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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My Study Plan (MED-SURG for NCLEX)

Concepts Covered:

  • Respiratory Disorders
  • EENT Disorders
  • Prenatal Concepts
  • Acute & Chronic Renal Disorders
  • Disorders of the Adrenal Gland
  • Integumentary Disorders
  • Oncology Disorders
  • Preoperative Nursing
  • Musculoskeletal Trauma
  • Disorders of the Posterior Pituitary Gland
  • Hematologic Disorders
  • Renal Disorders
  • Labor Complications
  • Immunological Disorders
  • Upper GI Disorders
  • Neurological Emergencies
  • Disorders of Pancreas
  • Musculoskeletal Disorders
  • Cardiac Disorders
  • Disorders of the Thyroid & Parathyroid Glands
  • Integumentary Important Points
  • Pregnancy Risks
  • Noninfectious Respiratory Disorder
  • Urinary Disorders
  • Vascular Disorders
  • Eating Disorders
  • Lower GI Disorders
  • Intraoperative Nursing
  • Neurologic and Cognitive Disorders
  • Central Nervous System Disorders – Brain
  • Circulatory System
  • Postoperative Nursing
  • Liver & Gallbladder Disorders
  • Central Nervous System Disorders – Spinal Cord
  • Emergency Care of the Cardiac Patient
  • Peripheral Nervous System Disorders
  • Substance Abuse Disorders
  • Female Reproductive Disorders
  • Postpartum Complications
  • Fetal Development
  • Shock
  • Emergency Care of the Neurological Patient
  • Labor and Delivery
  • Postpartum Care
  • Newborn Care
  • Newborn Complications

