SAS#9 Flashcards

1
Q

measured from the time
of ovulation

A

OVULATION AGE

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2
Q

▪Length of pregnancy- from 1st day of LMP

A

(gestational age)

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3
Q

•Ovulation age & gestational age measured
in

A

lunar months (4-week periods) or
trimesters (3-month periods

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4
Q

•Pregnancy =

A

10 lunar months (40 weeks or
280 days)

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5
Q

•Fetus grows in utero for

A

9.5 lunar months
or 3 full trimesters (38 weeks or 266 days)

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6
Q

▪ Length: 0.75 to 1 cm
▪ Weight: 400 mg
▪ Spinal cord formed & fused at midpoint
▪ Lateral wings forming body are folded forward to fuse at
midline
▪ Head folds forward, prominent, 1/3 of entire structure
▪ Back is bent so head almost touches tip of tail
▪ Rudimentary heart bulges on anterior surface
▪ Arm and leg buds
▪ Rudimentary eyes, ears, nose are discernible

A

END OF 4TH GESTATIONAL WEEK

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7
Q

▪ Length: 1 inch
▪Weight: 20g
▪ Organogenesis complete
▪Heart, with septum & valves, beats
▪Discernible facial features
▪Arms and legs developed
▪ External genitalia present but cant be discerned by
simple observation
▪ Primitive tail regressing
▪Abdomen is large because fetal intestines are growing
rapidly
▪ UTZ shows gestational sac (diagnostic of pregnancy)

A

▪END OF 8TH GESTATIONAL WEEK

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8
Q

•Length: 7 to 8 cm
•Weight: 45 g
•Nail beds on fingers & toes forming
•Spontaneous movements possible but too
faint to be felt
•Some reflexes present like the Babinski reflex

A

•END OF 12TH GESTATIONAL WEEK
(1ST TRIMESTER)

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9
Q

•Bone ossification centers forming
•Tooth buds present
•Sex distinguishable by outward
appearance
•Kidney secretion begins but urine not
yet evident in the amniotic fluid
•Heartbeat audible through DOPPLER
technology

A

•END OF 12TH GESTATIONAL WEEK
(1ST TRIMESTER)

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10
Q

▪ Length: 10 to 17 cm
▪Weight: 55 to 120 g
▪ Fetal heart sounds audible with ordinary
stethoscope
▪ LANUGO is well formed
▪ Liver & pancreas functioning
▪Actively swallows amniotic fluid demonstrating
intact though uncoordinated swallowing reflex
▪ Urine is present in amniotic fluid
▪ Sex can be determined by ultrasound

A

▪END OF 16TH GESTATIONAL WEEK

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11
Q

▪ Length: 25 cm
▪ Weight: 223 g
▪ Spontaneous movements felt by the mother
▪ Antibody production possible
▪ Hair forms, including eyebrows and hair on the head
▪ Meconium present in the upper intestine
▪ BROWN FAT, a special fat insulator deposits behind the
kidneys, sternum & posterior neck
▪ Vernix caseosa begins to form
▪ Definite sleep/wake patterns (developed biorhythms)

A

▪ END OF 20TH GESTATIONAL WEEK

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12
Q

▪ Length: 28 to 36 cm
▪ Weight: 550 g
▪ Passive ab transfer begins by 20th week, established by 24th
week
▪ Meconium present as far as the rectum
▪ Active production of lung surfactants begins
▪ Eyebrows/eyelashes well-defined
▪ Eyelids now open
▪ Pupils capable of reacting to light
▪ 24 weeks or 601 g- low-end age of viability if cared for in a
modern NICU
▪ Hearing can be demonstrated by response to sudden sound

A

▪ END OF 24TH GESTATIONAL WEEK (2ND
TRIMESTER)

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13
Q

•Length: 35 to 38 cm
•Weight: 1,200 g
•Lung alveoli begin to mature, surfactant
present in amniotic fluid
•Testes begin to descend in scrotal sac
from the lower abdominal cavity
•Blood vessels of retina are thin &
susceptible to damage from high O2

A

•END OF 28TH WEEK OF
GESTATION

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14
Q

▪ Length: 38 to 43 cm
▪Weight: 1,600 g
▪ Subcutaneous fat begins to be deposited( the
former stringy, “little old man” appearance is lost)
▪ Fetus responds by movement to sounds outside
mother’s body
▪Active Moro Reflex
▪ Birth position (breech or vertex) is assumed
▪ Fe stores beginning to be developed
▪ Fingernails grow to reach end of fingertips

A

▪END OF 32ND WEEK OF GESTATION

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15
Q

• Length: 42 TO 48 CM
•Weight: 1,800 to 2,700 g (5 to 6 lbs)
• Body stores of glycogen, Fe, CHO & Ca are deposited
•Additional amount of subcutaneous fat are deposited
• Sole of foot has only 1 or 2 crisscross creases (full
crisscross pattern at term)
• Lanugo begins to diminish
•Most babies turn into a vertex or head-down position
during this month

A

•END OF 36TH GESTATIONAL WEEK

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16
Q

▪ Length: 48 TO 52 CM (CROWN TO RUMP, 35 to
37 cm)
▪Weight: 3,000 g (7 to 7.5 lbs)
▪ Fetus kicks actively, causing discomfort
▪ Fetal hgb begins conversion to adult Hgb; at birth,
20% hgb is adult
▪Vernix caseosa fully formed
▪ Fingernails extend over fingertips
▪ Creases on foot soles cover at least 2/3 of surface

A

▪END OF 40TH GESTATIONAL WEEK (3RD
TRIMESTER)

17
Q

•*In ___, fetus sinks into the birth
canal during the ___, giving the
mother a feeling that the load she is carrying
is less (LIGHTENING),

A

primiparas

last 2 weeks

18
Q

maternal blood collects in
intervillous spaces of the endometrium
surrounding the chorionic villi

A

12TH DAY

19
Q

fetal blood begins to exchange
nutrients with maternal blood thru osmosis

A

3RD WEEK

20
Q

between R atrium & L atrium

A

Foramen ovale

21
Q

bypasses the liver

A

•Ductus venosus

22
Q

bypasses the lungs

A

•Ductus arteriosus

23
Q

carries oxygenated blood & nutrients
to fetus

A

Umbilical Vein

24
Q

carries Carbon dioxide and other
wastes from fetus to maternal circulation

A

Umbilical arteries

25
Q

*Pressure is higher on the ___ of the heart
before birth

A

right side