Ch 57 exercise 3 Flashcards
The amnion can be visualized with transvaginal sonography in the early first trimester between 4 and 5 weeks gestation as a thin membrane separating the ___ cavity (which contains the fetus) from the extraembryonic coelom and the secondary ___ sac
Amniotic
Yolk
_____ allows the fetus to move freely within the amniotic cavity while also maintaining intrauterine temperature and protecting the developing fetus from injury
Amniotic fluid
Amniotic fluid is produced by the umbilical cord, the ___,____, skin, and ____
Membranes
Lung
Kidneys
As the fetus and placenta mature, amniotic fluid production and consumption change to include movement of fluid across the ___ and fetal skin, fetal urine output and fetal swallowing! and gastrointestinal absorption
Chorion frondosum
Fetal production of urine and the ability to swallow begins between ___ and ___ weeks of gestation and becomes the major pathway for amniotic fluid production and consumption after this time period
8 & 11
The fetus __ amniotic fluid, which is absorbed by the digestive tract. The fetus also __ urine! which is passed into the surrounding amniotic fluid
Swallows
Produces
Fetal urination into the amniotic sac accounts for nearly the total volume of amniotic fluid by the second half of pregnancy, so that the quantity of fluid is directly related to ___ function
Kidney
Normal lung development depends critically on the __ of amniotic fluid within the lungs
Exchange
Inadequate lung development may occur when severe ___ is present, placing the fetus at high risk for developing small or hypo plastic lungs
Oligohydramnios
The volume of amniotic fluid increases progressively until about 33 weeks gestation, with average increment per week of ___ ml from the 11th to the 15th week and ___ ml from the 15th to the 28th week of gestation
25
50
At 20 to 30 weeks gestation, amniotic fluid may appear somewhat ____ although this typically represents a normal amniotic fluid variant
Generous
At the end of pregnancy, the amniotic fluid is scanty, and ___ fluid pockets may be the only visible areas of fluid
Isolated
The small for age fetus has __ amniotic fluid; the large for age fetus has ___ volume of fluid
Decreased
Increased
Amniotic fluid generally appears ____ sonographically, although fluid particles (particulate matter) may be seen occasionally
Echo-free