Study Plan Lessons

ABGs Nursing Normal Lab Values
Glaucoma
Menstrual Cycle
X-Ray (Xray)
ABG (Arterial Blood Gas) Interpretation-The Basics
Nursing Care and Pathophysiology of Acute Kidney (Renal) Injury (AKI)
Addisons Disease
Burn Injuries
Cataracts
Computed Tomography (CT)
Family Planning & Contraception
Informed Consent
Nursing Care and Pathophysiology for Cushings Syndrome
Macular Degeneration
Magnetic Resonance Imaging (MRI)
Preoperative (Preop)Assessment
Pressure Ulcers/Pressure injuries (Braden scale)
Nursing Care and Pathophysiology for Diabetes Insipidus (DI)
Nursing Care and Pathophysiology for Disseminated Intravascular Coagulation (DIC)
Nursing Care and Pathophysiology of Glomerulonephritis
Nursing Care and Pathophysiology for Herpes Zoster – Shingles
Isotonic Solutions (IV solutions)
Nursing Care and Pathophysiology of Osteoarthritis (OA)
Nursing Care and Pathophysiology for Pancreatitis
Preoperative (Preop) Education
Cerebral Angiography
Hearing Loss
Hypotonic Solutions (IV solutions)
Nursing Care and Pathophysiology of Osteoporosis
Nursing Care and Pathophysiology for Peptic Ulcer Disease (PUD)
Preoperative (Preop) Nursing Priorities
Respiratory Acidosis (interpretation and nursing interventions)
Thrombocytopenia
Blood Transfusions (Administration)
Cardiovascular Angiography
Fractures
Nursing Care and Pathophysiology for Hyperthyroidism
Hypertonic Solutions (IV solutions)
Integumentary (Skin) Important Points
Preload and Afterload
Respiratory Alkalosis
Nursing Care and Pathophysiology of Urinary Tract Infection (UTI)
Echocardiogram (Cardiac Echo)
Nursing Care and Pathophysiology for Hypothyroidism
Metabolic Acidosis (interpretation and nursing diagnosis)
Performing Cardiac (Heart) Monitoring
Metabolic Alkalosis
Ultrasound
Base Excess & Deficit
Biopsy
Gestation & Nägele’s Rule: Estimating Due Dates
Potassium-K (Hyperkalemia, Hypokalemia)
Nursing Care and Pathophysiology of Angina
Nursing Care and Pathophysiology for Appendicitis
Nursing Care and Pathophysiology of Chronic Kidney (Renal) Disease (CKD)
Nursing Care and Pathophysiology of Diabetes Mellitus (DM)
General Anesthesia
Gravidity and Parity (G&Ps, GTPAL)
Leukemia
Levels of Consciousness (LOC)
Sodium-Na (Hypernatremia, Hyponatremia)
Diabetes Management
Dialysis & Other Renal Points
Local Anesthesia
Lymphoma
Nursing Care and Pathophysiology of Myocardial Infarction (MI)
Routine Neuro Assessments
Adjunct Neuro Assessments
Chloride-Cl (Hyperchloremia, Hypochloremia)
Nursing Care and Pathophysiology of Diabetic Ketoacidosis (DKA)
Fundal Height Assessment for Nurses
Moderate Sedation
Oncology Important Points
Nursing Care and Pathophysiology of Coronary Artery Disease (CAD)
Hyperglycaemic Hyperosmolar Non-ketotic syndrome (HHNS)
Nursing Care and Pathophysiology for Inflammatory Bowel Disease (IBD)
Malignant Hyperthermia
Maternal Risk Factors
Intracranial Pressure ICP
Nursing Care and Pathophysiology for Ulcerative Colitis(UC)
Cerebral Perfusion Pressure CPP
Nursing Care and Pathophysiology for Crohn’s Disease
Normal Sinus Rhythm
Physiological Changes
Post-Anesthesia Recovery
Red Blood Cell (RBC) Lab Values
Nursing Care and Pathophysiology for Acquired Immune Deficiency Syndrome (AIDS)
Nursing Care and Pathophysiology for Cholecystitis
Discomforts of Pregnancy
Nursing Care and Pathophysiology for Heart Failure (CHF)
Hemoglobin (Hbg) Lab Values
Nursing Care and Pathophysiology for Multiple Sclerosis (MS)
Postoperative (Postop) Complications
Sinus Bradycardia
Nursing Care and Pathophysiology for Anaphylaxis
Antepartum Testing
Hematocrit (Hct) Lab Values
Nursing Care and Pathophysiology for Hepatitis (Liver Disease)
Sinus Tachycardia
Nursing Care and Pathophysiology for Cirrhosis (Liver Disease, Hepatic encephalopathy, Portal Hypertension, Esophageal Varices)
Discharge (DC) Teaching After Surgery
Nutrition in Pregnancy
Pacemakers
White Blood Cell (WBC) Lab Values
Atrial Fibrillation (A Fib)
Platelets (PLT) Lab Values
Coagulation Studies (PT, PTT, INR)
Miscellaneous Nerve Disorders
Premature Ventricular Contraction (PVC)
Ventricular Tachycardia (V-tach)
Ventricular Fibrillation (V Fib)
Albumin Lab Values
Nursing Care and Pathophysiology for Pelvic Inflammatory Disease (PID)
Cholesterol (Chol) Lab Values
Nursing Care and Pathophysiology for Hemorrhagic Stroke (CVA)
Nursing Care and Pathophysiology of Hypertension (HTN)
Ammonia (NH3) Lab Values
Nursing Care and Pathophysiology for Endometriosis
Nursing Care and Pathophysiology for Ischemic Stroke (CVA)
Chorioamnionitis
Nursing Care and Pathophysiology for Menopause
Stroke Assessment (CVA)
Nursing Care and Pathophysiology for Cardiomyopathy
Gestational Diabetes (GDM)
Stroke Therapeutic Management (CVA)
Disseminated Intravascular Coagulation (DIC)
Stroke Nursing Care (CVA)
Ectopic Pregnancy
Nursing Care and Pathophysiology for Thrombophlebitis (clot)
Hydatidiform Mole (Molar pregnancy)
Gestational HTN (Hypertension)
Infections in Pregnancy
Preeclampsia: Signs, Symptoms, Nursing Care, and Magnesium Sulfate
Blood Urea Nitrogen (BUN) Lab Values
Creatinine (Cr) Lab Values
Fetal Development
Nursing Care and Pathophysiology for Hypovolemic Shock
Seizure Causes (Epilepsy, Generalized)
Nursing Care and Pathophysiology for Cardiogenic Shock
Fetal Environment
Seizure Assessment
Nursing Care and Pathophysiology for Distributive Shock
Fetal Circulation
Seizure Therapeutic Management
Urinalysis (UA)
Nursing Care and Pathophysiology for Seizure
Glucose Lab Values
Process of Labor
Hemoglobin A1c (HbA1C)
Mechanisms of Labor
Leopold Maneuvers
Fetal Heart Monitoring (FHM)
Nursing Care and Pathophysiology for Meningitis
Prolapsed Umbilical Cord
Placenta Previa
Abruptio Placentae (Placental abruption)
Preterm Labor
Precipitous Labor
Dystocia
Postpartum Physiological Maternal Changes
Postpartum Discomforts
Breastfeeding
Postpartum Hemorrhage (PPH)
Mastitis
Initial Care of the Newborn (APGAR)
Newborn Physical Exam
Body System Assessments
Newborn Reflexes
Babies by Term
Meconium Aspiration
Transient Tachypnea of Newborn
Hyperbilirubinemia (Jaundice)
Newborn of HIV+ Mother
Hemodynamics
Nursing Care and Pathophysiology for Parkinsons
Nursing Care and Pathophysiology for SIADH (Syndrome of Inappropriate antidiuretic Hormone Secretion)