NAME: __________________________________________________ DATE: ______________________ CLASS: ________

UNIT 3: PREGNANCY, LABOR AND DELIVERY STANDARD 3 Students will identify characteristics of birth defects, pregnancy, prenatal care and development, and childbirth. Objective 2: Explain the characteristics of pregnancy. a. Analyze the health risk of teen pregnancy. b. Explain ovulation and conception.

(ovum, ovary, fallopian tubes, uterus, endometrium, cervix, vagina, fertilization)

c. Identify the early signs and symptoms of pregnancy. d. Identify common discomforts occurring during pregnancy. e. Identify potential pregnancy complications. (toxemia/pre-eclampsia, miscarriage, stillbirth, premature, low birth weight, etc.) Objective 3: Discuss the importance of early and on-going prenatal care. a. Identify the role of appropriate medical care, nutrition, weight gain, and other lifestyle choices on prenatal development. Objective 4: Identify characteristics of prenatal development. a. Outline the stages occurring during prenatal development. (Zygote, embryo, fetus) b. Define and discuss prenatal terminology. (Umbilical cord, placenta, amniotic fluid, amniotic sac, uterus) c. Identify the prenatal development occurring during each trimester. d. Discuss multiple births. (Identical, fraternal, conjoined, etc.) Objective 5: List the sequential events in the childbirth process. a. Define childbirth terms. (show, crowning, episiotomy, etc.) b. Outline the three stages of labor. c. Discuss delivery options. (vaginal, natural, with epidural, c-section) d. Describe possible complications that may occur during childbirth. (breech, placenta previa, Rh factor, STIs, toxemia/pre-eclampsia, etc.) Performance Objective #3: Identify at least four critical components of prenatal care (nutrition, folic acid, drugs, alcohol, tobacco, medical care, etc.) and explain the effects of each component (good or bad) on the developing fetus.

BELL QUIZ Unit 3 #1 Prenatal Development Part 1

1. The waxy protective covering on the fetus’ skin is known as: A. Quickening B. Vernix C. Lanugo D. Lightening 2. Which is the correct order of prenatal development? A. Zygote, Fetus, Embryo B. Zygote, Embryo, Fetus C. Fetus, Embryo, Zygote D. Embryo, Zygote, Fetus 3. Which is a common symptom of pregnancy A. Increased energy B. Decreased vaginal discharge and heavy bleeding C. Persistent headache and blurred vision D. Frequent urination and sore breasts 4. Prenatal period lasts about A. 26 weeks B. 36 weeks C. 40 weeks D. 50 weeks 5. During which trimester does the majority of physical development occur? A. 1st B. 2nd C. 3rd D. They are all equal

BELL QUIZ

Unit 3 #2 Prenatal Development Part 2

1. Slight fetal movements called quickening are first felt by the Mom in which trimester? A. 1st B. 2nd C. 3rd D. 4th 2. A complication of pregnancy often characterized by a sudden weight gain and high blood pressure is: A. Rh Factor B. Gestational Diabetes C. Toxemia / Pre-eclampsia D. Placenta Previa 3. Which of the following guards against jolts, keeps the fetus at a constant temperature, and keeps fetus from forming adhesions to the uterine wall? A. Placenta B. Amniotic Fluid C. Umbilical Cord D. Womb

BELL QUIZ Unit 3 #3 Labor and Delivery

1. What stage of labor is the placenta or afterbirth expelled? A. 1st B. 2nd C. 3rd D. 4th 2. What is the purpose of contractions during the 2nd stage of labor? A. To expel the placenta B. To break the amniotic sac C. To widen the vaginal opening D. To push the baby out 3. Which is the longest stage of labor? A. 1st B. 2nd C. 3rd D. 4th 4. What is the term called when a fetus is being expelled from uterus? A. Episiotomy B. Labor C. Delivery D. Epidural 5. With the Caesarean method of childbirth:

A. Mother has the main influence in deciding whether the child can be delivered by this procedure or vaginally. B. Baby is delivered through an incision in abdomen and uterus

C. Birth takes place in a birthing room D. Recovery for Mom is faster than after a vaginal delivery 4. Which trimester is physically the most demanding for pregnant woman? A. 1st B. 2nd C. 3rd D. They are all equal 5. Doctors recommend that woman gain _________ pounds during pregnancy. A. 10 - 15 lbs B. 14 - 20 lbs C. 24 - 30 lbs D. 24 - 40 lbs

ANIMAL GESTATION PERIODS Try to guess the gestational periods for each animal.

