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

Concepts Covered:

  • Prenatal Concepts
  • Musculoskeletal Disorders
  • Respiratory Disorders
  • Childhood Growth and Development
  • Prenatal and Neonatal Growth and Development
  • Adulthood Growth and Development
  • Integumentary Disorders
  • Hematologic Disorders
  • Pregnancy Risks
  • Oncologic Disorders
  • Postpartum Complications
  • Fetal Development
  • Endocrine and Metabolic Disorders
  • Labor and Delivery
  • Gastrointestinal Disorders
  • Labor Complications
  • EENT Disorders
  • EENT Disorders
  • Postpartum Care
  • Cardiovascular Disorders
  • Newborn Care
  • Renal and Urinary Disorders
  • Newborn Complications
  • Neurologic and Cognitive Disorders
  • Liver & Gallbladder Disorders
  • Microbiology
  • Infectious Disease Disorders

Study Plan Lessons

OB Course Introduction
Pediatrics Course Introduction
Care of the Pediatric Patient
Care of the Pediatric Patient
Care of the Pediatric Patient
Vitals (VS) and Assessment
Vitals (VS) and Assessment
Overview of Childhood Growth & Development
Developmental Stages and Milestones
Growth & Development – Infants
Growth & Development – Infants
Growth & Development – Toddlers
Growth & Development – Preschoolers
Growth & Development – Preschoolers
Growth & Development – School Age- Adolescent
Growth & Development – School Age- Adolescent
Eczema
Gestation & Nägele’s Rule: Estimating Due Dates
Impetigo
Pediculosis Capitis
Burn Injuries
Burn Injuries
Fundal Height Assessment for Nurses
Physiological Changes
Sickle Cell Anemia
Sickle Cell Anemia
Discomforts of Pregnancy
Iron Deficiency Anemia
Hemophilia
Nutrition in Pregnancy
Abortion in Nursing: Spontaneous, Induced, and Missed
Pediatric Oncology Basics
Anemia in Pregnancy
Leukemia
Cardiac (Heart) Disease in Pregnancy
Nephroblastoma
Nephroblastoma
Hematomas in OB Nursing: Causes, Symptoms, and Nursing Care
Hydatidiform Mole (Molar pregnancy)
Gestational HTN (Hypertension)
Infections in Pregnancy
Preeclampsia: Signs, Symptoms, Nursing Care, and Magnesium Sulfate
HELLP Syndrome
Fertilization and Implantation
Fever
Dehydration
Dehydration
Fetal Development
Fetal Environment
Fetal Circulation
Process of Labor
Vomiting
Vomiting
Pediatric Gastrointestinal Dysfunction – Diarrhea
Mechanisms of Labor
Leopold Maneuvers
Celiac Disease
Celiac Disease
Fetal Heart Monitoring (FHM)
Appendicitis
Appendicitis
Obstetrical Procedures
Intussusception
Umbilical Hernia
Constipation and Encopresis (Incontinence)
Constipation and Encopresis (Incontinence)
Strabismus
Conjunctivitis
Prolapsed Umbilical Cord
Acute Otitis Media (AOM)
Placenta Previa
Abruptio Placentae (Placental abruption)
Tonsillitis
Precipitous Labor
Dystocia
Postpartum Physiological Maternal Changes
Acute Bronchitis
Postpartum Interventions
Bronchiolitis and Respiratory Syncytial Virus (RSV)
Postpartum Discomforts
Breastfeeding
Pneumonia
Asthma
Asthma
Cystic Fibrosis (CF)
Sudden Infant Death Syndrome (SIDS)
Congenital Heart Defects (CHD)
Congenital Heart Defects (CHD)
Postpartum Hematoma
Defects of Increased Pulmonary Blood Flow
Defects of Increased Pulmonary Blood Flow
Defects of Decreased Pulmonary Blood Flow
Defects of Decreased Pulmonary Blood Flow
Obstructive Heart (Cardiac) Defects
Obstructive Heart (Cardiac) Defects
Subinvolution
Mixed (Cardiac) Heart Defects
Mixed (Cardiac) Heart Defects
Postpartum Thrombophlebitis
Initial Care of the Newborn (APGAR)
Nephrotic Syndrome
Nephrotic Syndrome
Enuresis
Newborn Physical Exam
Body System Assessments
Epispadias and Hypospadias
Newborn Reflexes
Babies by Term
Cerebral Palsy (CP)
Meningitis
Transient Tachypnea of Newborn
Retinopathy of Prematurity (ROP)
Spina Bifida – Neural Tube Defect (NTD)
Autism Spectrum Disorders
Autism Spectrum Disorders
Erythroblastosis Fetalis
Addicted Newborn
Attention Deficit Hyperactivity Disorder (ADHD)
Attention Deficit Hyperactivity Disorder (ADHD)
Newborn of HIV+ Mother
Tocolytics
Betamethasone and Dexamethasone
Scoliosis
Magnesium Sulfate
Opioid Analgesics
Prostaglandins
Uterine Stimulants (Oxytocin, Pitocin)
Meds for PPH (postpartum hemorrhage)
Rh Immune Globulin (Rhogam)
Lung Surfactant
Eye Prophylaxis for Newborn (Erythromycin)
Phytonadione (Vitamin K)
Hb (Hepatitis) Vaccine
Rubeola – Measles
Rubeola – Measles
Mumps
Mumps
Varicella – Chickenpox
Pertussis – Whooping Cough
Influenza – Flu
Acute Otitis Media (AOM)
Antepartum Testing
Bronchiolitis and Respiratory Syncytial Virus (RSV)
Cerebral Palsy (CP)
Chorioamnionitis
Cleft Lip and Palate
Clubfoot
Conjunctivitis
Cystic Fibrosis (CF)
Pediatric Gastrointestinal Dysfunction – Diarrhea
Disseminated Intravascular Coagulation (DIC)
Ectopic Pregnancy
Eczema
Enuresis
Epiglottitis
Family Planning & Contraception
Fetal Alcohol Syndrome (FAS)
Fever
Gestational Diabetes (GDM)
Gravidity and Parity (G&Ps, GTPAL)
Hemophilia
Hydrocephalus
Hyperbilirubinemia (Jaundice)
Hyperemesis Gravidarum
Imperforate Anus
Impetigo
Incompetent Cervix
Intussusception
Marfan Syndrome
Mastitis
Maternal Risk Factors
Meconium Aspiration
Meningitis
Menstrual Cycle
Omphalocele
Pediculosis Capitis
Pertussis – Whooping Cough
Phenylketonuria
Postpartum Hemorrhage (PPH)
Premature Rupture of the Membranes (PROM)
Preterm Labor
Reye’s Syndrome
Rheumatic Fever
Scoliosis
Signs of Pregnancy (Presumptive, Probable, Positive)
Spina Bifida – Neural Tube Defect (NTD)
Tonsillitis
Varicella – Chickenpox