Fetal Lifespan and Development Review
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Questions and Answers

What is the main function of the yolk sac during fetal development?

  • Providing oxygen to the fetus
  • Providing nutrition and gas exchange (correct)
  • Facilitating fetal movement
  • Storing genetic material

At what gestational weeks does surfactant production occur in the fetus?

  • Weeks 16-20
  • Weeks 31-34
  • Weeks 11-14
  • Weeks 23-26 (correct)

Which of the following is NOT a risk factor for birth defects?

  • Chronic high blood pressure (correct)
  • Exposure to teratogens
  • Infections like rubella
  • Radiation

Which developmental change occurs in the fetal cardiovascular system at week 6?

<p>The heart starts to pump blood (D)</p> Signup and view all the answers

What is a distinguishing feature of a threatened spontaneous abortion?

<p>Cramping/bleeding occurs but the cervix remains closed (A)</p> Signup and view all the answers

What is a significant risk factor for developing thrombophilia that is inherited?

<p>1st degree family member with Factor V Leiden (B)</p> Signup and view all the answers

At what weeks are the kidneys considered fully formed in the fetus?

<p>Weeks 31-34 (C)</p> Signup and view all the answers

What percentage risk of maternal cardiac events during pregnancy is associated with women suffering from pulmonary arterial hypertension?

<p>40%-100% (D)</p> Signup and view all the answers

Which of these conditions can increase the risk of spontaneous abortion due to chromosomal abnormalities?

<p>Fetal chromosomal abnormalities (C)</p> Signup and view all the answers

Which diagnostic tool is crucial for checking gestational viability and fetal heartbeat in case of a suspected spontaneous abortion?

<p>Ultrasound (B)</p> Signup and view all the answers

Which sign is classified as a presumptive sign of pregnancy?

<p>Amenorrhea (B)</p> Signup and view all the answers

What symptom is consistent with a molar pregnancy?

<p>Unexpectedly high hCG levels greater than 100,000 (D)</p> Signup and view all the answers

What is a common modifiable risk factor for placental abruption?

<p>Smoking (B)</p> Signup and view all the answers

Which intervention should be prioritized for a client experiencing acute placental abruption with hemorrhage?

<p>Start IV and monitor vital signs (B)</p> Signup and view all the answers

What is a typical indicator of a ruptured ectopic pregnancy?

<p>Tachycardia and hypotension (D)</p> Signup and view all the answers

What is the focus of education for a client following surgery for a complete molar pregnancy?

<p>Potential complications and contraception during treatment phase (C)</p> Signup and view all the answers

What is the normal range for fetal heart rate during pregnancy?

<p>110-160 bpm (D)</p> Signup and view all the answers

What is the expected outcome for a glucose challenge screening?

<p>Expected range is &lt; 140 (C)</p> Signup and view all the answers

What is the purpose of the Leopold Maneuvers?

<p>To determine the positioning of the fetus in the uterus (C)</p> Signup and view all the answers

Which of the following is a nonmodifiable risk factor for pregnancy complications?

<p>Age (D)</p> Signup and view all the answers

Which hormone is responsible for maintaining uterine health and preventing contractions during pregnancy?

<p>Progesterone (C)</p> Signup and view all the answers

What does the letter 'T' in the GTPAL acronym stand for?

<p>Term births (D)</p> Signup and view all the answers

What is the correct way to perform fetal kick counting?

<p>Count over 2-3 hours at a consistent time each day, expecting more than 10 kicks (B)</p> Signup and view all the answers

What is the purpose of a nonstress test (NST) during pregnancy?

<p>To assess fetal well-being (D)</p> Signup and view all the answers

Which of the following symptoms might indicate preterm labor?

<p>Belly tightening (C)</p> Signup and view all the answers

What does Naegele's Rule help to determine?

<p>Estimated date of birth (D)</p> Signup and view all the answers

What condition is associated with the risk of preterm premature rupture of membranes (PPROM)?

<p>Multiple gestation pregnancies (A)</p> Signup and view all the answers

What is a common cardiovascular change during pregnancy?

<p>Maternal heart rate increases by 20% above baseline (C)</p> Signup and view all the answers

Which of the following is a recommendation for alcohol use during pregnancy?

<p>No alcohol use is best (D)</p> Signup and view all the answers

What occurs in the case of a marginal placenta previa?

<p>The placenta is obstructing the cervix (D)</p> Signup and view all the answers

What signifies true labor?

<p>Contractions increasing in intensity and leakage of fluid (A)</p> Signup and view all the answers

Which maternal age is considered a risk factor for the development of high blood pressure during pregnancy?

<p>Over 35 years old (C)</p> Signup and view all the answers

What is the primary reason magnesium sulfate is administered for patients with HELLP syndrome?

