Chapter 3: The Prenatal Period, Birth, and the Newborn Flashcards

1
Q

Stages of prenatal development

A
  1. Conception including zygote
  2. Germinal period (0-2 weeks)
  3. Embryonic period (3-8 weeks)
  4. Fetal period (9 weeks - birth)
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2
Q

The germinal period

A
  • 0-2 weeks
  • Cleavage and cell division
  • Formation of a blastocyst after fertilization
  • Implantation
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3
Q

Fertilization occurs in the….

A

Fallopian tube

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4
Q

___% of pregnancies end before implantation

A

45

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5
Q

Embryonic period time

A

3-8 weeks

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6
Q

Embryonic period development

A
  • Structural development of embryonic disk, ectoderm, endoderm, and mesoderm
  • Beginnings of organ systems (organogenesis 4-8 weeks)
  • Support systems
    - amniotic sac
    - umbilical cord
    - placenta
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7
Q

What is the role of the amniotic sac?

A

Provides nutrition, protects from pathogens and physical damage

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8
Q

Fetal period development

A
  • 9 weeks - birth
  • Further development of organs
  • External features form
  • Brain development and responsiveness
  • Growth in weight and height
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9
Q

What is the age of viability?

A

22 weeks (80% after 25 weeks)

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10
Q

When is coordinated fetal movement first felt?

A

17-20 weeks

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11
Q

What are teratogens?

A

Chemical substances that can harm the infant, including alcohol, nicotine, drugs, etc.

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12
Q

What four aspects affect teratology?

A

Critical period (earlier exposure = more damage), dose, individual differences (contributes to sensitivity), complicated effects

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13
Q

Examples of environmental hazards (teratogens)

A

Heavy metals, radiation, toxic waste, chemical pollutants, birth defects in developing countries

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14
Q

Fetal alcohol spectrum disorder

A
  • Facial deformities
  • Small head and body size
  • Congenital heart defects
  • Defective joints
  • Cognitive and behavioral problems
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15
Q

Effects of nicotine and smoking on fetal development

A
  • Preterm birth
  • Low birth weight
  • SIDS
  • Respiratory issues
  • ADHD
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16
Q

Effects of drugs (cocaine, heroin, methamphetamine, marijuana) on fetal development

A
  • Addiction and withdrawal
  • Difficulty isolating effects
17
Q

Four maternal characteristics that affect fetal development

A

Weight and diet, supplements, emotional well-being, maternal age

18
Q

What is the recommended gestational weight gain?

19
Q

What is an effective preventative measure for spina bifida?

A

Folic acid supplement

20
Q

What can maternal depression lead to in fetal development?

A

Preterm birth, low birth weight, cognitive and emotional difficulties, ADHD

21
Q

What maternal age is considered a risk factor?

22
Q

What paternal characteristics can influence development?

A
  • Influence on home context
  • Advanced age and birth defects
  • Epigenetic markers (smoking changes genome, can pass along traits)
23
Q

Latinx paradox

A

Despite socioeconomic disadvantages, Latina mothers often have equal or lower risk of low birth weight

24
Q

Three labor stages

A

Dilation, delivery, assessment of newborn and delivery of placenta

25
Hospital births make up ___% of contemporary US births
98.6
26
Cesarean delivery
Used for medical complications including umbilical cord entanglement, breech position, fetal distress, prolonged labor, multiple births, etc
27
Now, ___ in ___ births are cesarean delivery, but the number of medical emergencies has not increased
1, 3
28
Natural Childbirth
- Breathing and relaxation exercises - Emphasis on preparation - Lamaze method - Doula (emotional support)
29
Doula vs Midwife
Doula = emotional and physical support during pregnancy, birth, and postpartum Midwife = offer clinical support and care
30
What qualifies as preterm?
<37 weeks
31
What qualifies as preterm?
< 37 weeks
32
What qualifies as low birth weight?
< 5.5 lbs (very low birth weight < 3.5 lbs, extremely low birth weight < 1 lbs)
33
What treatment is used for premature babies?
Kangaroo care (aka: skin to skin contact with parents)
34
What scales are used for the medical and behavioral assessment of newborns?
The Apgar scale at birth and the Brazelton Neonatal Behavioral Assessment Scale (NBAS)
35
Which senses are well developed at birth?
Auditory, taste, smell