Chapter 3- Pre and Postnatal Development Flashcards

1
Q

How is heritability expressed?

A

As a positive number ranging from 0 to 1.0. Indicating the genetic variance associated with an estimate of variance in a phenotypic trait within a specific population

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2
Q

Epigenetic changes affecting health, brain growth and stress responses are positive or negative?

A

Can be either

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3
Q

Fertilization typically takes place in ________ and implantation occurs at ______ weeks.

A

A fallopian tube; implantation at approximately 2 weeks

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4
Q

Implantation- When does it start, when is it fully implanted, what are the terms to describe it?

A
  • Starts at around 6 days postfertilization
  • By 2 weeks, it is fully implanted
  • The fully implanted zygote is called an embryo
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5
Q

Early Divisions

A
  • First division at 2 hours
  • Day 4= morula (16 cells)
  • Day 5= outer and inner cells differentiate (outer cells will be placenta, now blastocyst)
  • Day 16= gastrulation (ectoderm, mesoderm, endoderm)
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6
Q

Gastrulation

A

Gastrulation is the formation of the archenteron (digestive system), starts in the blastocyst with the formation of the blastopore

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7
Q

Neurulation

A

Neural streak, neural tube, nervous system

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8
Q

What are the four developmental processes that transform a zygote into an embryo and then into a fetus?

A
  1. Mitosis: Cell division resulting in two identical daughter cells
  2. Cell migration: Newly formed cells move away from point of origin
  3. Cell differentiation: Cells start to specialize in structure and function (and establish specialized reservoirs of stem cells)
  4. Apoptosis: Genetically programmed death of cells not required/necessary
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9
Q

Mitosis

A

Cell division resulting in two identical daughter cells

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10
Q

Cell migration

A

Newly formed cells move away from point of origin

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11
Q

Cell differentiation

A

Cells start to specialize in structure and function (and establish specialized reservoirs of stem cells)

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12
Q

Apoptosis

A

Genetically programmed death of cells not required/necessary

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13
Q

The earliest stage of development is

A

The germinal stage

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14
Q

Put the stages of development in order:
- Embryonic stage
- Terminal stage
- Fetal stage
- Germinal stage

A
  1. Germinal stage (first 2 weeks after conception)
  2. Embryonic stage (weeks 3 to 8)
  3. Fetal stage (week 9 to birth)
  4. Terminal stage (late stage development prior to birth)
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15
Q

Describe the process of the embryo differentiating

A

After implantation, the inner cell mass becomes the embryo.
The neural tube is a U-shared groove formed from the top layer of differentiated cells in the embryo, which becomes the brain and spinal cord. On day 24-25, there is a primitive brain forming.

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16
Q

What does the neural tube give way to?

A

The brain and spinal cord.

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17
Q

What is the neural tube formed from?

A

The top layer of differentiated cells in the embryo.

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18
Q

When does the primitive brain form?

A

Day 24-25

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19
Q

When do neural tube defects occur?

A

When the neural tube fails to close properly.
- 1 in 1,000 births is affected by a clinically significant neural tube defect
- Occurs in the 3rd-4th weeks of pregnancy

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20
Q

In the US, the FDA in 1996 authorized that all enriched cereal grain products be fortified with folic acid, with optional fortification beginning in March 1996 and mandatory fortification in January 1998. Why was this considered a “successful intervention”?

A

Th folic acid supplementation was directly correlated to lower levels of anencephaly and spina bifida (Due to fewer neural tube defects from a lack of folic acid in the diet).

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21
Q

Key Points- Embryonic Period

A
  • Large changes in body structure
  • Large changes in size
  • Cells are differentiating, migrating to form major structures
  • Weeks 3-8
  • Embryonic face development proceeds rapidly from 5 1/2 to 8 weeks
22
Q

Key Points- Fetal Period

A
  • Weeks 9 to birth (38 weeks gestation, 40 weeks past last period)
  • Rapid growth; most weight gain is in the last two months
  • By 22 weeks, some can survive with neonatal intensive care
  • By 28 weeks, fully developed lungs, some can survive without medical support, many can develop essentially normally with support
  • Cephalocaudal and proximodistal development patterns
23
Q

At what week are the lungs fully developed?

