chapter 2 Flashcards

1
Q

Three main periods of prenatal development

A

Three main periods of prenatal development
Germinal period
Embryonic period
Fetal period

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2
Q

conception occurs when

A

a sperm and ovum form a zygote, two cells become one
-no matter how conception occurs, the zygote, divides and multiples from shell, implants not automatic, sometimes never implants

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3
Q

Germinal period:

A

Germinal period: First 14 days
Zygote begins duplication and division within hours of conception.
–Development of the placenta
–Implantation (about 10 days after conception)
–Organism grows rapidly

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4
Q

Embryonic period:

A

Embryonic period: Third through eighth week
Embryo
–Primitive streak becomes the neural tube and later forms the brain and spine of the CNS.-day 14`
–Head takes shape.
–Eyes, ears, nose, and mouth form.
Heart begins to pulsate.
–Extremities develop and webbed fingers and toes separate.

-3rd week after conception-mass of inner cells takes shape=embryo

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5
Q

Fetal period:

A

Fetal period: Ninth week until birth
Fetus
–Genitals form and sex hormones cause differences in fetal brain organization.
–By three months, the fetus weighs about 3 ounces.
–Experiences the period of greatest brain growth during the fourth, fifth, and sixth months

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6
Q

end of embryonic period

A

23rd pair of chromosomes produce hormones that cause the reproductive organs to develop inside-affect development of brain and body

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7
Q

-baby can be born with “ambiguous genitals”

A

uncertain sex, Childs sex is not abundantly clear. need to look at 23rd pair of chromosomes

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8
Q

Age of viability

A

Age of viability-increases as baby stays in womb longer
-Age at which a preterm newborn may survive outside the mother’s uterus if medical care is available
-About 22 weeks after conception
-Brain is able to regulate basic body functions (e.g., breathing).

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9
Q

From Zygote to Newborn summary

A

The Germinal Period
An estimated 65 percent of all zygotes do not grow or implant properly and
thus do not survive the germinal period.
The Embryonic Period
About 20 percent of all embryos are aborted spontaneously. This is usually
called an early miscarriage, a term that implies something wrong with the
woman when in fact the most common reason for a spontaneous abortion
is a chromosomal abnormality.
The Fetal Period
About 5 percent of all fetuses are aborted spontaneously before viability at
22 weeks or are stillborn, defined as born dead after 22 weeks. This is much
more common in poor nations.
Birth
Because of all these factors, only about 27 percent of all zygotes grow and
survive to become living newborn babies.

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10
Q

Chromosomal and genetic problems
92 percent of people:
-About half of all zygotes:
99 percent of newborns:

A

Chromosomal and genetic problems
-92 percent of people: no serious inherited condition
-About half of all zygotes: more or fewer than 46 chromosomes; spontaneously abortion
-99 percent of newborns: have 46 chromosomes

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11
Q

Entire added chromosome

A

Chromosomal and genetic problems
Entire added chromosome (recognizable syndrome)
-Trisomy
–Patau syndrome/13th site: 1 in 10,000 newborns
–Edwards syndrome/18th site: 1 in 5,000
–Down syndrome/21st site: 1 in 700
–Alzheimer’s disease (AD) by middle age: 21st site and increase of amyloid plaque

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12
Q

Problems of the 23rd pair

A

Problems of the 23rd pair
–One in every 300 infants born with only one sex chromosome (no Y) or with three or more.
–Cognition, fertility, and sexual maturation are affected.

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13
Q

turners

A

only one sex chromosome is present

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14
Q

Gene disorders

A

Gene disorders
-Phenotype is only affected when inherited gene is dominant or when both parents carry recessive gene.
-Some dominant disorders begin in adulthood (fatal dominant childhood conditions cannot be passed on).
-Recessive disorders are more common.
—Early-onset Alzheimer’s disease
—One form of muscular dystrophy
—Marfan syndrome
—Huntington’s chorea

X-lined recessive conditions
-Hemophilia
-Duchenne muscular dystrophy
-Fragile-X syndrome-inherited intellectual disability

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15
Q

Common genetic disorders
Multiple genes

A

Common genetic disorders- they are common because carriers benefited from the gene, which makes the gene frequent in pop.
–Cystic fibrosis
–Thalassemia
–Sickle-cell disease
-protects against malaria

Multiple genes
–Most important human traits (for health, intelligence, emotions, and so on) are result of several genes, not a single one. (anxiety, depression)
–These genes came from ancestors who lived in many places.

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16
Q

Genetic counseling

A

Genetic counseling
Professionals who provide genetic counseling help prospective parents understand their genetic risk so that they can make informed decisions, not impulsive, irrational ones.

17
Q

Harmful substances during pregnancy
Teratogens
Critical time
Threshold effect

A

Harmful substances during pregnancy

Teratogens
These include any agent or condition, including viruses, chemicals, and drugs, resulting in birth defects or even death.
 (increases he risk of prenatal abnormalities and birth complications)

Critical time
-Some teratogens cause damage only during critical period.
 (pregnancy overall is a critical period, nurture begins at prenatal environment, that’s why we should begin to take care of themselves before conception.)

