Chapter 4 Flashcards

1
Q

Teratogen

A

Envt agent causing harm to embryo/fetus

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2
Q

Germinal period

A

First 2 weeks- release of oocyte into uterine tube, fertilized, zygote divides forming blastomere, 12-15 blastomeres (morula) morula becomes blastocyst in uterus, sinks under endometrium.

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3
Q

Embryonic period

A

3-8 weeks
Inner layers- endoderm
Outer layers- ectoderm & mesoderm

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4
Q

Endoderm

A

Development for digestive and respiratory systems

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5
Q

Ectoderm

A

Basis for nervous system , skin features

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6
Q

Mesoderm

A

Circulatory, muscles, bones, excretory, reproductive

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7
Q

When placenta, umbilical cord, and amnion develop

A

Embryonic stage

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8
Q

Most susceptible to influences of teratogen

A

Embryonic

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9
Q

Week 9-birth

A

Fetal period

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10
Q

Fas

A

1-300 births

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11
Q

Alcohol related neurodevelopmental disorders (arnd)

A

Less severe

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12
Q

Neonatal abstinence syndrome

A

Hyperactivity, irritability

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13
Q

Out comes of fas and arnd

A

Growth deficiency, cns dysfunctions, craniofacial anomalies

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14
Q

Cocaine

A

Most dangerous to unborn

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15
Q

Cocaine babies

A

Poor reflexes, irratible, mental retardation, constricted passage of nutrients, greater risk of sudden infant death syndrome,

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16
Q

Tobacco products

A

Carbon monoxide nicotine

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17
Q

Nicotine contributes to fetal hypoxia

A

Adrenals release epinephrine, constricting placentas blood vessels

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18
Q

Mj

A

No known obstetric effects

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19
Q

Prescriptive drugs

A

Possible side eff

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20
Q

No prescriptive drugs

A

Consult

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21
Q

Aspirin

A

Bleeding of skull, posters birth. Long labor, great risk after few weeks of giving birth

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22
Q

Tylenol

A

Lack amniotic fluid

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23
Q

Rubella

A

Viral- swollen lymph? Headache, pink rash on face, congenital if passed by mother

24
Q

HIV

A

Can get infected

25
Q

Developmental disabilities in HIV children

A

Muscle weakness, impaired brain growth, develormtal milestone failures, seizures

26
Q

Toxoplasmosis

A

Cat

27
Q

Rh factor

A

Additional protein to blood , if conceive Rh positive child and mom is Rh negative body sees as threat and attacks w/antibodies

28
Q

Erythroblastosis

A

Rh positive offspring exposed to antibodies of rh negative mother

29
Q

Erythroblastosis

A

Include anemia, edema, jaundice

30
Q

Diabetes Mellitus

A

Maternal hyperglycemia- infant fat increase

31
Q

Chromosomal disorder - meiotic nondisjunction

A

47 chromosomes (trisomic)

32
Q

Down syndrome (chrom disorder)

A

Trisomy 21

33
Q

Down syndrome motor

A

Walk at 2 instead of 1
Speech development slow
Close set eyes, short thick neck, small square head
Trisomy 21

34
Q
Gene based disorders 
PKU 
Cf 
Fragile x 
Sickle cell
A

PKU disturbance of aa metabolism

35
Q

CF

A

1/2 die before 30
Thick mucus
Lung infection and scar tissue

36
Q

Sickle cell

A

Mutation of hemoglobin
Inheriting two genes results in sickle cell disease
Circulatory problems

37
Q

Fragile x

A

Mutation in FMR1 gene - leads to autism

38
Q

Motor for fragile x

A

Weak muscles, hyperextensible joints , awkwardness of moving

39
Q

Prenatal diagnostic procedures

A
Ultrasound 
Amniocentesis 
CVS- chorionic villus sampling 
AFP- alpha-fetoprotein test 
Triple marker screening
40
Q

Ultrasound

A

High freq sound waves

41
Q

Amniocentesis

A

Needle in an wall
Remove amniotic fluid
Chromosomal disorders, neural tube defects

42
Q

CVS

A

10-12 weeks gestation
3 Times as dangerous as amniocentesis
Take villi from placenta

43
Q

AFP

A

15-20 weeks
Blood test of alpha fetoprotein
Chromosomal disorders

44
Q

Triple marker

A

Blood drawn testing 3 things-

45
Q

Caloric intake

A

300 cal per day

46
Q

Pregravid weight

A

Prior to gestation

47
Q

Ideal- 25-35 lb
Over- 15-25
Under-28-40

A

Pre gravid weight

48
Q

What nutrient important?

A

Protein

49
Q

Grandmother effect

A

Second and first generation carry effects of poor nutrition

50
Q

LBW

A

5.56 lb

51
Q

VLBW

A

1500 g

52
Q

ELBW

A

500 g

53
Q

Small for gestational age

A

Full (40 w) or pre(37) different effects on motor skills

54
Q

Maternal response to exercise

A

Blood volume increase 35-45%

55
Q

Moderation in exercise

A

Fetus can’t decrease body temp

56
Q

Fetal response to exercise

A

Heartbeat increases