1. Antelope:

2. Bear:

3. Beaver:

4. Bobcat:

5. Cats:

6. Cattle:

7. Deer:

8. Dogs:

9. Dolphin:

10. Donkey:

11. Elephant:

12. Fox:

13. Giraffe:

14. Goat:

15. Hippopotamus:

16. Hogs:

17. Horse:

18. Kangaroo:

19. Lion:

20. Monkey:

21. Mouse:

22. Rabbit:

23. Rat:

24. Seal:

25. Whales:

26. Zebra:

_____________________________________________________________________________ PRENANTAL DEVELOPMENT

REVIEW:

Ovulation has occurred in the female body. The egg is transported down the fallopian tube. Fertilization takes place in the _____________. Only one S __________ may penetrate the O___________________. Conception has occurred! If more than one ovum is present, they may both be _______________ and this will cause multiple births. A fertilized ovum will implant itself in the U____________________ and begin to develop. Beginning of life!

Growth of the baby from conception to birth

_________ weeks, _________ months, _________ days, _________ trimesters.

Very rapid: goes from the size of a pencil dot (one cell) to a _________ pound (200 billion cells) in 9 months.

4 weeks = poppy seed, 5 weeks = grain of rice, 7 weeks = blueberry, 14 weeks = apple, 15 weeks = orange, 39 weeks = watermelon

If this rate of growth continued past birth, the baby would weigh _________ lbs. by its first birthday.

MONTH 0

Begins _________ weeks after 1st day of last period

Ovulation occurred and the egg/ovum was released

Sperm (several hundred million) deposited into female’s body and begins travel to find the egg in the fallopian tube.

The sperm beats against the ovum membrane

Sperm sheds its _______ and burrows inside.

_______ cells now become one and begin to quickly divide to form a human being. Begins to travel down the fallopian

tube and 5-7 days after conception, the zygote implants itself into the endometrial lining

Pregnancy/Trimesters

1st Trimester

Describe what is developing with each month of pregnancy, what is the mother experiencing, and the baby’s size/weight

7 Weeks

____________________________________________________________________________________________

2 months

____________________________________________________________________________________________

3 months

2nd Trimester

Describe what is developing with each month of pregnancy, what is the mother experiencing, and the baby’s size/weight

4 months

____________________________________________________________________________________________

5 months

____________________________________________________________________________________________

6 months

3rd Trimester

Describe what is developing with each month of pregnancy, what is the mother experiencing, and the baby’s size/weight

7 months

____________________________________________________________________________________________

8 months

9 months

Describe the facing downward fetal position.

Describe the facing upward fetal position.

Describe the frank breech fetal position.

Describe the complete breech fetal position.

Describe the lying sideways fetal position.

Describe what can happen with twins.

Identify Potential Pregnancy Complications and Danger Signs:

Pregnancy Complication

Symptoms and Danger Signs

Possible Cause of the Complication

Possible Effects on Mom

Possible Effects on Baby

Gestational Diabetes Pg. 150

Low Birth Weight

Placenta Previa

Premature Pg. 180, 188

Preterm Labor

Rh Factor Pg.149

Still Birth

Miscarriage

Toxemia/Pre-Eclampsia Pg. 150

TEXTBOOK QUESTIONS: 1. At the initial pre-natal exam, what are the 6 routine exams that are done?

2. Why is a doctor’s care important throughout the pregnancy?

3. In the following list, mark a + sign in front of the maternal traits or health practices that help an unborn baby’s health. Mark a minus sign front of those practices that are harmful:

+ or - Sleeps well into the night and takes naps during the day

+ or - Has high-pressured job that causes various stress reactions

+ or - Mom has a different Rh Factor

Has not had the rubella vaccination

Is very underweight Has dental check-ups

Relaxes in a hot tub

Makes poor meal choices Exercises by walking or swimming

Avoids over the counter drugs

Smokes moderately Is anemic – low iron

Happy and content with life in general

Eats foods high in vitamins and minerals (folate also)

Is over 36 years of age

WHY EXERCISE DURING PREGNANCY?

