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Questions and Answers
What is the term for the period of development between conception and birth?
What is the term for the period of development between conception and birth?
What describes dizygotic twins?
What describes dizygotic twins?
What is the typical duration of gestation in humans?
What is the typical duration of gestation in humans?
How is gestational age usually calculated?
How is gestational age usually calculated?
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What is a common symptom of early pregnancy?
What is a common symptom of early pregnancy?
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What results in monozygotic twins?
What results in monozygotic twins?
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Which of the following describes conjoined twins?
Which of the following describes conjoined twins?
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What is NOT an early sign of pregnancy?
What is NOT an early sign of pregnancy?
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What does the cephalocaudal principle dictate regarding development?
What does the cephalocaudal principle dictate regarding development?
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During which stage does implantation occur?
During which stage does implantation occur?
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Which layer differentiates into the digestive system and respiratory system?
Which layer differentiates into the digestive system and respiratory system?
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What is the primary function of the placenta during prenatal development?
What is the primary function of the placenta during prenatal development?
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At what point does the fetal stage of development begin?
At what point does the fetal stage of development begin?
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What characterizes the embryonic stage of prenatal development?
What characterizes the embryonic stage of prenatal development?
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What term refers to the loss of a baby before the 20th week of gestation?
What term refers to the loss of a baby before the 20th week of gestation?
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Which layer will develop into the nervous system and sensory organs?
Which layer will develop into the nervous system and sensory organs?
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What is a deficiency of folic acid most likely to cause?
What is a deficiency of folic acid most likely to cause?
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Which supplement is mentioned as reducing the likelihood of low birth weight in babies?
Which supplement is mentioned as reducing the likelihood of low birth weight in babies?
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According to recommendations, how should women in low-risk pregnancies approach exercise?
According to recommendations, how should women in low-risk pregnancies approach exercise?
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What serious outcome is associated with thalidomide when used during pregnancy?
What serious outcome is associated with thalidomide when used during pregnancy?
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What is the leading cause of birth defects in the United States?
What is the leading cause of birth defects in the United States?
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What is the effect of maternal smoking during pregnancy?
What is the effect of maternal smoking during pregnancy?
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What risk is associated with consuming 4 or more cups of coffee per day during pregnancy?
What risk is associated with consuming 4 or more cups of coffee per day during pregnancy?
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Which maternal illness is known to cause deafness and heart defects in the baby if contracted early in pregnancy?
Which maternal illness is known to cause deafness and heart defects in the baby if contracted early in pregnancy?
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What is the average weight of a neonate at birth?
What is the average weight of a neonate at birth?
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What is vernix caseosa?
What is vernix caseosa?
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By what day do neonates generally return to their birth weight?
By what day do neonates generally return to their birth weight?
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What is the primary purpose of the umbilical cord during childbirth?
What is the primary purpose of the umbilical cord during childbirth?
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Which of the following subtests is NOT part of the Apgar Scale?
Which of the following subtests is NOT part of the Apgar Scale?
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What is meconium?
What is meconium?
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What is a significant risk associated with cesarean deliveries?
What is a significant risk associated with cesarean deliveries?
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What hormone is stimulated during vaginal delivery that is important for the mother's physical response?
What hormone is stimulated during vaginal delivery that is important for the mother's physical response?
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What is a sign of a neonate's condition if they score 5-7 on the Apgar Scale?
What is a sign of a neonate's condition if they score 5-7 on the Apgar Scale?
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What can be a consequence for the baby if delivered via cesarean rather than vaginally?
What can be a consequence for the baby if delivered via cesarean rather than vaginally?
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Which area of a neonate's head is formed by skull bones not meeting?
Which area of a neonate's head is formed by skull bones not meeting?
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What does VBAC stand for?
What does VBAC stand for?
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When does a newborn's heartbeat typically stabilize?
When does a newborn's heartbeat typically stabilize?
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Who may be considered unsuitable for attempting a VBAC?
Who may be considered unsuitable for attempting a VBAC?
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What is a poorly timed characteristic of labor that may lead to a cesarean delivery?
What is a poorly timed characteristic of labor that may lead to a cesarean delivery?
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How often do women who have had a cesarean delivery go on to have another cesarean?
How often do women who have had a cesarean delivery go on to have another cesarean?
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Study Notes
Biological Beginnings
- Fertilization is the union of a sperm and ovum to produce a zygote, also known as conception.
- A zygote is a one-celled organism.
- Ovulation is the release of an ovum from a mature follicle in the ovary.
- The prenatal stage spans approximately 40 weeks or 280 days, including two weeks to account for the last menstrual period and ovulation.
- The average human gestation is from 37-41 weeks.
- Infants born before 37 weeks are considered pre-term, while those born at or beyond 42 weeks are called post-term.
- Gestation refers to the developmental period between conception and birth.
- Gestational age is the age of an unborn baby, typically calculated from the first day of the expectant mother's last menstrual cycle.
- Early signs and symptoms of pregnancy include: tender and swollen breasts or nipples, fatigue, slight bleeding or cramping, food cravings, nausea, frequent urination, frequent mild headaches, constipation, mood swings, faintness, and dizziness.
Multiple Births
- Dizygotic twins (fraternal twins) are conceived when two different ova are fertilized by two different sperm cells, or when a single ovum splits and is fertilized by two sperm cells; they are genetically similar to siblings.
- Monozygotic twins (identical twins) result from the division of a single zygote after fertilization; they are genetically identical.
- Conjoined twins are physically joined at birth, possibly sharing organs, and are sometimes surgically separable depending on the degree of fusion.
Prenatal Development Principles
- Cephalocaudal principle: From the Latin "head to tail," development progresses from the head to the lower part of the trunk.