<p>Seizure prophylaxis (D)</p> Signup and view all the answers

Which of the following is considered a primary cause of oligohydramnios?

<p>Chronic uteroplacental ischemia (B)</p> Signup and view all the answers

What differentiates pregestational type 1 diabetes from gestational diabetes mellitus in terms of risk factors?

<p>Gestational diabetes is influenced by BMI and family history. (A)</p> Signup and view all the answers

Which of the following is an expected change in a pregnant client with eclampsia?

<p>Unexpected placental implantation (A)</p> Signup and view all the answers

What is the primary clinical manifestation of HELLP syndrome?

<p>Severe manifestation of preeclampsia (C)</p> Signup and view all the answers

Which of the following statements best describes client health promotion recommendations for gestational hypertension?

<p>High sugar foods should be consumed in moderation. (A)</p> Signup and view all the answers

What is a potential cause of hyperemesis gravidarum?

<p>Elevated hCG from molar or multiple gestation (D)</p> Signup and view all the answers

What is a common recommendation for women diagnosed with gestational diabetes mellitus regarding their laboratory testing?

<p>Hemoglobin A1C should be monitored every 2 months during pregnancy. (D)</p> Signup and view all the answers

Flashcards

What is the role of the yolk sac in embryonic nutrition?

The Yolk sac is primarily responsible for nourishing the embryo and facilitating gas exchange during the early stages of pregnancy.

What are some risk factors for birth defects?

Certain medications, chemicals, radiation, illicit drugs, alcohol, and infections (like rubella) can interfere with fetal development and increase the risk of birth defects.

When does the fetal heart develop and start pumping blood?

By week 6, the fetal heart is fully developed and begins to pump blood.

When are the fetal kidneys fully formed?

Week 31-34 marks the point where the fetal kidneys are fully formed, capable of filtering waste.

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What are some presumptive signs of pregnancy?

Amenorrhea (missed period), breast tenderness, and fatigue are early signs of pregnancy that are experienced subjectively by the pregnant woman.

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What are potential contraindications of pregnancy?

Severe kidney disease, chronic kidney disease (CKD), cardiovascular disease, and pulmonary arterial hypertension can pose significant risks during pregnancy.

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What are the different types of spontaneous abortion?

Spontaneous abortion can occur at different stages and is categorized as complete, incomplete, inevitable, threatened, or missed based on the status of the pregnancy and the presence or absence of tissue passage.

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What are some findings consistent with an infant born at 32 weeks?

Babies born at 32 weeks gestation may require extra medical attention and may experience respiratory distress, feeding difficulties, and other complications.

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Hemorrhoids in pregnancy

Hemorrhoids are swollen veins in the rectum and anus, commonly experienced during pregnancy due to increased pressure on the blood vessels.

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Why do pregnant women have swollen feet?

Swollen feet during pregnancy, due to increased blood volume and pressure in the legs.

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What are Leopold Maneuvers?

Leopold Maneuvers are a series of abdominal palpations used to determine the position, presentation, and attitude of the fetus in the uterus.

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Fetal kick counts purpose

Kick counts are a simple way to monitor the fetal well-being. The mother counts the number of fetal movements during a specific time period.

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Cardiovascular change in pregnancy

Maternal heart rate increases by 20% above the baseline during pregnancy due to increased blood volume and cardiac output.

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Lightening in pregnancy

Lightening, which occurs near the end of pregnancy, is when the baby drops lower in the pelvis, relieving pressure on the diaphragm and making it easier to breathe.

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Pregnancy hormones

Human Chorionic Gonadotropin (hCG) is produced by the corpus luteum and is used to confirm pregnancy. This hormone rises quickly early in pregnancy. Progesterone is important for establishing and maintaining the placenta, supporting blood vessel growth, and preventing uterine contractions. Estrogen promotes blood vessel growth and maintains the uterine lining. Prolactin stimulates breast growth and breast milk production.

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Normal fetal heart rate

The normal fetal heart rate is between 110 and 160 beats per minute.

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What is a Nonstress Test (NST)?

A noninvasive test that monitors fetal heart rate to assess baby's wellbeing. It involves measuring heart rate increases of 15 beats per minute for at least 15 seconds.

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What is an alpha-fetoprotein (AFP) test?

A blood test performed during pregnancy that can identify the risk of birth defects in the fetus.

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What is Marginal Placenta Previa?

A condition where the placenta is located near or covering the cervix, potentially blocking the baby's passage during delivery.

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What are the risk factors for an ectopic pregnancy?

These factors include the mother's age (over 35), endometriosis, pelvic inflammatory disease (PID), and smoking.

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What are nonmodifiable risk factors for pregnancy complications?

