Maternal Child

MATERNAL CHILD Maternal child The nurse understands that prenatal growth and development proceed in a cephalocaudal pattern, meaning that The brain will develop first One of the assessments performed in the delivery room is checking the umbilical cord for blood vessels. Which finding is considered to be within normal limits? Two arteries and one vein Which part of the mature sperm contains the male chromosomes? The head of the sperm Dizygotic twins develop from two fertilized ova and may be the same sex or different sexes. Monozygotic twins are from a single fertilized ovum and are always the same sex The cheese-like covering over the fetus is called vernix caseosa. The first sensation of fetal movement detected by the woman is called quickening. The surface-active lipid that is produced by a fetus is called surfactant. An excessive amount of amniotic fluid is called hydramnios. Basic structures of all major body organs are completed during the period of development. embryonic What must the nurse be alert for with a baby born to a diabetic mother? Hypoglycemia, defined as below 40 What is the first action of the nurse when the patient is moved to the OR for a c/section Take the fetal heart tones Antidote to magnesium sulfate Calcium gluconate Involution Process by which uterus returns to pre-pregnant size (approx 6 weeks) Potential for Maternal-Fetal blood mixing Mom and baby blood should not mix during pregnancy, if it mixes results in infection Rh - = mom will need Rhogam injection Rhogam: protects future pregnancy from different blood types, fetus blood can get into moms bloodstream, tiny membrane separates two blood streams Organogenesis First 8 weeks is the period of greatest vulnerability -Organs are developing Umbilical Arteries Carry OXYGEN-POOR blood from fetus to the placenta then into maternal circulation of excretion Umbilical Vein Carry OXYGEN-RICH blood from maternal circulation through the placenta and then to the fetus Nuchal Cord Cord wrapped around fetus' neck Folic Acid Decreased nerual tube defects by 80% -Cardiac, nerual tube defects, skeletal defects as result of increased/decreased glucose -400 mcg if pregnancy is a possibility -leafy grens, whole grains, orange juice