Week 3: Antenatal Development and Birth Flashcards

1
Q

What are the three stages of conception?

A

1 - Zygote. As the zygote moves down the fallopian tube it duplicates, at first slowly and then more rapidly

2- Blastocyst. By the fourth day it forms a hallow fluid-filled ball, called a blastocyst. The inner cells, called the embryonic disk will become the new organism. The outer cells, or trophoblast will provide protective covering

3- Implantation. At the end of the first week the blastocyst begins to implant in uterine lining

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2
Q

What is the embryonic disk ?

A

Inner cells of the blastocyst

part that becomes the organism

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3
Q

What is the trophoblast?

A

Outer cells of the blastocyst providing protective covering

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4
Q

Antenatal stages names (3 stages)

A
  • The period of the zygote or The germinal period
  • The period of the embryo or The embryonic period
  • The period of the fetus or The fetal period
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5
Q

Period of zygote/ geminal period

A
  • 2 weeks (30% of zygotes don’t last this)
    -Beings with fertilisation in the upper end of the fallopian tube ends when the blastocyst invades the uterine wall and implants in it
    -series of cell division occurs, 36 hours - 2 cells, 48 hours - 4 cells.
    -3 days = small compact ball of 16-32 cells called blastocyte
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6
Q

Fertilisation

A

sperm penetrates the ovum (most sperm never reach the fallopian tube in order to be able to fertilise the ova) After one sperm does penetrate the surface changes no other sperm can penetrate.

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7
Q

Embryonic period key structures

A

Placenta – Provides oxygen and nutrients; removes waste
Yolk Sac – Produces early blood cells before the liver takes over
Amniotic Fluid – Cushions and protects the embryo
Chorion – Forms the outer membrane and helps develop the placenta
Umbilical Cord – Connects embryo to placenta; delivers nutrients and oxygen
Amnion – Inner membrane filled with amniotic fluid for protection

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8
Q

Ectoderm

A

-becomes hair, nails, skin and nervous system

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9
Q

Mesoderm

A

-Becomes circulatory system, lungs (epithelial layers) , skeletal system, muscular systems

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10
Q

Endoderm

A

-Becomes the digestive system, liver, pancreas, lungs (inner layers)

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11
Q

Embryonic Period processes/ timeframe

A

-3 weeks to 8 weeks (i.e. end of 2nd Month)
-Rapid growth: eyes, ears, nose, jaw, and neck form
- Buds become arms, legs, fingers, and toes
- At 7 weeks, the production of neurons (nerve cells) begins
-By the end of the 2nd month the embryo can sense its world and move

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12
Q

Dating pregnancies

A

-Most countries count from first day of last period (including NZ)
-Other countries do the actual conception date

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13
Q

Fetal period

A

From 9th week to end of pregnancy
-spans all three trimesters (1st , 2nd, 3rd) which are typically talked about
-Rapidly increases in size and and development

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14
Q

1st trimester

A

1-12 weeks
-By 12 weeks organ muscles and nervous system becomes organised form (genital)
-heartbeat

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15
Q

Second Trimester

A

13-24 weeks
-By middle of second trimester the baby to feel movements of baby, vernix develops to prevent chafing of embryonic fluid against skin (sticky white grease ), laungo develops (white downy hair to allow vernix to stick).
-By end of second trimester many organs including the brain are developed, glial cell levels increase rapidly
-Age of viability (i.e. could survive if born) is 22-26 weeks but continues to decrease as technology advances

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16
Q

Third Trimester

A

-25-38 weeks
-Age of viability reached at 22-26 weeks
-Cerebral cortex enlarges
-Fetus spends more time awake
-Gains 2kg and gros approx 18 cm
-Personality begins to be present
-Assume upside-down position to prepare for birth in final weeks

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17
Q

Teratogen

A

Any environmental agent that causes damage during the antenatal
period.
* E.g. Prescription and non-prescription drugs, illegal drugs, alcohol, and
tobacco i.e. things that pass through the placenta blood flow to the baby from the mum

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18
Q

The harm teratogens do is shaped by:

A
  • Dose and duration (small doses of the substance might be fine)
  • Heredity or genetic makeup (i.e. the baby might be more sensitive to it like an allergy + might be the mum’s genetic makeup i.e. they might be more resistant to the teratogen)
  • Other negative influences
  • Time of exposure → A sensitive period (a particular period during babies development which has more of an impact than other times)
19
Q

Sensitive period + what theory of development is it associated with?

