Healthy Pregnancy Lecture
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Questions and Answers

What is the length of a term pregnancy?

40 weeks

The preembryonic stage of development starts at fertilization and ends at 14 days.

True (A)

During which stage of fetal development do the arm and leg buds begin to form?

Embryonic development

What is the main function of the amniotic fluid surrounding the baby?

<p>Protect the umbilical cord and vessels, keeps fetus warm, acts as a decompressive agent so the fetus can move freely, allows for fetal practice breathing.</p> Signup and view all the answers

What is the name of the coating that covers the baby's skin during the third trimester?

<p>Vernix</p> Signup and view all the answers

What is the name of the pregnancy hormone that is released by the trophoblasts early in pregnancy?

<p>Human chorionic gonadotropin (hCG)</p> Signup and view all the answers

The role of progesterone during pregnancy is to assist in preparing the breasts for lactation, and it plays a major role in the development of the lobes for the breasts.

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

What is the name of the hormone that aids in softening of the cervix for birth?

<p>Relaxin</p> Signup and view all the answers

Braxton Hicks contractions are the same as real contractions, and do result in uterine changes.

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

Colostrum is the initial breast milk that the mother produces.

<p>True (A)</p> Signup and view all the answers

A woman may not be able to get pregnant if she hasn't had a menstrual cycle following the birth of her baby.

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

What is the term used for the darkened line that may appear on the abdomen during pregnancy?

<p>Linea nigra</p> Signup and view all the answers

What is the term used for the stretch marks that may appear on the abdomen during pregnancy?

<p>Striae</p> Signup and view all the answers

Vascular spider nevi, which are small, spider-like blood vessels close to the surface of the skin, can occur on the feet, legs, face, etc., due to estrogen and the increased blood flow to that area.

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

What is the term used to describe the separation of the abdominal muscles that can occur during or after pregnancy?

<p>Diastasis recti</p> Signup and view all the answers

During which trimester of pregnancy does urinary frequency increase?

<p>First and third</p> Signup and view all the answers

What is the most vulnerable time for the embryo to be affected by teratogens?

<p>2-8 weeks</p> Signup and view all the answers

A woman who takes illicit drugs is at greater risk of teratogen-induced damage to the fetus during the second trimester.

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

What is the most commonly used method for calculating a woman's due date?

<p>Naegele's rule</p> Signup and view all the answers

The estimated date of delivery tool is used to calculate the estimated date of delivery and should be used in place of Naegele's rule.

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

Which of the following is a probable sign of pregnancy?

<p>Positive home pregnancy test (C)</p> Signup and view all the answers

Flashcards

What is conception?

The union of sperm from the male and the egg from the female.

What is implantation?

The process of a fertilized egg attaching to the uterine lining.

What is the preembryonic stage?

The time period from fertilization to 14 days. Characterized by cellular multiplication and differentiation, and the development of the yolk sac.

What is the embryonic stage?

The time period from day 15 to 8 weeks. Characterized by structural changes, including heart development and limb bud formation.

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What is the fetal stage?

The time period from 9 weeks to birth. Characterized by the maturation of organs and systems, and significant growth.

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What are teratogens?

Harmful agents that can affect the embryo and fetus during pregnancy.

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How long does the first trimester last?

The first trimester of pregnancy spans 12-13 weeks, a period of rapid changes.

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What is amniotic fluid?

The fluid surrounding the baby in the womb, originated from the baby's urine.

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What is the umbilical cord?

The cord connecting the baby to the placenta, carrying oxygen and nutrients to the baby and waste products away.

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What is the placenta?

An organ that grows on the uterine wall, providing oxygen and nutrients to the baby and removing waste products.

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What are monozygotic twins?

Twins that develop from one egg and one sperm, sharing the same genetic material.

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What are dizygotic twins?

Twins that develop from two separate eggs and two separate sperm, not identical.

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How does the uterus change during pregnancy?

The uterus increases in size from the size of a pear to just below the breasts. This growth is due to hormones like progesterone and estrogen.

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How do the breasts change during pregnancy?

Breasts increase in size, become tender, and may darken in pigmentation. Colostrum, the initial breast milk, is also produced.

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How does the cervix change during pregnancy?

The cervix softens and becomes bluish in color due to increased vascularization. These changes are called Goodell's and Chadwick's signs, respectively.

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How does the vagina change during pregnancy?

Increased acidic secretions and loosening of connective tissue occur in the vagina.

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How does the cardiovascular system change during pregnancy?

Cardiac output increases, pulse increases, blood pressure slightly decreases, blood volume increases, and plasma volume increases.

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What gastrointestinal changes can happen during pregnancy?

Nausea and vomiting, heartburn (pyrosis), excessive salivation (ptyalism), changes in gum tissue, bloating, constipation, and increased risk of gallstone formation.

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How does the urinary tract change during pregnancy?

