Podcast
Questions and Answers
What is the main function of the yolk sac during fetal development?
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?
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?
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?
Which developmental change occurs in the fetal cardiovascular system at week 6?
What is a distinguishing feature of a threatened spontaneous abortion?
What is a distinguishing feature of a threatened spontaneous abortion?
What is a significant risk factor for developing thrombophilia that is inherited?
What is a significant risk factor for developing thrombophilia that is inherited?
At what weeks are the kidneys considered fully formed in the fetus?
At what weeks are the kidneys considered fully formed in the fetus?
What percentage risk of maternal cardiac events during pregnancy is associated with women suffering from pulmonary arterial hypertension?
What percentage risk of maternal cardiac events during pregnancy is associated with women suffering from pulmonary arterial hypertension?
Which of these conditions can increase the risk of spontaneous abortion due to chromosomal abnormalities?
Which of these conditions can increase the risk of spontaneous abortion due to chromosomal abnormalities?
Which diagnostic tool is crucial for checking gestational viability and fetal heartbeat in case of a suspected spontaneous abortion?
Which diagnostic tool is crucial for checking gestational viability and fetal heartbeat in case of a suspected spontaneous abortion?
Which sign is classified as a presumptive sign of pregnancy?
Which sign is classified as a presumptive sign of pregnancy?
What symptom is consistent with a molar pregnancy?
What symptom is consistent with a molar pregnancy?
What is a common modifiable risk factor for placental abruption?
What is a common modifiable risk factor for placental abruption?
Which intervention should be prioritized for a client experiencing acute placental abruption with hemorrhage?
Which intervention should be prioritized for a client experiencing acute placental abruption with hemorrhage?
What is a typical indicator of a ruptured ectopic pregnancy?
What is a typical indicator of a ruptured ectopic pregnancy?
What is the focus of education for a client following surgery for a complete molar pregnancy?
What is the focus of education for a client following surgery for a complete molar pregnancy?
What is the normal range for fetal heart rate during pregnancy?
What is the normal range for fetal heart rate during pregnancy?
What is the expected outcome for a glucose challenge screening?
What is the expected outcome for a glucose challenge screening?
What is the purpose of the Leopold Maneuvers?
What is the purpose of the Leopold Maneuvers?
Which of the following is a nonmodifiable risk factor for pregnancy complications?
Which of the following is a nonmodifiable risk factor for pregnancy complications?
Which hormone is responsible for maintaining uterine health and preventing contractions during pregnancy?
Which hormone is responsible for maintaining uterine health and preventing contractions during pregnancy?
What does the letter 'T' in the GTPAL acronym stand for?
What does the letter 'T' in the GTPAL acronym stand for?
What is the correct way to perform fetal kick counting?
What is the correct way to perform fetal kick counting?
What is the purpose of a nonstress test (NST) during pregnancy?
What is the purpose of a nonstress test (NST) during pregnancy?
Which of the following symptoms might indicate preterm labor?
Which of the following symptoms might indicate preterm labor?
What does Naegele's Rule help to determine?
What does Naegele's Rule help to determine?
What condition is associated with the risk of preterm premature rupture of membranes (PPROM)?
What condition is associated with the risk of preterm premature rupture of membranes (PPROM)?
What is a common cardiovascular change during pregnancy?
What is a common cardiovascular change during pregnancy?
Which of the following is a recommendation for alcohol use during pregnancy?
Which of the following is a recommendation for alcohol use during pregnancy?
What occurs in the case of a marginal placenta previa?
What occurs in the case of a marginal placenta previa?
What signifies true labor?
What signifies true labor?
Which maternal age is considered a risk factor for the development of high blood pressure during pregnancy?
Which maternal age is considered a risk factor for the development of high blood pressure during pregnancy?
What is the primary reason magnesium sulfate is administered for patients with HELLP syndrome?
What is the primary reason magnesium sulfate is administered for patients with HELLP syndrome?
Which of the following is considered a primary cause of oligohydramnios?