These are factors like genetics, race, age, and pre-existing illnesses that cannot be changed.

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What are the recommendations for alcohol use during pregnancy?

This includes use of alcohol and drugs, as they can negatively impact fetal development.

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How does a glucose challenge screening work?

This involves a fasting period followed by the ingestion of a glucose drink, and a blood test is taken after approximately one hour. The expected glucose levels in the blood should be below 140.

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What does the GTPAL system stand for?

This system helps to track the pregnancy journey, including pregnancies, births (term and preterm), abortions, and living children, to make sure your pregnancy is progressing well.

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What is thrombophilia?

A condition where blood clots are more likely to form, often due to inherited factors like Factor V Leiden or acquired factors like SLE (lupus) and other autoimmune diseases.

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Why is blood clotting risk higher during pregnancy?

During pregnancy, the blood volume increases significantly, making it more likely for blood clots to form.

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What is a molar pregnancy?

A pregnancy where an abnormal mass develops instead of a fetus, often due to abnormal fertilization.

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What is an ectopic pregnancy?

A pregnancy where the fertilized egg implants outside the uterus, most commonly in the fallopian tube.

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What is placental abruption?

When the placenta detaches from the uterine wall before the baby is born, causing bleeding.

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What is the most common cause of spontaneous abortion?

Most commonly caused by fetal chromosomal abnormalities, but the cause is often unknown.

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What is placenta previa?

A rare condition where the placenta covers the cervical opening, leading to bleeding during pregnancy.

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What is cervical insufficiency?

A complete blockage of the cervical opening, commonly leading to preterm birth.

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What is a cerclage?

A surgical procedure to strengthen a weak cervix, typically performed during the second trimester of pregnancy. It involves placing a suture around the cervix to prevent premature dilation and birth.

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What are the characteristics of severe preeclampsia?

Preeclampsia with severe features is characterized by high blood pressure (BP) above 160/110mm Hg despite medication, protein in urine (proteinuria), and other complications, such as headaches, vision changes, and decreased platelet count. It's a serious complication of pregnancy requiring immediate medical attention.

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How is HELLP syndrome different from preeclampsia?

The severe manifestation of preeclampsia with severe features, HELLP syndrome affects the blood and liver, causing hemolysis (destruction of red blood cells), elevated liver enzymes (liver damage), and low platelet count (blood clotting problems). It is a serious complication of pregnancy demanding immediate medical intervention.

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Why do doctors give magnesium sulfate to women with HELLP?

Magnesium sulfate is given to women with HELLP syndrome to prevent seizures, which are a serious risk during preeclampsia, especially in cases with severe features. It helps relax muscles and prevent over-excitement in the nervous system, reducing the likelihood of seizures.

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What is gestational diabetes mellitus?

Gestational diabetes (GDM) occurs during pregnancy and usually disappears after delivery. It can impact the health of both mother and baby, but proper management can help mitigate risks. GDM develops due to hormonal changes that make the body less sensitive to insulin, interfering with the regulation of blood sugar levels.

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What causes hyperthyroidism during pregnancy?

Hyperthyroidism is a condition where the thyroid gland overproduces hormones. In pregnancy, it can be caused by autoimmune disorders, thyroiditis, or goiter. It's important to manage hyperthyroidism during pregnancy to prevent complications for both mother and baby.

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What is Hyperemesis Gravidarum?

Hyperemesis gravidarum is characterized by severe and persistent nausea and vomiting during pregnancy, often leading to dehydration and weight loss. It's thought to be related to hormone changes and can be challenging to manage.

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What is the main cause of Oligohydramnios?

Oligohydramnios is a condition characterized by low amniotic fluid, which can be caused by chronic uteroplacental ischemia, a condition where the placenta receives insufficient blood flow. This can lead to complications, such as fetal growth restriction and impaired lung development.

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Study Notes

Fetal Lifespan Review

  • DNA determines fetal sex
  • Umbilical vein carries oxygenated blood from placenta to fetus
  • Umbilical arteries carry deoxygenated blood and waste from fetus to placenta
  • Yolk sac provides nutrition and gas exchange to the embryo
  • Teratogens, medications, chemicals, radiation, cannabis, and certain infections (e.g., rubella) are risk factors for birth defects
  • Breathing movements are evident by weeks 11-14
  • Surfactant production occurs between weeks 23-26
  • Lungs fully develop between weeks 38-40
  • Fetal heart develops and begins pumping blood by week 6
  • Kidneys fully develop between weeks 31-34
  • Testes descend into the scrotum by week 6

Fetal Development Review

  • Musculoskeletal system: Muscles fully developed by weeks 35-37, bones fully developed by week 37
  • Contraindications for medication abortion include IUDs, ectopic pregnancies, anticoagulant therapy, and hemodynamic instability
  • Potential contraindications of pregnancy include severe kidney disease, chronic kidney disease, cardiovascular disease, pulmonary arterial hypertension, and pregnancy-related maternal cardiac events
  • Risk factors for spontaneous abortion include: complete abortion, incomplete abortion, inevitable abortion, threatened abortion, and missed abortion
  • Findings consistent with an infant born at 32 weeks include developmental stage details.

