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Prenatal Period

VII: Prenatal Period, Birth and the Newborn

TermDefinition
Stages of Prenatal Development Conception, Germinal Period, Embryonic Period, Fetal Period
Conception Occurs as soon as one sperm penetrates the ovum, chemical reaction makes ovum's membrane impenetrable to other sperm, 46 chromosomes
Germinal Period (0-2 weeks) the newly created zygote begins cell division as it travels down the fallopian tube, where fertilization took place, toward the uterus and splits in half; occurs first 2 weeks after conception, implantation occurs 10 days after conception
Implantation in which the blastocyst burrows into the wall of the uterus; begins at about day 6 and is complete by about day 11
Embryonic Period (3-8 weeks) cells divide more rapidly and the major organs and body systems form, name changes from zygote to embryo
Placenta a principal organ of exchange between the mother and developing organism;
The Umbilical Cord connects the embryo to the placenta
Amnion (Amniotic Sac) a membrane that holds amniotic fluid, surrounds the embryo providing temperature regulation, cushioning, and protection from shocks; the bag in which the embryo floats
Fetal Period (9 weeks to birth); longest prenatal period, the fetus grows rapidly and its organs become more complex and begin to function, age of viability ~22 weeks
Teratogen any agent that causes a birth defect , only about 1/2 of all potential effects appear at birth
Fetal Alcohol Syndrome (FAS) a cluster of defects appearing after heavy prenatal exposure alcohol; associated with distinct pattern of facial characteristics (small head circumference, short nose, small eye opening); defects in growth, intellectual, motor, and language development
Tobacco fetal and neonatal deaths are higher among smoking mothers, higher incidence of preterm birth and low weight birth weights, intervention programs to stop smoking can raise birth weights
Cocaine reduce birth weight, length, and head circumference, impaired motor development at age 2, poor attentional skills
Marijuana THC readily crosses placenta to affect fetus; negatively affects fetal length, growth, birth weight; can lead to stillbirth, preterm birth, thinner cortex
Opioids young infants are addicted and show withdrawal symptoms ( tremors, irritability, abnormal crying, disturbed sleep, impaired motor control), behavior
Rubella (German Measles) (Maternal Illness): developed prior to the 11th week of pregnancy can cause a variety of defects including blindness, deafness, heart defects, and brain damage
Chicken Pox (Maternal Illness): can produce birth defects affecting the arms, legs, eyes, and brain
Mumps (Maternal Illness): increased risk of miscarriage
The Birth Process Dilatation, Delivery, Expulsion of placenta
Dilation longest stage of birth process, uterine contractions cause cervix to dilate
Delivery process completed within 1 1/2 hours or less, starts when the baby's head moves through the cervix into the vaginal canal, ends when the baby emerges completely
Expulsion of Placenta 5-10 minute process, placenta and umbilical cord expelled
Methods of Delivery Vaginal, Cesarean, Medicated, Natural
APGAR taken both 1 min and 5 mins after birth, Appearance, Pulse, Grimace, Activity, Respiration, score of 7-10=good to excellent condition
Brazelton Neonatal Behavioral Assessment Scale (NBAS) a neurobehavioral assessment commonly administered in the first few days after birth to assess the newborn's neurological competence based on reflexes and reactions to people, 27 items
Preterm babies born before the 37th week
Small-for-Date weight less than 90% of babies of same gestational age
Created by: serenakellie
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