preconception health annual gynecologist visits nutrition/exercise - ↑ caloric intake by ___ ...
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Preconception HealthPreconception Health
Annual Gynecologist VisitsAnnual Gynecologist Visits Nutrition/Exercise - ↑ caloric intake by ___Nutrition/Exercise - ↑ caloric intake by ___ STI Prevention/TreatmentSTI Prevention/Treatment Drug/Alcohol Abuse/UseDrug/Alcohol Abuse/Use
____________________________________________– small head, wide – small head, wide spaced eyes, heart problems, etc.spaced eyes, heart problems, etc.
__________________- ↑ intake to help avoid Spina Bifida- ↑ intake to help avoid Spina Bifida
OvulationOvulation
ImplantationImplantation Sperm reach egg within Sperm reach egg within ______________________ Fertilization usually occurs Fertilization usually occurs ____________________________ 24-30 hours after fertilization genetic material is 24-30 hours after fertilization genetic material is
joined, forming joined, forming ______________ 36 hours – 2 cells36 hours – 2 cells 48 hours – 4 cells48 hours – 4 cells 4 days – 4 days – ______________________ 7-8 days after fertilization, the blastocyst can 7-8 days after fertilization, the blastocyst can
attach to the endometriumattach to the endometrium Fetus at Fetus at ________________
Signs and Symptoms of PregnancySigns and Symptoms of Pregnancy
Amenorrhea- Amenorrhea- __________________________________________ Change in Breast TissueChange in Breast Tissue
______________________________________________ Increased Increased ____________________ of Urination of Urination FatigueFatigue Caloric intake increases…..why?Caloric intake increases…..why?
Signs & Symptoms ContinuedSigns & Symptoms Continued
MoodinessMoodiness Quickening – Quickening – ________________________________________ Braxton-Hicks Contractions – ___Braxton-Hicks Contractions – ___
____________________________ Acid Reflux – Acid Reflux – ____________________________________________
Appetite/cravingsAppetite/cravings
Doctor’s ObservationsDoctor’s Observations
Change in Reproductive OrgansChange in Reproductive Organs ______________________________________________
Fetal Heart Beat Fetal monitorFetal Heart Beat Fetal monitor ________________________________________
Fetal MovementsFetal Movements Fetal OutlineFetal Outline Gender Determination It's a boyGender Determination It's a boy
Laboratory TestsLaboratory Tests
Urine or Blood TestingUrine or Blood Testing Home Pregnancy Tests Doctor will Home Pregnancy Tests Doctor will
confirmconfirm What do they test for?What do they test for?
______________________________________________________ When is the baby due?When is the baby due?
Prenatal CarePrenatal Care
A woman should see her doctor after the A woman should see her doctor after the second missed periodsecond missed period ____________________– pregnancy, sugar, & protein– pregnancy, sugar, & protein Blood Test – pregnancy, RH factor, Blood Test – pregnancy, RH factor, ________________
____________________________________________________ Nutrition Nutrition ____________ using any hormonal contraceptive using any hormonal contraceptive
methods methods Avoid alcohol – Avoid alcohol – __________, cigarettes, drugs, cigarettes, drugs
Common DisordersCommon Disorders
________________ ______________Leg CrampLeg CrampVaricose VeinsVaricose Veins____________________________________FlatulenceFlatulence
____________________________ Palpitations Palpitations FaintingFainting Drug and Food Drug and Food
SensitivitySensitivity ________________________ HemorrhoidsHemorrhoids
Danger Signals During PregnancyDanger Signals During Pregnancy
Vaginal bleedingVaginal bleeding Manifestations of toxemiaManifestations of toxemia
________________________ – protein in urine, high BP, – protein in urine, high BP, swelling in hands/feet that doesn’t clearswelling in hands/feet that doesn’t clear
Eclampsia – next stage – Eclampsia – next stage – ________________________
______________________________________________________________ Labor contractionsLabor contractions Amniotic Sac breakingAmniotic Sac breaking Lower fetal kick count – Lower fetal kick count – __________________________
ComplicationsComplications
____________________ - Before 25 wks - Before 25 wks Premature Birth - Premature Birth - ______________________________________ ________________________________– Fertilized egg in FT– Fertilized egg in FT Placenta Previa – Placenta too lowPlacenta Previa – Placenta too low Premature Placenta Separation – placenta Premature Placenta Separation – placenta
______________________________________from uterusfrom uterus Placenta Abruption – Placenta Abruption – ______________________________
____________________________
Amniotic SacAmniotic Sac
Also known as Also known as ______________________ At delivery the sac contains 1-2 quarts of At delivery the sac contains 1-2 quarts of
fluidfluid Helps Helps __________________________________________________ Cushions fetusCushions fetus Provides a medium Provides a medium At At ________________fetal respiration occursfetal respiration occurs
• What is this? – What is this? – ____________________ Amniocentesis – 15-17 wks, taken to check Amniocentesis – 15-17 wks, taken to check
for any for any ______________________________
PlacentaPlacenta
Organ that transports nutrition and oxygen Organ that transports nutrition and oxygen from mother to fetus and transports waste from mother to fetus and transports waste products from fetus to motherproducts from fetus to mother ______________ – Food substances to fetus, stores nutrients – Food substances to fetus, stores nutrients Respiration – Brings Respiration – Brings ______, takes away , takes away __________ ____________ – Filters out – Filters out ________________ (not viruses) (not viruses) Hormones – Hormones – ______________, progesterone, gonadotropin , progesterone, gonadotropin
(maintain pregnancy)(maintain pregnancy) __________ – keeps mother’s and – keeps mother’s and __________________ blood blood
separate (blood does not mix)separate (blood does not mix)
Umbilical CordUmbilical Cord
Connects the Fetus and Connects the Fetus and ________________ Develops at Develops at ________________ Long semitransparent “rope” containing one Long semitransparent “rope” containing one
vein and two arteriesvein and two arteries Surrounded by jelly-like substance to Surrounded by jelly-like substance to
protect itprotect it What passes through?What passes through?
