Fetal Development

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Included In This Lesson

Study Tools For Fetal Development

Stages of Fetal Development (Mnemonic)
Fetal Circulation (Image)
Fetal Phase (Image)
Embryonic Phase (Image)
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Outline

Overview

  1. Three stages
    1. Preembryonic
    2. Embryonic
    3. Fetal

Nursing Points

General

  1. A developing human being is referred to as an embryo from weeks  2-8, and is a fetus from 8 weeks – birth
  2. By end of embryonic phase, most organs are formed (not functional necessarily, but formed)
    1. Head takes up half the body
    2. Heart is pumping

Assessment

  1. Pre-embryonic
    1. First 2 weeks after fertilization
    2. Free floating ball of cells making its way to the uterus
    3. This stage ends with implantation
  2. Embryonic
    1. 2 weeks – 8 weeks after conception
    2. Heartbeat present, circulation begins
    3. Heartbeat seen on transvaginal U/S around 6 weeks
    4. All major brain structures in place
    5. Bone begins to replace cartilage
    6. Embryo is approximately 1.2 inches long
  3. Fetal
    1. 8 weeks to birth
    2. Circulatory system and all organs present
    3. Heartbeat able to be heard on external U/S at around 12 weeks
    4. Fetus able to hear at 18 weeks
    5. Able to open and close eyes at 28 weeks
    6. Lungs continue to develop and more alveoli form → completed around 35 weeks
      1. Fetus does practice breaths
      2. Placenta does gas exchange

Therapeutic Management

  1. Medications
    1. Full list of patient medications to ensure they are safe during pregnancy
  2. Prenatal vitamins

Nursing Concepts

  1. Reproduction
  2. Human Development

Patient Education

  1. Medications
  2. No alcohol
  3. Prenatal vitamin

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Transcript

In this lesson I will explain the development of the fetus in the various stages so you will be aware of what is occurring at each phase.

There are three phases when we are talking about fetal development. The first is preembryonic and this is the first 2 weeks after fertilization. There is a free floating ball of cells making its way to the uterus for implantation. When implantation occurs we have the embryonic stage. This is week 2 to 8. The last stage is fetal. The fetal stage is 8 weeks until birth.

Let’s now break these stages down to some more detail. So first is the preembryonic stage. This is the first 2 weeks after fertilization so 0-2 weeks of life. Fertilization occurs and there is a free floating ball of cells making its way to the uterus for implantation. This stage ends with implantation.

Next is the embryonic stage. This is week 2 to week 8. Conception has occurred and a heartbeat is present The heartbeat is heard and visualized on a transvaginal ultrasound around 6 weeks All the major brain structures in place. The embryo is approximately 1.2 inches long. So it’s about the size of an olive.

Our last stage is the fetal stage which is 8 weeks to birth. The circulatory system and all organs are present. The heartbeat is able to be heard on external ultrasound at around 12 weeks. The fetus is able to hear at 18 weeks and can open and close eyes at 28 weeks. The lungs continue to develop and more alveoli form. This is completed around 35 weeks. The fetus does do some practice breaths in utero but no gas exchange occurs in the lungs it happen by way of the placenta.

Therapeutic management at this point in the pregnancy is not a lot but we need to ensure that any medications that the patient takes are safe since she is conceiving. She needs to be taking prenatal vitamins to ensure proper nutrition for proper development. Education at this point will revolve around safe medications, no alcohol, and ensuring they take prenatal vitamins.

Reproduction and human development are the concepts for this patient because fetal development starts with reproduction and then fetal development is the process of human development.
Ok so to review everything and wrap it up there are three stages in fetal development. Preembryonic is first. It starts with fertilization of the ovum. Once fertilized it becomes a zygote. Cell division occurs and now it becomes a blastocyst. Remember a blastocyst is a ball of cells. This ball of cells travels to the uterus. Next is embryonic. This begins with implantation in the uterus and now early development will occur. This stage of development is from 2 weeks to 8 weeks. The last stage is the fetal stage. This occurs at 8 weeks to delivery. This is the final stage so all organ development and growth will occur.

Make sure you check out the resources attached to this lesson and review the time frame of each stage as well as what is occuring in each stage. Now, go out and be your best selves today. And, as always, happy nursing.

