16 Fetal Development Flashcards

1
Q

What is the crown-rump length and when is it useful to measure?

A

Length of fetus- ‘head to tail’

Useful: Pre-embryonic, embryonic and early fetal period as growth= relatively linear

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2
Q

Outline how protein and adipose tissue contribute to weight gain during the fetal period.

A
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3
Q

How do the proportions of the size of the head to the size of the body change during the fetal period?

A

Initially head= 50%

Later head= 25%

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4
Q

How is ante-natal assesment of fetal wellbeing carried out?

A
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5
Q

How can fetal age be estimated (methods)?

A
  • Last Menstrual Period
  • Ultrasound
    • Crown Rump length - 7-13 weeks
    • Biparietal diameter- distance between parietal bones in fetal skull- second and third trimester
    • Abdominal circumference and femur length- used with biparietal diameter
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6
Q

What is the range of values for a normal birth weight?

A
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7
Q

What are the fundal height landmarks for gestational age?

A
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8
Q

When are the embryonic and fetal periods?

A
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9
Q

Outline how the respiratory system develops in the embryo and fetus:

A
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10
Q

How is fetal viability determined? (lungs)

A
  • Pneumocytes present- need surfactant
    • Otherwise not compatible with life
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11
Q

If a preterm deleivery is unavoidable but predictable, what can be given to the mother to help stimulate production of surfactant in the fetus?

A

Glucocorticoids

(glucocorticoid receptor is expressed in the fetal lung, and glucocorticoids stimulate the production of surfactant-associated proteins)

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12
Q

What is the average fetal heart rate?

A

110-160 bpm

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13
Q

During which period does baby start prducing urine? (embryonic or fetal period) What structure manages the removal of waste?

A

Fetal period

Placenta manages removal of waste

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14
Q

Amniotic fluid volume is used to measure kidney function in the fetus. What do the following mean and what could they indicate?:

  • Oligohydraminos
  • Polyhydraminos
A
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15
Q

Name the tract that forms to allow co-ordinated movements and which begins to form in the 4th month.

A

Corticospinal tract

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16
Q

Why might a baby have a low birth weight?

A
17
Q

By what week is the definitive fetal heart rate achieved?

A

15 weeks

18
Q

When does fetal kidney function begin?

A

Week 10

19
Q

Useful table for timeframes of development of lung and brain:

A