Module 2: Preconception, Conception Flashcards

1
Q

Zygote

A

Single formed cell after fusion of a sperm and ova

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2
Q

Embryo

A

15 days to 8 weeks gestation

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3
Q

Fetus

A

9 weeks gestation to birth

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4
Q

Fetal Stage

A

Reproductive Changes: Distingusihable after 9 weeks!
- 28 weeks testes begin to drop

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5
Q

Immunologic Fetal Stage

A

The only maternal immunoglobulin that can cross the placenta is IgG

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6
Q

Fetal Heartbeat

A

120-160 BPM

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7
Q

Amniotic Fluid

A

-Slightly Alkaline
-Fetus urinates into the fluid greatly increasing its volume
- By end of term 800-1200 mL

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8
Q

Polyhydramnios

A

Excess Fluid

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9
Q

Oligohydramnios

A

Less Fluid

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10
Q

Functions of Amniotic Fluid

A
  • Acts as a cushion to protect embryo
  • Filtration
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11
Q

Maternal Portion of Placenta

A

Red/ Flesh like

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12
Q

Fetal Portion of Placenta

A

Shiny

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13
Q

Placenta Functions

A
  • Metabolism
  • Nutrition
  • Immune barrier
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14
Q

Breast Changes in Pregnancy

A
  • Enlargement, darker, larger areola
  • 20-24 weeks: Colostrum: Thick golden antibody rich substance can leak or be expressed
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15
Q

Braxton Hicks Contractions

A

Perceived after 20 weeks, irregular, painless, change with activity
- Abdomen gets hard

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16
Q

Concerns with Cardiovascular System

A
  • Supine hypotension
  • Dependent Edema
  • Postural Hypotension
    : Left Side lying reduces aortic compression
17
Q

GI Changes

A
  • N/V, constipation, hemmorrhoids, gallstones, cholecystitis
18
Q

Urinary Tract Changes

A
  • Frequency increased from pressure of uterus in first trimester and 3rd
19
Q

Linea Nigra

A

Dark line from umbilicus to symphysis
- Normal

20
Q

Epulis

A

Red gum nodule

21
Q

Neurologic Changes

A
  • ***Headaches ( bc of increased blood volume ) muscle cramps, mental fog
22
Q

Endocrine Changes

A
  • Decreased FSH and LH –> Amenorrhea ( spotting )
23
Q

Warning Signs
( 1st Trimester )

A

-Severe vomiting
-Chills
-Diarrhea
- Vaginal Bleeding ( Ectopic preg, miscarriage )

24
Q

Warning Signs
( 2nd, 3rd )

A
  • Preterm labor, vaginal bleeding, discharge from vagina, unusual fetal movement
25
Q

( MMR ) Rubella and Varicella

A
  • Greatest risk to fetus in the 1st trimester
  • Vaccinate prior to conception or right away postpartum
26
Q

Treat all GBS cultures with Penicillin G

A

-Culture all preg women at 35-37 weeks
- Closely monitor baby for 48 hrs after