Ch 65 Normal Pregnancy

Question Answer
Pregnancy Is a normal physiloogic process, not a disease
Gestation Period of time that occurs from the moment a man's sperm fertilizer a woman's egg until the birth of the newborn.
Fertilization Usually occurs 2 weeks after a woman's last normal menstrual period. Most textbooks consider these two weeks part of the gestational period.
Total length of Gestation Including the 2 weeks is 40 weeks, which is 10 lunar months, or 9 calendar months
Trimesters Pregnancy divided into 3 month periods
1st Trimester Begins on the first day of the woman's last period and ends on the last day of week 13.
2nd Trimester Includes weeks 14 through 27
3rd Trimester Begins at week 28 until the pregnancy is expected to end at 40 weeks.
Gravida Latin term for Pregnant woman
Primigravida First Pregnancy
Multigravida Other Births
Para Refers to the parting of mother and baby or the birth itself.
Grand Multipara A woman who has given birth many times (Specifically 5 times)
Anterpartum Pregnancy
Prenatal Care Care before the birth
Obstetrics Branch of medicine concerned with pregnancy and birth.
Obtetricians Physician who practices the specialty of pregnancy and birth
G=Gravida total # of pregnancies she has had including this one if she is now pregnant.
P=Para # of babies born at 20 or more weeks of gestation
G2 P1 Woman how has had only one previous pregnancy, which resulted in the birth of a baby at 38 weeks, and who is now pregnant would be G2 (Two Pregnancies), P1 (One Birth)
Para (P) Outcome of her pregnancies also classified as FPAL
F=Full term # of babies born at 37 or more weeks of gestation
P=Preterm # of babies born between 20 and 37 weeks of gestation
A=Abortions Total # of spontaneous and elective abortions, including ectopic pregnancies, that ended before 20 weeks of gestation. (The earliest gestational age that is considered viable, or able to survive if the fetus is born, is 20 weeks)
L=Living Living children, as of today
FPAL Florida Power and Light
G4 P2113 Woman who has four pregnancies and is not now now pregnany, Two born at term, one preterm, and one miscarriage
Nurse Mid Wife or CNM A registered nurse who has received specialized training in the management of labor
Preconceptional care Care for the woman before she becomes pregnant
Folic Acid 400 mcg per day and if at risk you can increase to 1200 mcg
7 Areas that need to be addressed in preconceptional care (1.) Stop harmful or addictive behaviors such as smoking, drinking alcohol or using drugs. (2) Stop use of prescription drugs
Herion Cannot stop abruptly you have to gradually step down.
2 types of Preconceptional Visits Visits by a woman or couple planning a pregnancy and visits by a woman who is not planning to become pregnant soon but who may become pregnant.
Pregnancy Percautions Don't take medication unless it is prescribed by the practitioner who knows that the client is trying to conceive or is already pregnant. Can take tums, tylenol. Avoid x-Rays. Avoid Caffeine intake and tobacco in any form.
Pregnancy Percautions Avoid exposure to rubella, influenza, tuberculosis and sti. Avoid hyperthermia producing situations such as hot tubs, exercise or prolonged sitting in hot water >100*F it increases heart rate & temp can make cells deform and cause miscarriage
Conception & Sex Determination Human life begins with the union of two cells the Ovum (Female) and the Sperm (Male). This union is known as Fertilization or conception usually occurs when ovum is in the outer third of the fallopian tube (Oviduct)
Sperm (Male) Determins the Sex
Males Carry either X or Y Chromosome. Sperm cell carring a Y Chromosome fertilizes ovum, XY a boy, if sperm carries an X the result will be girl (XX)
Period of zygote and implantation Zygote, morula, blastocyst, embryo, implant or decidua
Zygote fertilized ovum is beginning of potential individual human development.
Morula 16 identical cells, At this stage the first differences among cells develop. Morula is swept down the Fallopian tube into the uterus and takes approximately 7-9 days. Just before Morula reaches uterus cells begin to form layers.
Blastocyst Layers, First one, the two layers surround a fluid filled space
Embro Another group cells form the embryo and as the blastocyst enters the uterus the outer cell layers secrete an enzyme permits it to burrow implant into the endometrium.
Implant Embryo implants into the endometrium as it is known during pregnancy the decidua
Period of embryo When fully implanted the developing organism is called Embryo
Chorion Outermost cell layer that surrounds the embryo and fluid cavity. Chorion develops into the placenta
First 8 Weeks Are critical human development. During this time all major system of the embryo develop. Miscarriage Normally happen before 8 weeks.
Congenital Born with

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