- Proximodistal principle: from the Latin "near to far," development proceeds from the center of the body outwards.
Stages of Prenatal Development
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Germinal Stage (first 2 weeks):
- Characterized by rapid cell division, blastocyst formation, and implantation in the uterine wall.
- Implantation occurs around day 6.
- The embryonic disk, a thickened cell mass, forms and differentiates into three layers:
- Ectoderm: upper layer that will become the outer layer of skin, nails, hair, teeth, sensory organs, and the nervous system.
- Endoderm: inner layer that will become the digestive system, liver, pancreas, salivary glands, and respiratory system.
- Mesoderm: middle layer that will become the inner layer of skin, muscles, skeleton, and excretory and circulatory systems.
- The amniotic sac, a fluid-filled membrane, encases the developing embryo, cushioning it and allowing movement and growth.
- The placenta facilitates oxygen, nourishment, and waste exchange between mother and embryo.
- The placenta is connected to the embryo via the umbilical cord.
- Nutrients from the mother’s bloodstream flow through the embryonic blood vessels and are transported via the umbilical cord to the embryo.
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Embryonic Stage (weeks 2-8):
- Marked by rapid growth and development of major body systems and organs.
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Fetal Stage (weeks 8 to birth):
- Characterized by increased differentiation of body parts and significant growth in body size.
Factors Affecting Prenatal Development
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Threats to Prenatal Development:
- Miscarriage: loss of the baby before the 20th week of gestation.
- Folic Acid Deficiency: lack of folic acid, derived from fresh fruits and vegetables, can lead to anencephaly and spina bifida.
- Malnutrition: Caloric dietary supplements can benefit malnourished pregnant women, resulting in bigger, healthier infants with better visual alertness.
- Physical Activity and Strenuous Work: Moderate exercise is generally recommended for low-risk pregnancies, but excessive exertion should be avoided.
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Drug Intake:
- Thalidomide: a tranquilizer initially used to alleviate morning sickness but banned due to its association with stunted or missing limbs, facial deformities, and organ defects in infants.
- Alcohol: Prenatal alcohol exposure is a leading cause of mental retardation and birth defects in the US.
- Fetal alcohol syndrome: a combination of mental, motor, and developmental abnormalities caused by excessive alcohol consumption during pregnancy.
- Nicotine: Maternal smoking during pregnancy is a significant factor in low birth weight in developed countries, increasing the risk by more than 1.5 times.
- Caffeine: High caffeine intake (4+ cups of coffee daily) during pregnancy may elevate the risk of sudden infant death.
- Marijuana: Heavy marijuana use can lead to birth defects, low birth weight, withdrawal symptoms, and an increased risk of attention disorders and learning problems later in life.
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Maternal Illnesses:
- Acquired Immune Deficiency Syndrome (AIDS): a viral disease that compromises the immune system.
- Rubella (German measles): if contracted before the 11th week of pregnancy, it can almost certainly lead to deafness and heart defects in the baby.
Stages of Labor
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Stage 1 (Dilation):
- The longest stage, lasting 12-14 hours for first-time mothers and 4-6 hours for subsequent births.
- The cervix dilates from 0 to 10 centimeters in diameter.
- The amniotic sac ruptures, releasing amniotic fluid.
- Contractions become more frequent, longer, and stronger.
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Stage 2 (Expulsion or Delivery) :
- This stage starts when the baby’s head begins to move through the cervix into the vaginal canal and ends with the baby’s complete emergence from the mother’s body.
- It typically lasts from a few minutes to several hours.
- The baby’s body enters the vaginal canal and is delivered.
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Stage 3 (Placental Stage)
- Lasts between 10 minutes and 1 hour.
- The placenta and remaining umbilical cord are delivered.
Vaginal vs. Cesarean Delivery
- Vaginal delivery: the standard method of childbirth.
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Cesarean delivery: surgical removal of the baby from the uterus. Reasons for a Cesarean section include slow labor, fetal distress or complications, breech position, vaginal bleeding, a baby’s head too large to pass through the pelvis, multiple births, premature infants.
- Risks of Cesarean Section for the Mother: bleeding, infection, damage to pelvic organs, postoperative pain, potential impact on future pregnancies.
- Risks of Cesarean Section for the Baby: deprived of the benefits of a normal birth, missing out on the hormone surge that clears the lungs of fluid, mobilizes energy for cells, and directs blood to the heart and brain.
Physical and Motor Development
Physical Development Across Stages
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Infancy:
- Neonatal period: The first 4 weeks of life, a transition from intrauterine dependence to existence.
- Average neonate is about 20 inches long and weighs about 7.5 pounds.
- Neonates can lose up to 10% of their body weight in the first days due to fluid loss.
- They regain weight by day 5 and return to birth weight by day 10-14.
- Meconium: greenish-black waste matter formed in the fetal intestine.
- Fontanels: areas on the neonate’s head where the skull bones do not meet.
- Lanugo: fuzzy prenatal hair that may be present on some newborns.
- Vernix caseosa: cheesy varnish, an oily protection against infection, dries within the first few days.
- Neonates require more oxygen upon birth, with breathing starting upon exposure to air.
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The Apgar Scale (1 minute and 5 minutes after delivery):
- Created by Dr. Virginia Apgar
- Assesses five key areas: Appearance, Pulse, Grimace, Activity, Respiration.
- Each area is rated 0, 1, or 2, for a maximum score of 10.
- A 5-minute score of 7-10 indicates a good to excellent state of health, 5-7 means the baby requires help to establish breathing.
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Description
Explore the fascinating process of biological beginnings including fertilization, the formation of a zygote, and the stages of gestation. Understand key concepts such as ovulation, prenatal stages, and gestational age. This quiz covers essential early signs of pregnancy and the definition of pre-term and post-term infants.