Women's Health Across the Lifespan 12th Edition by
Davidson & Ladewig
Childbearing concept definition - ANSWER: Creation and nurturing of new life
through pregnancy and birth.
Nursing roles - ANSWER: 1. Generalist.
2. Midwife
3.Anesthesis
Factors contributing to maternal mortality. - ANSWER: 1. C-sections
2. Obesity
3. CV disease
4. Delay of childbearing.
5. People with congenital defects live to child bearing years.
Preconception counseling should include. - ANSWER: 1. General health status.
2. virus protection (specifically Rubella).
3. Genetic screening.
4. Lifestyle changes (smoking, alcohol, drugs).
5. Folic acid intake.
Childbearing Decisions. - ANSWER: 1. Home vs. Hospital.
2. Doc, midwife, lay midwife.
3. Birthing center
4. Who can attend delivery.
Childbirth education - ANSWER: 1. Less fear if know what to expect.
2. Breast feeding classes.
3. Newborn care classes.
Healthy people 2020 goal. - ANSWER: 1. 77% of women to begin receiving prenatal
care in the 1st trimester and will continue with regular care.
2. Inadequate/ Late prenatal care associated with increased risk of prematurity and
low birth rates.
Preembryonic phase - ANSWER: 1st 2 weeks post conception. Characterized by rapid
cellular division.
Implantation - ANSWER: 7-10 days post conception.
Fetal stage - ANSWER: Beginning of 9th week-birth.
, Embryonic Stage - ANSWER: Beginning of 2nd week-end of 8th week. Embryo
susceptible to teratogens.
Blastocyst - ANSWER: Ball of 16 cells, in three embryonic layers:
1. Ectoderm (CNS, Special Senses, Skin, Glands).
2. Mesoderm (Skeletal,Urinary, Circulatory, reproductive organs.)
3. Endoderm (Respiratory system, Liver, pancreas, digestive system).
Transport function of the placenta - ANSWER: carries, oxygen and carbon dioxide
carries nutrients
metabolic functions of the placenta - ANSWER: Produces glycogen and fatty acids.
endocrine functions of the placenta - ANSWER: produces hormones for pregnancy
maintenance.
immunological functions of the placenta - ANSWER: immunosuppresses at the
cellular level.
Chorionic Villi - ANSWER: Blastocyst-fetus, Trophoblast-placenta:
The villi are fingerlike projections from the placenta bathed in maternal blood. It is
the site of nutrient and gas exchange.
Nagel's Rule - ANSWER: To calculate EDD: 1st day of LMP-3 months + 7 days.
1st trimester - ANSWER: conception to end of 13th week.
2nd trimester - ANSWER: 14-26 wks.
3rd trimester - ANSWER: 27wks-birth.
Fetal Heartbeat - ANSWER: visualized at 5 wks.
can be auscultated at 10-12 wks.
Fetal movement - ANSWER: felt at 20 wks.
Probable pregnancy signs - ANSWER: Chadwick's sign (Bluish color of genitals and
cervix)
Hegar's sign (softening of the isthmus)
Goodell's sign (softening of cervix)
Abdominial enlargement.
Braxron-Hicks contractions.
positive Pregnancy test
Change in skin pigmentation
Uterine souffle (swishing sound in uterus)
Subjective pregnancy signs - ANSWER: Amenorrhea