well-being in relation to sexuality (it is not just an absence of disease, etc)

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2
Q

What are the 5 components of Dennis Dailey’s Circles of Sexuality?

A

1) Reproduction 2) Identity 3) Intimacy 4) Sensuality 5) Sexuality

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3
Q

What is the Reproduction portion of your Sexual Self?

A
  • often the foundation of sex education - includes procreation, contraception, abortion, STI’s, infertility
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4
Q

What is the Identity portion of your Sexual Self?

A
  • one’s sense of self as a sexual being - includes gender identity, sexual orientation, gender/society roles
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5
Q

What is the Intimacy portion of your Sexual Self?

A
  • the need and ability to experience emotional closeness to another person as well as it reciprocated - the feeling of being seen and known
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6
Q

What is the Sensuality portion of your Sexual Self?

A
  • the need and ability to accept one’s body as a sexual entity - includes body image, attraction, skin to skin contact ‘hunger’
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7
Q

What groups of people are touch deprived?

A
  • Elderly: lack of contact with people - Youth during puberty: people are told that they need to stay away
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8
Q

What is the Sexualization portion of your Sexual Self?

A
  • the use of the body to influence, control or manipulate others - sex as a ‘weapon’ - includes sexual teasing, flirting, sexual harassment, advertisements
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9
Q

What are the 3 main factors that lead to discomfort and anxiety about sexuality?

A

1) Ignorance 2) Secrecy 3) Trauma

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10
Q

How does Ignorance play a factor in the discomfort/anxiety about sexuality?

A

Lack of knowledge - society believes that it is better to know less about sex (EX. drugs) - leads to unsafe experimenting/decision making

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11
Q

How does Secrecy play a factor in the discomfort/anxiety about sexuality?

A

Keeping things secret - topics that people aren’t comfortable or allowed to talk about because of judgement - society shames us about our pleasures, experiences, people we are interested in

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12
Q

How does Trauma play a factor in the discomfort/anxiety about sexuality?

A

Negative experiences - the inability to process trauma - usually due to ignorance, secrecy or shame

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13
Q

What is Sexology?

A

The study of sexuality - what people do when they have sex and how they feel about it

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14
Q

Do all cultures celebrate sexuality?

A

Not all - Many cultures celebrate or normalized the exploration of sexuality (Come sutra, tantra, etc) - During medieval era, the church had some sway of the de-sexualization

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15
Q

Who was the first person to study sexuality in North America?

A

Alfred Kinsey used the scientific lense to explore sexuality - Was a bug guy that taught a marriage course that had no syllabus - He used the Kinsey scale of 0-6 (and X for those with no sexual attration)

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16
Q

What did Masters and Johnson study?

A

In 1950’s, they began looking into sexuality and arousal - invented machines to measure arousal (tenting, BP, lubrication, HR) - people either masterbated or had sex and arousal was monitored - in 1966 they wrote The Human Sexual Response (4 stage model)

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17
Q

Is it the provincial or federal government that is in charge of sexual health education?

A

Provincial/territory governments are in charge - this leads to a large variation across the country

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18
Q

What is the sex education like in BC?

A
  • BC has the most comprehensive system in Canada - Sex ed is mandated in BC but delivery is hit or miss - Teachers are not taught how to teach sex ed
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19
Q

Who are the gatekeepers for education?

A

Prevent knowledge transfer - School boards - Principles - Community/parents - Teachers

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20
Q

What do children in elementary school learn in sex education?

A
  • scientific names for body parts - consent - their body is their own - puberty (emotional, physical & social changes) - empathy - human reproduction
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21
Q

What do children in highschool learn in sex education?

A
  • healthy sexual decision making - STI’s - Healthy emotional, physical and social relationships - sources of information
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22
Q

What are the 9 Core Principles of Comprehensive Sex Ed?

A

1) Accessible to all people 2) Promotes human rights 3) Scientifically accurate 4) Broadly range of topics 5) Inclusive 6) Promotes gender equality 7) Includes positive aspects of sexuality and relationships 8) Incorporates emerging issues 9) provided by educators who have the knowledge

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23
Q

What happened to sex education during the Clinton administration?

A
  • only way to get federal funding for sex ed. the school had to promote abstinence only before marriage education - funding could be millions of dollars
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24
Q

What are the impacts of AOUM Programs?

