ch 6: conception, pregnancy and childbirth Flashcards

1
Q

what are some reasons why the sperm doesn’t reach the egg? (3)

A
  • gravity: depends on sexual position
  • acidity: kills any extra sperms
  • wrong fallopian tube: some sperms swim up the wrong tube
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2
Q

what is the “zona pellucida”?

A

jelly layer surrounding the egg which has to be penetrated for sperm to reach the egg

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3
Q

what is hyaluronidase ?

A

this used to break down the jelly layer around the egg for sperm to reach the egg.

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4
Q

Steps to get pregnant? (7)

A
  • find ovulation dates
  • have sex at ovulation
  • have sex every 24-48 hrs for sperm to re-spawn
  • try missionary
  • lift hips and legs after sex
  • don’t douche
  • have an orgasm
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5
Q

what are the three germ layers in a developing embryo?

A
  1. Ectoderm
  2. Mesoderm
  3. Endoderm
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6
Q

what is the ectoderm do?

A

forms skin in fetus

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7
Q

what is the mesoderm?

A

forms muscles, skeleton, circulatory system, and urine system in fetus.

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8
Q

what is the endoderm?

A

forms the digestive system in the fetus

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9
Q

function of the placenta? (3)

A
  • Human Chorionic Gonadotrophin (hCG)
  • Exchange nutrients from mother and fetus
  • Produces extra progesterone which changes influx in hormones
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10
Q

what week does the umbilical cord develop?

A

the 5th week and it is attached to the placenta

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11
Q

what is the “amnion? (3)

A
  • liquid that keeps fetus floating
  • maintains temperature
  • protects fetus from outside harm
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12
Q

what are the 3 signs of pregnancy (3 p’s)

A
  1. presumptive signs
    -missing your period
  2. probably signs
  3. positive signs
    -ultrasound
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13
Q

“What is Nagele’s Rule”?

A

Estimated Due Date = 1st day of last period - 3months +7 days + 1 year

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14
Q

what is “Breech Presentation”

A

the head of the baby is facing up in the uterus

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15
Q

what is “Cephalic Presentation”

A

The head of the baby is facing down in the uterus

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16
Q

1st Trimester changes: PHYSICAL (5)

A
  1. swollen breasts
  2. frequent pee
  3. discharge
  4. nausea
  5. fatigue
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17
Q

1st Trimester changes: PSYCHOLOGICAL

A
  1. depression
  2. anxiety about miscarriage
  3. protective factors
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18
Q

2nd Trimester changes: PHYSICAL

A
  1. big belly
  2. decrease of symptoms
  3. edema
  4. boobs fully developed
  5. fetus moves
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19
Q

2nd Trimester changes: PSYCHOLOGICAL

A
  1. calmer
  2. pride
  3. excitement
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20
Q

3rd Trimester changes: PHYSICAL

A
  1. noticing more fetus activity
  2. symptoms from pressure on organs
  3. awkwardness
  4. braxton hicks contractions
  5. engagement of the head
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21
Q

3rd Trimester Changes: PSYCHOLOGICAL

A
  1. Impatience
  2. concern about the health of baby
  3. fears about labour and delivery
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22
Q

In the 1st trimester, why would a psychological change be depression?

A

if a pregnancy is unplanned and the woman is not able to support herself and the baby, this can lead to depression and anxiety

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23
Q

In the 3rd trimester, for “physical changes” what are the symptoms of pressure on organs?

A
  1. pressure on bladder = having to pee all the time
  2. pressure on lungs = hard to breathe with fetus pushing up against lungs
  3. pressure on stomach = it is a weird sensation
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24
Q

In the 3rd trimester, what are some of the “awkwardness’” that happen in physical changes?

A

-gaining up to 8lbs of water weight
- boobs getting 1.5lbs bigger

25
Q

what is the “Braxton- Hicks” contractions?

A

can be mistaken for going into labour because the uterus tightens and releases and happens in late pregnancy

26
Q

when would a doctor need to perform a c-section?

