Module 1 - Person & FCC Flashcards
First trimester of pregnancy = ____ phase
embyronic
2nd + 3rd trimesters = ______ phase
foetal
embryonic tissues form 3 layers when?
first 3 weeks of pregnancy
3 layers of embryonic tissues
ectoderm, mesoderm, endoderm
ectoderm
outer layer, 2nd week, forms basic structure
mesoderm
middle layer, 3rd week, forms organs and systems
endoderm
inner layer, 2nd week
during the first 3 weeks of pregnancy, the foetal membranes differentiate into:
chorion and amnion
chorion
precursor to placenta
amnion
precursor to amniotic sac
the “foetal phase” is characterised as
rapid growth in the size of the foetus
at around what week of pregnancy does the foetus look most like a baby?
26 weeks
what is the vernix caseosa?
thick white substance covering the baby’s hair and skin
how thick is the vernix caseosa by birth?
0.3cm
lanugo
fine hair covering the baby
when is movement and heartbeat felt?
17-20 weeks
how does the baby appear at 26 weeks? (end of 2nd tri)
skin wrinkled and red with visible vessels underneath skin, little fat
how does the baby appear at the end of the 3rd tri?
lanugo gone, skin less wrinkled, colouring more normal, subcutaneous fat
by how much does the mother’s blood flow eventually increase by?
1/3
which two things increase during pregnancy affecting oxygen?
respiratory rate and cardiac output
which b vitamin helps prevent neural tube defects during pregnancy?
folic acid
when does the foetus begin to excrete urine?
around 16-20 wks, when the kidneys mature
poor oxygenation to the foetus in the third trimester can cause ____ resulting in ____?
anal sphincter relaxation > faeces into amniotic fluid ? foetal distress
which things can alter the temperature of the amniotic fluid? what can this result in?
illness, spas and saunas > birth defects
what are teratogens?
harmful agents which affect cellular development in the embryo/foetus
examples of teratogens
alcohol, tobacco, mercury, warfarin, SSRIs
activities such as smoking, drugs and alcohol can all potentially cause?
preterm labour, miscarriage, low birht weight, SIDS, learning disorders, birth defects
how and where is foetal faeces formed?
in the intestine from swallowing amniotic fluid
are faeces excreted by the foetus during pregnancy?
not normally until after birth unless distress has been caused
in the principles of PCC, the patient is what?
seen as a person first; and not defined by their disease
how can we enhance person centredness? (TRBD)
- treating people as individuals
- respecting rights as a person
- building mutual trust and understanding
- developing therapeutic relationships
which tool is used in FCC to determine family structure, development and function?
calgary family assessment model (CFAM)
what is a genogram?
used to demonstrate relations between family members in a visual way
what is an ecomap used for?
to identify beliefs and activities between family members and friends
what is the “upstream approach” to FCC?
Identifies stressors and weaknesses in the family in order to identify and prevent potential problems prior to them occurring
