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MCN LEC PRELIMS > NURSING CARE DURING ANTEPARTAL PERIOD > Flashcards

NURSING CARE DURING ANTEPARTAL PERIOD Flashcards

1
Q

the whole period of pregnancy and child delivery

A

PERINATAL

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2
Q

pregnancy up to onset of labor

A

ANTEPARTAL

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3
Q

onset of labor up to delivery

A

INTRAPARTAL

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4
Q

before delivery

A

PRENATAL

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5
Q

after delivery

A

POSTNATAL

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6
Q

number of pregnancy

A

GRAVIDA

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7
Q

number of children in viable pregnancy (20 WEELKS)

A

PARA

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8
Q
  • GP
  • GTPALM
A

OB SCORING

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9
Q

Beginning of Pregnancy

A

FERTILIZATION

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10
Q

Union of ovum and spermatozoa

A

FERTILIZATION

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11
Q

Occurs in the outer 3rd of fallopian tube (AMPULLA)

A

FERTILIZATION

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12
Q

Spermatozoon functional life

A

48-72 hours

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13
Q

critical time span during which fertilization occur is about

A

72 hours

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14
Q

Ovum is capable of fertilization for only

A

24-48 hours

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15
Q

Spermatozoa move by means of

A

flagella (tails) and uterine contractions

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16
Q

Sperm reach the cervix for

A

8 seconds

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17
Q

Sperm reach the fallopian tube for

A

5 minutes

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18
Q

Final process that sperm must undergo to be ready for fertilization

A

Capacitation

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19
Q

The sperm moves toward the ovum, consist of changes in the plasma membrane of the sperm head which reveals the sperm binding receptor sites

A

Capacitation

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20
Q

Resulting structure of chromosomal material of the ovum and spermatozoa fuse

A

Zygote

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21
Q

Fertilized ovum has_____chromosomes

A

46

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22
Q

If an x-carrying spermatozoon enters the ovum, the resulting child will be______and if y-carrying, resulting child will be_____

A

female ; male

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23
Q
  1. Maturation of both sperm & ovum
  2. Ability of the sperm to reach the ovum
  3. Ability of the sperm to penetrate the cell membrane of the ovum and achieve fertilization
A

Three factors of fertilization occurrence

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24
Q

once fertilization is complete, the zygote migrates toward the body of the uterus, aided by the currents initiated by the muscular contractions of the fallopian tubes.

A

IMPLANTATION

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25
Q

Zygote reaches the uterus in

A

3-4 days

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26
Q

Implantation occurs approximately

A

8-10 days after fertilization

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27
Q

from ovulation to fertilization

A

OVUM

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28
Q

from fertilization to implantation

A

ZYGOTE

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29
Q

from implantation to 5-8 weeks

A

EMBRYO

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30
Q

from 5-8 weeks until term

A

FETUS

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31
Q

developing embryo or fetus and placental structure throughout pregnancy

A

CONCEPTUS

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32
Q

amount of sperm per ejaculation

A

3 – 5 cc

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32
Q

amount of sperm per ejaculation

A

3 – 5 cc

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33
Q

number of sperm

A

50 – 130M

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34
Q

ovum can be fertilized for______after ovulation

A

12-24 hrs

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35
Q

lifespan of sperm

A

3 – 4 days

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36
Q

time the sperm reaches the cervix

A

90 seconds

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37
Q

first 2 weeks after fertilization (2 weeks AOG)

A

PRE-EMBRYONIC STAGE

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38
Q

development of PRIMARY GERM LAYERS

A

PRE-EMBRYONIC STAGE

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39
Q
  1. ectoderm
  2. mesoderm
  3. endoderm
A

PRIMARY GERM LAYERS

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40
Q

nervous system, skin, glands

A

ectoderm

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41
Q

skeleton, muscles, heart, kidney, lymph cells, spleen

A

mesoderm

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42
Q

respiratory system

A

endoderm

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43
Q

PRE-EMBRYONIC STAGE PRODUCT

A

ZYGOTE

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44
Q

2-8 weeks after fertilization (2 months AOG)

