Chapter 29 Flashcards

1
Q

Prenatal development

A

Is the time from fertilization to birth and includes both the embryonic and fetal periods. Prenatal development is divided into periods of three calendar months each, called trimesters.

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2
Q

Describe the three trimesters of pregnancy

A

First trimester: the most critical stage of development; all of the major organ-systems begin to form; is the period when the developing organism is most vulnerable to the effects of drugs, radiation, and microbes.

Second trimester: the nearly complete development of organ systems; by the end of this stage, the fetus assumes distinctively human features.

Third trimester: a period of rapid fetal growth in which the weight of the fetus doubles; during the early stages of this period, most of the organ systems become fully functional.

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3
Q

What is the approximate size and weight and the representative changes in weeks 1-4 of the embryonic period?

A

Approximate size and weight: 0.6 cm (3/16 in.)
Representative changes: primary germ layers and notochord develop. Neurulation occurs. Primary brain vesicles, somites, and intraembryonic coelom develop. Blood vessel formation begins and blood forms in yolk sac, allantois, and chorion. Heart forms and begins to beat. Chorionic villi develop and placental formation begins. The embryo folds. The primitive gut, pharyngeal arches, and limb buds develop. Eyes and ears begin to develop, tail forms, and body systems begin to form.

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4
Q

What is the approximate size and weight and the representative changes in weeks 5-8 of the embryonic period?

A

Approximate size and weight: 3 cm (1.25 in.) 1 g (1/30 oz)
Representative changes: limbs become distinct and digits appear. Heart becomes four-chambered. Eyes are far apart and eyelids are fused. Nose develops and is flat. Face is more humanlike. Bone formation begins. Blood cells start to form in liver. External genitals begin to differentiate. Tail disappears. Major blood vessels form. Many internal organs continue to develop.

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5
Q

What are the four principal events of the first week of development?

A
  1. Fertilization
  2. Cleavage of the zygote
  3. Blastocyst formation
  4. Implantation
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6
Q

Fertilization

A

During this event, the genetic material from a haploid sperm cell (spermatozoon) and a haploid secondary oocyte merges into a single diploid nucleus. Occurs in the uterine (fallopian) tube.

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7
Q

Capacitiation

A

A series of functional changes that sperm undergo, that cause the sperm’s tail to beat even more vigorously and prepare its plasma membrane to fuse with the oocyte’s plasma membrane. Occurs mostly in the uterine (fallopian) tube.

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8
Q

What two layers must a sperm penetrate in order for fertilization to occur? Describe them:

A
  1. Corona radiata: the granulosa cells that surround the secondary oocyte.
  2. Zona pellucida: the clear glycoprotein layer between the corona radiata and the oocyte’s plasma membrane.
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9
Q

Acrosome

A

A helmet-like structure that covers the head of a sperm and contains several enzymes. Along with the strong tail movements, help the sperm to penetrate the cells of the corona radiata and come in contact with the zona pellucida.

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10
Q

Acrosomal reaction

A

Triggered by the binding of ZP3 (one of the glycoproteins in the zona pellucida) to specific membrane proteins in the sperm head. Release of the contents of the acrosome occurs. The acrosomal enzymes digest a path through the zona pellucida as the lashing sperm tail pushes the sperm cell onward.

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11
Q

Polyspermy

A

Fertilization by more than one sperm cell.

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12
Q

Male pronucleus

A

What the nucleus in the head of the sperm develops into.

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13
Q

Female pronucleus

A

What the nucleus of the fertilized ovum develops into.

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14
Q

Syngamy

A

Process in which the male and female pronuclei fuse and produce a single diploid nucleus; the fusion of the haploid (n) pronuclei restores the diploid number (2n) of 46 chromosomes.

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15
Q

Zygote

A

A fertilized ovum.

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16
Q

Dizygotic (fraternal) twins

A

Produced from the independent release of two secondary oocytes and the subsequent fertilization of each by different sperm. They are the same age and in the uterus at the same time, but genetically they are as dissimilar as any other siblings. Dizygotic twins may or may not be the same sex.