Threshold effect
-Many teratogens are virtually harmless until exposure reaches a certain level.
Fetal alcohol syndrome (FAS)


18
Q

Genetic vulnerability

A

Genetic vulnerability
-Some zygotes carry genes that make them vulnerable.
-Male fetuses are more vulnerable to teratogens than female ones.
-Neural-tube defects are more common in certain ethnic groups (e.g., Irish, English, and Egyptian).

19
Q

Low birthweight: Definitions

A

Low birthweight: Definitions

-Low birthweight (LBW)
Less than 2,500 grams (5½ pounds) at birth

-Very low birthweight (VLBW)
Under 1,500 grams (3 pounds, 5 ounces) at birth

-Extremely low birthweight (ELBW)
Under 1,000 grams (2 pounds, 3 ounces) at birth

20
Q

Too soon or too small
Preterm
Small for gestational age (SGA)

A

Too soon or too small
Preterm
–Birth that occurs at two or more weeks early
–Usually associated with low birthweight

Small for gestational age (SGA)
-Birthweight is significantly lower than expected, given the time since conception; 2,600 grams and 30-week-old fetus weighing only 1,000 grams
-Suggests impairment throughout prenatal development and serious problems.

21
Q

Most common reasons for LBW

A

Most common reasons for LBW
-Maternal malnutrition and behavior
-Hunger; poor nutrition (gain less than 3 pounds per month)
-Drug use
Multiple births-gain weight more slowly and are born earlier

22
Q

Consequences of LBW

A

Consequences of LBW

-High risk infants and children
–Every developmental accomplishment is delayed.
–Rates of cognitive, visual, and hearing impairments increase.
–Immigrant paradox


Middle childhood, formerly SGA children
-More neurological problems, smaller brain volume, lower IQ, and behavioral difficulties


Adulthood
-Risks persist; physical and social problems-had trouble forming relationships/ partners if LBW

Remember that risk analysis gives odds, 
not certainties!-plasticity is lifelong, humans can overcome many. hazards as they grow older

23
Q

immigrant paradox

A

theory- immigrants tend to be poor, have more LBW newborns

reality: newborns of immigrant women tend to be heavier and healthier than those born to native-born women, Why? culture values pregnancy more?

24
Q

United States has a low-birthweight rate of about 8.28 percent, ranking

A

United States has a low-birthweight rate of about 8.28 percent, ranking worse than most developed nations.-china prioritizes prenatal care

-Several changes in maternal ethnicity, age and health did not affect decrease; unintended pregnancies decreased.
—More multiple births (fertility measures), nutrition (food insecurity), lack of health care among poor


25
Q

Fetal brain signals the release of hormones to

A

Fetal brain signals the release of hormones (oxytocin) to trigger the female’s uterine muscles.

Labor begins
Average duration for firstborn babies: 12 hours
Quicker labor for later-born babies: 7 hours

26
Q

full term

A

two weeks before or after that date

27
Q

Hospital or home

A

Hospital or home
Variation among nations; within countries, regions, states
-Hospital births-mostly developed countries
-Home births-mostly underdeveloped countries

Other options
-Self-standing birthing center; doula
( a person trained to support the laboring women), midwife->emphasize breathing, massage, and social support

28
Q

Birth at home

A

Risks
-Not covered by public or private insurance
-Higher infant mortality
, immediate surgery not able to be done

Benefits
–Less expensive
–Less drugs and less intervention of any kind
–Less stress on mother

29
Q

Cesarean section (c-section)

A

Cesarean section (c-section)

Advantages
–Surgical birth; scheduled; more expensive
–Fetus can be removed quickly
–Usually safe for mother and baby, saving lives when the fetal head is too large for the pelvis


Disadvantages
–May be more difficult breast-feeding and medical complications
–Higher incidence of asthma or obesity as babies age (Absence of beneficial microbiome) (through vaginal delivery)

30
Q

Apgar scale
Brazelton Neonatal Behavioral Assessment Scale

A

The newborn

Apgar scale-based on breathing, heart-rate, etc.
–A quick assessment of a newborn’s health, from 0 to 10. Below 5 is an emergency—a neonatal pediatrician is summoned immediately.
–Most babies are at 7, 8, or 9—almost never a perfect 10.

Brazelton Neonatal Behavioral Assessment Scale
–A test that is often administered to newborns, which measures responsiveness
–It records 46 behaviors, including 20 reflexes.

31
Q

Newborn reflexes aid

A

Newborn reflexes aid survival and signify healthy brain development.
–Reflexes that maintain oxygen supply–breathing reflex
–Reflexes that maintain constant body temperature-cry, shiver
–Reflexes that mange feeding-sucking reflex, swallowing

32
Q

New mothers

A

New mothers
Mother–infant bond
–Early skin contact, cross-fostering(strong relationship between foster parent and infant can still develop), kangaroo care (newborn lies between mothers breasts

Problems
Physical problems after birth
—Problems with incisions from a c-section, breast-feeding, painfully sore nipples, or problems with urination
Psychological symptoms
—Range from “baby blues” to postpartum psychosis (severe), postpartum depression: mild.
Other struggles with adequate baby care
—-Varied causes

33
Q

Fathers and others

A

Fathers and others
Helping mother stay healthy
Helping mother manage stress (affects fetus)
Experiencing couvade in some cultures
-> paternal experiences of pregnancy and birth-experience symptoms such as mood swings, heartburn, leg cramps that are common in pregnant women.