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Concepts Covered:

  • Test Taking Strategies
  • Respiratory Disorders
  • Prenatal Concepts
  • Prefixes
  • Suffixes
  • Legal and Ethical Issues
  • Preoperative Nursing
  • Bipolar Disorders
  • Community Health Overview
  • Immunological Disorders
  • Childhood Growth and Development
  • Medication Administration
  • Adulthood Growth and Development
  • Learning Pharmacology
  • Anxiety Disorders
  • Basic
  • Factors Influencing Community Health
  • Integumentary Disorders
  • Trauma-Stress Disorders
  • Somatoform Disorders
  • Fundamentals of Emergency Nursing
  • Dosage Calculations
  • Depressive Disorders
  • Personality Disorders
  • Cognitive Disorders
  • Eating Disorders
  • Substance Abuse Disorders
  • Psychological Emergencies
  • Hematologic Disorders
  • Pregnancy Risks
  • Concepts of Population Health
  • Emotions and Motivation
  • Delegation
  • Oncologic Disorders
  • Prioritization
  • Postpartum Complications
  • Endocrine and Metabolic Disorders
  • Basics of NCLEX
  • Fetal Development
  • Labor and Delivery
  • Gastrointestinal Disorders
  • Communication
  • Concepts of Mental Health
  • Health & Stress
  • Labor Complications
  • Musculoskeletal Trauma
  • EENT Disorders
  • Urinary Disorders
  • Urinary System
  • Digestive System
  • Central Nervous System Disorders – Brain
  • Integumentary Disorders
  • Tissues and Glands
  • Developmental Theories
  • Postpartum Care
  • Cardiovascular Disorders
  • Renal Disorders
  • Newborn Care
  • Disorders of Pancreas
  • Upper GI Disorders
  • Liver & Gallbladder Disorders
  • Renal and Urinary Disorders
  • Newborn Complications
  • Neurologic and Cognitive Disorders
  • Cardiac Disorders
  • Musculoskeletal Disorders
  • Female Reproductive Disorders
  • Shock
  • Infectious Disease Disorders
  • Nervous System
  • Hematologic Disorders
  • Disorders of the Posterior Pituitary Gland
  • Psychotic Disorders