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17
Q

Monozygotic (identical) twins

A

Develop from a single fertilized ovum, they contain exactly the same genetic material and are always the same sex. Monozygotic twins arise from separation of the developing cells into two embryos, which in 99% of the cases occurs before 8 days have passed.

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18
Q

Conjoined twins

A

A situation in which twins are joined together and share some body structures. Arise from separation of the developing cells into two embryos after 8 days have passed.

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19
Q

Cleavage

A

The rapid mitotic cell divisions of the zygote after fertilization.

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20
Q

Blastomeres

A

The progressively smaller cells
produced by cleavage.

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21
Q

Morula

A

A solid sphere of cells that successive cleavages eventually produce. Is still surrounded by the zona pellucida and is about the same size as the original zygote.

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22
Q

Uterine milk

A

A glycogen-rich secretion from the glands of the endometrium of the uterus that passes into the uterine cavity and enters the morula through the zona pellucida. Fluid that, along with nutrients stored in the cytoplasm of the blastomeres of the morula, provides nourishment for the developing morula.

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23
Q

Blastocyst cavity

A

A large, fluid-filled cavity that the morula reorganizes around.

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24
Q

Blastocyst

A

The developing mass that forms once the blastocyst cavity is formed.

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25
Q

During the formation of a blastocyte, two distinct cell populations arise. What are they? Describe them:

A
  1. Embryoblast (inner cell mass): located internally and develops into the embryo.
  2. Trophoblast: located externally and forms the spherelike wall of the blastocyte. It will ultimately develop into the outer chorionic sac that surrounds the fetus and the fetal portion of the placenta, the site of exchange of nutrients and wastes between the mother and fetus.
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26
Q

Implantation

A

Process in which the blastocyst loosely attaches to the endometrium. Occurs about 6 days after fertilization.

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27
Q

Decidua

A

A modified portion of the endometrium that develops after implantation.

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28
Q

What are the three different regions of the decidua?

A
  1. Decidua basalis: the portion of the endometrium between the embryo and the stratum basale of the uterus; it provides large amounts of glycogen and lipids for the developing embryo and fetus and later becomes the maternal part of the placenta.
  2. Decidua capsularis: the portion of the endometrium located between the embryo and the uterine cavity.
  3. Decidua parietalis: the remaining modified endometrium that lines the noninvolved areas of the rest of the uterus.
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29
Q

What are the two principal events of the second week of development?

A
  1. The trophoblast develops into two layers in the region of contact between the blastocyte and endometrium.
  2. The embryoblast develops into two layers.
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30
Q

Amniotic cavity

A

A large cavity within the epiblast.

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31
Q

Amnion

A

A single layer of squamous cells that forms a dome-like roof above the epiblast cells. Forms as the amniotic cavity enlarges.

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32
Q

Amniotic fluid

A

Found within the amniotic cavity. Most amniotic fluid is initially derived from maternal blood. Later, the fetus contributes to the fluid by excreting urine into the amniotic cavity. Amniotic fluid serves as a shock absorber for the fetus, helps regulate fetal body temperature, helps prevent the fetus from drying out, and prevents adhesions between the skin of the fetus and surrounding tissues.

33
Q

Yolk sac

A

The former blastocyst cavity during earlier development. Is relatively empty and small, and decreases in size as development progresses. Has several important functions in humans: supplies nutrients to the embryo during the second and third weeks of development; is the source of blood cells from the third through sixth weeks; contains the first cells (primordial germ cells) that will eventually migrate into the developing gonads, differentiate into the primitive germ cells, and form gametes; forms part of the gut (gastrointestinal tract); functions as a shock absorber; and helps prevent drying out of the embryo.

34
Q

Lacunae

A

Small spaces that develop in one of the layers of a trophoblast.

35
Q

Chorion

A

Surrounds the embryo and later the fetus. Eventually it becomes the principal embryonic part of the placenta, the structure for exchange of materials between mother and fetus. Also protects the embryo and fetus from the immune responses of the mother.

36
Q

Chorionic cavity

A

What the extraembryonic coelom is refered to as once the develop of the chorion begins.