A

-A period where a behaviour or part of the body is biological prepared to develop rapidly and particularly sensitive to it’s surrounds

-associated with ethology theoretical approach

-There are various sensitive periods throughout the antenatal period e.g. nervous system all the way from 3 weeks to full term 20 weeks whereas teeth has smaller sensitive period from 6 to 8 weeks

20
Q

Teratogens: Prescription Drugs and pregnancy

A

-Metsafe has a lot of information about the risks associated with certain drugs
-Should be used with caution and only be prescribed if benefits outweigh risks

21
Q

Infectious Diseases & Pregnancy

A

-Chicken pox : not known to cause miscarriage but can cause physical malformations, intellectual disability, low birth weight and prematurity.
-> suggest have a shot if haven’t had in childhood

-Rubella : cause miscarriage, physical malformations, intellectual disability and low birth weight. Most common side effect of rubella in pregnancy is deafness.
-> strongly suggested to get the MMR vaccine

-Syphilis (STD): devasting effects on fetus causing miscarriage, physical malformations, intellectual disability, low birthweight

22
Q

3 stages of labour

A

-Stage 1 = 6 and 36 hours for first time mum. Longest period involves the dilation (opening) and effacement (thinning) of cervix. Contractions progressive get more intense. Transition is the term used when intensity + frequency of contractions are at most, women might vomit, feel overwhelmed / distressed and cervix is open completely.Complete dilation of cervix is 10 cm.

-Stage 2 = pushing the head emerges (hardest part) and then the neck and shoulders follow reasonably quick resulting in the birth of the baby

=Stage 3= Delivery of the placenta with a few pushes. Usually umbilical cord is cut immediately after birth and before placenta birth but others leave the placenta attached and research shows that the placenta blood can continue to nourish the baby (good for vulnerable, premature babies). Maori have been doing this technique for years but has been hailed as ‘new’ within the wester world.

23
Q

The Apgar scale: A assessment of newborn’s physical condition

A
  • An assessment that takes place twice
    At 1 minute after birth
    At 5 minutes after birth
  • Baby is assessed & rated as either 0, 1, or
    2 on each of the following 5 characteristics …

Appearance (skin color) 0 blue -> 2 pink and tinged (i.e. good)
Pulse (heart rate)
Grimace response (reflexes)
Activity (muscle tone)
Respiration (breathing rate and effort)

  • A score of 7+ → good physical condition
  • A score of 4–6 → assistance required in
    establishing breathing and other vital signs
  • A score of less than 3→ emergency medical
    attention required
    Usually Apgar goes up from 1 min to 5 mins
24
Q

What are the three primary germ layers in early embryonic development?