24
Q

Fetal growth, experience and behavior

A
  • Neurogenesis essentially complete at 18 weeks
  • Spontaneous movement in embryonic stage at 7 weeks as limbs develop increasing movement
  • Tactile sensations, kinesthetic sensations, taste, smell, hearing, memory
  • Habituation to sound, learning specific patterns, music
25
What specific factors of a mother's health, medical care, and psychological states influence fetal development?
- Nutrition, weight, blood pressure - Depression: low brith weight, attention - Stress (cortisol passes placenta): blood flow to fetus & potential Hpc Prenatal care to identify and mitigate risks
26
How does stressful pregnancy influence development?
- The fetal programming and "life history" theories suggest this may be an adaptive response - Reactivity in a harsh environment may make survival to reproductive age more likely (and reproductive age earlier) - Surviving pregnancy and delivery: Black, Hispanic, and Native American women have much higher rates of maternal mortality and infant mortality - Pregnancy outcomes for Black mothers and infants are higher with Black physicians
27
How are weight of the mother and premature birth correlated?
Underweight women are more likely to give birth prematurely and more likely to have an increased rate of premature delivery for subsequent pregnancies
28
What are teratogens? Give examples
Teratogens are external agents that affect the embryo or fetus in harmful ways - Pathogens: viruses, bacteria, parasites - Drugs, prescription and recreational, legal and illegal - Environmental contaminants: lead, chemicals - Genetic susceptibility varies, timing and dosage matter - Effects may be physical or functional, immediately obvious or delayed
29
What is an example of a significant and widespread teratogen in 2015-2016?
The mosquito borne Zika virus caused microcephaly in babies of some pregnant women (babies born in Brazil) - Research suggests maternal under-nutrition is a co-factor in Zika syndrome
30
Exposure to a teratogen during pregnancy...
- May produce different effects in different circumstances - Should be avoided whenever possible
31
Stage 1 of Labor
Contractions cause the cervix to open/dilate, soften, shorten, and thin. - Longest stage of labor; in low-risk pregnancy, normally done at home; Transition state normally most painful
32
Stage 2 of Labor
Contractions propel the fetus down the birth canal - Delivery of the baby
33
Stage 3 of Labor
The placenta is expelled - Delivery of the placenta
34
What is the APGAR scale?
Evaluating infant state at birth, again in 5 minutes. A- Activity (muscle tone) - 0 points: Absent - 1 point: Flexed arms and legs - 2 points: Active P- Pulse - 0 points- Absent - 1 point- Below 100 bpm - 2 points- Over 100 bpm G- Grimace (reflex irritability) - 0 points- Floppy - 1 point- Minimal response to stimulation - 2 points- Prompt response to stimulation A- Appearance (skin color) - 0 points- Blue, pale - 1 point- Pink body, blue extremities - 2 points- Pink R- Respiration - 0 points- Absent - 1 point- Slow and irregular - 2 points- Vigorous cry SCORES: 7-10- GOOD 4-6- Low Less than 4- Treat immediately
35
What are common birth complications & weight problems?
- Prolonged labor, breech position, caesarean birth - Birth weight: LBW and VLBW 7.5 pounds average 5.5 and below, LBW 3.5 and below, VLBW Prematurity: birth before 37 weeks/36 weeks -Oxygen deprivation - Anoxia- induced hypothermia may slow cascade of brain damage - Respiratory distress syndrome
36
Place in order: Fetus, zygote, embro
1. Zygote 2. Embryo 3. Fetus
37
Birth is a process set into motion by?
Hormonal and physical changes
38
Birth Weight- What is considered average, LBW, and VLBW?
- 7.5 pounds average - 5.5 and below, LBW - 3.5 and below, VLBW
39
Birth before what week is considered prematurity?
37/36 weeks
40
What is a way to treat oxygen deprivation (anoxia)- specifically to slow cascade of brain damage?
Induced hypothermia
41
Extreme prematurity is associated with high rates of?
Mortality and disability
42
What are the contextual influences of infant mortality and health?
- Economics of a country or community - Access to healthcare - Provider beliefs and biases about patients - Clean water, nutrition, etc
43
What is kangaroo care? Where did it originate?
Naked baby against mother's bare skin. Originated in countries with limited ICU capacity, and has spread worldwide.
44
What can help low birth weight infants?
Physical contact, social interaction
45
Infant Brain Development
- Brain growth (rapid)- doubles volume in two years, visual cortex, frontal cortex, motor and prefrontal areas, cerebellum triples in size in 1st year - Bidirectionality and brain specialization Experience drives maturation, which enables more experience PLASTICITY - Brain responds to experience with specialization - Lesions to brain early and later may have very different effects
46
Infant Sleep
Types of sleep: REM, non-REM - Sleep-wake cycles: neonates sleep 18 hours/day - More time spent in REM- may help organize visual cortex, maintain vigilance (breathing difficulty and SIDS) Functions of sleep: brain and body maintenance and growth - Growth hormone is secreted during sleep - Architecture of sensory cortex - Consolidation of information and learning
47
SIDS
Sudden infant death syndrome - Unexplained death of an infant up to 1 year; infant has been left sleeping, is found deceased - Third leading cause of infant death - Triple risk model: infant age, vulnerability, exogenous stress Vulnerability- exposure to alcohol, tobacco, other drugs, genetic risk Exogenous stress- overheating, breathing obstruction, tobacco smoke
48
Co-sleeping?
No. Increased risk of SIDS
49
Nutrition and Breastfeeding
- Breastfeeding benefits- easier bonding, lower obesity, higher cognitive ability - Breastfeeding may not be the best option for many women - Mothers who do not have support are less likely to breastfeed - Sensitive responsive care, informed nutrition are more important than breastfeeding
50
Developmental Cascades
- A difficult (prematurity, LBW) start in a difficult context (stressed family, low social support, low responsiveness) can lead to problems in social and cognitive development - Even with a difficult start, social support for parents, parental sensitivity to needs of child, most premature, LBW infants experience early delays, but catch up on development