Prenatal Development Flashcards

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1
Q

Prenatal Development

A

development
of an organism from conception
through birth

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2
Q

Stages of Prenatal Development

A

Germinal Stage
Embryonic Stage
Fetal Stage: Week 9 to Birth

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3
Q

Germinal Stage

A

Cell differentiation and implantation occur
– CRITICAL POINTS:
• Hormonal changes make implantation optimal at 9
days, but unlikely AFTER 9 DAYS
• Upon implantation, embryo begins to take nutrients
from mother’s blood, and is now vulnerable to
TERATOGENS
– Excessive alcohol consumption especially dangerous
• Hormonal changes cause fatigue, nausea, and swollen
breasts

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4
Q

Embryonic Stage

A
Week 3 through 8:
– Differentiation continues
– CRITICAL PERIODS OF DEVELOPMENT:
• Differentiation and growth occur rapidly
• Essential structures form
• Embryo is highly vulnerable to:
– GENETIC ABNORMALITIES
– ENVIRONMENTAL INFLUENCES THAT AFFECT CELL DIVISION
AND/OR DAMAGE EMBRYO
» Miscarriage (spontaneous abortion)
» Brain damage, birth defects, etc.
– Organogenesis; embryo is now a fetus
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5
Q

Fetal Stage: Week 9 to Birth

A

Period lasting approx 30 weeks of rapid growth and
development
– Weeks 9-12: sex organs develop
• Usually can be seen on ultrasound at 14 weeks, but not truly accurate
until 20 weeks
– Weeks 17-20: heartbeat can be heard
• Mother can feel movement
• About 5 inches long
– Week 24: rapid weight gain (“baby fat”)
• About 10 inches long
– CRITICAL POINT: Weeks 26 to 28
• Fetus is now viable if born premature due to mature lungs
• Fetus can turn head toward bright light outside womb
• Fetus sucks thumb, hiccups, and sleeps
– Weeks 28 to 40:
• Rapid weight gain (5 lbs)
• All organ systems become fully formed
• Brain develops rapidly

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6
Q

Chances of getting pregnant

A

– 20-24 years: 20% probability with unprotected sex
– 30 years: 15%
– 35 years: <10%

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7
Q

Infertility

A

– Approx. 1/3 attributed to fertility problem in female
– Approx. 1/3 attributed to fertility problem in male
– Approx. 1/3 attributed attributed to both or unexplained

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8
Q

Factors that compromise sperm health

A
– Age
– Workplace toxins
– Tobacco (smoking and chewing)
– Alcohol, Illicit drugs
– Heat
– Stress
– Other factors that may reduce production or quality of sperm
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9
Q

Factors affecting ova and ovulation

A
– Ovulation Disorders
– Fallopian tube damage (e.g, STD’s, ectopic pregnancy)
– Endometriosis
– Stress
– Illness
– Toxins
– Tobacco, alcohol, drug use, caffeine
– Weight: unhealthy BMI
– AGE
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10
Q

TERATOGENS

A

Environmental factors that can cause
birth defects

Example: Thalidimide
•Drug used to treat nausea in pregnant
women in the 1950’s and 60’s
•Causes shortening of limbs; “Flipper-like”
arms
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11
Q

Critical Periods

A
• Vulnerability of fetus to teratogens varies throughout
pregnancy
– Germinal stage: lower risk
• No nutrient sharing
• Exposure likely fatal
– Embryonic stage: highest risk
• Nutrient sharing during organogenesis
• Exposure =major malformations/damage
– Fetal stage: moderate risk
• Exposure unlikely to be fatal
• Can cause malformation and mental retardation
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12
Q

Alcohol

A

Alcohol crosses placenta, disrupts cell division, and
kills fetal cells
• Reduces blood flow through placenta to fetus
• Exposure during pregnancy can cause:
– Damage to brain/central nervous system
– Physical deformities
– Growth retardation
– Miscarriage/death
– FETAL ALCOHOL SYNDROME
– Inattention, impulsivity, learning problems

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13
Q

FETAL ALCOHOL SYNDROME

FAS

A
Growth deficiency
• Head and facial
deformities
• Dysfunction of
CNS
– Mental retardation
– Poor motor fx:
Cerebral palsy
– Inattention,
impulsivity, poor
executive
functioning
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14
Q

How much alcohol is too much

A

• FAS usually occurs when mother is:
– Chronic alcoholic (6 or more drinks per day)
– Binge drinker (4+ drinks at one time/1x per wk)
• Some studies suggest one drink per week can result in
Inattention, hyperactivity, and increased aggression
– One episode of binge drinking can cause brain damage
• Best practice: abstinence during pregnancy
– Even when trying to conceive!