37
Q

Connecting (body) stalk

A

The future umbilical cord.

38
Q

Gastrulation

A

Involves the rearrangement and migration of cells from the epiblast.

39
Q

Primative node

A

A rounded structure formed by a small group of epiblast cells.

40
Q

Invagination

A

A process in which cells of the epiblast move inward below the primitive streak and detach from the epiblast.

41
Q

Endoderm

A

Epithelia composed of tightly packed cells. As the embryo develops, the endoderm ultimately becomes the epithelial lining of the gastrointestinal tract, respiratory tract, and several other organs.

42
Q

Mesoderm

A

A loosely organized connective tissue (mesenchyme). Gives rise to muscles, bones, and other connective tissues, and the peritoneum.

43
Q

Ectoderm

A

Epithelia composed of tightly packed cells. Develops into the epidermis of the skin and the nervous system.

44
Q

Notochordal process

A

A hollow tube of cells in the midline. Formed by mesodermal cells from the primitive node that have migrated towards the head end of the embryo.

45
Q

Notochord

A

A solid cylinder of cells. Formed by the notochordal process. Plays an extremely important role in induction, specifically of mesodermal cells into vertebral bodies and the neural plate.

46
Q

Induction

A

The process by which one tissue (inducing tissue) stimulates the development of an adjacent unspecialized tissue (responding tissue) into a specialized one. An inducing tissue usually produces a chemical substance that influences the responding tissue.

47
Q

Neural plate

A

Formed by the induction of mesodermal cells.

48
Q

Neural fold

A

What the lateral edges of the neural plate forms.

49
Q

Neural groove

A

What the depressed midregion of the neural plate forms.

50
Q

Neural tube

A

What the neural plate becomes when the neural folds fuse.

51
Q

Neurulation

A

The process by which the neural plate, neural folds, and neural tube form.

52
Q

Neural crest

A

Several layers of cells that some of the ectodermal cells from the tube migrate to form. Gives rise to all sensory neurons and postganglionic neurons of the peripheral nerves, the adrenal medullae, melanocytes (pigment cells) of the skin, arachnoid mater, and pia mater of the brain and spinal cord, and almost all of the skeletal and connective tissue components of the head.

53
Q

Chorionic villi

A

Fingerlike projections that consist of chorion that projects into the endometrial wall of the uterus. By the end of the third week, blood capillaries develop in the chorionic villi. Blood vessels in the chorionic villi connect to the embryonic heart by way of the umbilical arteries and umbilical vein through the connecting (body) stalk, which will eventually become the umbilical cord.

54
Q

Placentation

A

The process of forming the placenta.

55
Q

Intervillous spaces

A

Formed when the fetal blood capillaries within the chorionic villi project into the lacunae. Bathe the chorionic villi with maternal blood.

56
Q

Placenta

A

Is formed by the chorionic villi of the embryo and the decidua basalis of the endometrium of the mother.The site of exchange of nutrients and wastes between the mother and fetus. Also produces hormones needed to sustain the pregnancy.

57
Q

Umbilical cord

A

The actual connection between the placenta and embryo, and later the fetus. Develops from the connecting stalk.

58
Q

Wharton’s jelly

A

Supporting mucous connective tissue found in the umbilical cord.

59
Q

Afterbirth

A

Is the time after the birth of the baby that the placenta detaches from the uterus.

60
Q

Umbilicus

A

The scar where the cord was attached and becomes covered by a thin layer of skin.

61
Q

Fetal period

A

Is the time from the ninth week until birth. Development during the fetal period is mostly concerned with the growth and differentiation of tissues and organs formed during the embryonic period.

62
Q

The ______ is less vulnerable to the damaging effects of drugs, radiation, and microbes than it was as an ______.

A

Fetus; embryo

63
Q

During the first three to four months of pregnancy, what hormones does the corpus luteum in the ovary continue to secrete? Why?

A

The corpus luteum in the ovary continues to secrete progesterone and estrogens, which maintain the lining of the uterus during pregnancy and prepare the mammary glands to secrete milk. The amounts secreted by the corpus luteum, however, are only slightly more than those produced
after ovulation in a normal menstrual cycle. From the third month through the remainder of the pregnancy, the placenta itself provides the high levels of progesterone and estrogens required.

