Ch 12 Conception And Fetal Development Flashcards

1
Q

Implantation

A

Occurs between 6-10 days after fertilization

Bleeding or spotting may occur

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2
Q

Fetal membranes

A

Chorion

Amnion

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3
Q

Chromosomes

A

XX female XY male

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4
Q

Amniotic fluid purpose

A
Space for movement and protection
Thermo regulation
Supplies fetus with nutrients and fluid
Can be tested for genetic disorders
Prevents amnion (layer of the amniotic sac) from sticking to fetus
Prevents umbilical cord compression
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5
Q

Amniotic fluid amount

A

800 to 1200 ml present at birth

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6
Q

Polyhydramnios

A

Too much amniotic fluid, more that 2000 ml

Could indicate GI malformation of the fetus

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7
Q

Oligohydramnios

A

Not enough amniotic fluid

Less than 300 ml

Associated with renal malformations

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8
Q

Umbilical cord is protected by

A

Wharton’s jelly

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9
Q

Vessels in umbilical cord

A

2 arteries 1 vein

Arteries away from fetus

Vein carries oxygen rich blood to fetus

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10
Q

Organs in the fetus originally develop where?

A

In the umbilical cord because the abdomen is so small in the beginning

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11
Q

Placenta

A

Considered an endocrine gland

Secretes hcg, hpl, estrogen, progesterone

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12
Q

Hcg detected how long after conception

A

10 days (in maternal serum)

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13
Q

Hpl

A

Human placental lactogen, also known as chorionic somatotropin

Similar to human growth hormone, needed for fetal development

Stimulates maternal metabolism to supply nutrients needed for fetal growth

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14
Q

Placental development

A

Develops during week three and is fully functional by week 12

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15
Q

Other placenta jobs

A

Regulates transport of gases, nutrients, and waste

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16
Q

Dirty Duncan

A

Maternal side

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17
Q

Shiny Schultz

A

Fetal side

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18
Q

Pre-embryonic stage

A

Conception to day 14

Rapid cell division

Primary germ layers and the embryonic membranes form

The primary germ layers are the basis for all tissues and all organs to grow from

19
Q

Embryonic stage

A

Day 15 to week eight

Structures of major organs are complete and organ systems are functioning

Big risk for teratogens

Most deformities will occur between weeks three and week eight

20
Q

Examples of teratogens

A

Radiation, lead, chemotherapy agents, cmv (a virus), MMR vaccine (avoid pregnancy 28 days after vaccine), rubella

21
Q

Month one

A

Hematopoiesis (formation of blood cells)week three
Day 25 the heart is beating
Fourth week the GI system is functioning
In the first month the liver, thyroid, bones, muscles and epidermis are forming
Neural tube (start of central nervous system)
At the end of this month the fetus is half an inch long and less than 1 oz

22
Q

First functioning organ system

A

Cardiac system

23
Q

Month two

A
Ears, ankles, wrists are developed
The eyelids are still shut
Hematopoesis continues
By the fifth week is swallowing and voiding
The brain has five lobes
Pancreas and nerve fibers are developing
At the end of month two fetus is 1 in long and less than 1 oz
Rh factor is developed by about 6 weeks
24
Q

Month three

A

Baby has fingers and toes, soft nails, baby teeth
Can hear fetal heart rate with Doppler
Renal function
Baby starting to move
Adrenal cortex is producing hormones
Reproductive parts begin to develop and sex characteristics begin to develop (may not be visualized)
Lanugo and vernix
By the end of month three baby is 2 1/2 in long and greater than 1 oz

25
Second trimester
Baby is viable at the end of trimester | A period of Rapid fetal development
26
Month four
``` Baby moves kicks and swallows Has handprints at 16 weeks Is forming meconium Placenta is fully formed and functioning Six to seven inches and 5 oz ```
27
Month 5
Sleep and wake intervals Week 20 is producing insulin Is actively felt by Mom 8 to 12 in and 1/2 to 1 lb
28
Month 6
``` Lenugo all over Eyes are open 11 to 14 in and one to one and a half pounds 28 cm 24 weeks means viability ```
29
Third trimester
A period of refinement and growth
30
Month 7
``` Eyes open and close Responds to light and sound Begins to store fat Testes to send into scrotum 15 in and 3 lb ```
31
Month 8
``` Rapid brain growth Skull is soft and flexible Mature GI system Baby is storing iron 18 in and 5 lb ```
32
Month 9
Brain is a quarter the size of an adult Gains 1/4 to 1/2 lb per week 6 to 9 lb and 19 to 21 in
33
Fetal circulation structures involved
Heart Placenta Fetal tissue
34
Three purposes of fetal circulation
Increased blood flow to the Head and the heart Decreased blood flow to the fetal lungs And direct blood to the placenta
35
In utero the fetus...
Shunts blood flow to the lungs | The ductus arteriosus bypasses the lungs
36
Low hr in utero means
Low fetal circulation Increase heart rate by turning mom on her side
37
After birth when baby starts to breathe...
Shunts no longer needed, transition to extra uterine life
38
Surfactant
20-24 weeks, stabilizes alveoli Keeps alveoli from sticking to itself and collapsing
39
Alveoli aren't mature until...
Weeks 35-37
40
L/S ratio (lecithin/sphingomyelin)
2:1 ratio indicates lung maturity Maternal use of steroids can stimulate production. A mom in early labor might receive steroids to help lungs mature.
41
How to diagnose multifetal pregnancy
Polyhydramnios (too much fluid) Asynchronous fetal heart rate (fhr) Ultrasound evidence
42
Likelihood of multifetal pregnancy if...
History of dizygotic twins in female history | Use of fertility drugs
43
Monozygotic
Fertilization of a single ovum by one sperm Identical history of disygotic twins in female history and use of fertility drugs will increase the likelihood Congenital malformations are more likely
44
Dizygotic
Fertilization of two ova by two sperm Fraternal twins or non-identical