Chapter 6- Fetal Period: Ninth Week to Birth Flashcards

1
Q

Fetus vs. embryo

A

fetus has established primordia of all major systems

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2
Q

one of the most common causes of perinatal death and morbidity

A

prematurity

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3
Q

postmaturity syndrome

A

pregnancy extended 3+ weeks after EDD

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4
Q

fetal dysmaturity

A
  • due to postmaturity syndrome

- absence of subcutenaous fat, skin discoloration, excessive weight, and increase risk for morbidity

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5
Q

insulin produced by ____

A

fetal pancreas

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6
Q

low birth weight associated with future risk for …

A

hypertension, diabetes, and cardiovascular disease

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7
Q

High birth weight associated with future risk for…

A

obesity

diabetes

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8
Q

IUGR

A

process causing a reduction in expected pattern of fetal growth or potential fetal growth

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9
Q

SGA

A

Infants with birth weights lower than pre-determined cutoff value for a particular gestational age

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10
Q

erythroblastosis fetalis/hemolytic disease of the neonate

A

destruction of fetal RBCs by maternal antibodies

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11
Q

spectrophotometric studies

A

degree of erythroblastosis fetalis

  • concentration of bilirubin related to degree of condition
  • need an amnio to perform
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12
Q

vernix caseosa

A

cheese like covering over fetus

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13
Q

lanuge

A

fine, downy hair covering skin

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14
Q

causes of IUGR

A
placental insufficiency- imparied uteroplacental and/or fetoplacental blood flow
drugs/alcohol
smoking (CL/P too)
maternal hormones and nutrition
multiples
genetics/family history
disease
teratogens
cardiovascular effects
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15
Q

9-12 Week Changes

A
  • CRL doubles
  • Primary ossification of skull and long bones
  • upper limbs reach final relative length
  • intestines return to abdomen at 11 weeks
  • mature genitalia established
  • erythropoiesis moves from liver to spleen
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16
Q

13- 16 Week changes

A
  • coordinated movements, not felt
  • ossification of skeleton
  • slow eye movements
  • scalp hair pattern developed
  • ovaries contain primary ovarian follicles
  • genitalia recognizable (12-14weeks)
17
Q

17-20 Week changes

A
  • movement felt
  • vernix caseosa
  • lanugo
  • eyebrows and hair
  • brown fat
  • canalization of the vagina
  • testicles start to descend
18
Q

21-25 Week Changes

A
  • weight gain- amount of fat increase until birth
  • rapid eye movements
  • blink-startle response
  • surfactant begins to be secreted
  • fingernails (24 weeks)
19
Q

26-29 Week Changes

A
  • eyelids open
  • hair develops
  • toenails
  • erythropoiesis exclusively by spleen
20
Q

30-34 Week Changes

A
  • pupillary reflex
  • chubby limbs
  • sooth, pink skin
21
Q

35-38 Week Changes

A
  • functional CNS
  • Growth slows
  • testes in scrotum