29:pregnancy Flashcards

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1
Q

What hormone stimulates egg maturation within ovarian follicles?

When does the hormone luteninzing occur in menstrual cycle?

A

Follicle stimulating hormone

11-13 days, ovulation follows 36-48 hours later

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2
Q

3 ways sperm is classified?

A

Non-motile

Progressively motile (swims forward)

Non-progressively motile ( sperm swims in tight circles)

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3
Q

What is motility influenced by? (8)

A
Stress
Semen ph
Caffeine 
Alcohol
Zinc
Folate
Nicotine
Low vitamin c
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4
Q

Increased estrogen levels prior to ovulation can result in what?

A

Reduced stickiness of cervix so sperm can move through the uterus and fertilization can take place in the Fallopian tubes

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5
Q

Name the 3 parts sperm is consisted of?

A

Head ( contains acrosome, stores hydrolytic enzymes= breakdown cell membrane in vagina) contains a nucleus which stores dna

Mid piece ( contains mitochondria for energy)

Tail ( provides motility)

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6
Q

Capacitation

What happens when sperm cell binds to glycoproteins of the zone pellucida?

A

Uterine secretions break down the sperm cell membrane to a thin layer

Acrosomal enzymes are released, they breakdown the wall of the zona pellucida so the sperm can penetrate the egg

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7
Q

What happens upon entry of the sperms head (nucleus)?

Increased calcium ions produce inhibiting enzymes that prevent other sperm to enter the oocyte, what is this called?

A

Calcium ions are released in eggs cytoplasm

Slow block to polyspermy

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8
Q

Blastocyst

What are 2 components of blastocysts?

A

Pre- embryo stage consists of 100-120 cells

Trophoblasts (form placenta)
Inner mass cells (embryoblast) become embryo, they are also pluripotent ( will become any tissue or cell via hox genes)

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9
Q

What are implanted blastocyst covered by?

When is implantation completed?

Human chorionic gonadotropin (Hcg)

A

Endometrial cells

12th day after ovulation

Hormone Secreted by trophoblasts cells (tells whether u are preggo)

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10
Q

By 12 weeks Hcg levels drop, what replaces it?

How is placenta formed?

What are the embryonic tissues that help form the placenta?

A

Placenta starts releasing estrogen and progesterone

From tissues of the embryo and mom

Chorion (covers fetus)
Chorionic villi

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11
Q

Amnion (Extraembryonic membrane)

Functions of amnion? (3)

Where does amniotic fluid come from?

A

Form a clear sac filled with amniotic fluid

Provides fluid environment protects embryo
Maintain homeostasis
Freedom of movement, keep other parts from rubbing together

Maternal blood, later fetal urine

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12
Q

Name the 3 remaining extraembryoic membranes?

A

Yolk sac( blood cell and blood vessel formation, 1st to develop, forms into digestive tube)

Allantois( umbilical cord, becomes part of urinary bladder)

Chorion (outer layer, forms placenta, encloses embryo body and membranes)

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13
Q

Gastrulation

Name 3 germ layers?

A

Form body organs and system

Ectoderm- (nervous system(brain/spinal cord)sense organs.(eyes,ears,nose), skin)

Endoderm- (forms GI tract, respiratory & urinary systems)

Mesoderm- muscles and bones

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14
Q

Name 3 fetal shunts.

A
  • ductus arteriosus (found in heart, bypass lungs)

Formane ovale( bypass lungs)

Ductus venous (found in liver, bypass liver)

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15
Q

Chadwick’s sign

Cholasma

A

Vagina develops purplish hue

Pigmentation of facial skin may increase

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16
Q

What types of changes do pregnancy have on the GI tract, urinary tract?

Respiratory system, cardiovascular system?

A

Morning sickness, due to elevated levels of progesterone and estrogen.
Constipation, heartburn.

Increase urine production due to metabolism and fetal waste.

Tidal volume increase, estrogen can cause nasal congestion and edema, dyspnea (difficulty breathing)

BV,BP, & pulse increase. May develop varicose veins.

17
Q

Hyperemesis Gravidarum

Preeclampsia

Eclampsia

A

Severe morning sickness

High BP in second half of pregnancy

High BP causing seizures

18
Q

Parturition aka labor

Fetal secretion of what stimulates the placenta to release more estrogen?

What softens the cervix when labor is about to occur?

Fetal oxytocin causes the placenta to produce more of what?

What are powerful uterine muscle stimulants?

A

Cortisol

Surfactant from fetal lungs

Prostaglandins

Oxytocin & prostaglandins

19
Q

What is labor known as?

How does labor start?

A

Positive feedback

Hypothalamus is activated, causing oxytocin to be released from posterior pituitary

20
Q

What does apgar assessment measure? (5)

A

Heart rate, color, breathing, reflexes, muscle tone.

21
Q

Name 3 artificial fertilization procedures…

A
  • in vitro fertilization (oocytes and sperm are incubated for several days. Embryos (2-cell to blastocyst stage) are transferred to uterus for possible implantation

Zygote intrafallopian transfer- fertilized oocytes are transferred to uterine tubes (Fallopian tubes)

Gamete intrafallopian transfer- sperm and oocytes are transferred in uterine tubes separately.

22
Q

Secondary oocyte is viable for?

Sperm is viable for?

When should fertilization occur?

A

12-24 hrs

24-48 hours

2 days before ovulation, no later than 24 hours after ovulation..