N306 Study Guide – Final

Chapter 3 Genetics  Nurse role and relevance of genetics to childbearing families  Common genetic (inherited) conditions that you would counsel and screen patients either prior to pregnancy or at their first prenatal visit  Testing women of advanced maternal age (AMA) (who is considered AMA) and increased risk of chromosomal abnormalities  Teratogens and at what crucial time exposure will cause the most damage o Look at each and understand what risks/complications it may pose to baby or pregnancy o Fetal alcohol syndrome  Causes? Fetal characteristics? o TORCH  Look at each and understand mode of transmission, is there treatment for it? Do we screen for it during prenatal care? How might it affect the pregnancy and baby?  What about viruses and placenta?  How long is zika in male system for? What can zika lead to in newborn who is affected by it? Menstrual Cycle  Consists of two cycles working simultaneously (ovarian and endometrial)  what are levels and roles of estrogen and *progesterone in each cycle  When is a woman most fertile? o What is considered a woman’s LMP (know that this is Day #1 of her cycle) o What happens at time of ovulation (typically what day during the cycle, what the ovaries are doing, the hormone levels, and what the endometrial lining is doing) o What day does conception occur? o When does implantation occur? What part of the blastocyst is involved in implantation? Where does implantation usually happen? What will happen if implantation occurs too early? Embryonic and Fetal Development  When to expect to see fetal cardiac activity on ultrasound  Summary of fetal development - table 3-4, p. 49.  What is considered a term pregnancy?  Difference between identical and fraternal twins  Fetal circulations (ductus venosus, foramen ovale, ductus arteriosis)  Basic concepts of placenta physiology and its purpose o Hormones produced by the placenta (what roles do these hormones play? Which is used to diagnose pregnancy? Which hormone is responsible for regulating glucose availability in the newborn?  Purposes of amniotic fluid  Normal structure of the umbilical cord Infertility  Definition of infertility  Common causes of infertility  Basic work up for infertility Chapter 4 Prenatal Care  What is goal and purpose of prenatal care?  Diagnosing pregnancy