Professional Documents
Culture Documents
Host
Environment
Fertilization
(Union
of
sperm
and
ovum
at
the
fallopian
tube)
Zygote-
Unicellular
(Intermingling
of
haploid
paternal
23
X
or
Y
and
maternal
23
X
chromosomes
Morula enters the uterus on the 3rd day through peristaltic movement
Separate into 2 parts by fluid from the uterus on the 4th day
Release
hCG
(responsible
for
positive
result
in
pregnancy
test
Implantation
Embryonic development begins during the second week continues through the 8th week
Presumptive
Breast
changes
Nausea
&vomiting
Amenorrhea
Frequent
Urination
Fatigue
Uterine
enlargement
Quickening
Linea
nigra
Melasma
Striaegravidarum
Darkening
of
underarms
Signs
of
Pregnancy
Probable
Serum
lab
tests
Chadwicks
sign
Goodells
sign
Hegars
sign
Sonographic
Ballottement
Braxton
hicks
sign
Fetal
outline
felt
by
examiner
Positive
Sonographic
evidence
of
fetal
outline
Fetal
heart
audible
Fetal
movement
felt
by
examiner
End
of
12
Gestation
Week:
Bone
Ossification
centers
are
forming,
nail
bed
formation,
some
reflex
(Babinski
reflex),
fetal
heart
beat
is
audible
through
Doppler
technology
End of 16 Gestation Week: Fetal heart sounds are audible with a stethoscope, Lanugo well formed, liver & pancreas functioning, sex can be determined by ultrasound
End
of
20
Gestation
Week:
Spontaneous
fetal
movement,
antibody
production,
brown
fat
formation,
vernixcaseosa
formation,
meconium
present
in
the
upper
intestine
End of 24 Gestation Week: Meconium present as far as rectum, active production of lung surfactant begins, hearing possible
End of 28 Gestation Week: Lung alveoli begin to mature & Surfactant can be demonstrated in amniotic fluid. Testes begun to descend into scrotal sac
End
of
32
Gestation
Week:
Fetus
is
aware
of
sounds
outside
the
mothers
body,
Active
moro
reflex
birth
position
assumed
(vertex
or
breech)
fingernail
growth
reach
end
of
fingertips
By
33
weeks
of
gestation:
baby
is
around
3-4lbs
in
weight
and
around
44cm
long,
might
already
have
a
head
of
hair,
and
will
have
perhaps
shifted
position
and
gone
head
down
in
your
womb,
with
their
little
legs
folded
up
to
the
chest,
the
baby's
bones
are
also
continuing
to
harden
at
this
stage
except
for
those
in
their
skull,
which
stay
soft
and
pliable
to
enable
baby's
head
to
be
born
safely
and
the
immune
system
will
now
also
be
fully
developed
with
the
antibodies
the
baby
needs
for
the
outside
world
and
the
levels
of
Amniotic
fluid
is
now
at
its
lowest
as
your
baby
continues
to
grow
and
take
up
space.
Possible
etiology
Stress
Pre-ecclampsia
Preterm Labor
Uterine Contractions
Mechanism of Labor
Placental Stage
Retained
Placental
Fragments
Uterine
Atony
Signs
and
Symptoms:
Vaginal
bleeding
noted
for
3
days
6/23,
6/24
and
6/25)
Medication:
Ferrous
Sulfate
(Sorbifer)
durule,
1
durule
,
BID,
PO,
AC
Possible
etiology:
precipitous
labor
(labor
lasting
less
than
3
hours)
Profuse bleeding
HGB
Lab
Results:
6/23
6/24
10.4
11.5
HCT
RBC
29.8
3.37
32.5
3.73
RDW
9.85
10.2
Hemorrhage
May
lead
to
Hypovolemic
shock
if
not
treated
Death
36-49%
4.10-5.30
10e6/uL
11.6-18%
A
decreased
in
HGB,
HCT,RBC
and
RDW
for
2
days
Procedure
performed:
Blood
transfusion
of
1
packed
RBC
last
6/24/15
N.V
12-16
g/dL