Obstetrical Nursing: A Text-Book on the Nursing Care of the Expectant Mother, the Woman in Labor, the Young Mother and Her BabyVan Blarcom, Carolyn Conant
Science
Obstetrical Nursing: A Text-Book on the Nursing Care of the Expectant Mother, the Woman in Labor, the Young Mother and Her Baby
Van Blarcom, Carolyn Conant
Infants -- Care; Maternity nursing; Pregnancy
=By the end of the second month, or eighth week=, the head end of the
embryo has greatly increased in size and is about as large as the rest
of the body. Bone centres appear in the rudimentary clavicles; the
kidneys and supra-renal bodies are formed; the limbs are more developed,
webbed hands and feet are formed, the external genitalia are apparent
but the sex is not distinguishable. The amnion is distended with fluid,
but it is not yet in contact with the chorion; the chorionic villi have
become more luxuriant on that part of the chorion resting on the decidua
basalis, the future site of the placenta. The approximate weight of the
embryo is 4 grams and its length 25 millimetres or an inch.
=By the end of the third month, or twelfth week=, centres of
ossification have appeared in most of the bones, the fingers and toes
are separated and bear nails in the form of fine membranes; the
umbilical cord has definite form, has increased in length and begun to
twist. The neck is longer, teeth are forming and the eyes have lids. The
amnion and chorion are now in contact, and the villi have disappeared
excepting at one point where a small, but complete placenta has
developed. The embryo is about 9 centimetres long and weighs about 30
grams.
[Illustration:
FIG. 26.—Diagram showing appearance of fetus at different stages in
its development.
]
=By the end of the fourth month, or sixteenth week=, all parts show
growth and development; lanugo appears over the body; the sex organs are
clearly distinguishable and there is tarry fæcal matter, called
_meconium_, in the intestines. The placenta is larger, the cord longer,
more spiral and also thicker because of the Whartonian jelly which is
beginning to form. The fetus is about 15 centimetres long and weighs
about 120 grams.
=By the end of the fifth month, or twentieth week=, the fetus has both
grown and developed markedly. It is now covered with skin on which are
occasional patches of _vernix caseosa_, a greasy, cheesy substance
consisting largely of a secretion of the sebaceous glands. There is some
fat beneath the skin but the face looks old and wrinkled. Hair has
appeared upon the head and the eyelids are opening. It is usually during
the fifth month that the expectant mother first feels the fetal
movements which are commonly referred to as “quickening.” The body is
about 25 centimetres long and weighs about 280 grams.
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