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HPA 310 Development and Birth
Dr. Dansky's Fall 2011 HPA 310 exam 3
33
Health Care
Undergraduate 3
11/30/2011

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Cards

Term
Gestation
length
when it starts
Definition
-Begins with fertilization
-ends with delivery of fetus
-divided into 38 weeks (3 trimesters)
Term
Fertilization
process
Definition
-vagina recieves semen
-spoerm dissolves egg cell coating, penetrates plasma membrane
Term
Zygote
definition
becomes...
Definition
-sperm/egg combine to form one cell
divides into multi-celled embryo
-moves into uterus
Term
Placenta
how formed
organ functions
connected to baby via?
Definition
-embryonic cluster forms villi which invade uterine wall and become organ
-supplies nutrition, respiration, excretion, and hormone production
-connects to baby via umbilical cord
Term
Embryo
gestational age
major developments
Definition
-first 8 weeks
-nervous, circulatory systems begin
-limb buds form
-begins human appearance (gummy bear)
Term
Fetus
gestational age
major developments
Definition
-month 3 (week9) to birth/termination
-organs grow/mature
-amniotic sac forms
-fetus covered with vernix
-rapid growth in 2nd trimester
Term
determining sex
Definition
You can rule out a female if you see a penis, but you can NOT rule out a male, because ultrasound may not be picking up the penis
Term
Mother's changes
Definition
-heart pumps more blood
-lungs increase respiration
-kidneys excrete waste from fetus and mother
-digestive system supplies additional nutrients
-1st trimester mausea and vomiting due to hormones
-urinary frequency and constipation in 3rd trimester (baby pressures bladder & intestines)
Term
Ultrasound
uses
Definition
-diagnose pregnancy
-judge fetal age
-determine location of placenta
-Show presence of fetal abnormalities
Term
Labor and Delivery
stage1
Definition
-Onset of regular uterine contractions
--uterine muscle stretching stimulates prostaglandin production
--pressure on cervis stimulates pituitary to release oxytocin
Term
Oxytocin
source
use
Definition
released by pituitary gland, causes uterus to contract
Term
Labor/Delivery
Stage 2
Definition
Cervix effaces (flattens) and dilates (widens)
Term
Labor/Delivery
Stage 3
Definition
Fetus passes through vaginal canal
Term
Labor/Delivery
Stage 4
Definition
Afterbirth is expelled
Term
Procedure used to check cervix
Definition
digital examination (fingers used to estimate dilation).
Term
Encouraging uterus to shrink back to size
Definition
-Breastfeeding
-hard massaging of stomach
Term
Fetal viability
gest. age
Definition
WITH ASSISTANCE, a fetus is considered about to live after
20 weeks
Term
APGAR
definition
when used
maximum score
Definition
-test used to assess newborn's health
-5 features tested @ 1 & 5 min.
-Maximum score = 10
Term
Reasons for C-section
Definition
-placental abnormality
-abnormal fetal position
-fetal distress
-disproportion between head of fetus and mother's pelvis
-high risk maternal factors
-elective procedure
Term
VBAC
Definition
Vaginal Birth after Cesaerean
birth of other children vaginally following c-section of older sibling.
Term
Fraternal multiples
differences
Definition
-Ova, placentas, and amniotic sacs
-considered siblings
Term
Identical multiples
similarities
differences
Definition
-same ovum
-different umbilical cords, placentas
-same sex
-same genetics
-may be different sizes
Term
Termination of pregnancy (fetus)
different causes
Definition
-Spontaneous (miscarriages)
-Induced (D&C, saline, partial birth)
Term
Stillbirth
Definition
baby is born lifeless
Term
fetal death
Definition
loss of fetus after eighth week of pregnancy
Term
Ectopic pregnancy
Definition
-zygote remains in tubes
-may cause fallopian rupture/sterility
-zygote not tangible
Term
Placenta Previa
Definition
-placenta covers cervix
-when cervix dilates, may cause placenta to tear, putting baby in danger
-Requires c-section
Term
Abruptio Placentae
Definition
-placenta comes off of uterine wall
-requires baby to come out immediately
Term
Pre-eclampsia
toxemia
Definition
-unexplained increase in blood pressure
-hypertension
-convulsions cause death to fetus
-high risk: teens, older woman, lack of prenatal care
Term
puerperal infections
Definition
infections related to childbirth
Term
hydatidiform mole
Definition
benign overgrowth of placental tissue
Term
choriocarcinoma
Definition
malignant tumor of placental tissue
Term
Post Partum Depression
Definition
-PPD
-hormone levels off, causes emotional/mental anomalies in women
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