Week 3: Before you were born (in utero) Flashcards

1
Q
  1. What is AMA? Is it increasing or decreasing?
  2. What is AMA leading to an increase of?
A
  1. Advanced maternal age (mothers over 35 getting preg), it is increasing
  2. increase in human assisted reproductive techniques
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Describe 3 human assisted reproductive techniques

A
  1. fertility drugs
  2. cryopreservation
  3. artificial insemination
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

define each term:
a) antenatal
b) pregnancy
c) prenatal
d) postpartum

A

a) period of conception to postpartum
b) condition when a women’s body is nurturing a developing embryo or fetus
c) transforming a zygote into a newborn
d) condition after birth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what is the period of time for each trimester and what is a basic overview of what occurs in each?

A

1st trimester = zygote implementation to 12 weeks
2nd trimester = 12-24 weeks. can feel it moving
3rd trimester = 24+ weeks. increased emotional attachment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what are the key issues in each trimester

A

look at notes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what trimester(s) are each issue experienced in?
a) high blood pressure
b) gestational diabetes
c) preeclampsia
d) Rh incompatibility
e) miscarriage
f) premature birth
g) excessive weight gain
h) malnutrition
i) bladder infection
j) bleeding

A

a) 1-3
b) 2
c) 3
d) 2
e) 1-2
f) 2-3
g) 2
h) 1
i) 3
j) 1-3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What increases a mothers risk of developing preeclampsia? It is only present in mothers during pregnancy?

A

first preg, AMA mothers, obesity, past family history. No it can occur after pregnancy too

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q
  1. What does preeclampia result in?
  2. Can it be treated/fixed?
A
    • hypertension = high blood pressure
      - kidney/organ damage
      - abnormal placenta with less blood flow
      - fetal death
      - eclampsia
  1. no must deliver the baby
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q
  1. Define age of viability? What is the age of viability in Ontario?
  2. as the age of viability has decreased the ________ rates has increased
A
  1. the age that doctors can intervene and without harming the baby, 23 weeks
  2. survival rates
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

describe prenatal behaviour for the whole pregnancy period

A

look at notes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What period (time frame) of prenatal development does each behaviour occur?
a) eyebrows and nails
b) recognition of mother’s voice
c) urination
d) viability is possible
e) vernix produced
f) movement to head down
g) heartbeat
h) respond to light
i) hair follicles
j) surfactant from lungs
k) antibodies needed from mother

A

a) 17-20
b) 25-28
c) 9-12
d) 21-24
e) 21-24
f) 33-36
g) 17-20
h) 17-20
i) 13-16
j) 21-24
k) 28-32

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Describe the difference between female vs male fetuses

A

female = more sensitive to external stim, advance more rapidly with skeletal development
male = physically active in the womb, more vulnerable to prenatal problems, more likely to be spontaneously aborted or have birth defects

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are 3 issues that could occur prenatal development that could affect the child? Give examples

A
  1. genetic disorders: autosomal recessive, autosomal dominant, sex linked recessive
  2. chromosomal errors: trisomy, sex chromosome errors
  3. teratogens: Obesity, alcohol, smoking, marijuana, anxiety, depression
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q
  1. Give examples of the 3 types of genetic disorders
  2. give examples of the 2 types of chromosomal errors
A
  1. autosomal dominant = huntington’s, autosomal recessive = sickle cell, sex linked recessive = colour blindness
  2. trisomy = 3 extra chromsomes, sex chromsome errors = turner’s syndrome
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Explain the effects of the 6 teratogens

A

obesity = gestational diabetes, preeclampsia, stillbirth, and congenital abnormalities, heart disease, hypertension –> mother, and for the child its obesity and heart disease

alcohol = fetal alcohol syndrome, developmental disabilities, facial issues, growth problems, attachment issues

smoking = preterm birth, mouth and lip issues, SIDS, lung damage

marijuana = hyperactivity, inattention, depression risk

depression = miscarriage, preterm birth, low birth weight, postpartum depression

anxiety = low birth weight, lower APGAR score

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what does APGAR stand for. What is it used for

A

appearance, pulse, grimace, activity, respiration. used at birth

17
Q
  1. what are the long term effects of preterm birth/ low birth weight?
  2. ELBW =
    VLBW =
    LBW =
    Normal BW =
    Avg in Canada =
A
  1. cerebral palsy, cognitive impairment, visual and hearing impairment, poor health and growth, behavioural and social issues, motor development issues
  2. ELBW = less than 2.32
    VLBW = less than 3.92
    LBW = less than 5.5
    Normal BW = 5.8-8.13
    Avg in Canada = 8.7
18
Q

What are the 3 types of care?

A

prenatal = health of mother during pregnancy
–> check pulse, blood pressure, urine, weight, check babies uterus growth, heartbeat, movement
intrapartum = labour and delivery
postpartum = after delivery

19
Q
  1. ___% of first time moms plan a home birth
  2. T/F: home births are only offered to women with no risk factors
  3. why would you have a homebirth?
A
  1. 9%
  2. T
  3. fear of hospital, beliefs, in private
20
Q

what are the stages of labour?

A
  1. contractions and cervix dilates so the baby passes through the birth canal
  2. cervix dilates completely and baby is born
  3. occurs after the baby is born where you birth the placenta
  4. postpartum care like breastfeeding