A

ectoderm, mesoderm, and endoderm

Each layer gives rise to specific tissues and organs in the body

25
Newborn Reflexes
* Reflex: An inborn, automatic response to a particular form of stimulation. * Some reflexes have a survival value or function i.e. the newborn isn't helpless * Other reflexes form the basis for complex motor skills that will develop later. * Testing reflexes carefully can reveal the health of a baby’s nervous system
26
Examples of newborn reflexes
-Breathing reflex -Eye blink reflex -Rooting reflex -> critical, touch cheek, will turn head and open mouth in preparation for nursing -Sucking reflex then takes over from rooting when baby is contact with breast/ bottle, will slowly gain control of over first year -Swallowing reflex when liquid is placed in mouth, slow to start a pro by 6 weeks -Stepping reflex -> in first 2 months, precursor to walking -Babinski reflex -> toes fan out and curl when bottom of foot is stroked -Grasping reflex or palmer grasp when pressure is placed on babies hand, could hold body weight for a few seconds -Moro reflex -> when startled/ dropped arms go out as if grasping for support
27
Which of the reflexes are survival reflexes? What use might non-survival reflexes have?
-Breathing -Eye blink -Rooting -Sucking -Swallowing -Moro? -> survival in primitive times i.e. needed to grip onto mother when walking for long distance in order to remain secure Even if reflex is not survival reflex can still be useful to assess neurological conditions e.g. babinski
28
Age of disappearance for rooting + sucking
-3 weeks for rooting (becomes voluntary head turning at this time) -4 months for sucking as replaced by voluntary sucking age of disappearance can be useful to look at becomes retained reflexes beyond the age of disappears can be a sign of problem
29
States: Degrees of Sleep & Wakefulness for newborn babies
Regular, or NREM, sleep 8–9 hours Irregular, or REM, sleep 8–9 hours Drowsiness Varies Quiet alertness 2–3 hours Waking activity & crying 1–4 hours Suggests new borns are asleep more than awake
30
Which part of the personality would Freud say enables a baby to have its basic nutritional needs met (for example by waking up and crying in the middle of the night)? A. The ego B. The superego C. The id?
ID - we are born with, source of our basic biological needs and desires
31
REM Sleep & Newborn Development
During REM (rapid eye movement) sleep: * Gentle limb movements, occasional stirring, and facial grimacing occur. Although the eyelids are closed, occasional rapid eye movements can be seen beneath them. Breathing is irregular. - The stimulation that REM sleep provides a baby is thought to be essential for the growth of their central nervous system. -Sleep patterns have implications for early motor, cognitive and language development
32
Motor Development in Infancy
Gross motor skills: -Involve large muscles and whole body or limb movements. E.g.crawling, standing, and walking. * Fine motor skills -Involve precise movements of the hands and fingers, or feet and toes. E.g. grasping and picking up small items. Enables children to engage with things in the environment which then effects cognitive + social development
33
A cephalocaudal trend
An organised pattern of physical growth and motor control that proceeds from the head (cephalic region) to the tail (caudal region). E.g. learning to keep head up (6 weeks), to torso (2 months) to legs (8 months)
34
A proximodistal trend
An organised pattern of physical growth and motor control that proceeds from the centre (or proximal region) of the body to the extremities (or the distal regions). e.g. head/ central movement before hand movement (grasping at 3 months)
35
What are trends in motor development influenced by?
-The group studied e.g. certain cultures like indigenous australians achieved walking sitting, standing, walking earlier than non-indigenous australians. Could be due to value of independence, handling strategies i.e. encouraged to walk earlier, connection to land/ exploration of nature
36
What is vernix? What is Laungo? What trimester are they associated with?
Vernix develops to prevent chafing of embryonic fluid against skin of developing baby (sticky white grease ) Laungo develops (white downy hair to allow vernix to stick). Associated with second trimester
37
Dynamic Systems Theory of Motor Development
"A theory of how motor skills develop and are coordinated” * A theory that views new motor skills as reorganisations of previously mastered skills, which lead to more effective ways of exploring and controlling the environment. Use sensory feedback to modify their behaviour Each new skill is a joint product of: 1. Central nervous system development 2. The body’s movement capacities 3. The goals (motivation) the child has in mind, and 4. The environmental supports for the skill (e.g. stairs in the home drives need to get up and down them)
38
Stages of crawling? What things are happening according to dynamic systems theory to allow this?
Failure to even get into position (head heavy, face plant) Shuffling - might go backwards and forwards Army crawl Then starting to crawl wobbly (up on hands and knees) Until pro-> cross motor skills , getting faster Each new skill is a joint product of: 1. Central nervous system development i.e. to coordinate movement, improve with practice 2. The body’s movement capacities 3. The goals (motivation) the child has in mind i.e. they want to crawl, it's easy to get around and get things 4. The environmental supports for the skill i.e. hard floors versus soft floors
39
Reaching and Grasping phases
Pre-reaching (0–3 months)= Infants make uncoordinated, reflexive arm movements toward objects but lack precise control. Movements are often triggered by visual or tactile stimuli but do not successfully grasp objects. This stage is largely driven by innate reflexes rather than intentional control. Reaching (3–6 months and beyond) = Infants develop intentional, coordinated movements to extend their arms toward objects. They begin to visually guide their hands and refine their motor control. Fist still closed Ulnar grasp (4-5 months) - all fingers together clasping against palm. Not very precise but allows the movement of things from hand to hand although a bit clumpsy Pincer grasp - thumb and forefinger/ any finger -> reliability in place by the time the baby turns 1 (but can be present from as early as 5 months). Greatly increases babies ability to manipulate things, fine motor skills etc.
40
Which of these terms best describes the development of the reaching and grasping skills that I have just outlined – and WHY? A. Cephalocaudal B. Proximodistal
Proximodistal: Because the development that we have just discussed involves infants progressing from controlling their arms, to having control of their hands, and finally their fingers
41
Touch? What direction does sensitivity develop?
-Sensitivity to touch present form birth -Newborns are sensitive to pain -Newborns respond reflexively to touch on the mouth, palms, the soles of their feet -Sensitivity to tactile stimulation develops in a head to toe or cephalocaudal direction (makes sense because mouth/ face needs to be developed for feeding, and why often put things in mouth to explore)
42
Vision
Vision is the least well developed sense at birth. * A newborn’s visual acuity is 40 times worse than that of an adult. * Objects appear blurry to young infants unless they are about 20 cm from the face (optimum feeding distance) OR are bold patterns, with sharp light, dark contrasts. * Newborns are able to see colours (previously people thought could only see in black and white) * At between 6 months and a year of age, infants are able to see as well as adults
43
Hearing
* A newborn’s hearing is better developed than their vision -> because it is really important! also important socially * From approximately 3 months before birth, fetuses can hear some of what is going on outside the womb. * Research has indicated that babies might be able to recognise sounds that they heard earlier in the womb.
44
Oriori
A type of waiata through which whakapapa and iwi histories were shared with babies while they grew in the womb