Increased urinary frequency, especially early and late in pregnancy, due to pressure from the enlarging uterus.

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What is the linea nigra?

A dark line that appears down the abdomen during pregnancy, caused by hormonal changes.

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What is chloasma?

Darkened areas under the eyes, around the forehead, and on the face due to pregnancy hormones.

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What are striae?

Stretch marks caused by reduced connective tissue strength due to increased adrenal steroid levels.

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What are vascular spider nevi?

Spider veins that can appear on the feet, legs, face, etc., caused by reduced blood flow to the subcutaneous tissue.

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What are some hormones involved in pregnancy?

Hormones like hCG, hPL, estrogen, progesterone, relaxin, prolactin, oxytocin, and thyroid function.

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What are some common discomforts of the first trimester?

Nausea and vomiting, ptyalism, fatigue, urinary frequency, breast tenderness, vaginal discharge, and nasal stuffiness.

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What are some common discomforts of the second and third trimesters?

Pyrosis (heartburn), lower extremity edema, varicose veins, leg cramps, flatulence, constipation, backache, round ligament pain, shortness of breath, urinary frequency, and difficulty sleeping.

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What is Naegele's rule?

A method of calculating the estimated due date by adding 7 days to the first day of the last menstrual period (LMP) and subtracting 3 months.

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What are presumptive signs of pregnancy?

Subjective changes during pregnancy that may indicate pregnancy, but are not definitive. Examples include fatigue, nausea, and breast tenderness.

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What are probable signs of pregnancy?

Objective changes during pregnancy that suggest but do not confirm pregnancy. Examples include a positive home pregnancy test.

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What are positive signs of pregnancy?

Diagnostic changes that confirm pregnancy, such as a fetal heartbeat on ultrasound or delivery of the baby.

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Study Notes

Healthy Pregnancy Lecture

  • Conception is the union of sperm from the male and egg from the female.
  • Term pregnancy lasts 40 weeks.

Human Development

  • Preembryonic Stage (fertilization- 14 days):
    • Implantation in uterine lining.
    • Cellular multiplication and differentiation.
    • Yolk sac develops by day 8/9, providing nutrients for cell growth.
  • Embryonic Development (day 15-8 weeks):
    • Structural changes, including the formation of arm and leg buds and differentiation of the brain.
    • Heart develops four chambers by day 49.
    • Cardiac structure begins to beat by day 23.
  • Fetal Development (9 weeks-birth):
    • Development of all organs and structures.
    • Genitals are differentiated
    • Urine production, reflexes and brain development start by 9 weeks
    • Nails and lanugo (thin peach fuzz) develop by 20 weeks.
    • Fetal movements felt by the mother during this period.
    • Skin covered with vernix (protective coating).
    • Lungs maturing, allowing for (some) gas exchange. -Development of neuro system by week 25. -Third trimester: Continued system development and fat storage.

Teratogens

  • Agents that affect the embryo during pregnancy.
  • Most vulnerable time to teratogens is between 2-8 weeks gestation (embryonic period).
  • Illicit drug use and alcohol consumption are harmful during pregnancy.

Fertilization-12 weeks

  • Pregnancy is divided into 3 trimesters (13 wk increments).
  • Rapid changes occur during the first 12-13 weeks.
  • By week 12, the baby resembles a developing human.

Anatomy

  • Placenta:
    • Organ that develops in the uterine wall.
    • Allows oxygen and nutrients to reach the fetus, and waste removal.
    • Blood flow to and from the placenta is through the umbilical cord.
  • Amniotic Fluid:
    • Fluid surrounding the baby.
    • Provides cushioning and protection to the developing fetus.
  • Umbilical Cord:
    • Connects the fetus to the placenta.
    • Carries oxygen and nutrients to the fetus and removes waste products.

Formation of Twins

  • Monozygotic twins come from one fertilized egg.
  • Dizygotic twins are from two separate eggs.
  • Monozygotic twins are genetically identical.
  • Dizygotic twins are no more similar than siblings.

Maternal Changes R/T Pregnancy

  • Uterus: increases in size, going from pear/fist size to underneath the breast; thickness due to hormones
  • Breasts: get larger and more tender
  • Cervix: pigmentation can become darker, increased vascularization, softening of the cervix.
  • Vagina: increased connective tissue, acidic secretions.
  • Cardiovascular: increased cardiac output peaks by 30 weeks.

Labor and Delivery Terminology

  • Preterm or premature labor occurs before 37 weeks.
  • Postterm labor occurs after 42 weeks.
  • Stillbirth is a delivery of a fetus over 20 weeks with no heartbeat.

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Description

Explore the stages of healthy pregnancy from conception to birth. This quiz covers important developmental milestones, including preembryonic, embryonic, and fetal development. Understand the physiological changes and vital structures formed throughout gestation.

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