64
Q

Human chorionic gonadotropin (hCG)

A

Secreted by the chorion of the placenta. Stimulates the corpus luteum to continue production of progesterone and estrogens - an activity required to prevent menstruation and for the continued attachment of the embryo and fetus to the lining of the uterus.

65
Q

Relaxin

A

A hormone produced first by the corpus luteum of the ovary and later by the placenta. Increases the flexibility of the pubic symphysis and ligaments of the sacroiliac and sacrococcygeal joints and helps dilate the uterine cervix during labor. Both of these actions ease delivery of the baby.

66
Q

Human chorionic somatomammotropin (human placental lactogen (hPL))

A

Secreted by the chorion of the placenta. Helps prepare the mammary glands for lactation, enhances maternal growth by increasing protein synthesis, and regulate certain aspects of metabolism in both mother and fetus.

67
Q

Corticotropin-releasing hormone (CRH)

A

Produced by the placenta. Is part of the “clock” that establishes the timing of birth. Secretion of CRH by the placenta begins at about 12 weeks and increases enormously toward the end of pregnancy. Women who have higher levels of CRH earlier in pregnancy are more likely to deliver prematurely; those who have low levels are more likely to deliver after their due date. It also increases secretion of cortisol, which is needed for maturation of the fetal lungs and the production of surfactant.

68
Q

Labor (parturition)

A

Is the process by which the fetus is expelled from the uterus through the vagina, also referred to as giving birth.

69
Q

True labor

A

Begins when uterine contractions occur at regular intervals, usually producing pain. Another symptom of true labor in
some women is localization of pain in the back that is intensified by walking. The most reliable indicator of true labor is dilation of the cervix and the “show,” a discharge of a blood-containing mucus into the cervical canal.

70
Q

False labor

A

Pain is felt in the abdomen at irregular intervals, but it does not intensify and walking does not alter it significantly. There is no “show” and no cervical dilation.

71
Q

What are the three stages of true labor? Describe them:

A
  1. Stage of dilation: the time from the onset of labor to the complete dilation of the cervix; 6-12 hours.
  2. Stage of expulsion: the time from complete cervical dilation to delivery of the baby; ~10 minutes- several hours.
  3. Placental stage: the time after delivery until the placenta or “afterbirth” is expelled by powerful uterine contractions; ~5-30 minutes or more.
72
Q

Puerperium

A

Is the time following the delivery of the baby and placenta until 6 weeks later; period of time in which the maternal reproductive organs and physiology return to their pre-pregnancy state.

73
Q

Involution

A

Process in which the uterus undergoes a reduction in size after birth.

74
Q

Lochia

A

Uterine discharge that women produce for 2-4 weeks after delivery. Consists initially of blood and later serous fluid derived from the former site of the placenta.

75
Q

Lactation

A

The production and ejection of milk from the mammary glands.

76
Q

What is a principal hormone in promoting milk production? What is it secreted from?

A

Prolactin (PRL); is secreted from the anterior pituitary gland.

77
Q

Milk ejection reflex

A

Oxytocin stimulates contraction of myoepithelial cells in the breasts, which squeezes the glandular and duct cells and causes milk ejection.

78
Q

Milk ejection (let-down)

A

Milk formed by the glandular cells of the breasts is stored until the baby begins active suckling. Stimulation of touch receptors in the nipple initiates sensory nerve impulses that are relayed to the hypothalamus. In response, secretion of oxytocin from the posterior pituitary increases. Carried by the bloodstream to the mammary glands, oxytocin stimulates contraction of myoepithelial cells surrounding the glandular cells and ducts. The resulting compression moves the milk from the alveoli of the mammary glands into the mammary ducts, where it can be suckled.

79
Q

Colostrum

A

A cloudy fluid secreted by the mammary glands during late pregnancy and the first few days after birth. Although it is not as nutritious as milk - it contains less lactose and virtually no fat - colostrum serves adequately until the appearance of true milk on about the fourth day.