chapter 1 fetal lung development Flashcards

1
Q

what are the fetal lung development requirements

A

adequate surface area, pulmonary vascular systems ability to transport blood through the lungs, structure and elasticity

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2
Q

stages of lung development

A
embryonal
pseudoglandular
canalicular
saccular
alveolar
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3
Q

how long is the embryonal stage

A

week 1 - 8

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4
Q

when is the pseudo glandular stage

A

week 8-16

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5
Q

what lung developments occur during the pseudo glandular stage

A

conducting airways develop, pattern of lung structure is formed, cilia goblet cells, and mucus glands are formed, the epiglottis and the membrane that separates oropharnx is formed

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6
Q

when is the canalicular stage

A

week 17-26

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7
Q

what stage does fetal viability occur in and what week

A

canalicular stage week 22

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8
Q

what is developed (lungs) during week 20-22

A

type 1 and II epithelial cells, immature surfactant, and smooth muscle in conducting airways

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9
Q

when is the saccular stage

A

week 27 - 35/36 weeks & post term

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10
Q

when are alveoli seen

A

week 32

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11
Q

what occurs in the lungs during the saccular stage

A

alveoli epithelium and pulmonary capillaries merge, alveoli increase in number and size, mature surfactant

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12
Q

what occurs during alveolar stage

A

at birth alveoli are 20-150 million, and continue development up to age 8 increasing in size until growth of chest wall is complete

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13
Q

what factors affect lung growth

A

hypoxia, starvation, hyperoxia

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14
Q

what is pulmonary hypoplasia

A

lack of alveoli, not enough airways, olighydramnios (not enough amniotic fluid)

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15
Q

what can cause pulmonary hypoplasia

A

diaphragmatic hernia

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16
Q

what is the function of type I cells

A

allows for gas diffusion, and used as a barrier against water and solute leakage

17
Q

what is the function of type II cells

A

surfactant production, storage and secretion

18
Q

what is surfactant made up of

A

pc, pg, neutral lipids, and proteins

19
Q

what law describes surfactant and what is its purpose

A

lap laces law; and to lower surface tension

20
Q

when is surfactant inhibited

A

hypoxia, hypothermia, acidosis

21
Q

how much fluid does fetal lungs secrete

A

250-300 ml per day

22
Q

when are fetal lungs filled with fluid

A

cannicular period until delivery

23
Q

what purpose does amniotic fluid serve

A

prevents traumatic injury, thermoregulation, fluid movement