A
  • scientifically and ethically problematic - only have it work 60% of the time - research shows its not effective - provide inaccurate and stigmatizing information - threaten fundamental human right to health information and education
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25
What are some sources of values and beliefs?
- family of origin - formal and informal education - peers - media influences - faith - experiences
26
What are the 3 main ways we know our gender?
1) Our bodies (chromosomes, hormones, gonads, genitals) 2) Socialization (begins at birth, reinforced through social roles, overt and subtle) 3) Internal sense of self (overt or hidden, challenged or validated, solidifies between 18-36 months)
27
What are some of the gender options?
- female - male - trans - gender fluid/nonbinary - femme/masc - two spirit
28
What is femme or masc?
An expression of gender
29
What is a two-spirit person?
Someone who is indigenous to North America. Believe there is a range of genders and they are not male or female
30
What are some ways people can express their transition?
- social transition (dress, name, pronouns) - clinical-affirming clinical care (hormones, upper surgery, lower surgery)
31
Are there changes noticed after taking hormones reversible?
Not all of them - body hair will return to normal if hormones are stopped - voice dropping while taking testosterone is not reversible
32
Who first studied the arousal response cycle?
William Master & Virginia Johnson - divided the sexual response cycle into 4 phases (excitement, plateau, orgasm, resolution)
33
What is the Excitement stage?
The bodies natural physiological response (can't control) - it preps the body for sexual activity, doesn't have to mean anything
34
What occurs during the Excitement stage?
- rise in HR, BP, breathing - skin flush - vasocongestion and erection (clitoris, penis, nipples) - testicles draw upwards - vaginas lubricate
35
What is the Plateau stage?
Some sort of action is usually required (sex or masturbation)
36
What occurs during the Plateau stage?
- pleasure - increased muscle tension, rapid breathing and HR - pre-ejaculate released - clitoris very sensitive - vagina lengthens (tenting)
37
What is pre-ejaculate?
Fluid released before ejaculation that may contain sperm
38
What is the Orgasm stage?
Peak of pleasure
39
What occurs during the Orgasm stage?
- quick muscle contractions & spasms - highest point of BP, HR, respiration peak - Euphoric sensations - Ejaculation - Feeling of release
40
What is the Resolution stage?
The body returns to base line (heart rate, breathing rate, blood pressure)
41
What occurs during the Resolution stage?
- body slows, relaxes - release of blood from engorged areas - penis becomes flaccid (refractory period) - clitoris extremely sensitive
42
What did Helen Singer Kaplan add to the Sexual Response Cycle?
She added that there is two phases; psychological (sexual desire/emotions) and physiological (excitement, orgasm, resolution)
43
What did Rosemary Basson add to the Sexual Response Cycle?
- she believes that arousal is circular rather then linear - people can enter the circle at different points
44
What is the Dual Control Model?
Bancroft & Janssen believe that our brain looks for sexually relevant things (gas pedal and brake pedal)
45
Where does conception take place?
High in the fallopian tubes (24 hour period where fertilization can occur)
46
How much sperm is ejaculated? How many make it to the ovum?
Half a billion sperm are ejaculated About 1000 sperm reach the ovum
47
How long can sperm live in the vagina?
5-7 days
48
When is someone considered pregnant?
Medically someone is pregnant once implantation occurs
49
How many pregnancies are unplanned?
40-50%
50
How many couples face infertility challenges?
About 15%
51
What are miscarriages?
When the egg is fertilized, implanted and the embryo doesn't survive
52
What are ectopic pregnancies?
When pregnancies occur outside the uterus usually in the fallopian tubes
53
What is the typical gestation period?
280 days, 40 weeks or 10 lunar months
54
What occurs during stage 1 of labour?
Cervix dilates and effaces contractions become stronger
55
What occurs during stage 2 of labour?
Baby crowns and emerges
56
What occurs during stage 3 of labour?
Placenta birthed
57
What is an Apgar score?
Assess newborn's condition at birth (Appearance, Pulse, Grimace, Activity, Respiratory effort)
58
What are the 4 main categories of birth control?
1. Hormonal 2. Barrier 3. Natural 4. Emergency
59
How does hormonal methods of birth control prevent pregnancy?
Stops ovulation to prevent an egg from being released
60
How does barrier methods of birth control prevent pregnancy?
Keeps the sperm away from the egg
61
How does emergency methods of birth control prevent pregnancy?
Interrupts conception when it is likely to have happened
62
What are the 4 forms of hormonal birth control?
1. Pill 2. Ring 3. Patch 4. Depo
63
What are the 3 barrier methods of birth control?
1. External condoms 2. Internal condoms 3. IUD
64
What are the 3 methods of emergency birth control?
1. Plan B (levonorgestrel) 2. Ella (ulipristal) 3. Copper IUD
65
What are the 4 'natural' methods of birth control?
1. Abstinence 2. Withdrawal 3. Sympto-thermal 4. Lactational amenorrhea
66
What is safer sex?
Pleasureable, consensual sex which minimizes transfer of STI's
67
What are some signs and symptoms of STI's?
- sores or bumps - painful or burning urination - discharge from the penis - unusual or odd smelling vaginal discharge - rash over trunk, hands or feet
68
What are the 4 main bacterial infections?
1. Chlamydia 2. Gonorrhea 3. Syphilis 4. Pubic Lice
69
What are the 4 main types of viral infections?
1. Herpes 2. Hepatitis B 3. HIV 4. HPV
70
What are some fluids that STI's get passed through?
- blood - semen - vaginal fluid - rectal fluid
71
Are STI's treatable?
Yes! Some are curable
72
How can we reduce risk of contracting STI's?
- get vaccinated - tested regularly - use protection