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NFDN 2004 – Unit 1 Comprehensive Review – NorQuest College – Pregnancy Physiology, Nursing Care, and Fetal Development Notes with Verified Answers

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This detailed Unit 1 review for NFDN 2004 at NorQuest College presents an extensive overview of pregnancy-related anatomy, physiology, fetal development milestones, prenatal care, and nursing responsibilities. It includes clear definitions and accurate answers covering topics such as cardiovascular and endocrine changes, danger signs, stages of labor, fetal growth, labor interventions, and maternal assessments. Ideal for early course study, concept reinforcement, and exam readiness.

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NFDN 2004 UNIT 1-4 REVIEW questions with
accurate answers
10 Weeks Ans✓✓✓ - Heart is almost developed
- Foramen ovale diverts much of the blood away from the lungs
- 20 baby teeth are forming in the gums


12 Weeks Ans✓✓✓ - Vocal cords are complete
- Fetus can sometimes cry
- Brain is fully formed (can feel pain)
- Fetus may suck its thumb
- Eyelids now cover the eyes and will remain shut until seventh month


16 Weeks Ans✓✓✓ - 5 ½ inches tall and 6 ounces
- Eyebrows/lashes/fine hair appear
- Fetus can grasp with hands, kick, or even somersault
- Sex can be determined


20 Weeks Ans✓✓✓ - Spontaneous fetal movements occur
- Meconium is present in upper intestine
- Brown fat begins to be formed
- Vernix casiosa is formed and cover skin
- Sleeping/activity patterns are distinguishable

,24 Weeks Ans✓✓✓ - Fetus is covered with lanugo
- Fetus practices breathing by inhaling amniotic fluid into developing
lungs
- Active production of lung surfactant
- Eyebrows and lashes well defined
- Age of viability - if born could survive with ICU care


38-40 Weeks Ans✓✓✓ - 7-8 lbs
- Cord will slowly stop pulsating at birth
- Placenta will detach from the inside of the uterus 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


7 Weeks Ans✓✓✓ - Facial features are visible (mouth/tongue)
- Eyes have a retina/lens
- Major muscle system is developed
- Embryo practices moving
- Embryo has its own blood type
- Blood cells are produced by liver instead of yolk sac


8 Weeks Ans✓✓✓ - Fetus stage
- ½ inch long, protected by the amniotic sac

,- Fetus swims and moves gracefully
- Arms/legs have lengthened
- Fingers visible, brain waves can be measured


Adolescent Pregnancy Ans✓✓✓ - Physical Risk = mother is still
growing à increased nutritional risks
- Complications = pre-eclampsia, hemmorhage, LBW/SGA babies, CPD
and preterm birth
- Psychological Risk = failure to complete education, lack of social
support, poverty
- Education = nutrition, substance use, continuing their education


Alberta Prenatal Record Ans✓✓✓ done at first visits and completed
each time client comes for a prenatal visit. Patient receives copy at 36
weeks and expected to carry with them at all times


Ambivalence Ans✓✓✓ having both positive and negative feelings
towards the situation (being happy and sad at the same time)


Amniotic Membranes Ans✓✓✓ - 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 - 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)


Amniotomy Ans✓✓✓ artificial rupture of membranes "breaking the
water" to allow fetal head to contact cervix directly


- Cervix must be dilated at least 3 cm
- Can happen accidently when performing a vaginal exam


Antepartum Care Ans✓✓✓ involves a great deal of teaching especially
in the community


Anticipatory Grief Ans✓✓✓ anticipating loss because of previous
losses


Assessing Fetal Growth & Wellbeing Ans✓✓✓ - Health
history/physical examination
- Ultrasonography, blood tests, fetal movements (kick counts), fetal
heart rate, biophysical profile
- Estimating fetal health (fetal growth - McDonald's rule)


Assessment of Fetus Ans✓✓✓ - Auscultation of the fetal heart sounds
- Electronic monitoring (external/internal)
- Fetal heart rate patterns (baseline FHR, variability)

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