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N3 Provider EXAM 2 > Pregnancy/Fetal Devlopment > Flashcards

Pregnancy/Fetal Devlopment Flashcards

(58 cards)

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1
Q

*How to measure the fundus

A

Measure from top of the pubic bone to top of the fundus

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2
Q

How to find the top of the fundus

A

Walk hands up the side of the belly, top will feel like a hard ball under the skin. Can feel the top by curving fingers into the tummy

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3
Q

*How to determine the due date.

A

Date of the 1st day of the last mental period minus 3 months plus 7 days

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4
Q

*Primary prevention related to pregnancy

A

Health education on: safe sex, contraception, nutrition, exercise, avoidance of smoking, alcohol and drug use.

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5
Q

*Secondary prevention regarding pregnancy

A

Prenatal care/check-ups looks at the following…

  • weight gain
  • fundal height
  • blood pressure
  • edema
  • fetal heart sounds
  • labs
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6
Q

*Nutritional requirements during pregnancy

A

a

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7
Q

At what week does the top of the fundus hit the umbilicus

A

20

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8
Q

When is the top of the fundus get to the rips

A

about 32

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9
Q

3 week fetus: nervous system

A
  • 3 germ layers are developed

- Neural tube is formin, open at both ends

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10
Q

3 week fetus: cardiorespiratory

A
  • Heart if just 2 parallel tubes

- Tubes contract so heart beat can be detected 21-22days

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11
Q

What is developed from the endogerm?

A

digestive tract

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12
Q

What is developed from the mesoderm?

A
  • muscle
  • bone
  • cartalidge
  • dermis
  • connective tissue
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13
Q

What is developed from the endogerm?

A

-epidermis

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14
Q

4 week fetus: nervous/sensory sys

A

Neural tube closes

Eye, nose, ear development begins

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15
Q

4 week fetus: cardiorespirtory

A

Four chambers of the heart begin forming

tracheal and bronchial development begins

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16
Q

4 week fetus: musculoskeletal sys

A

upper and lower limb bud appear; look like flippers

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17
Q

6 week fetus: cardiorespiritory

A
  • heart has 4 chambers

- lung lobes developing

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18
Q

6 week fetus: neuro/sensory

A
  • cranial nerves and pituitary glands devo. begin

- eyelid and external ear begin

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19
Q

6 week fetus: digestive

A

-intestines mainly in the umbilical

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20
Q

6 week fetus: musculoskeletal

A

limbs are paddles with notches

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21
Q

6 weeks fetus

A
  • head is prominent
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22
Q

8 wk fetus: cardiorespiritory

A
  • heartbeat detected with ultra should

- additional bronchi

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23
Q

8 week fetus: geniourinal

A

genitals begin forming/differentiating

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24
Q

8 week fetus: musculoskeletal

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A
  • bones begin to ossify

- fingers/toes definite

25
8 week fetus
definite human form
26
10 week fetus:
-patient digestive tract from mouth to anus
27
12 week fetus: heart
heart beat detectable by doppler
28
12 week fetus: genitourinal
- sex determinable/genitals differentiated | - kidneys produce rine
29
12 week fetus: integumentary
lanugo begins
30
12 week fetus: reflex
sucking reflex
31
16 week fetus: neuro/sensory
face appears human, eyes fwd
32
16 week fetus: urinary
secreted urine
33
16 week fetus: growth
big growth in length
34
16 week fetus: musculoskeletal
relative limb length reached
35
20 week fetus: integumentary
vernix cerosa and lanugo present - brown fat developed - nipples begin - hair appears
36
20 week fetus: genital
- primordial follicles reach peak | - testes begin to descend
37
20 week fetus: urinary
40% nephrons are mature
38
20 week fetus: heart
heart beat detectable with a fetoscope
39
28 week fetus: neuro/sensory
- respond to bitter substances | - sulci and gyri are present
40
28 week fetus: respiritory
sufficient surfactent, alveoli, and capillary network for lungs to function
41
28 week fetus
-head heavy so being do descend
42
32 week fetus: nervos
PSN near SNS
43
32 week fetus: respiritory
surfactent nears maturation
44
32 week fetus: integumentary
- lanugo disappearing | - skin smooth and pigmented
45
32 week fetus: survival
good survival chances
46
38 week fetus: growth
mainly weight gain
47
38 week fetus: survival
good - lungs ready - all systems developed
48
relation of fertilization and gestational age
Fertilization age is about 2 weeks less than the gestational age
49
3 week fertilization age considerations for mother
- missing period at this point - possible morning sickness *get on folic acid*
50
4 week fertilization age considerations for mother
-nausea/vomitting
51
6 week fertilization age considerations for mother
-nausea/vomiting
52
8 week fertilization age considerations for mother
Can hear heart on an ultrasound - fatigue - breast swelling - darker body hair - acny
53
12 week fertilization age considerations for mother
Fetal sex can be determined Hear heartbeat on the Doppler -mom is getting bigger, starting to show End of first tri
54
16 week fertilization age considerations for mother
Mom may feel fetal movement/quickening | -nausea usually ends
55
20 week fertilization age considerations for mother
Heart can be heard with auscultation - movements feel like fluttering/butterfly - braxton-hicks may occur - inc. risk of varicose veins - may have nigra; black vein
56
28 week fertilization age considerations for mother
- period of greatest weight gain - mom is getting uncomfy - see OB 2x a month
57
32 week fertilization age considerations for mother
- braxton-hick more noticeable - heartburn common - SOB - Edema - Urinary frequency
58
38 week fertilization age considerations for mother
- mucous plug often lost/water breaks | - ready for baby to come out

N3 Provider EXAM 2 (7 decks)

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