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Chapter 6
Conception
and Fetal Development
All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
 Cell division
 Mitosis
 Meiosis
 Gametogenesis
 Spermatogenesis
 Oogenesis
 Conception
 Ovum
 Sperm
Conception
2All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
3All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
4All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
5All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
6All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
 Fertilization
 Morula
 Blastocyst
 Implantation
 Chorionic villi
 Decidua basalis
Conception (Cont.)
7All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
8All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
 Primary germ layers
 Ectoderm
 Mesoderm
 Endoderm
 Development of the embryo
 Membranes
 Chorion
 Amnion and amniotic cavity
Embryo and Fetus
9All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
 Amniotic fluid
 Serves numerous functions
 Volume is important to fetal well-being
 Yolk sac
 Becomes primitive digestive system
 Umbilical cord
 Supplies the embryo with maternal nutrients and
oxygen
Embryo and Fetus (Cont.)
10All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
11All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
 Placenta
 Structure
• Maternal-placental-embryonic circulation by day 17
 Function
• Endocrine gland
• Metabolic function and waste
• Nutrient storage
Embryo and Fetus (Cont.)
12All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
13All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
14All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
15All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
16All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
 Fetal maturation
 Viability
• Capability of fetus to survive outside uterus
• Limitations based on central nervous system function and
oxygenation capability of lungs
 Fetal circulatory system
• FHR 110 to 160 beats/min
Embryo and Fetus (Cont.)
17All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
18All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
 Fetal maturation
 Hematopoietic system
 Respiratory system
• Primary surfactants
 Gastrointestinal system
 Hepatic system
 Renal system
Embryo and Fetus (Cont.)
19All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
20All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
 Fetal maturation
 Neurologic system
• Sensory awareness
 Endocrine system
 Reproductive system
 Musculoskeletal system
 Integumentary system
 Immunologic system
Embryo and Fetus (Cont.)
21All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
 Multifetal pregnancy
 Twins
• Dizygotic twins
• Monozygotic twins
• Conjoined twins
 Other multifetal pregnancies
Embryo and Fetus (Cont.)
22All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
23All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
24All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
25All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
 Teratogens
 Drugs
 Chemicals
 Infection
 Exposure to radiation
 Maternal conditions
 Maternal nutrition
 Malnutrition
Nongenetic Factors
Influencing Development
26All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
 A woman is 8 months pregnant. She tells the nurse that
she knows her baby listens to her but her husband thinks
she is imagining things. The most appropriate response
by the nurse is:
 “Many women imagine what their baby is like.”
 “Babies in utero do respond to their mother’s voice.”
 “You’ll need to ask the doctor if the baby can hear yet.”
 “Thinking that your baby hears will help you bond with
the baby.”
Question
27All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.

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Chapter 006 conception and fetal dev audio

  • 1. Chapter 6 Conception and Fetal Development All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
  • 2.  Cell division  Mitosis  Meiosis  Gametogenesis  Spermatogenesis  Oogenesis  Conception  Ovum  Sperm Conception 2All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
  • 3. 3All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
  • 4. 4All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
  • 5. 5All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
  • 6. 6All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
  • 7.  Fertilization  Morula  Blastocyst  Implantation  Chorionic villi  Decidua basalis Conception (Cont.) 7All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
  • 8. 8All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
  • 9.  Primary germ layers  Ectoderm  Mesoderm  Endoderm  Development of the embryo  Membranes  Chorion  Amnion and amniotic cavity Embryo and Fetus 9All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
  • 10.  Amniotic fluid  Serves numerous functions  Volume is important to fetal well-being  Yolk sac  Becomes primitive digestive system  Umbilical cord  Supplies the embryo with maternal nutrients and oxygen Embryo and Fetus (Cont.) 10All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
  • 11. 11All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
  • 12.  Placenta  Structure • Maternal-placental-embryonic circulation by day 17  Function • Endocrine gland • Metabolic function and waste • Nutrient storage Embryo and Fetus (Cont.) 12All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
  • 13. 13All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
  • 14. 14All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
  • 15. 15All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
  • 16. 16All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
  • 17.  Fetal maturation  Viability • Capability of fetus to survive outside uterus • Limitations based on central nervous system function and oxygenation capability of lungs  Fetal circulatory system • FHR 110 to 160 beats/min Embryo and Fetus (Cont.) 17All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
  • 18. 18All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
  • 19.  Fetal maturation  Hematopoietic system  Respiratory system • Primary surfactants  Gastrointestinal system  Hepatic system  Renal system Embryo and Fetus (Cont.) 19All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
  • 20. 20All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
  • 21.  Fetal maturation  Neurologic system • Sensory awareness  Endocrine system  Reproductive system  Musculoskeletal system  Integumentary system  Immunologic system Embryo and Fetus (Cont.) 21All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
  • 22.  Multifetal pregnancy  Twins • Dizygotic twins • Monozygotic twins • Conjoined twins  Other multifetal pregnancies Embryo and Fetus (Cont.) 22All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
  • 23. 23All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
  • 24. 24All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
  • 25. 25All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
  • 26.  Teratogens  Drugs  Chemicals  Infection  Exposure to radiation  Maternal conditions  Maternal nutrition  Malnutrition Nongenetic Factors Influencing Development 26All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.
  • 27.  A woman is 8 months pregnant. She tells the nurse that she knows her baby listens to her but her husband thinks she is imagining things. The most appropriate response by the nurse is:  “Many women imagine what their baby is like.”  “Babies in utero do respond to their mother’s voice.”  “You’ll need to ask the doctor if the baby can hear yet.”  “Thinking that your baby hears will help you bond with the baby.” Question 27All Elsevier items and derived items © 2014, 2010, 2006, 2002, Mosby, Inc., an imprint of Elsevier Inc.

Editor's Notes

  1. ANS: B Feedback A Incorrect: Although this statement is accurate, it is not the most appropriate response. B Correct: Fetuses respond to sound by 24 weeks. The fetus can be soothed by the sound of the mother’s voice. C Incorrect: This statement is not appropriate. The mother should be instructed that her fetus can hear at 24 weeks and can respond to the sound of her voice. D Incorrect: The statement is not appropriate. It gives the impression that her baby cannot hear her. It also belittles the mother’s interpretation of her fetus’s behaviors. DIF: Cognitive Level: Application OBJ: Client Needs: Health Promotion and Maintenance TOP: Nursing Process: Evaluation