Viruses, medications/drugs, alcohol, nicotine, Viruses, medications/drugs, alcohol, nicotine, hormones, etc.hormones, etc.
11stst Trimester Trimester Weeks 1-12Weeks 1-12 Zygote – Zygote – ____________________ ____________________ – multi-celled at 4 days, implanted – multi-celled at 4 days, implanted
within 8 dayswithin 8 days Embryo – Embryo – ______________________________________ At the end of 2At the end of 2ndnd month-1.2 inches long, the month-1.2 inches long, the
head represents half of the embryo’s bulk and head represents half of the embryo’s bulk and ________________________(eyes, ears, nose, lips, tongue) (eyes, ears, nose, lips, tongue) are presentare present
The third month – It is now a The third month – It is now a __________, is about 3 , is about 3 inches, and has nails and genitals can be seen.inches, and has nails and genitals can be seen.
22ndnd Trimester Trimester Beginning of the 4Beginning of the 4thth month month ____________ month is the time for the month is the time for the ________________
amount of fetal growthamount of fetal growth Quickening begins Quickening begins
What is this?What is this?
End of the 5End of the 5thth month – month – __________ Head hair and Head hair and ________________________________
The fetus sleeps, wakes, and has preferred The fetus sleeps, wakes, and has preferred body positionsbody positions
In the 6In the 6thth month the body is covered with month the body is covered with ________
________, the eyes become , the eyes become ______________________, and it , and it can hear uterine sounds.can hear uterine sounds.
33rdrd Trimester Trimester The baby begins to position itself for The baby begins to position itself for __________ The fetus is much more baby likeThe fetus is much more baby like By the end of the 7By the end of the 7thth month the baby can survive month the baby can survive
______________________________ At the end of the 8At the end of the 8thth month the fetus is over month the fetus is over ____
________, skin redness, and wrinkles lessen., skin redness, and wrinkles lessen. The The __________ reach the end of fingers and toes. reach the end of fingers and toes. Between week 38-40 the head is Between week 38-40 the head is __________________
__________and the fine hair has almost disappeared and the fine hair has almost disappeared being replaced by vernix (waxy substance)being replaced by vernix (waxy substance)
Different Types of BirthDifferent Types of Birth
__________________ – used in case baby gets stuck – used in case baby gets stuck Caesarean – can be Caesarean – can be ________________ or planned, or planned,
reasons?reasons? ______________ – Baby’s – Baby’s __________________________11stst
Multiple BirthsMultiple Births ________________ – 1 egg, 1 sperm, separate – 1 egg, 1 sperm, separate ______ Fraternal – 2 Fraternal – 2 ____________________________________and ASand AS Identical/Fraternal – 1 egg, 2 spermIdentical/Fraternal – 1 egg, 2 sperm
__________________________– start contractions or break – start contractions or break waterwater
LaborLabor
Begins due to hormonal changesBegins due to hormonal changes Early signsEarly signs
__________________ – uterus drops ↓, – uterus drops ↓, ____________ before before deliverydelivery
____________ levels off or ↓ in last 2 wks levels off or ↓ in last 2 wks Nesting – “setting up the house”Nesting – “setting up the house”
Actual signsActual signs AS breaking AS breaking ____________________________ The appearance of “show”The appearance of “show” Contractions ↑ in Contractions ↑ in __________________________________
Stage OneStage One
Dilation of CervixDilation of Cervix __________________of cervix occurs due to the uterine of cervix occurs due to the uterine
contractionscontractions Starts with Starts with
the first the first
contractionscontractions Ends when the Ends when the
cervix is cervix is __________
Stage 2Stage 2
Actual Delivery of babyActual Delivery of baby CrowningCrowning ____________________ – can be done to enlarge vaginal – can be done to enlarge vaginal
openingopening
Stage 3Stage 3
Delivery of afterbirthDelivery of afterbirth VIDEOVIDEO
Apgar TestApgar Test
____________________________ after birth after birth The baby is tested on the following and The baby is tested on the following and
given a score. 10 is the highest, 7 is given a score. 10 is the highest, 7 is determined to be healthydetermined to be healthy ______________________ RespirationRespiration Muscle toneMuscle tone ____________________________ ColorColor