A

EMBRYONIC STAGE

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45
Q

period of rapid cell division

A

EMBRYONIC STAGE

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46
Q

highly vulnerable to teratogens, virus, radiation

A

EMBRYONIC STAGE

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47
Q

EMBRYONIC STAGE PRODUCT

A

EMBRYO

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48
Q

8 weeks to end of pregnancy

A

FETAL STAGE

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49
Q

period of refinement and perfection

A

FETAL STAGE

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50
Q

FETAL STAGE PRODUCT

A

FETUS

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51
Q

2 LAYERS OF FETAL MEMBRANE

A
  1. AMNION
  2. CHORION
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52
Q

inner membrane that produces
the amniotic fluid.

A

AMNION

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53
Q

outer fetal membrane

A

CHORION

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54
Q

forms within the amniotic cavity and surrounds the embryo.

A

Amniotic Fluid

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55
Q

protective mechanism-cushion fetus (“fetal shock absorber”) & keep temperature constant

A

Amniotic Fluid

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56
Q

Contains fetal urine, lanugo from fetal skin

A

Amniotic Fluid

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57
Q

Clear pale straw fluid in which the fetus floats

A

Amniotic Fluid

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58
Q

AMNIOTIC FLUID NORMAL VOLUME

A

800-1200 mL

59
Q

excessive AF

A

POLYHYDRAMNIOS

60
Q

reduced AF

A

OLIGOHYDRAMNIOS

61
Q

if there is presence of meconium in AF it is called

A

GREEN-TINGED

62
Q

first stool of a baby

A

meconium

63
Q

Aids in muscular development because it allows the fetus freedom to move

A

Amniotic Fluid

64
Q

Protects the umbilical cord from pressure, protecting fetal oxygenation

A

Amniotic Fluid

65
Q

It shields against pressure or a blow to the mother’s abdomen

A

Amniotic Fluid

66
Q

complete by 3rd month

A

Placenta

67
Q

Formed by union of chorionic villi and decidua basalis

A

Placenta

68
Q

contains blood vessels that are connected to the fetus

A

chorionic villi

69
Q

the part which lies directly under the embedded ovum

A

decidua basalis

70
Q

fetal surface and smooth

A

SCHULTZ

71
Q

maternal surface and is rough

A

DUNCANS

72
Q

Umbilical cord is implanted in the

A

center of fetal surface

73
Q

contains 2 ARTERIES & 1 Vein (AVA)

A

Umbilical cord

74
Q

Umbilical cord is covered by

A

WHARTON’S JELLY

75
Q

size depends on the nutrition of the mother and shrinks once exposed in air

A

WHARTON’S JELLY

76
Q

Provides oxygen & removes carbon dioxide from the fetal system

A

Placenta

77
Q

Maintains fetal fluid & electrolytes, acid and base balance

A

Placenta

78
Q

Exchange takes place between mother & fetus through

A

DIFFUSION

79
Q

dependent upon maternal circulation

A

Placental function

80
Q

can cross the placental barrier

A

Nutrients, drugs, antibiotics and certain viruses

81
Q

Placental transfer of maternal immunoglobulin gives the fetus

A

passive immunity

82
Q

first hormone produced during fetal development

A

Human Chorionic Gonadotropin (HCG)

83
Q

 detected in urine and plasma 8 -100 days AOG

A

Human Chorionic Gonadotropin (HCG)

84
Q

not present 1 -2 weeks after birth (indicator of placenta)

A

Human Chorionic Gonadotropin (HCG)

85
Q

Hormone of Women

Second hormone produced

A

ESTROGEN

86
Q

helps thickens endometrium

promotes development of mammary gland

A

ESTROGEN

87
Q

promotes uteroplacental blood flow

A

ESTROGEN

88
Q

Hormone of Mothers

Maintains endometrium

Reduces uterine contractility

A

PROGESTERONE

89
Q

produced by 6 weeks AOG

A

HUMAN PLACENTAL LACTOGEN (hPL)

90
Q

promotes development of mammary glands

A

HUMAN PLACENTAL LACTOGEN (hPL)

