T1 - Maternal Newborn Intro PPT (Josh) Flashcards Preview

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Flashcards in T1 - Maternal Newborn Intro PPT (Josh) Deck (35):
1

When is viability?

20 wks or 500 g

2

When is full-term?

40 wks

3

--- is an unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof.

Serious injury specifically includes loss of limb or function.

Sentinel Event

4

What do we do w/ Sentinel Event?

DON'T put in client's chart

it is filed and send to Risk Mgmt in an OCCURRENCE REPORT

5

What is AROM and SROM?

Artificial Rupture of Membranes (break water)

Spontaneous Rupture of Membranes

6

Ethnocentrism vs. Cultural Relativism

Ethnocentrism = one culture’s way is the best way
Cultural Relativism = learning about & applying the standard’s of another’s culture to activities within that culture.

7

In the --- theory, the family is viewed as a unit and interactions among family members are studied rather than studying individuals.

Family Systems Theory

***change in one effects all

***circular, not linear, causality

8

Which group is most likely to be Cohabitating-parent family?

Hispanic children are more than twice as likely as African-American children to live in cohabitating-parent families and 4x's more likely than whites

9

--- is when changes occur when groups from diff. cultures come into contact w/ each other

--- is when cultural group loses its cultural identity and becomes part of the dominant culture.

Acculturation

Assimilation

10

Read chart on page 26-27

Read chart on page 26-27

11

What is HCG and what secretes it?

Human chorionic gonadotropin (hCG) is a hormone produced by the embryo after implantation.

secreted by blastocyst to make sure corpus luteum remains viable


***The presence of hCG is detected in some pregnancy tests (HCG pregnancy strip tests).

12

Three Primary Layers of Cells:

(outer layer) develops into skin, nervous system and other external parts of the body

Ectoderm

13

Three Primary Layers of Cells:

(inner layer) develops into thymus, thyroid, digestive, respiratory and parts of GU system

Endoderm

14

Three Primary Layers of Cells:

(middle layer) develops into muscles, bones, connective tissue, circulatory system, and GU system

Mesoderm

15

Need to know chart on page 269

Need to know chart on page 269

16

Does maternal and fetal blood mix?

not normally

17

What are the three shunts that permit blood to bypass live and lungs?

Ductus Venosus

Foramen Ovale

Ductus Arteriosis

18

Which shunt is this?

Shunts blood around (bypassing) liver

Ductus Venosus

19

Which shunt is this?

Shunts blood right to left (bypassing ventricles)

Blood goes from right atrium to left atrium

Foramen Ovale

20

Which shunt is this?

Shunts blood around lung

Ductus Arteriosis

21

When would RhoGAM be given?

given to make sure blood doesn't mix if spontaneous abortion

babies have on Rh type and can affect mom if she is Rh- and baby is Rh+ (her body treats it like a foreign substance and fights it)

22

When would RhoGAM be given?

at 28 wks and again ~48-72 hrs after delivery

23

What is Hematopoiesis and when does it occur?

formation of blood occurs at 6th week

24

When do stem cells begin to form the liver?

5th wk

25

When to stem cells seed the fetal bone marrow, spleen, thymus, and lymph nodes?

8th and 11th wk

26

When is blood type determined?

~ 5 wks

27

When are blood cells and heart functioning?

3 wks

****heart is fully developed at 8 WEEKS

28

What is normal fetal heart rate?

110-160

29

Hgb in fetus is about --- greater than mother.

50%

30

When can lung movement be seen?

11th wk

***fully mature ~ 34 wks

31

What are Dizygotic Twins?

Two separate pregnancies occurring simultaneously. 2 embryos, 2 placentas, 2 chorions and 2 amnions

32

What are Monozygotic Twins?

Result from the division of a single fertilized ovum. Same sex, same physical traits. Shared placenta 2 embryos, 2 amnions, 1 chorion & 1 placenta

33

What are di/di twins?

Dichorionic/Diamniotic (di/di) twins each embryo has their own amniotic sac & their own placenta (fraternal)

34

What are mo/di twins?

Monochorionic/Diamniotic (mo/di) twins each embryos has their own amniotic sac but share a placenta

35

What are mo/mo twins?

Monochorionic/Monoamniotic (mo/mo) twins -= 2 embryos 1 sac 1 placenta (Always Identical)