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Conception
sperm goes through cervix to ovum
chemical reaction upon merging (fertilization)
Zygote
a fertilized ovum
Cleavage
when the zygote splits down the middle, forming 2 identical cells (continues rapidly)
Blastocyte
fluid-filled sphere where embryo develops
Implantation
blastocysts burrows into uterine wall after it hatches from zona pellucida
Amnionic Sac
membrane holding amniotic fluid & the embryo
provides…temp. regulation, cushioning, & protection from shocks
Fallopian Tubes
a long, thin tube that connects the ovaries to the uterus
Placenta
new organ that forms at 4 weeks
provides…exchange nutrients/waste/gas, thermo-regulation, infection protection, produces hormones for pregnancy,
Neural Tube
formed by ectoderm & folds after 22 days to develop into the CNS
Indifferent Gonads
gonad in an embryo that has not yet differentiated into testes or ovaries
start differentiating at 6-8 weeks (finishes at 12-16 weeks)
Critical Period
the extent to which exposure to a teratogen disrupts prenatal development depends on the stage of prenatal development when exposure occurs
*during these periods where the organism is more susceptible
Sleeper Effects
negative affect of a teratogen that doesn’t show up till later
Dilation
cervix opening
Stages of Prenatal Development
Germinal
Embryonic
Fetal
Germinal Stage
0-2 weeks
period of the zygote
cell division
blastocyst
implantation
Embryonic Stage
3-8 weeks
Develops…
Embryo
Chorion (outer layer enclosing embryo)
Amnion
Umbilical Cord
Placenta
Indifferent Gonads
Neural Tube
Heart
Liver & Spleen
Neurons
External Features
Fetal Stage
1st Trimester: conception - 12 weeks
*everything begins forming; reflexively move
2nd Trimester: 13-27 weeks
*movements felt by mom; lanugo, vernix caseosa, glia cells, neural synapses form; sensitive to sound/light
3rd Trimester: 28 weeks - birth
*rapid gain in neural connectivity/organization; responsiveness to external stimulation increases; sleep-wake cycles; lots of body growth
Lanugo
fuzzy hair that protects the skin in the womb
Vernix Caseosa
greasy material that protects the fetal skin
Fetal Presentation
Cephalic
Breech
Transverse
Cephalic
baby is head first
Breech
baby is bottom first (instead of head)
Transverse
baby is horizontal in uterus
*typically leads to cesarean
Braxton Hicks Contractions
abdominal discomfort, no pattern
Age of Viability
age at which fetus may survive if born prematurely
22-26 weeks
Placenta Previa
placenta attaches low in the uterus & covers the opening of the cervix
Placenta Abruptio
placenta separates from the inner wall of the uterus before delivery
Childbirth Settings & Methods
Prepared/Natural Childbirth
Hospital
Non-Hospital = less than 1% of US births, usually assisted by midwifes (low/no risk pregnancy)
Midwives
Doulas = caregiver who provides social support to an expectant mother
Spinal
Epidural
Water = relaxes mother, shortens labor, & reduces need for medication
Upright = shortens labor & reduces complications
Medication
Induction = break amnion, give oxytocin
Instrument Delivery
Cesarean = major abdominal surgery; done when labor progresses too slowly, fetus is in breech/transverse position, or fetus/mother is in danger
Teratogens
Principles:
Complicated Effects (diff. ones can cause the same birth defect & variety of birth defects can result from the same one)
Sleeper Effects
Teratogens can be Legal & Illegal:
Alcohol: NO safe level
Cigarette Smoking
Drugs
Maternal Experiences: stress
Environmental Hazards: toxic fumes
Maternal/Paternal Age: 35+ years = geriatric
*more concern
Fetal Alcohol Syndrome
Diagnostic Criteria:
slow physical growth
facial abnormalities
brain injury - impairment in a minimum of 3 areas of functioning
*it’s a spectrum
Umbilical Cord
conduit b/t embryo/fetus & placenta
Signs of labor
False Labor
Lightening
Bloody Show
False Labor
AKA prodromal labor
Irregular Contractions
Lightening
baby “drops” hours or even weeks before (moving head down into birth position)
Bloody Show
thick, pinkish vaginal discharge, lose mucus plug (part of cervix dilation)
Stage 1 of Childbirth
Dilation = cervix opening
Transition = peak of labor, hardest part
Effacement = thinning of cervix
Stage 2 of Childbirth
Delivery
Crowning - ring of fire
Stage 3 of Childbirth
birth of placenta
The Newborn
Average: 20in long & 7.5lbs
Skull bones aren’t fused
Some born w/ lanugo
Covered w/ vernix caseosa
Taste & smell are well developed
Vision is blurry
Auditory sense is the best developed
States of Arousal
Waking Activity: movement, irregular breathing, fussy (1-4hrs)
Quiet Alertness: looks around, relaxed, even breathing (1-3hrs)
Drowsiness: falling asleep, waking up (varies)
Regular Sleep: relaxed, slow regular breathing (8-9hrs)
Irregular Sleep: movement, REM, irregular breathing (8-9hrs)
Preterm & Small for Date
Preterm = born before 37 weeks
Small for Date = small for gestational age; most at risk for developmental challenges
Low Birthweight
below the typical birthweight
lower the birthweight the bigger the issue (physical & emotional)
outcomes are best when we have intervention (economic disadvantage comes into play)
CDC says premature & LBW accounts for 35% of infant mortality cases
Kangaroo Care
skin-to-skin contact that helps regulate/soothe the baby
*best immediate intervention
APGAR
appearance (color)
pulse (heart rate)
grimace (reflex irritability)
activity (muscle tone)
respiration (resp. effort)
*initial assessment right after birth
NBAS
neurological competence
attention
excitability
ability to settle down
*assessment that happens later on