91
Q

carries unoxygenated blood

A

Vein

92
Q

carry oxygenated blood

A

Arteries

93
Q

shunts blood from right to left atria

A

Foramen Ovale

94
Q

shunts blood from pulmonary artery to aorta

A

Ductus Arteriosus

95
Q

bypasses fetal liver

A

Ductus Venosus

96
Q

bypass structures must close at

A

birth

97
Q

Foundations of nervous & genito-urinary systems, skin, bones & lungs form

A

End of 1st Month

98
Q

Buds of arms & legs start to form

A

End of 1st Month

99
Q

At end of 1st Month , fetal Length is

A

0.75 cm-1cm

100
Q

At end of 1st Month, fetal Weight is

A

400mg

101
Q

The neural tube (brain, spinal cord and other neural tissue of the central nervous system) is well formed

A

6 Weeks

102
Q

The digestive tract and sensory organs begin to develop

A

6 Weeks

103
Q

Sex differentiation begins

A

6 Weeks

104
Q

At 6 Weeks, fetal Length is

A

2.5cm

105
Q

At 6 Weeks, fetal Weight is

A

20g

106
Q

Sex differentiation is completed

A

16 Weeks

107
Q

Heartbeat can be detected

A

16 Weeks

108
Q

The nervous system is starting to function

A

16 Weeks

109
Q

The reproductive organs and genitalia are now fully developed

A

16 Weeks

110
Q

At 16 Weeks, fetal Length is

A

10-17cm

111
Q

At 16 Weeks, fetal Weight is

A

55-120g

112
Q

Lanugo covers the entire body

A

20 Weeks

113
Q

Quickening occurs

A

20 Weeks

114
Q

Heart sounds can be auscultated

A

20 Weeks

115
Q

Can hear sounds

A

20 Weeks

116
Q

Moves often

A

20 Weeks

117
Q

At 20 Weeks, fetal Length is

A

25cm

118
Q

At 20 Weeks, fetal weight is

A

223g

119
Q

Vernix caseosa appears

A

24 Weeks

120
Q

Eyebrows & fingernails develop

A

24 Weeks

121
Q

Finger and toe prints are visible

A

24 Weeks

122
Q

Responds to sounds by moving or increasing the pulse

A

24 Weeks

123
Q

At 24 Weeks, fetal Length is

A

28-36cm

124
Q

At 24 Weeks, fetal Weight is

A

550g

125
Q

The like hood of fetal survival in extrauterine environment is good

A

28 Weeks

126
Q

Hearing is fully developed

A

28 Weeks

127
Q

Changes position frequently

A

28 Weeks

128
Q

Responds to stimuli, including sound, pain and light

A

28 Weeks

129
Q

At 28 Weeks, fetal Length is

A

35-38cm

130
Q

At 28 Weeks, fetal Weight is

A

1,200g

131
Q

Continues to mature and develop reserves of body fat

A

32 Weeks

132
Q

Brain is developing rapidly at this time

A

32 Weeks

133
Q

Most internal systems are well developed, but the lungs may still be immature

A

32 Weeks

134
Q

At 32 Weeks, fetal Length is

A

38-43cm

135
Q

At 32 Weeks, fetal Weight is

A

1,600g

136
Q

Lungs are nearly fully developed

A

36 Weeks

137
Q

Reflexes are coordinated

A

36 Weeks

138
Q

Can blink, close the eyes, turn the head, grasp firmly

A

36 Weeks

139
Q

At 36 Weeks, fetal Length is

A

42-48cm

140
Q

At 36 Weeks, fetal Weight is

A

1,800 to 2,700g (5 to 6 lb)

141
Q

standard method used to predict the length of pregnancy

A

NAGELE’S RULE

142
Q

measurement of life of fetus from the time of ovulation or fertilization

A

OVULATION AGE

143
Q

measurement of length of pregnancy from the first day of the last menstrual period (LMP)

A

GESTATIONAL AGE (AOG)

144
Q

Measures the fundic height (FH) in cm

A

Mc Donald’s Rule

145
Q

estimates AOG by relative position of the uterus in the abdominal cavity

A

Bartholomew’s Rule

146
Q

determines the length of the fetus in centimeter

A

Haase’s Rule

MCN LEC PRELIMS (4 decks)

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