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12

What are a couple of important things to remember?

CHOOSE MY PLATE AND DIETARY GUIDELINES

VEGETABLE Major Nutrient: _______________ Serving: ______________________ Tip: _________________________

FRUITS Major Nutrient: _______________ Serving: ______________________ Tip: _________________________

DAIRY Major Nutrient: _______________ Serving: ______________________ Tip: _________________________ PROTEIN Major Nutrient: _______________ Serving: ______________________ Tip: _________________________ OILS Major Nutrient: _______________ Serving: ______________________ Tip: _________________________

List 6 recommendations from the Dietary Guidelines:

1.

2.

3.

4.

5.

6.

FATHERHOOD QUESTIONS Answer the following questions based on your experience with your Dad or another father figure in your life. Think about the kind of father you want to be or to have for your children.

1. Describe your most positive, memorable, one-on-one activity with your father or father figure.

2. Describe your most positive, memorable, family activity which included your father or father figure.

3. Name 3 on-on-one activities you consider important for a father to do with his children:

4. What types of family activities do you consider important for a father to participate in?

5. Describe the communication patterns that are most familiar between you and your father or father figure:

6. How do you think a father should communicate with his children?

7. As a child, what ways did your father, or father figure, tell you that he loved you and accepted you?

8. What ways do you think a father should demonstrate his love and acceptance for his children?

9. What roles did your father or father figure, have in caring for your physical, emotional, moral, educational, and social needs?

10. Compare this to what your Mom Did:

11. What role should fathers have in caring for the physical, emotional, moral, educational, and social needs of their children?

12. If you are MALE: What will you do to be a bigger and more active part of your children’s lives?

13. If you are FEMALE: What will you do to be a bigger and more active part of your children’s lives?

LABOR AND DELIVERY What are some questions you might have about labor and deliver? Define:

Braxton Hicks contractions:

Mucous Plug:

Rupturing of the amniotic sac:

Effacement:

Crowning: What happens during the1st stage of labor? Define:

Forceps:

Vacuum:

Episiotomy: What happens during the 2nd Stage of labor? How should the baby be facing when they are born? What are the possible baby positions? What happens during the 3rd stage of labor?

____________________ – Obstetrician (pregnancy doctor) and Gynecology (female doctor)

____________________ – Children’s doctor.

____________________ – Woman with some training in delivering babies.

____________________– A chair that allows a woman to sit up to give birth instead of laying down so that gravity will help.

____________________ – A technique to relax and breath and push at the proper times.

____________________– A single room used for both labor and delivery. What are some concerns or reasons for a mother to have a C-Section? What is the most common anesthesia? What is an Apgar Score? What are some factors to promote bonding? What are some factors that negatively affect bonding?

STAGES OF LABOR

A. First Stage B. Second Stage C. Third Stage

1) _______Involves little or no discomfort

2) _______Episiotomy may be performed

3) _______At the beginning of this stage, contractions are about 2-4 minutes a part

4) _______Relaxation is important to prevent muscles from tightening

5) _______Mother may be asked to bear down to help baby along

6) _______Baby moves down into the lower pelvis and into position for birth

7) _______Near the end of this stage, contractions are strong and frequent

8) _______Longest stage

9) _______Mother may be moved from labor room to separate delivery room

10) _______Baby is born

11) _______Uterus contracts to expel placenta

12) _______Cervix dilates and becomes thinner

13) _______Forceps may be used if necessary

__________________________________________________________________________________________________ TERMS TO KNOW:

o QUICKENING:

o LANUGO:

o VERNIX:

o LIGHTENING:

o ZYGOTE:

o EMBRYO:

o FETUS:

o UTERUS:

o AMNIOTIC SAC:

o AMNIOTIC FLUID:

o PLACENTA:

o UMBILICAL CORD: