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Fertilization Process
1. Zygote: As the zygote moves down the fallopian tube, it duplicates, at first slowly then more rapidly
2. Blastocyst: By the fourth day it forms a hollow, fluid-filled ball called a blastocyst. The inner cells, called the embryonic disk, will become the new organisim. The outer cells or trophoblast will provide protective covering.
3. Implantation: At the end of the first week, the blastocyst begins to implant in the uterine lining.
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Fertilization locations
- Female reproductive organs:
- -Ovary
- -Fallopian tubes
- -Uterus
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Periods of Prenatal Development
- Period Length Key Events
- Zygote - 2wks - Fertilization, Implantation and start of placenta
- Embryo- 6wks - Arms, legs, face, organs, muscles all develop, heart begins beating
- Fetus - 30 wks-"growth and finishing"
(See table 3.1)
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Teratogen
Any environmental agent that causes damage during the prenatal period.
Ex. Tobacco and Alcohol
- Depends on the following factors:
- -Dose
- -Heredity
- -Other negative influences
- -Age
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Tobacco
- -Best known effect of smoking is low birth weight
- -If pregnant woman stops smoking at anytime (even during last trimester) she reduces the possibility of an underweight baby
- -Nicotine constricts blood vessels, lessens blood flow to the uterus and causes placenta to grow abnormally. Reduces transfer of nutrients, so the fetus can gain weight properly.
- -Nicotine also rises concentration of carbon monoxide, which damages the central nervous system and slows body growth.
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Alcohol
During prenatal development causes children to be fetal alcohol spectrum disorder (FASD).
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Fetal Alcohol Spectrum Disorder (FASD)
A range of physical, mental and behavioral outcomes caused by prenatal alcohol exposure.
- Children with FASD display:
- -Fetal alcohol syndrome (FAS)
- -Partial fetal alcohol syndrome (p-FAS)
- -Alcohol-related neurodevelopmental disorder (ARND
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Fetal Alcohol Syndrome (FAS)
- Displays the folowing:
- 1. Slow physical growth
- 2. Pattern of 3 facial abnormalities (short eyelid openings, thin upper lip, or indentation running from the bottom of the nose to the upper lip)
- 3. Brain injury (memory, language, communication, etc.)
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Paritial Fetal Alcohol Syndrome (p-FAS)
- Characterized by:
- 1. 2 of 3 facial abnormalities (from FAS)
- 2. Brain injury again from FAS
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Alcohol-related neurodevelopment disorder (ARND)
- At least three areas of mental functioning are impaired, despite typical physical growth and absence of faical abnormalities.
- -Less common than in FAS
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Stages of Childbirth
- Stage 1.
- -Dilation and effacement of the cervix
- -Transition
- Stage 2
- -Pushing
- -Birth of the baby
- Stage 3
- -Delivery of the placenta
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Preterm vs. Small-for-date
Preterm: born weeks before their due date. May be appropriate weight for length of pregnancy.
Small-for-date: May be born at due date or preterm. Below expected wieght for length of pregnancy.
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Apgar Scale
(APGAR: Appearance, Pulse, Grimace, Activity, Respiration) Assess the newborn's physical condition quickly
Signs: Heart rate, Respiratory effort, Reflex irritability, Muscle tone, and color (See Table 3.3)
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Anoxia
Inadequate oxygen supply
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Newborn Reflexes
An inborn, automatic response to a particular form of stimulation.
- Reflexes are the following:
- -Eye blink
- -Rooting
- -Sucking
- -Moro
- -Palmar grasp
- -Tonic neck
- -Stepping
- -Babinski
(See table 3.4)
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