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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OB

Concepts Covered:

  • Pregnancy Risks
  • Labor Complications
  • Newborn Complications
  • Fetal Development
  • Terminology
  • Prenatal Concepts
  • Newborn Care
  • Postpartum Care
  • Postpartum Complications
  • Medication Administration
  • Labor and Delivery
  • Studying
  • Communication

Study Plan Lessons

Abortion in Nursing: Spontaneous, Induced, and Missed
Abruptio Placentae (Placental abruption)
Acyclovir (Zovirax) Nursing Considerations
Addicted Newborn
Alpha-fetoprotein (AFP) Lab Values
Anemia in Pregnancy
Antepartum Testing
Antepartum Testing Case Study (45 min)
Babies by Term
Betamethasone and Dexamethasone
Betamethasone and Dexamethasone in Pregnancy
Breastfeeding
Butorphanol (Stadol) Nursing Considerations
Cardiac (Heart) Disease in Pregnancy
Causes of Chorioamnionitis Nursing Mnemonic (Pregnancies Are Very Interesting)
Causes of Labor Dystocia Nursing Mnemonic (Having Extremely Frustrating Labor)
Causes of Postpartum Hemorrhage Nursing Mnemonic (4 T’s)
Chorioamnionitis
Day in the Life of a Labor Nurse
Day in the Life of a Postpartum Nurse
Discomforts of Pregnancy
Disseminated Intravascular Coagulation (DIC)
Dystocia
Ectopic Pregnancy
Ectopic Pregnancy Case Study (30 min)
Emergent Delivery (OB) (30 min)
Epidural
Episiotomy – Evaluation of Healing Nursing Mnemonic (REEDA)
Erythroblastosis Fetalis
Eye Prophylaxis for Newborn
Factors That Can Put a Pregnancy at Risk Nursing Mnemonic (RIBCAGE)
Family Planning & Contraception
Fertilization and Implantation
Fetal Alcohol Syndrome (FAS)
Fetal Circulation
Fetal Development
Fetal Distress Interventions Nursing Mnemonic (Stop MOAN)
Fetal Heart Monitoring (FHM)
Fetal Environment
Fetal Wellbeing Assessment Tests Nursing Mnemonic (ALONE)
Fundal Height Assessment for Nurses
Gestation & Nägele’s Rule: Estimating Due Dates
Gestational Diabetes (GDM)
Gestational HTN (Hypertension)
Glucose Tolerance Test (GTT) Lab Values
Gravidity and Parity (G&Ps, GTPAL)
HELLP Syndrome
HELLP Syndrome – Signs and Symptoms Nursing Mnemonic (HELLP)
Hematomas in OB Nursing: Causes, Symptoms, and Nursing Care
Hemorrhage (Postpartum Bleeding) for Certified Emergency Nursing (CEN)
Hepatitis B Vaccine for Newborns
Homocysteine (HCY) Lab Values
Hydatidiform Mole (Molar pregnancy)
Hyperemesis Gravidarum
Hypovolemic Shock Case Study (OB sim) (60 min)
Incompetent Cervix
Infections in Pregnancy
Initial Care of the Newborn (APGAR)
Intra Uterine Device – Potential Problems Nursing Mnemonic (PAINS)
Labor Progression Case Study (45 min)
Leopold Maneuvers
Lung Surfactant for Newborns
Magnesium Sulfate (MgSO4) Nursing Considerations
Magnesium Sulfate in Pregnancy
Mastitis
Maternal Risk Factors
Mechanisms of Labor
Meconium Aspiration
Meds for Postpartum Hemorrhage (PPH)
Menstrual Cycle
Newborn of HIV+ Mother
Newborn Physical Exam
Newborn Reflexes
Nursing Care Plan (NCP) for Abortion, Spontaneous Abortion, Miscarriage
Nursing Care Plan (NCP) for Abruptio Placentae / Placental abruption
Nursing Care Plan (NCP) for Chorioamnionitis
Nursing Care Plan (NCP) for Dystocia
Nursing Care Plan (NCP) for Ectopic Pregnancy
Nursing Care Plan (NCP) for Gestational Diabetes (GDM)
Nursing Care Plan (NCP) for Gestational Hypertension, Preeclampsia, Eclampsia
Nursing Care Plan (NCP) for Hyperemesis Gravidarum
Nursing Care Plan (NCP) for Incompetent Cervix
Nursing Care Plan (NCP) for Mastitis
Nursing Care Plan (NCP) for Maternal-Fetal Dyad Using GTPAL
Nursing Care Plan (NCP) for Meconium Aspiration
Nursing Care Plan (NCP) for Neonatal Jaundice | Hyperbilirubinemia
Nursing Care Plan (NCP) for Newborns
Nursing Care Plan (NCP) for Placenta Previa
Nursing Care Plan (NCP) for Postpartum Hemorrhage (PPH)
Nursing Care Plan (NCP) for Premature Rupture of Membranes (PROM) / Preterm Premature Rupture of Membranes (PPROM)
Nursing Care Plan (NCP) for Preterm Labor / Premature Labor
Nursing Care Plan (NCP) for Process of Labor
Nursing Care Plan for (NCP) Fetal Alcohol Syndrome (FAS)
Nursing Care Plan (NCP) for Transient Tachypnea of Newborn
Nursing Case Study for Maternal Newborn
Nutrition in Pregnancy
OB (Labor) Nurse Report to OB (Postpartum) Nurses
OB Non-Stress Test Results Nursing Mnemonic (NNN)
Obstetric Trauma for Certified Emergency Nursing (CEN)
Obstetrical Procedures
Opioid Analgesics in Pregnancy
Oral Birth Control Pills – Serious Complications Nursing Mnemonic (Aches)
Oxytocin (Pitocin) Nursing Considerations
Pediatric Vital Signs (VS)
Phytonadione (Vitamin K) for Newborn
Placenta Previa for Certified Emergency Nursing (CEN)
Possible Infections During Pregnancy Nursing Mnemonic (TORCH)
Post-Partum Assessment Nursing Mnemonic (BUBBLE)
Postpartum Discomforts
Postpartum Hematoma
Postpartum Interventions
Postpartum Physiological Maternal Changes
Preeclampsia (45 min)
Postpartum Thrombophlebitis
Precipitous Labor
Preeclampsia: Signs, Symptoms, Nursing Care, and Magnesium Sulfate
Pregnancy Labs
Pregnancy Outcomes Nursing Mnemonic (GTPAL)
Preterm Labor for Certified Emergency Nursing (CEN)
Process of Labor – Mom Nursing Mnemonic (4 P’s)
Process of Labor – Baby Nursing Mnemonic (ALPPPS)
Prolapsed Umbilical Cord
Prostaglandins in Pregnancy
Rh Immune Globulin in Pregnancy
Signs of Pregnancy (Presumptive, Probable, Positive)
Stages of Fetal Development Nursing Mnemonic (Proficiently Expanding Fetus)
Tips & Advice for Newborns (Neonatal IV Insertion)
Threatened/Spontaneous Abortion for Certified Emergency Nursing (CEN)
Tocolytics
Uterine Stimulants (Oxytocin, Pitocin) Nursing Considerations
VEAL CHOP Nursing Mnemonic (Fetal Accelerations and Decelerations) (VEAL CHOP)