A

if the baby’s head is not in the “head down” position

27
Q

less stress in pregnancy means what?

A

fewer problems in childbirth

28
Q

3 good things for prenatal care?

A
  1. Nutrition
  2. Sex during pregnancy
  3. Exercise
29
Q

why is nutrition important in prenatal care?

A

the fetus needs the nutrients that the mother ingests so you need extra of everything for the fetus and the mom

30
Q

why is sex during pregnancy important in prenatal care?

A

its just healthy and completely safe

31
Q

why is exercise important in prenatal care?

A
  • increases oxygen for fetus
  • reduces fluid retention
  • strengthens body for giving birth
32
Q

what happens at the beginning of labour?

A
  • discharge of mucus plug (“the blood show”)
  • membranes containing amniotic fluid rupture (“water breaking”)
  • Braxton Hicks contractions increase
33
Q

what is the mucus plug?

A

plugs the cervix opening from germs getting in

34
Q

how long does labour last on the average?

A

2-24 hours

35
Q

how long does labour last for someone who is pregnant for the 1st time

A

12-15 hours

36
Q

how long does labor last for someone who is pregnant for the second time?

A

8 hours

37
Q

what happens in the 2nd stage of childbirth?

A
  • head moves into the birth canal
  • “crowning”
  • episiotomy
  • first breath
38
Q

what is an episiotomy?

A

an incision into the perineum (rectum).
this speeds up delivery
these are more common on fridays…

39
Q

what happens in the 3rd stage of childbirth?

A

placenta detaches and afterbirth comes out of woman

40
Q

when are Caesarean sections (c-sections) performed?

A

-breech birth
-labour is difficult or abnormal
-fetus is distressed
-women has had previous c-sections

41
Q

what are some controversies about c-sections ?

A

they might be performed too routinely

42
Q

what are some childbirth options?

A
  • lamaze
  • anesthetics
  • home vs hospital births
43
Q

what is lamaze

A

its a way to help people cope with labour, mentally prepares you for giving birth

44
Q

what kind of anesthetics are used during childbirth ?

A
  • epidural
  • nitroxide
45
Q

why might a home birth be better than a hospital birth?

A

being at home with family is a better setting than being in a hospital which is associated with sickness and disease

46
Q

how old was the oldest woman to give birth?

A

66 years old

47
Q

what are the role of dads when partner is pregnant?

A

ambivalence
couvade syndrome
couvade rituals

48
Q

what is couvade syndrome

A

when the dad thinks hes having the same symptoms as his pregnant partner (cravings, nausea, weight gain)

49
Q

what are couvade rituals

A

women squeezed partners testicles while giving birth so they can share the same pain of giving birth

50
Q

what are some changes that come with the postpartum period?

A
  • physical
  • psychological
  • lifestyle
  • exhaustion
  • discomfort
  • changes in hormones
51
Q

what are some changes with sex during postpartum period?

A
  • discomfort after vaginal birth
  • problems with lubrication
  • not feeling confident in your own body
52
Q

what is prolactin in breastfeeding?

A

prolactin : helps with the production of breastmilk

53
Q

what is oxytocin in breastfeeding?

A

helps with the ejection of breastmilk

54
Q

what is colustrum ?

A

it is “breastmilk” and its good for the immune system of the baby

55
Q

benefits for babies who are breastfed?

A
  • enhances brain and visual development
  • less likely to be obese, straighter teeth, less infection in the body
56
Q

benefits for moms who breastfeed?

A
  • postpones ovulation
  • uterus goes back to normal size while breastfeeding
  • helps women lose pregnancy weight
57
Q

why does breastfeeding help women lose pregnancy weight?

A

it burns calories while producing breastmilk and while breastfeeding

58
Q

what are some disadvantages for moms who breastfeed?

A
  • blocked milk ducts (painful)
  • not being able to produce enough milk at the start
  • lots of leaking
  • not being able to control when milk comes out (random triggers)