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N3 Provider EXAM 2 > Pregnancy/Fetal Devlopment > Flashcards

Pregnancy/Fetal Devlopment Flashcards

1
Q

*How to measure the fundus

A

Measure from top of the pubic bone to top of the fundus

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2
Q

How to find the top of the fundus

A

Walk hands up the side of the belly, top will feel like a hard ball under the skin. Can feel the top by curving fingers into the tummy

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3
Q

*How to determine the due date.

A

Date of the 1st day of the last mental period minus 3 months plus 7 days

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4
Q

*Primary prevention related to pregnancy

A

Health education on: safe sex, contraception, nutrition, exercise, avoidance of smoking, alcohol and drug use.

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5
Q

*Secondary prevention regarding pregnancy

A

Prenatal care/check-ups looks at the following…

  • weight gain
  • fundal height
  • blood pressure
  • edema
  • fetal heart sounds
  • labs
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6
Q

*Nutritional requirements during pregnancy

A

a

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7
Q

At what week does the top of the fundus hit the umbilicus

A

20

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8
Q

When is the top of the fundus get to the rips

A

about 32

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9
Q

3 week fetus: nervous system

A
  • 3 germ layers are developed

- Neural tube is formin, open at both ends

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10
Q

3 week fetus: cardiorespiratory

A
  • Heart if just 2 parallel tubes

- Tubes contract so heart beat can be detected 21-22days

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11
Q

What is developed from the endogerm?

A

digestive tract

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12
Q

What is developed from the mesoderm?

A
  • muscle
  • bone
  • cartalidge
  • dermis
  • connective tissue
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13
Q

What is developed from the endogerm?

A

-epidermis

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14
Q

4 week fetus: nervous/sensory sys

A

Neural tube closes

Eye, nose, ear development begins

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15
Q

4 week fetus: cardiorespirtory

A

Four chambers of the heart begin forming

tracheal and bronchial development begins

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16
Q

4 week fetus: musculoskeletal sys

A

upper and lower limb bud appear; look like flippers

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17
Q

6 week fetus: cardiorespiritory

A
  • heart has 4 chambers

- lung lobes developing

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18
Q

6 week fetus: neuro/sensory

A
  • cranial nerves and pituitary glands devo. begin

- eyelid and external ear begin

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19
Q

6 week fetus: digestive

A

-intestines mainly in the umbilical

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20
Q

6 week fetus: musculoskeletal

A

limbs are paddles with notches

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21
Q

6 weeks fetus

A
  • head is prominent
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22
Q

8 wk fetus: cardiorespiritory

A
  • heartbeat detected with ultra should

- additional bronchi

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23
Q

8 week fetus: geniourinal

A

genitals begin forming/differentiating

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24
Q

8 week fetus: musculoskeletal

A
  • bones begin to ossify

- fingers/toes definite

25
Q

8 week fetus

A

definite human form

26
Q

10 week fetus:

A

-patient digestive tract from mouth to anus

27
Q

12 week fetus: heart

A

heart beat detectable by doppler

28
Q

12 week fetus: genitourinal

A
  • sex determinable/genitals differentiated

- kidneys produce rine

29
Q

12 week fetus: integumentary

A

lanugo begins

30
Q

12 week fetus: reflex

A

sucking reflex

31
Q

16 week fetus: neuro/sensory

A

face appears human, eyes fwd

32
Q

16 week fetus: urinary

A

secreted urine

33
Q

16 week fetus: growth

A

big growth in length

34
Q

16 week fetus: musculoskeletal

A

relative limb length reached

35
Q

20 week fetus: integumentary

A

vernix cerosa and lanugo present

  • brown fat developed
  • nipples begin
  • hair appears
36
Q

20 week fetus: genital

A
  • primordial follicles reach peak

- testes begin to descend

37
Q

20 week fetus: urinary

A

40% nephrons are mature

38
Q

20 week fetus: heart

A

heart beat detectable with a fetoscope

39
Q

28 week fetus: neuro/sensory

A
  • respond to bitter substances

- sulci and gyri are present

40
Q

28 week fetus: respiritory

A

sufficient surfactent, alveoli, and capillary network for lungs to function

41
Q

28 week fetus

A

-head heavy so being do descend

42
Q

32 week fetus: nervos

A

PSN near SNS

43
Q

32 week fetus: respiritory

A

surfactent nears maturation

44
Q

32 week fetus: integumentary

A
  • lanugo disappearing

- skin smooth and pigmented

45
Q

32 week fetus: survival

A

good survival chances

46
Q

38 week fetus: growth

A

mainly weight gain

47
Q

38 week fetus: survival

A

good

  • lungs ready
  • all systems developed
48
Q

relation of fertilization and gestational age

A

Fertilization age is about 2 weeks less than the gestational age

49
Q

3 week fertilization age considerations for mother

A
  • missing period at this point
  • possible morning sickness

get on folic acid

50
Q

4 week fertilization age considerations for mother

A

-nausea/vomitting

51
Q

6 week fertilization age considerations for mother

A

-nausea/vomiting

52
Q

8 week fertilization age considerations for mother

A

Can hear heart on an ultrasound

  • fatigue
  • breast swelling
  • darker body hair
  • acny
53
Q

12 week fertilization age considerations for mother

A

Fetal sex can be determined
Hear heartbeat on the Doppler

-mom is getting bigger, starting to show

End of first tri

54
Q

16 week fertilization age considerations for mother

A

Mom may feel fetal movement/quickening

-nausea usually ends

55
Q

20 week fertilization age considerations for mother

A

Heart can be heard with auscultation

  • movements feel like fluttering/butterfly
  • braxton-hicks may occur
  • inc. risk of varicose veins
  • may have nigra; black vein
56
Q

28 week fertilization age considerations for mother

A
  • period of greatest weight gain
  • mom is getting uncomfy
  • see OB 2x a month
57
Q

32 week fertilization age considerations for mother

A
  • braxton-hick more noticeable
  • heartburn common
  • SOB
  • Edema
  • Urinary frequency
58
Q

38 week fertilization age considerations for mother

A
  • mucous plug often lost/water breaks

- ready for baby to come out

N3 Provider EXAM 2 (7 decks)

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