Chapter 3 IQ's Flashcards

1
Q

1st trimester (date, events, problems)

A
  • 0-12 weeks
  • missed period, breast enlargement, abdominal thickening
  • ectopic pregnancy, abnormal urine or blood tests, increased blood pressure, malnutrition, bleeding, miscarriage
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2
Q

2nd trimester (date, events, problems)

A
  • 12-24 weeks
  • weight gain, “showing”, fetal movements felt, increased appetite
  • gestational diabetes, excessive weight gain, increased blood pressure, Rh incompatibility of mother and fetus, miscarriage (13-20 weeks), premature labour (21+ weeks)
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3
Q

3rd trimester (date, events, problems)

A
  • 25-38 weeks
  • weight gain, breast discharge (colostrum)
  • increased blood pressure (toxemia), bleeding, premature labour, bladder infection
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4
Q

womb

A

uterus; where zygote implants

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5
Q

cervix

A
  • narrow, lower portion of uterus that extends into vagina

- thickens and secretes mucus to protect the developing embryo

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6
Q

morning sickness

A

Feelings of nausea and vomiting during pregnancy that usually occur in the morning, but can occur at any time of day/night

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7
Q

ectopic pregnancy

A

fertilized egg implants in fallopian tubes instead of uterus - baby won’t survive and zygote must be surgically removed for mother’s safety

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8
Q

spontaneous abortion

A

an early-term miscarriage similar to a menstrual period, but with greater blood loss and more discomfort

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9
Q

gestational diabetes

A

baby starts absorbing all the sugar and grows very large, putting a lot of stress on mother, which may send her into early labour. The baby may be born too premature to survive, or the baby may be too large for vaginal delivery

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10
Q

colostrum

A

substance secreted by women’s breasts in preparation for nursing

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11
Q

toxemia of pregnancy

A

signalled by a sudden increase in blood pressure that can cause a pregnant woman to have a stroke

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12
Q

2 patterns of growth in developing fetus

A
  • cephalocaudal pattern

- proximodistal pattern

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13
Q

cephalocaudal pattern

A
  • growth that proceeds from the head downward (“top-down”)
  • applies to organ development
  • ex. brain is formed before reproductive organs
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14
Q

proximodistal pattern

A
  • growth that proceeds from the middle of the body outward (“medial-lateral”)
  • applies to bone development
  • ex. long arm bones form, then wrist bones, then finger bones
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15
Q

germinal stage (day 1)

A
  • 1st stage of development (part 1)
  • conception
  • sperm and ovum unite, forming zygote that contains genetic instructions for the development of a new human being
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16
Q

germinal stage (days 10-14)

A
  • 1st stage of development (part 2)
  • implantation
  • zygote burrows into the lining of the uterus
  • specialized cells that will become the placenta, umbilical cord, and embryo are already formed
17
Q

embryonic stage

A
  • 2nd stage of development
  • weeks 3-8
  • organogenesis
  • all the embryo’s organ systems form during the 6-week period following implantation
18
Q

fetal stage (also - what’s important at week 12, week 24, week 28, and weeks 30-38?)

A
  • 3rd stage of development
  • weeks 9-38
  • growth and organ refinement
  • week 12: fetus can be identified as male or female
  • week 24: viability possible due to changes in brain and lungs (but an additional 14-16 weeks in womb required for optimal development)
  • week 28: most neurons form, and connections between them develop shortly after
  • week 30-38: fetus can hear, smell, is sensitive to touch, responds to light, and can learn
19
Q

implantation

A

attachment of the blastocyst (hollow, fluid-filled ball of cells) to uterine wall

20
Q

placenta

A

specialized organ that transfers substances from mother to embryo and back without their blood mixing

21
Q

umbilical cord

A

organ that connects embryo to placenta

22
Q

amnion

A

fluid-filled sac where the fetus floats until just before it’s born

23
Q

neurons

A

specialized cells of the nervous system

24
Q

gonads

A

sex glands (ovaries in females, testes in males)

25
Q

organogenesis

A

process of organ development

26
Q

viability

A

ability for fetus to survive outside womb

27
Q

how can a doctor determine if fetal brain development is normal?

A

through changes in fetal behaviour (ex. exhibiting alternating periods of activity and rest, beginning to yawn, etc.) which indicate that the process of neurons and synapse formation is proceeding normally

28
Q

what critical events occur around 4-8 weeks after conception?

A
  • male embryo begins to secrete testosterone

- female embryo’s don’t secrete any equivalent hormone

29
Q

why is the embryotic secretion of testosterone critical?

A
  • if testosterone isn’t secreted (or is inadequately secreted), embryo will be “demasculinized” and may develop female genetalia
  • also, female embryos exposed to testosterone from drugs during this time can be “masculinized” and may develop male genetalia
30
Q

sex differences in skeletal development

A
  • female fetuses more sensitive to external stimulation and advance more rapidly in skeletal development
  • female infants are 1-2 weeks ahead in bone development at birth (even though boys are longer and heavier)
  • female superiority in skeletal development persists throughout childhood and into early adolescence, causing girls to acquire coordinated motor movements earlier than boys
31
Q

prenatal problems male embryos are more vulnerable to

A
  • spontaneously abortions

- variables like marijuana and stress, which may negatively affect their prenatal development

32
Q

neonate

A

baby between birth and 1 month of age

33
Q

apgar scale’s 5 aspects and its trends

A
  • heart rate: trend = >100bpm
  • respitory rate: trend = good cry and regular breathing
  • muscle tone: trend = well-fixed extremities (not flaccid)
  • response to stimulation of feet: trend = crying after feet are flicked
  • colour: trend = completely pink
34
Q

why don’t newborns typically receive 10/10 on the apgar scale?

A

because although their bodies are pink, their extremities are usually still blue

35
Q

preterm

A
  • born before the 38th week of gestation

- usually catch up to peers after 2-3 years (better outcome)

36
Q

small-for-date

A
  • neonates that have suffered from retarded fetal growth

- often don’t catch up and suffer from severe developmental delays (worse outcome)

37
Q

what reduces respitory distress for neonates born more than six weeks early?

A

administering surfactant so that the neonate’s lungs can exchange O2 and CO2 into the blood

38
Q

low birth weight

A
  • most LBW babies who weigh more than 1500 grams and aren’t small-for-date catch up with their normal peers in the first few years of life
  • LBW babies below 1500 grams remain smaller than normal and have significantly higher rates of neonatal and long-term health problems and neurodevelopmental outcomes (ie. motor impairment, lower IQ scores, more problems in school, etc.)
  • boys are more likely than girls to show effects of LBW