Which of the following is considered a primary cause of oligohydramnios?
What differentiates pregestational type 1 diabetes from gestational diabetes mellitus in terms of risk factors?
What differentiates pregestational type 1 diabetes from gestational diabetes mellitus in terms of risk factors?
Which of the following is an expected change in a pregnant client with eclampsia?
Which of the following is an expected change in a pregnant client with eclampsia?
What is the primary clinical manifestation of HELLP syndrome?
What is the primary clinical manifestation of HELLP syndrome?
Which of the following statements best describes client health promotion recommendations for gestational hypertension?
Which of the following statements best describes client health promotion recommendations for gestational hypertension?
What is a potential cause of hyperemesis gravidarum?
What is a potential cause of hyperemesis gravidarum?
What is a common recommendation for women diagnosed with gestational diabetes mellitus regarding their laboratory testing?
What is a common recommendation for women diagnosed with gestational diabetes mellitus regarding their laboratory testing?
Flashcards
What is the role of the yolk sac in embryonic nutrition?
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?
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?
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?
When are the fetal kidneys fully formed?
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What are some presumptive signs of pregnancy?
What are some presumptive signs of pregnancy?
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What are potential contraindications of pregnancy?
What are potential contraindications of pregnancy?
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What are the different types of spontaneous abortion?
What are the different types of spontaneous abortion?
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What are some findings consistent with an infant born at 32 weeks?
What are some findings consistent with an infant born at 32 weeks?
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Hemorrhoids in pregnancy
Hemorrhoids in pregnancy
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Why do pregnant women have swollen feet?
Why do pregnant women have swollen feet?
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What are Leopold Maneuvers?
What are Leopold Maneuvers?
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Fetal kick counts purpose
Fetal kick counts purpose
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Cardiovascular change in pregnancy
Cardiovascular change in pregnancy
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Lightening in pregnancy
Lightening in pregnancy
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Pregnancy hormones
Pregnancy hormones
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Normal fetal heart rate
Normal fetal heart rate
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What is a Nonstress Test (NST)?
What is a Nonstress Test (NST)?
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What is an alpha-fetoprotein (AFP) test?
What is an alpha-fetoprotein (AFP) test?
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What is Marginal Placenta Previa?
What is Marginal Placenta Previa?
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What are the risk factors for an ectopic pregnancy?
What are the risk factors for an ectopic pregnancy?
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What are nonmodifiable risk factors for pregnancy complications?
What are nonmodifiable risk factors for pregnancy complications?
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What are the recommendations for alcohol use during pregnancy?
What are the recommendations for alcohol use during pregnancy?
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How does a glucose challenge screening work?
How does a glucose challenge screening work?
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What does the GTPAL system stand for?
What does the GTPAL system stand for?
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What is thrombophilia?
What is thrombophilia?
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Why is blood clotting risk higher during pregnancy?
Why is blood clotting risk higher during pregnancy?
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What is a molar pregnancy?
What is a molar pregnancy?
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What is an ectopic pregnancy?
What is an ectopic pregnancy?
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What is placental abruption?
What is placental abruption?
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What is the most common cause of spontaneous abortion?
What is the most common cause of spontaneous abortion?
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What is placenta previa?
What is placenta previa?
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What is cervical insufficiency?
What is cervical insufficiency?
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What is a cerclage?
What is a cerclage?
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What are the characteristics of severe preeclampsia?
What are the characteristics of severe preeclampsia?
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How is HELLP syndrome different from preeclampsia?
How is HELLP syndrome different from preeclampsia?
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Why do doctors give magnesium sulfate to women with HELLP?
Why do doctors give magnesium sulfate to women with HELLP?
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What is gestational diabetes mellitus?
What is gestational diabetes mellitus?
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What causes hyperthyroidism during pregnancy?
What causes hyperthyroidism during pregnancy?
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What is Hyperemesis Gravidarum?
What is Hyperemesis Gravidarum?
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What is the main cause of Oligohydramnios?
What is the main cause of Oligohydramnios?
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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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Description
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.