Module 1 Flashcards

1
Q

pre-embryonic period

A

first 2 weeks after conception

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2
Q

Morula

A

A solid ball of cells that makes up an embryo; in humans, this stage occurs within four days of fertilization. 16 cells.

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3
Q

Zygote

A

the fertilized egg; it enters a 2-week period of rapid cell division and develops into an embryo

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4
Q

monozygotic twins

A

identical twins formed when one zygote splits into two separate masses of cells, each of which develops into a separate embryo

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5
Q

dizygotic twins

A

twins who are produced when two separate ova are fertilized by two separate sperm at roughly the same time

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6
Q

High Multifetal Gestation

A

More than 2 babies in one pregnancy

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7
Q

embryonic period

A

the period from 2 to 8 weeks after fertilization, during which the major organs and structures of the organism develop

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8
Q

Teratogen

A

agents, such as chemicals and viruses, that can reach the embryo or fetus during prenatal development and cause harm

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9
Q

Week 8 of development

A

-embryo has distinct human appearance

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10
Q

Ectoderm

A

outermost germ layer; produces Central Nervous System and epidermis

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11
Q

Mesoderm

A

middle germ layer; develops into muscles, and much of the circulatory, reproductive, and excretory systems

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12
Q

Endoderm

A

innermost germ layer; develops into the linings of the digestive tract and much of the respiratory system

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13
Q

fetal period

A

The third and longest period of prenatal development, extending from the ninth week until birth.

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14
Q

Placenta: main function

A

Gas exchange

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15
Q

foramen ovale

A

Hole between the right and left atria that bypasses the non-functioning lungs before birth. Closes when the baby takes their first breaths.

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16
Q

Ductus ateriosus

A

A structure that connects the pulmonary artery and descending aorta during fetal life. Sends oxygen poor blood to the lower half of the fetal body. Closes when the umbilical cord is cut.

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17
Q

ductus venosus

A

A structure that connects the umbilical vein to the inferior vena cava, bypassing the liver. Closes when the umbilical cord is cut.

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18
Q

Weeks 9-12

A

Fetal head 1/2 size of body

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19
Q

Weeks 13-16

A

Placenta is formed.

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20
Q

Weeks 17-20

A

Quickening (fetal movement can be felt)

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21
Q

Weeks 21-24

A

Fetus has a startle reflex

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22
Q

Weeks 25-28

A

Rapid skin growth.

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23
Q

Weeks 29-32

A

Rounder body.

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24
Q

Weeks 33-38

A

Steady weight gain.

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25
Q

Uterus is at belly button

A

Fundal height at 20 weeks gestation

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26
Q

Uterus is at xiphoid process

A

Fundal height at 30 weeks gestation

27
Q

Chadwick’s sign

A

Bluish purple discoloration of the cervix, vagina, and labia during pregnancy as a result of increased vascular congestion.

28
Q

purpose of corpus luteum

A

produces progesterone until the placenta is developed enough to take over this function

29
Q

amnion

A

innermost layer of the fetal membrane

30
Q

chorion

A

Outermost layer of the two membranes surrounding the embryo; it forms the fetal part of the placenta.

31
Q

hCG (human chorionic gonadotropin)

A

Hormone that prevents deterioriaton of the corpus luteum. Stimulates the corpus luteum to produce estrogen & progesterone. It doubles every day for the first 10 weeks, then levels off.

32
Q

Estrogen

A

Suppresses FH and LH. Stimulates uterine growth. Increases blood supply to the uterus. Prepares breasts for lactation.

33
Q

Progesterone

A

Most important hormone of pregnancy.

34
Q

Relaxin

A

The hormone that increases the flexibility of the pubic symphysis during pregnancy, and inhibits uterine activity (by relaxing the uterus).

35
Q

human placental lactogen (hPL)

A

Increases the availability of glucose to the fetus. Decreases mom’s sensitivity to insulin. Decreases mom’s metabolism of glucose.

36
Q

decidua

A

The site where the placenta attaches to the endometrium, lining of the uterus (on mom’s side).

37
Q

Presumptive signs of pregnancy (subjective)

A

changes that might make a woman think she is pregnant. such as amenorrhea, fatigue, nausea, vomiting, polyuria, breast changes (darkened areolae, enlarged Montgomery glands), quickening/fetal movement perceived by mom

38
Q

Probable signs of pregnancy (objective)

A

Braxton Hicks contractions, abdominal enlargement, positive pregnancy test

39
Q

Positive signs of pregnancy

A

audible fetal heartbeat, fetal movement felt by examiner, ultrasound visualization of fetus

40
Q

Maternal tasks of pregnancy

A
  1. Seeking safe passage for herself & baby
41
Q

Maternal Role Transition

A

Mimicry

42
Q

Recommended weight gain during pregnancy

A

25-35 lbs. 2 -5 lbs during first trimester, then 1 lb per week.

43
Q

Recommended calorie intake during pregnancy

A

350-450 calories/day

44
Q

Recommended nutrition during breastfeeding

A

Same caloric needs as during pregnancy. 350 additional calories/day

45
Q

Gravida

A

number of times a woman has been pregnant

46
Q

para

A

the number of completed pregnancies more than 20 weeks. Doesn’t matter if the baby is living or deceased.

47
Q

term

A

37 weeks

48
Q

Nagele’s Rule

A

1st day of last period - 3 months + 7 days = estimated date of birth

49
Q

GTPAL

A

Gravida, Term, Preterm, Abortions, Living

50
Q

Primagravida

A

a woman who is pregnant for the first time

51
Q

multigravida

A

a woman who has had two or more pregnancies

52
Q

nulliparous

A

a woman who has never completed a pregnancy more than 20 weeks.

53
Q

primaparous

A

first completed pregnancy, more than 20 weeks

54
Q

multiparous

A

means a woman who has given birth two or more times

55
Q

high blood pressure in pregnancy

A

140/90

56
Q

Group B strep

A

1 cause of neonatal sepsis and pneumonia. Bacteria found in the vagina/rectum. Requires antibiotics during delivery.

57
Q

fundus

A

top of uterus

58
Q

Prenatal care schedule

A

Monthly visit until 28 weeks.

59
Q

Trimesters of pregnancy

A
  • 1st trimester: 1st day of last period to 13+6 weeks
60
Q

Goal of prenatal education classes

A

Help parents become knowledgeable consumers, take an active role in maintaining health during pregnancy and birth, and learn coping techniques for pregnancy, childbirth, and parenting.

61
Q

Can any single test detect a fetal abnormality with 100% accuracy?

A

No.

62
Q

ultrasound

A

A screening technique to assess the development of the fetus during pregnancy. Done at 12 and 20 weeks. This is considered one of the most valuable diagnostic tools in OB.

63
Q

Kick count parameters

A

10 distinct fetal movements in a 1-2 hour period.