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15
Q

Cocaine

A

prematurity, growth retardation,
malformation in brain, intestines, genitals,
etc., impaired sensory fx, increased arousal,
decreased autoregulation, higher risk of LD,
ADHD, language problems

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16
Q

Smoking

A
reduced blood supply to fetus;
abnormal brain development; prematurity;
poor nutrition (appetite suppressant);
increased risk of LD, ADHD; spontaneous
abortion, stillbirth, neonatal death
17
Q

Maternal Illness

A

Infectious Diseases: Rubella, Chicken Pox, etc.
• Sexually Transmitted Diseases: cross placenta and
can cause birth defects or infectious disease in fetus
• HIV/AIDS; Syphillis
• HERPES SIMPLEX VIRUS
• 2 OUT OF 4 AMERICANS ARE INFECTED
– 30-50% of college students
• CAN CAUSE MISCARRIAGE, BRAIN DAMAGE, MR, DEATH
• MOST INFECTION OCCURS AT BIRTH
– Mothers with active genital herpes at time of birth have high
risk of transmission, therefore, Cesarean section is
recommended

18
Q

Some surprising teratogens

A

• Retinoids: Vitamin A
– Retinol, Oral Accutane; Tretinoin; Retin-A
• X-rays; laser hair removal
• Some chemical hair dyes, skin bleaches, nail products
– Research is inconclusive; exposure would have to be high/chronic
• Hot tubs (heat over 100-105 degrees F)
• Some antianxiety drugs: benzodiazepines
• Some antidepressants: MAO inhibitors
• Some mood stabilizers: Lithium
– Anticonvulsant mood stabilizers: valproate, carbamazepine
• Other drugs: allergy medicines; aspirin; cold remedies,

19
Q

Maternal Age

A

Mothers under 15 and older than 40: higher
risk of low birth weight
• Young mothers: GxE Interaction
• Non-Hispanic black mothers have higher risk of LBW
across reproductive lifespan→ GxE Interaction
• Late 30’s and early 40’s:
• Higher risk of high BP, gestational diabetes, Down
syndrome

20
Q

teratogenic food-borne pathogens

A

– Salmonella: Raw or undercooked chicken and eggs:
– Listeriosis: Raw or undercooked meats, unpasteurized dairy;
no contact with livestock
– Toxoplasmosis: Raw or undercooked meat & pork; raw
improperly washed vegetables; cats & kitty litter boxes
– Botulism: improperly stored or canned foods

21
Q

How to have a healthy pregnancy

A

• Start before you are pregnant, when you are trying to
conceive:
– Healthy balanced diet: most pregnant women
need only 200-500 extra calories per day
- Avoid caffeine (1 cup/day is ok) and alcohol
• Maintain safe food preparation practices
Take prenatal vitamins:
– Less than 10,000 IU of Vitamin A
– At least 400 mcg (.4 mg) of Folic Acid or Folate
• Insufficient FA during first 28 days of pregnancy can lead to MAJOR
neural tube, brain, and spine defects, including Spina Bifida
– Iron and calcium are very important
• Should include foods rich in all three
• Exercise and reduce stress
• Brush your teeth and floss!
• Get good prenatal care

22
Q

Birth: Stage 1: Dilation

A
Uterine contractions begin
• Cervix begins to open; must dilate to 10 cm
•Baby begins descent
in birth canal, and
head presses up
against cervix
•Can last 6-14 hours
23
Q

Birth: Stage 2: Delivery

A

• Baby moves through birth
canal and is BORN!
• Lasts 30 min to 2 hrs

24
Q

Birth: Stage 3: Afterbirth

A
  • Uterus continues to contract in order to expel
    the placenta
    – Takes about 15 minutes
    • Fun facts:
    – Recently, women have begun to freeze their
    placenta for later use
    • Plant a tree with it
    • Make a “print”
    • Ingest it to prevent post-partum depression??
25
Q

Psychological Adjustments to Having a

Newborn

A
• Parents much adjust to changes in:
– Relationship: couplehood vs parenthood
• Free time, romance, sex, attention
– Work / Career
– Finances
– Daily hassles/stress
– Physical changes:
• Fatigue, breastfeeding, sleep deprivation
– Child Temperament and individual needs
– Other siblings, older dependent parents
26
Q

Qualities of a healthy “newborn” family

A
• Well-developed coping skills
• Frequent communication
• High degree of warmth and positive
interaction
• Realistic expectations
• Temperament match
• External support
27
Q

The Ghosts in the Nursery

A
• Becoming a parent can often make one reflect
on their own parents
– Childhood
– Experience of parenting
– Can influence:
• Parenting style
• Attitude toward role
• Attachment
28
Q

Dealing with Sibling Rivalry

A

• Prepare child for birth of sibling
– Use age-appropriate language and concepts
– Talk about child’s feelings about having a new
baby
– Discuss how life will change
• Set aside one-to-one time with child, even
when baby is born
– Model pos. ways to get attention and praise
• Ask older sibling for help with baby