CMN 568 - Unit 6 Questions With Complete Solutions 100% Verified

CMN 568 - Unit 6 Questions With Complete Solutions 100% Verified Calculation of estimated date of delivery (EDD) 1st day of last menstrual period (LMP) + 7 days - 3 months + 1 year Decherney Chap 6 2 periods that comprise the 1st trimester 1) Embryonic period: 2 - 10 weeks gestational age 2) Fetal period: 8 weeks after fertilization OR 10 weeks after onset of LMP Decherney Ch 6 When does organogenesis occur? Embryonic period of 1st trimester NOTE: This is when embryo is most sensitive to teratogens Definition of "gravid" Total # of pregnancies regardless of outcome Definition of parity Total # of births, both before and after 20 weeks gestation. Made up of 4 components: 1) Full term births 2) Preterm births (wt ≥ 500 g or ≥ 20 weeks) 3) Abortions (induced or spontaneous) 4) Living children NOTE: Each child in a multiple is counted individually in "parity" but only ONCE in "gravid" total. (e.g. ONE pregnancy, MULTIPLE children) Definition of preterm infant Born between 20 - 37 completed weeks of gestation (259 days) Definition of term infant Born between 37 0/7 and 40 0/7 weeks gestation (280 days) Definition of post-term infant Born after 42 weeks gestation (294 days) Prenatal mortality rates ___________________ (increase/decrease) as gestation advances past due date Increase NOTE: Mortality increases SHARPLY after 42 weeks gestation Definition of macrosomic infant or large for gestational age (LGA) fetus Weight ≥ 90th percentile at any gestational age. Excessive fetal size should be suspected in women with ________________________. Previous macrosomic fetus OR women with DM Definition of abortion Expulsion/extraction of all or part of placenta/membranes/fetus weighing 500 g or with an estimated gestational weight of 20 weeks (or 139 days from LMP) Definition of neonatal period Birth to 28 days of life Definition of perinatal period From 28 weeks gestation to first 7 days of life. (NOTE: This includes the late fetal and early neonatal period.) When does nausea and vomiting ("morning sickness") usually occur in pregnancy and by when does it usually resolve? Begins @ 6 weeks Resolves between 14 - 16 weeks gestation "3 months dreary, 3 months cheery, 3 months weary" Herf BBB Definition of hyperemesis gravidarum Extreme form of pregnancy-related nausea/vomiting, characterized by: + Dehydration + Weight loss (up to 5% of pre-pregnancy weight) + Ketonuria Symptoms usually begin 3-5 weeks into pregnancy and resolve by 20 weeks Herf BBB What are Montgomery's tubercles and when do they become more pronounced? + Portion of areolar gland visible on skin surface + Become more pronounced as early as 6 - 8 weeks gestation. How early can breast begin secreting colostrum? As early as 16 weeks gestation, but should definitely be in by 28 weeks. Breastfeeding PPT What is quickening and when can it occur? "Quickening" refers to the mother's perception of fetal movement. Primiparidas - At 18 - 20 weeks' gestation Multiparidas - As early as 14 weeks' gest