Study Plan Lessons

12 Points to Answering Pharmacology Questions
Care of the Pediatric Patient
Menstrual Cycle
54 Common Medication Prefixes and Suffixes
Advance Directives
Family Planning & Contraception
Vitals (VS) and Assessment
Therapeutic Drug Levels (Digoxin, Lithium, Theophylline, Phenytoin)
Epidemiology
Essential NCLEX Meds by Class
Growth & Development – Infants
6 Rights of Medication Administration
Growth & Development – Toddlers
Health Promotion & Disease Prevention
Growth & Development – Preschoolers
Growth & Development – School Age- Adolescent
Legal Considerations
HIPAA
The SOCK Method – Overview
The SOCK Method – S
The SOCK Method – O
The SOCK Method – C
The SOCK Method – K
Anxiety
Basics of Calculations
Brief CPR (Cardiopulmonary Resuscitation) Overview
Cultural Care
Gestation & Nägele’s Rule: Estimating Due Dates
Dimensional Analysis Nursing (Dosage Calculations/Med Math)
Environmental Health
Fire and Electrical Safety
Generalized Anxiety Disorder
Gravidity and Parity (G&Ps, GTPAL)
Impetigo
Oral Medications
Pediculosis Capitis
Post-Traumatic Stress Disorder (PTSD)
Burn Injuries
Fundal Height Assessment for Nurses
Injectable Medications
Somatoform
Technology & Informatics
Fall and Injury Prevention
IV Infusions (Solutions)
Maternal Risk Factors
Complex Calculations (Dosage Calculations/Med Math)
Mood Disorders (Bipolar)
Depression
Isolation Precaution Types (PPE)
Paranoid Disorders
Personality Disorders
Cognitive Impairment Disorders
Eating Disorders (Anorexia Nervosa, Bulimia Nervosa)
Alcohol Withdrawal (Addiction)
Grief and Loss
Suicidal Behavior
Physiological Changes
Sickle Cell Anemia
Discomforts of Pregnancy
Antepartum Testing
Hemophilia
Nutrition in Pregnancy
Communicable Diseases
Disasters & Bioterrorism
Maslow’s Hierarchy of Needs in Nursing
Benzodiazepines
Delegation
Nephroblastoma
Prioritization
Chorioamnionitis
Triage
Gestational Diabetes (GDM)
Disseminated Intravascular Coagulation (DIC)
Ectopic Pregnancy
Hydatidiform Mole (Molar pregnancy)
Gestational HTN (Hypertension)
Infections in Pregnancy
Preeclampsia: Signs, Symptoms, Nursing Care, and Magnesium Sulfate
Fever
Overview of the Nursing Process
Dehydration
Fetal Development
Fetal Environment
Fetal Circulation
Process of Labor
Vomiting
Pediatric Gastrointestinal Dysfunction – Diarrhea
Mechanisms of Labor
Therapeutic Communication
Defense Mechanisms
Leopold Maneuvers
Celiac Disease
Fetal Heart Monitoring (FHM)
Appendicitis
Intussusception
Abuse
Constipation and Encopresis (Incontinence)
Patient Positioning
Complications of Immobility
Conjunctivitis
Prolapsed Umbilical Cord
Acute Otitis Media (AOM)
Placenta Previa
Abruptio Placentae (Placental abruption)
Tonsillitis
Preterm Labor
Urinary Elimination
Bowel Elimination
Precipitous Labor
Dystocia
Pain and Nonpharmacological Comfort Measures
Hygiene
Overview of Developmental Theories
Postpartum Physiological Maternal Changes
Bronchiolitis and Respiratory Syncytial Virus (RSV)
MAOIs
Postpartum Discomforts
Breastfeeding
Asthma
SSRIs
Cystic Fibrosis (CF)
TCAs
Congenital Heart Defects (CHD)
Intake and Output (I&O)
Defects of Increased Pulmonary Blood Flow
Blood Glucose Monitoring
Postpartum Hemorrhage (PPH)
Defects of Decreased Pulmonary Blood Flow
Mastitis
Insulin
Obstructive Heart (Cardiac) Defects
Mixed (Cardiac) Heart Defects
Specialty Diets (Nutrition)
Enteral & Parenteral Nutrition (Diet, TPN)
Histamine 1 Receptor Blockers
Initial Care of the Newborn (APGAR)
Nephrotic Syndrome
Enuresis
Newborn Physical Exam
Body System Assessments
Histamine 2 Receptor Blockers
Newborn Reflexes
Babies by Term
Cerebral Palsy (CP)
Renin Angiotensin Aldosterone System
Head to Toe Nursing Assessment (Physical Exam)
Head to Toe Nursing Assessment (Physical Exam)
Meconium Aspiration
Meningitis
Transient Tachypnea of Newborn
Hyperbilirubinemia (Jaundice)
Spina Bifida – Neural Tube Defect (NTD)
ACE (angiotensin-converting enzyme) Inhibitors
Autism Spectrum Disorders
Attention Deficit Hyperactivity Disorder (ADHD)
Newborn of HIV+ Mother
Angiotensin Receptor Blockers
Calcium Channel Blockers
Cardiac Glycosides
Scoliosis
Metronidazole (Flagyl) Nursing Considerations
Ciprofloxacin (Cipro) Nursing Considerations
Vancomycin (Vancocin) Nursing Considerations
Anti-Infective – Penicillins and Cephalosporins
Atypical Antipsychotics
Rubeola – Measles
Mumps
Varicella – Chickenpox
Pertussis – Whooping Cough
Autonomic Nervous System (ANS)
Sympathomimetics (Alpha (Clonodine) & Beta (Albuterol) Agonists)
Parasympathomimetics (Cholinergics) Nursing Considerations
Parasympatholytics (Anticholinergics) Nursing Considerations
Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)
Epoetin Alfa
HMG-CoA Reductase Inhibitors (Statins)
Magnesium Sulfate
NSAIDs
Corticosteroids
Hydralazine (Apresoline) Nursing Considerations
Nitro Compounds
Vasopressin
Dissociative Disorders
Eczema
Proton Pump Inhibitors
Schizophrenia