Uncomplicated/Healthy Pregnancy Review

  • Presumptive (suspected) signs of pregnancy include amenorrhea, breast tenderness, and fatigue
  • Normal body changes in the 3rd trimester include hemorrhoids, swollen feet, insomnia, belly tightening, and bleeding (which could signal preterm labor)
  • Fetal ultrasound: Client should have a full bladder
  • Leopold maneuvers are performed to determine fetal position in the uterus
  • Fetal kick counts should be greater than 10 over 2-3 hours
  • Third trimester normal and abnormal findings include hemorrhoids, swollen feet, insomnia, belly tightening, and bleeding

Pregnancy Hormones Review

  • Human Chorionic Gonadotropin (hCG): Used to confirm pregnancy
  • Progesterone: Establishes placenta, maintains uterine health
  • Estrogen: Promotes blood vessel growth, maintains uterine lining, beneficial for fetal organ development
  • Prolactin: Stimulates breast development and milk production

Pregnancy Tests and Findings Review

  • Normal fetal heart rate is 110-160 bpm
  • Probable signs of pregnancy include a positive pregnancy test, ballottement, softening of the cervix and uterus, and bluish discoloration
  • Naegele's Rule is used to estimate the due date
  • First-trimester urinalysis may show small amounts of protein, which is typically normal
  • Manifestations of true labor include contractions that become stronger and more frequent, leakage of fluid from the vagina, and blood-tinged vaginal mucus
  • Glucose challenge screening involves consuming a glucose drink and measuring blood sugar levels. Normal expected ranges noted are less than or equal to 140.

High-Risk Pregnancy Review

  • Risk factors for complications in pregnancy are noted
  • Nurses' roles in high-risk pregnancies involve communication between the nurse, provider, client, and support persons, optimal care for the client and fetus
  • Recommendations include avoiding alcohol and drugs
  • Education for a client with a complete molar pregnancy includes ongoing monitoring of future pregnancies

Complications in Pregnancy Review

  • Spontaneous abortion types include threatened, complete, incomplete, inevitable, missed, and septic abortions
  • Ectopic pregnancy risk factors include conditions affecting fallopian tubes, age over 35, endometriosis, and PID
  • Marginal placenta previa: The placenta is implanted near the cervix, but does not completely cover it
  • Risk factors contributing to thrombophilia may include inherited and acquired risks (SLE or other autoimmune diseases)

Additional Pregnancy Review

  • Risk factors for molar pregnancies include age (under 15 or over 35), previous molar pregnancy history, infertility, and abortion history
  • Risk factors for ruptured ectopic pregnancy include tachycardia and hypotension.
  • Risk factors for placental abruption include polyhydramnios, smoking, cocaine use, and age >35.
  • Spontaneous abortion, including many pregnancy-related risks/complications
  • Findings include both viability and fetal heartbeat
  • Manifestations of placenta previa involve light, chronic, intermittent bleeding

Specific Disorders Review

  • Preeclampsia with severe features: Detailed review of causes, manifestations (HELLP syndrome), and treatment (magnesium sulfate for seizure prophylaxis)
  • Gestational hypertension: Client health promotion strategies including refraining from smoking and alcohol, focusing on appropriate weight gain, and limiting caffeine
  • Oligohydramnios: Chronic uteroplacental ischemia as a contributing cause
  • Hyperthyroidism: Autoimmune responses including Grave's disease, thyroiditis, and goiter
  • Type 1 (pre-gestational) diabetes vs gestational diabetes mellitus (GDM) and risk factors including genetic predisposition, BMI over 25, family history of GDM, and previous history of a large-for-gestational-age (LGA) infant or higher than or equal to 4.08 kilograms
  • Hyperemesis gravidarum: Dehydration manifestations include furrowed tongue, dry skin, dizziness, darkened/strong-smelling urine, headaches, rapid heart rate, and confusion
  • Cervical insufficiency: Emotional support, preparing for possible cerclage placement
  • Planned prenatal testing includes nonstress testing (NST) and increased provider visits for monitoring and diagnostics
  • Management of spontaneous abortion includes using misoprostol in order to evacuate products of conception.

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Test your knowledge on key aspects of fetal lifespan and development. This quiz covers essential information about fetal anatomy, development milestones, and factors influencing fetal growth. Suitable for students studying human development or medical fields.

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