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:

  • Integumentary Disorders
  • Tissues and Glands
  • Pregnancy Risks
  • Prenatal Concepts
  • Fetal Development
  • Postpartum Complications
  • Basic
  • Factors Influencing Community Health
  • Legal and Ethical Issues
  • Microbiology
  • Fundamentals of Emergency Nursing
  • Concepts of Population Health
  • Understanding Society
  • Integumentary Disorders
  • Respiratory Disorders
  • Developmental Theories
  • Developmental Considerations
  • Musculoskeletal Trauma
  • Emotions and Motivation
  • Health & Stress
  • Intraoperative Nursing
  • Musculoskeletal Disorders
  • Urinary Disorders
  • Urinary System
  • Digestive System
  • Central Nervous System Disorders – Brain
  • Shock
  • Communication
  • Concepts of Mental Health
  • Neurological Emergencies
  • Psychological Emergencies
  • Trauma-Stress Disorders
  • Prioritization
  • Studying
  • Basics of NCLEX
  • Test Taking Strategies
  • Delegation
  • Documentation and Communication
  • Dosage Calculations
  • Medication Administration
  • Concepts of Pharmacology
  • Community Health Overview
  • Preoperative Nursing
  • Labor Complications
  • Disorders of Pancreas
  • Eating Disorders
  • Noninfectious Respiratory Disorder
  • Renal Disorders

Study Plan Lessons

Hygiene
Nutrition in Pregnancy
Antepartum Testing
Discomforts of Pregnancy
Physiological Changes
Fetal Environment
Fetal Development
Fertilization and Implantation
Preeclampsia: Signs, Symptoms, Nursing Care, and Magnesium Sulfate
Infections in Pregnancy
Incompetent Cervix
Gestational HTN (Hypertension)
Hyperemesis Gravidarum
Hydatidiform Mole (Molar pregnancy)
Hematomas in OB Nursing: Causes, Symptoms, and Nursing Care
Ectopic Pregnancy
Disseminated Intravascular Coagulation (DIC)
Gestational Diabetes (GDM)
Chorioamnionitis
Cardiac (Heart) Disease in Pregnancy
Anemia in Pregnancy
Abortion in Nursing: Spontaneous, Induced, and Missed
Maternal Risk Factors
Fundal Height Assessment for Nurses
Signs of Pregnancy (Presumptive, Probable, Positive)
Gravidity and Parity (G&Ps, GTPAL)
Gestation & Nägele’s Rule: Estimating Due Dates
Family Planning & Contraception
Menstrual Cycle
Brief CPR (Cardiopulmonary Resuscitation) Overview
Fire and Electrical Safety
Radiation Safety for Nurses
Disposal of Medical Waste
Fall and Injury Prevention
High-Risk Behaviors
Restraints 101
Isolation Precaution Types (PPE)
Immunizations (Vaccinations)
Infection Stages
Overview of Developmental Theories
Kohlberg’s Theory of Moral Development
Piaget’s Theory of Cognitive Development
Erikson’s Theory of Psychosocial Development
Family Structure and Impact on Development
Body Image Changes Throughout Development
Cultural Awareness and Influences on Development
Developmental Considerations for the Hospitalized Individual
Patient Positioning
Complications of Immobility
Types of Exercise
Mechanical Aids
Urinary Elimination
Bowel Elimination
Pain and Nonpharmacological Comfort Measures
Shock
Nurse-Patient Relationship
Therapeutic Communication
Defense Mechanisms
Self Concept
Patients with Communication Difficulties
Grief and Loss
Stress and Crisis
Abuse
The Nurse Routine
Thinking Like a Nurse
Critical Thinking
Nursing Process – Evaluate
Nursing Process – Implement
Nursing Process – Plan
Nursing Process – Diagnose
Nursing Process – Assess
Overview of the Nursing Process
Triage
Prioritization
Delegation
Maslow’s Hierarchy of Needs in Nursing
Handoff Report
SBAR Communication
Documentation Pro Tips
Documentation Basics
Complex Calculations (Dosage Calculations/Med Math)
IV Infusions (Solutions)
Injectable Medications
Oral Medications
Dimensional Analysis Nursing (Dosage Calculations/Med Math)
Basics of Calculations
Pharmacokinetics
Pharmacodynamics
Airway Suctioning
Artificial Airways
Hierarchy of O2 Delivery
Patient Education
Admissions, Discharges, and Transfers
HIPAA
Legal Considerations
Levels of Prevention
Health Promotion Assessments
Health Promotion Model
Nursing Care Delivery Models
Advance Directives
What Guides Nurses Practice
Fluid Compartments
Fluid Pressures
Fluid Shifts (Ascites) (Pleural Effusion)
Isotonic Solutions (IV solutions)
Hypotonic Solutions (IV solutions)
Hypertonic Solutions (IV solutions)
Potassium-K (Hyperkalemia, Hypokalemia)
Sodium-Na (Hypernatremia, Hyponatremia)
Calcium-Ca (Hypercalcemia, Hypocalcemia)
Chloride-Cl (Hyperchloremia, Hypochloremia)
Magnesium-Mg (Hypomagnesemia, Hypermagnesemia)
Phosphorus-Phos
ABGs Nursing Normal Lab Values
ABG (Arterial Blood Gas) Interpretation-The Basics
ROME – ABG (Arterial Blood Gas) Interpretation
ABGs Tic-Tac-Toe interpretation Method
Respiratory Acidosis (interpretation and nursing interventions)
Respiratory Alkalosis
Metabolic Acidosis (interpretation and nursing diagnosis)
Metabolic Alkalosis
ABG (Arterial Blood Gas) Oxygenation
Lactic Acid
Base Excess & Deficit