NFDN 2004 UNIT 1-4 REVIEW
Save
Terms in this set (150)
- Facial features are visible (mouth/tongue)
- Eyes have a retina/lens
- Major muscle system is developed
7 Weeks - Embryo practices moving
- Embryo has its own blood type
- Blood cells are produced by liver instead of yolk
sac
- Fetus stage
- ½ inch long, protected by the amniotic sac
8 Weeks - Fetus swims and moves gracefully
- Arms/legs have lengthened
- Fingers visible, brain waves can be measured
- Heart is almost developed
- Foramen ovale diverts much of the blood away
10 Weeks
from the lungs
- 20 baby teeth are forming in the gums
- Vocal cords are complete
- Fetus can sometimes cry
- Brain is fully formed (can feel pain)
12 Weeks
- Fetus may suck its thumb
- Eyelids now cover the eyes and will remain shut
until seventh month
, - 7-8 lbs
- Cord will slowly stop pulsating at birth
- Placenta will detach from the inside of the uterus
38-40 Weeks as baby takes first breaths
- Baby's breathing will trigger changes in the
structure of the heart & will bypass arteries which
will force all blood to now travel through the lungs
- Physical Risk = mother is still growing à increased
nutritional risks
- Complications = pre-eclampsia, hemmorhage,
LBW/SGA babies, CPD and preterm birth
Adolescent Pregnancy
- Psychological Risk = failure to complete
education, lack of social support, poverty
- Education = nutrition, substance use, continuing
their education
done at first visits and completed each time client
comes for a prenatal visit. Patient receives copy at
Alberta Prenatal Record
36 weeks and expected to carry with them at all
times
having both positive and negative feelings towards
Ambivalence the situation (being happy and sad at the same
time)
- Chorion - tough thick membranes covering
amnion, embryo and yolk sac; closest to the uterine
wall, gives rise to the placenta
- Amnion - thinner membrane envelops and
protects embryo
- Yolk Sac - supplies nourishment until implantation
Amniotic Membranes
- then supplies source of RBC until fetal system is
more mature to produce own RBC
- Germ Layers - ectoderm (CNS, PNS, mucous
membranes, skin, hair, nails) mesoderm (bones,
ligaments, muscle, cardiac system), endoderm
(lining of GI, respiratory & pericardial cavities)
artificial rupture of membranes "breaking the water"
to allow fetal head to contact cervix directly
Amniotomy
- Cervix must be dilated at least 3 cm
- Can happen accidently when performing a
, - Labour/Delivery rooms - hospital settings
Birth Settings - Birth centers
- Home birth
- Blood Volume - increases due to hormones,
growing fetus, need to have good blood supply for
mom and baby, blood volume will peak at 28-32
weeks, body gets ready for blood loss during
delivery
· Normal vaginal loss = 300-400 mL (anything
above is considered post-partum hemorrhage)
Blood Changes · C-section loss = 800 mL
- Anemia of pregnancy -increase in blood volume
leads to reduction in blood viscosity, resulting in
dilution anemia (back to normal is 2nd trimester)
- Blood clotting time stays the same but increase in
clotting factor - helps with clotting during delivery
to decrease bleeding and prevents postpartum
hemorrhage
a zone of separation you perceive between
Body Boundary
yourself and objects around you
Body Image the way your body appears to yourself
- Position of heart changes due to the upward
growing on uterus. Tilts more towards the right side
- Cardiac output increases by 25-50%
- ECG - slight change, possible systolic murmur
- Mammary Soufflé: hearing the heart beat through
the breast tissue
Cardiovascular Changes - BP may go down in 2nd trimester and back to
normal by 3rd trimester
- Venous pressure - impaired to lower extremities
(edema, varicose veins, hemorrhoids)
- Supine Hypotension - should always be on her
left side when laying down or have a pillow on her
right side to relieve pressure on the vena cava
- Cutting down or quitting
- "Cold turkey" may not be advisable
Care for Substance USe
- Neonatal Abstinence Score (NAS) required after
