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Summary Care of Mother and Child - Nursing Notes

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This is summarized Care of Mother and Child notes! The topic is very long, but I found a way to summarize the topics and voila, here it is. It is a very comprehensive notes on pregnancy that is helpful in a nursing course.

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I‭t was not until‬‭1758‬‭that‬‭Kaspar Wolff‬‭proposed that‬‭both parents contribute equally‬
‭to the structure of the baby.‬

‭I.‬ S ‭ tages of Fetal Development‬
‭-‬ ‭In just 38 weeks, a fertilized egg (ovum) matures from a single cell carrying all‬
‭the necessary genetic material to a fully developed fetus ready to be born.‬
‭Fetal growth and development are typically divided into three periods:‬
‭●‬ ‭Pre-embryonic - first 2 weeks, beginning with fertilization‬
‭●‬ ‭Embryonic - week 3 to 8‬
‭●‬ ‭Fetal – week 8 through birth‬

‭Terms used to denote fetal growth:‬


‭Name‬ ‭Time Period‬

‭Ovum‬ ‭From ovulation to fertilization‬

‭Zygote‬ ‭From fertilization to implantation‬

‭Embryo‬ ‭From implantation to 5-8 weeks‬

‭Fetus‬ ‭From 5-8 weeks until term‬

‭FERTILIZATION: THE BEGINNING OF PREGNANCY‬

‭Fertilization‬
‭-‬ ‭is the union of an ovum and sperm, typically in the outer third of the fallopian‬
‭tube (ampullar portion).‬

‭One‬‭ovum matures per month‬‭, and it‬‭is capable of fertilization‬‭for 24–48 hours‬‭.‬

‭Spermatozoa‬‭can‬‭survive for about 48–72 hours.‬

‭ ertilization window‬‭:‬‭sexual intercourse‬‭must‬‭occur‬‭within 72 hours (48 hours‬
F
‭before and 24 hours after ovulation).‬

‭Ovum‬
‭-‬ ‭is surrounded by the zona pellucida and corona radiata, which protect it and‬
‭aid its movement into the fallopian tube.‬

‭ verage ejaculation‬‭contains 50–200 million sperm‬‭per milliliter‬‭(‭4
A ‬ 00 million per‬
‭ejaculation‬‭).‬

‭Sperm‬‭reaches the cervix in 80 seconds and the fallopian‬‭tube within 5 minutes.‬

,‭ permatozoa‬‭move through the cervix, uterus, and fallopian tubes‬‭using flagella‬
S
‭and uterine contractions.‬

‭ apacitation‬‭is‬‭a final process that sperm must undergo‬‭to be ready for‬
C
‭fertilization.‬‭This process, which happens as the‬‭sperm move toward the ovum,‬
‭consists of changes in the plasma membrane of the sperm head, which reveal‬
‭the sperm-binding receptor sites.‬

‭ fter sperm penetration, the‬‭ovum and sperm chromosomes‬‭fuse‬‭,‬‭forming a‬
A
‭zygote with 46 chromosomes.‬

I‭f an‬‭X-carrying spermatozoon‬‭enters the ovum, the‬‭resulting child will have two X‬
‭chromosomes and will be female (XX)‬‭. If a‬‭Y-carrying‬‭spermatozoon‬‭fertilized the‬
‭ovum, the‬‭resulting child will have an X and a Y chromosome‬‭and will be male (XY).‬

‭IMPLANTATION‬

‭ fter fertilization, the‬‭zygote migrates to the uterus‬‭over 3–4 days‬‭, aided by‬
A
‭fallopian tube contractions.‬

‭ itotic cell division (cleavage) begins‬‭, and by the‬‭time it reaches the uterus, the‬
M
‭zygote consists of 16–50 cells and is called a morula.‬

‭ he‬‭morula continues to multiply‬‭,‬‭forming a blastocyst‬‭,‬‭with outer trophoblast cells‬
T
‭(future placenta) and inner embryoblast cells (future embryo).‬

