T1 - Maternal Newborn Intro PPT (Josh) Flashcards

1
Q

When is viability?

A

20 wks or 500 g

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2
Q

When is full-term?

A

40 wks

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3
Q

— is an unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof.

Serious injury specifically includes loss of limb or function.

A

Sentinel Event

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4
Q

What do we do w/ Sentinel Event?

A

DON’T put in client’s chart

it is filed and send to Risk Mgmt in an OCCURRENCE REPORT

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5
Q

What is AROM and SROM?

A

Artificial Rupture of Membranes (break water)

Spontaneous Rupture of Membranes

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6
Q

Ethnocentrism vs. Cultural Relativism

A

Ethnocentrism = one culture’s way is the best way
Cultural Relativism = learning about & applying the standard’s of another’s culture to activities within that culture.

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7
Q

In the — theory, the family is viewed as a unit and interactions among family members are studied rather than studying individuals.

A

Family Systems Theory

***change in one effects all

***circular, not linear, causality

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8
Q

Which group is most likely to be Cohabitating-parent family?

A

Hispanic children are more than twice as likely as African-American children to live in cohabitating-parent families and 4x’s more likely than whites

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9
Q

— is when changes occur when groups from diff. cultures come into contact w/ each other

— is when cultural group loses its cultural identity and becomes part of the dominant culture.

A

Acculturation

Assimilation

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10
Q

Read chart on page 26-27

A

Read chart on page 26-27

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11
Q

What is HCG and what secretes it?

A

Human chorionic gonadotropin (hCG) is a hormone produced by the embryo after implantation.

secreted by blastocyst to make sure corpus luteum remains viable

***The presence of hCG is detected in some pregnancy tests (HCG pregnancy strip tests).

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12
Q

Three Primary Layers of Cells:

(outer layer) develops into skin, nervous system and other external parts of the body

A

Ectoderm

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13
Q

Three Primary Layers of Cells:

(inner layer) develops into thymus, thyroid, digestive, respiratory and parts of GU system

A

Endoderm

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14
Q

Three Primary Layers of Cells:

(middle layer) develops into muscles, bones, connective tissue, circulatory system, and GU system

A

Mesoderm

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15
Q

Need to know chart on page 269

A

Need to know chart on page 269

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16
Q

Does maternal and fetal blood mix?

A

not normally

17
Q

What are the three shunts that permit blood to bypass live and lungs?

A

Ductus Venosus

Foramen Ovale

Ductus Arteriosis

18
Q

Which shunt is this?

Shunts blood around (bypassing) liver

A

Ductus Venosus

19
Q

Which shunt is this?

Shunts blood right to left (bypassing ventricles)

Blood goes from right atrium to left atrium

A

Foramen Ovale

20
Q

Which shunt is this?

Shunts blood around lung

A

Ductus Arteriosis

21
Q

When would RhoGAM be given?

A

given to make sure blood doesn’t mix if spontaneous abortion

babies have on Rh type and can affect mom if she is Rh- and baby is Rh+ (her body treats it like a foreign substance and fights it)

22
Q

When would RhoGAM be given?

A

at 28 wks and again ~48-72 hrs after delivery

23
Q

What is Hematopoiesis and when does it occur?

A

formation of blood occurs at 6th week

24
Q

When do stem cells begin to form the liver?

A

5th wk

25
Q

When to stem cells seed the fetal bone marrow, spleen, thymus, and lymph nodes?

A

8th and 11th wk

26
Q

When is blood type determined?

A

~ 5 wks

27
Q

When are blood cells and heart functioning?

A

3 wks

**heart is fully developed at 8 WEEKS

28
Q

What is normal fetal heart rate?

A

110-160

29
Q

Hgb in fetus is about — greater than mother.

A

50%

30
Q

When can lung movement be seen?

A

11th wk

***fully mature ~ 34 wks

31
Q

What are Dizygotic Twins?

A

Two separate pregnancies occurring simultaneously. 2 embryos, 2 placentas, 2 chorions and 2 amnions

32
Q

What are Monozygotic Twins?

A

Result from the division of a single fertilized ovum. Same sex, same physical traits. Shared placenta 2 embryos, 2 amnions, 1 chorion & 1 placenta

33
Q

What are di/di twins?

A

Dichorionic/Diamniotic (di/di) twins each embryo has their own amniotic sac & their own placenta (fraternal)

34
Q

What are mo/di twins?

A

Monochorionic/Diamniotic (mo/di) twins each embryos has their own amniotic sac but share a placenta

35
Q

What are mo/mo twins?

A

Monochorionic/Monoamniotic (mo/mo) twins -= 2 embryos 1 sac 1 placenta (Always Identical)