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Nursing notes on Pregnancy and conception for Maternal OB Nursing

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Uploaded on
July 1, 2025
Number of pages
10
Written in
2024/2025
Type
Class notes
Professor(s)
Acc prof
Contains
Pregnancy, conception

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CONCEPTION AND FETAL DEVELOPMENT
Menstrual Cycle
●​ Follicular Phase
○​ 1-14 days in cycle
○​ INCREASE in FSH and LH
○​ Graafian follicles contain oocyte which are immature ovum that starts growing
●​ Ovulatory Phase
○​ Middle of 28–day cycle and 2 days before ovulation
○​ LH increases sharply, FSH rises
○​ Ovum matures and released- OVULATION
●​ Luteal Phase
○​ Corpus luteum releases progesterone
○​ If ovum is fertilized–HCG secreted/ and corpus luteum will help maintain pregnancy
○​ If ovum is NOT fertilized- Decreased FSH and LH and uterine lining breaks down
●​ CYCLE RESTARTS

Endometrial Cycle with Menstruation
●​ Proliferation Phase
○​ First half: mature ovum is released
○​ Thickening of endometrium
○​ Thin mucous released to help sperm reach uterus
●​ Secretory Phase
○​ Second half of cycle
○​ Uterus gets thicker
○​ Nourishment released for Fertilization
●​ Menstrual Phase
○​ No fertilization
○​ Endometrium necrosis
○​ Menstrual flow

S/Sx of Ovulation
●​ Increase body temp
●​ Mittelschmerz
●​ Cervical mucus changes: Amount increased/ thin, watery, and clear/ Stretchable: Spinnbarkeit/ Alkaline

Ovulation
●​ One ovum per month is discharge from ovary
●​ Its transported into the fallopian tube where it begins its journey through the tube in search for the sperm
●​ ONLY FOR 24 HOURS

, Spermatozoa
●​ are the male sex cells that carry genetic material.
●​ Capacitation occurs as the sperm travels to the egg.
●​ Acrosome Reaction
○​ Sperm release an enzyme HYALURONIDASE as they swarm around the ova to allow one sperm to
penetrate the ovum for fertilization.
○​ Viable for 1-2 days

Fertilization
●​ Occurs when one sperm enters the ovum and the two nuclei containing the parent chromosomes unite.
○​ Usually occurs in the DISTAL PORTION OF THE FALLOPIAN TUBES
○​ The 23 chromosomes from the sperm mingle with the 23 chromosomes from the ovum
○​ Zygote is formed and ready for cell division.

Cellular Multiplication
●​ The ZYGOTE, begins its travel through the fallopian tube toward the uterus
●​ Cellular, mitotic division
●​ Morula (12-16 cells forms–a solid fluid filled cavity within the cell mass.
○​ Inner solid cell mass is called Blastocyst
○​ Outer cell mass that surrounds the cavity is the Trophoblast

Implantation
●​ Zygote travels for 3-4 days
●​ Day 10: Zygote implants–Small finger-like projections extend from the trophoblast and burrow into the
endometrium.
●​ Once the Zygote implants, it secretes hCG to signal the beginning of pregnancy
○​ hCG then signals corpus luteum to continue the secretion of estrogen and progesterone.
●​ Implantation is dependent on a continued supply of estrogen and progesterone.
●​ Implantation enables the blastocyst to absorb nutrients from the endometrium
●​ Implantation site is important b/c this is where the placenta will develop.
●​ Normal: Upper uterus/fundus

Development of the Fetus
●​ Pre-embryonic Period (Zygote)
○​ Weeks 1-2
○​ Cellular division
●​ Embryonic Period
○​ Weeks 3-8
○​ ORGANOGENESIS
●​ Fetal Period
○​ Weeks 9-40
○​ Rapid growth and refinement in structures and functions of systems.
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