I‭mplantation occurs 8–10 days after fertilization‬‭when the blastocyst attaches to‬
‭the uterine endometrium.‬

‭ he‬‭process of implantation‬‭includes‬‭apposition (contact),‬‭adhesion (attachment),‬
T
‭and invasion (settling into uterine folds).‬

I‭mplantation‬‭usually happens high in the uterus‬‭;‬‭low‬‭implantation‬‭(‭p
‬ lacenta‬
‭previa‬‭) can cause complications during birth.‬

‭Once implanted, the‬‭zygote is termed an embryo.‬

‭ MBRYONIC AND FETAL STRUCTURES‬
E
‭The Decidua‬
‭-‬ ‭After fertilization, the corpus luteum continues to function due to human‬
‭chorionic gonadotropin (hCG) secreted by trophoblast cells.‬
‭-‬ ‭The uterine endometrium grows in thickness and vascularity instead of‬
‭sloughing off, and is now termed the decidua.‬
‭-‬ ‭The decidua has three parts:‬

, ‭ ‬ ‭Decidua basalis (below the embryo),‬

‭●‬ ‭Decidua capsularis (encapsulates the trophoblast),‬
‭●‬ ‭Decidua vera (the remaining uterine lining).‬
‭-‬ ‭As the embryo grows, it pushes the decidua capsularis until it contacts the‬
‭decidua vera, eventually fusing.‬
-‭ ‬ ‭At birth, the entire inner uterine lining is stripped away, increasing the risk of‬
‭hemorrhage and infection.‬

‭Chorionic Villi‬
‭-‬ ‭Once implantation is achieved, the trophoblastic layer of cells of the blastocyst‬
‭begins to mature rapidly. As early as the 11th or 12th day, miniature villi, or‬
‭probing “fingers,” termed chorionic villi, reach out from the single layer of cells‬
‭into the uterine endometrium.‬

‭The Placenta‬
‭-‬ ‭The placenta (‬‭Latin for pancake, which is descriptive‬‭of its size and‬
‭appearance at term‬‭), arises out of trophoblast tissue.‬
‭-‬ ‭It‬‭serves as the fetal lungs, kidneys, and gastrointestinal‬‭tract and as a‬
‭separate endocrine organ throughout pregnancy.‬
‭Its growth parallels that of the fetus, growing from a few identifiable cells at‬
‭the beginning of pregnancy to an organ 15 to 20 cm in diameter and 2 to 3 cm‬
‭in depth at term.‬
‭-‬ ‭It covers about half the surface area of the internal uterus.‬

‭ URPOSES OF THE PLACENTA‬
P
‭Circulation:‬
‭-‬ ‭By the‬‭12th day of pregnancy‬‭,‬‭maternal blood begins‬‭collecting in the‬
‭intervillous spaces surrounding the chorionic villi‬‭.‬‭By the‬‭3rd week‬‭, o‬‭xygen‬
‭and nutrients like glucose, amino acids, and water pass from maternal blood‬
‭to the villi capillaries, which then transport them to the embryo‬‭.‬‭There is no‬
‭direct blood exchange between mother and embryo‬‭; instead,‬‭nutrients are‬
‭transferred via selective osmosis through the chorionic villi‬‭. Despite this‬
‭barrier,‬‭fetal cells and enzymes like alpha-fetoprotein‬‭can cross, as well as‬
‭most drugs‬‭,‬‭which is why pregnant women should avoid‬‭nonessential‬
‭drugs.‬

‭Endocrine Function:‬
‭-‬ ‭Aside from‬‭serving as the source of oxygen and nutrients‬‭for the‬
‭fetus‬‭, the‬‭syncytial (outer) layer of the chorionic‬‭villi‬‭develops into a separate,‬
‭important‬
‭hormone-producing system.‬
‭●‬ ‭Human Chorionic Gonadotropin:‬‭The hormone hCG‬‭is detectable‬
‭in maternal blood and urine shortly after implantation and is used‬
‭in pregnancy tests‬‭, though‬‭false negatives may occur‬‭before or after‬

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