Exam 1 Chapters 4&5 Flashcards
is the most critical time for a person?
conception to birth
what are the stages within the conception-birth time period?
Germinal Period
Embryotic period
fetal period
what is the germinal period?
period of the ovum, 0-2 weeks
characterized by:
1. growth of the zygote
2. establishment of linkage between the zygote and support system
3. implantation (10th day post fertilization)
what is the principle task of the germinal period?
implantation
why is implantation important?
attain nutrients
initiating hormonal changes that prevent the menstrual cycle
what is the embryotic period
(3-8 weeks)
begins with the fold down the middle of the embryotic disc
characterized by growth in two directions: cephalocaudal and proximodistal growth
most body parts form in the first 1-2 months
establishes the placental relationship with the mother (through the umbilical chord)
4th week: “heart beat
5th week: arm and leg buds form
8th week: all basic organs and features of human beings have formed (except sex organs)
what is the primitive streak?
the fold down the middle of the embryonic dic that eventually turns into the spinal chord
what is cephalocaudal growth?
“head to tail growth”
top down growth
the head develops first and then the rest of the body
what is proximodistal growth?
“near to far growth”
center out growth
the organs form first and then everything else
what is the fetal period?
(9th week to birth)
very important stage for physical growth
in the third month:
-muscle develops
-cartilage turns to bone
-all major organs take shape
-sex organs take discernable shape (up until the 6th week they are indifferent gonands)
-fetus is doing most of the functions a newborn can do by the end of the third month
4-6 months:
-hair including eyebrows form
-development of the brain is appreciable
-age of viability is reached
7-9 months:
-lungs & heart increasingly capable
-brain activity takes on a sleep wake pattern
-appreciable weight and height
(will grow to approx 4.5 lbs and 6” tall)
go look at the diagram of the brain development in the book
-follows proximodistal development (with the base of the be brain developing first)
brainstem>midbrain>forebrain
what is the age of viability?
-24 weeks
what is surfactant?
a chemical put into the newborns lungs that decrease surface tension on the bubbles on the lungs
what do the first few minutes of a neonates life consist of?
- APGAR Scale
- Assessments
what is the APGAR scale
Activity (muscle tone) flexion or limp?
Pulse (heart rate) >100
Grimace (reflex ability) response to the nose catheter
Appearance (skin color) jaundice? Purple? Pink?
Respiration (breathing) crying?
each of the criteria are assessed on a 0-2 point scale with the total being out of 10 points.
assessed at 1 min and 5 min
what do the different APGAR scores differ?
> 7= not in danger
5-6=needs help
0-4= critical condition
what are the averages in birth weight and height?
weight= 7 1/2 lbs
height= 20-21 inches
what causes low birthweight
-multiple births
-malnourishment
(umbilical chord issues)
(environmental issues)
-prenatal infections
-genetic handicaps
- many teratogens
(drinking)
(smoking)
(radiation, etc.)
what is technically a preterm birth?
<35 weeks
what causes most newborn death?
causes of newborn death
what constitute as stressful births?
- anoxia
- Cesarean Section
Watch the miracle of life vid
;)
what are some key concepts pertaining to the development prenatal problems?
- teratology
- critical period
- teratogenic diseases
- drugs
what is teratology?
tera-malformation
teratogens: substances and conditions that increase the risk of prenatal abnormalities
what is the critical period(s)?
sensitive periods when
1.) most body parts form in the 1st 2 months
2.) the formation of the central nervous system
what are the main teratogenic diseases?
- rubella
- toxoplasmosis
- eclampsia
(pre and reg eclampsia) - HIV/AIDS
- Zika Virus
what is rubella
aka German measels
impacts the heart, ears, eyes, and contributes to brain defects
what is toxoplasmosis?
a parasite found in raw/undercooked meat and sometimes cat feces
causes deafness and blindness
what is preeclampsia?
when the woman is having trouble ridding herself of fetal waste
what is eclampsia?
harder to control than preeclampsia, causes high blood pressure, fetal & mother brain damage, sepsis or lethal spike in blood pressure
HIV/AIDS
sometimes causes abnormalities in the face and head
zika virus
-transmitted by mosquitoes
-causes microcephaly, affects growth,, hearing problems, and brain damage
what are social drugs that could cause as a prenatal problems?
-alcohol
-cigarettes
-caffeine
what does alcohol do to the fetus
***the idea that you should not drink alcohol during pregnancy is not accepted cross-culturally
-fetal alcohol syndrome or effect
what is fetal alcohol syndrome? and FAE
small head, low nasal bridge, thin upper lip, underdeveloped jaw
smooth philtrum, small eye openings, epicanthal folds, BRAIN DAMAGE, learning difficulties
(FAE= learning and behavioral problems)
what prenatal problems can cigarettes cause?
underweight and premature infants
issues with the lungs and the limbs
-why? nicotene restricts bloodflow to the fetus
what problems can caffeine cause?
jury is stil out
what are some other drugs that cause problems (harder drugs)
-heroin and methadone
-marijuana & cocaine
what is methadone?
the drug used to wean ppl off heroin
what problems can heroin and methadone cause for a fetus/newborn?
heroin is rlly hard to get off of, so methadone is used
babies are born addicted
slows fetal growth and induces premature labor
what problems can marijuana and cocaine cause for a fetus/newborn?
-CNS, brain difficulties, learning difficulties, low birth weight,
all of these depend on the amount and time of the exposure (ie was it during the critical period?)
what are some historical drugs of prominence?
-thalidomide
-diethylstilnesterol (DES)w
what is thalidomide?
-a pain killer and antinausea prescribed for mothers over the counter in Germany, Britain & parts of Canada
-infants born with missing/misshapen limbs, spinal defects, cleft lips, heart defects, GI defects
why? stops new blood vessels from forming
what is DES (diethylstilbesterol?
-taken to prevent miscarriage
-found the 2nd generation of daughters had higher rates of cancer, uterine malformation, low birth weight, and miscarriage
-men had more testicular cancer and genital malformations
what are some environmental hazards that could impact prenatal development?
-radiation
-pollution
-agent orange
examples of radiation impacts:
-individuals in japan
none of the pregnant women close to the atomic epicenter had live or “normal” babies
3 mile island, chernobyl
impacts of pollution?
leach into ground water and poisons mothers and their fetuses/children
(pesticides/herbicides) leads to CNS abnormalities and other deformities
impacts of agent orange (dioxen)
used during the vietnam war as a herbicide to cut down foliage
-also linked to deformities when exposed to both mothers and fathers
-impacts to vietnamese and US soldiers