birth
Save
Terms in this set (150)
- Facial features are visible (mouth/tongue)
- Eyes have a retina/lens
- Major muscle system is developed
7 Weeks - Embryo practices moving
- Embryo has its own blood type
- Blood cells are produced by liver instead of yolk
sac
- Fetus stage
- ½ inch long, protected by the amniotic sac
8 Weeks - Fetus swims and moves gracefully
- Arms/legs have lengthened
- Fingers visible, brain waves can be measured
- Heart is almost developed
- Foramen ovale diverts much of the blood away
10 Weeks
from the lungs
- 20 baby teeth are forming in the gums
- Vocal cords are complete
- Fetus can sometimes cry
- Brain is fully formed (can feel pain)
12 Weeks
- Fetus may suck its thumb
- Eyelids now cover the eyes and will remain shut
until seventh month
, - 7-8 lbs
- Cord will slowly stop pulsating at birth
- Placenta will detach from the inside of the uterus
38-40 Weeks as baby takes first breaths
- Baby's breathing will trigger changes in the
structure of the heart & will bypass arteries which
will force all blood to now travel through the lungs
- Physical Risk = mother is still growing à increased
nutritional risks
- Complications = pre-eclampsia, hemmorhage,
LBW/SGA babies, CPD and preterm birth
Adolescent Pregnancy
- Psychological Risk = failure to complete
education, lack of social support, poverty
- Education = nutrition, substance use, continuing
their education
done at first visits and completed each time client
comes for a prenatal visit. Patient receives copy at
Alberta Prenatal Record
36 weeks and expected to carry with them at all
times
having both positive and negative feelings towards
Ambivalence the situation (being happy and sad at the same
time)
- Chorion - tough thick membranes covering
amnion, embryo and yolk sac; closest to the uterine
wall, gives rise to the placenta
- Amnion - thinner membrane envelops and
protects embryo
- Yolk Sac - supplies nourishment until implantation
Amniotic Membranes
- then supplies source of RBC until fetal system is
more mature to produce own RBC
- Germ Layers - ectoderm (CNS, PNS, mucous
membranes, skin, hair, nails) mesoderm (bones,
ligaments, muscle, cardiac system), endoderm
(lining of GI, respiratory & pericardial cavities)
artificial rupture of membranes "breaking the water"
to allow fetal head to contact cervix directly
Amniotomy
- Cervix must be dilated at least 3 cm
- Can happen accidently when performing a
, - Labour/Delivery rooms - hospital settings
Birth Settings - Birth centers
- Home birth
- Blood Volume - increases due to hormones,
growing fetus, need to have good blood supply for
mom and baby, blood volume will peak at 28-32
weeks, body gets ready for blood loss during
delivery
· Normal vaginal loss = 300-400 mL (anything
above is considered post-partum hemorrhage)
Blood Changes · C-section loss = 800 mL
- Anemia of pregnancy -increase in blood volume
leads to reduction in blood viscosity, resulting in
dilution anemia (back to normal is 2nd trimester)
- Blood clotting time stays the same but increase in
clotting factor - helps with clotting during delivery
to decrease bleeding and prevents postpartum
hemorrhage
a zone of separation you perceive between
Body Boundary
yourself and objects around you
Body Image the way your body appears to yourself
- Position of heart changes due to the upward
growing on uterus. Tilts more towards the right side
- Cardiac output increases by 25-50%
- ECG - slight change, possible systolic murmur
- Mammary Soufflé: hearing the heart beat through
the breast tissue
Cardiovascular Changes - BP may go down in 2nd trimester and back to
normal by 3rd trimester
- Venous pressure - impaired to lower extremities
(edema, varicose veins, hemorrhoids)
- Supine Hypotension - should always be on her
left side when laying down or have a pillow on her
right side to relieve pressure on the vena cava
- Cutting down or quitting
- "Cold turkey" may not be advisable
Care for Substance USe
- Neonatal Abstinence Score (NAS) required after
birth
