Chapter 29 Flashcards

1
Q

The _____ begins with fertilization and ends approximately 38 weeks later with birth

A

prenatal period

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2
Q

The prenatal period includes the ____, _____, and the _____.

A

pre-embryonic (germinal) period
embryonic period
fetal period

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3
Q

The ____ period is the first 2 weeks, fertilization to implantation in uterine wall.

A

pre-embryonic period

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4
Q

Fertilization —-> ____ —–> blastocyst

A

zygote

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5
Q

The ____ takes place during weeks 3-8, organ development

A

embryonic period

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6
Q

The _____ is the last 30 weeks, organ complexity increases

A

fetal period

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7
Q

____ is the process by which two gametes fuse to form a new diploid cell containing genes from both parents

A

fertilization (phase 1)

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8
Q

Fetilization takes place in the _____ or the uterine tube.

A

ampulla

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9
Q

Sperm undergo _____ upon entry into the female reproductive system.

A

capacitation

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10
Q

_____ is when glycoproteins and proteins removed from plasma membrane that covers acromosomal region

A

capacitation

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11
Q

During phase 1 of fertilization sperm penetrates the ____.

A

cornona radiata

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12
Q

During phase 1 of fertilization the oocyte releases _________ attracting sperm to its location

A

chemotaxic chemicals

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13
Q

Once sperm reach the oocyte they push through the corona radiata using _____.

A

their flagellum

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14
Q

During phase 2 of fertilization there is a release of digestive enzymes from acrosome needed to penetrate the zona pellucida called ______.

A

acrosome reaction

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15
Q

Once a sperm gets through the zona pellucida, it then _____ to prevent other sperm from entering

A

hardens

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16
Q

_____ is when an egg is fertilized with two or more sperm.

A

polyspermy

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17
Q

Polyspermy can be _____ because too many chromosomes.

A

fatal

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18
Q

Sperm undergoes acrosome reaction and penetrates ______ during phase 2 of fertilization.

A

zona pellucida

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19
Q

During phase 3 of fertilization sperm and oocyte ______ fuse, the sperm nucleus enters the cytosol of the secondary oocyte. The midpiece and _____ degenerate.

A

plasma membranes

flagellum

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20
Q

During the 3rd phase of fertilization the secondary oocyte completes the _____ division and forms an ovum

A

second meiotic

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21
Q

During the 3rd phase of the fertilization the sperm and ovum pronuclei then fuse forming a single diploid cell called a _____.

A

zygote

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22
Q

The zygote is a single _____.

A

diploid cell

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23
Q

A series of mitotic divisions resulting in an increase in cell number, but not an increase in the overall size of the structure is called ______.

A

cleavage

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24
Q

At the 16-cell stage (4 divisions) the zygote is called a _____ and enters the ______ of the uterus.

A

morula

lumen

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25
Q

Zona pelludica starts to degenerate allowing fluid to enter the morula forming a fluid filled cavity is the formation of the _____.

A

blastocyst

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26
Q

____ starts to degenerate allowing fluid to enter the morula forming a fluid filled cavity during blastocyst formation.

A

zona pelludica

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27
Q

a blastocyst and has two distinct components: ______ and _______.

A

trophoblast

embryoblast

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28
Q

The ____ is the outer ring of cells surrounding fluid filled cavity.

A

trophoblast

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29
Q

The ______ is the inner cell mass located within one side of the blastocyst

A

embryoblast

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30
Q

The process by which the blastocyst burrows into and embeds within the endometrium is called ____.

A

implantation

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31
Q

During implantation around day 7, trophoblast cells invade the _____ and then divide into two layers.

A

functional layer

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32
Q

The trophoblast cells divide into two layers, _________ and __________ after they invade the functional layer during implantation.

A

cytotrophoblast

syncytiotrophoblast

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33
Q

_____ is the inner cellular layer formed when the trophoblast cells divide during implantation.

A

cytotrophoblast

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34
Q

_____ is the outer, thick layer formed when the trophoblast cells invade the functional layer and divide. This is where the cells _____ into the functional layer.

A

syncytiotrophoblast

burrow

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35
Q

By day 9 of implantation the ____ has completely burrowed into the uterine wall.

A

blastocyst

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36
Q

_____ is produced by the syncytiotrophoblast

A

HCG

Human Chorionic Gonadotropin hormone

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37
Q

HCG is produced by the ______.

A

syncytiotrophoblast

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38
Q

HCG signals corpus luteum to continue secreting ________ to thicken and maintain uterine lining.

A

estrogen/progesterone

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39
Q

____ levels high enough detected in woman’s urine after second week of development.

A

HCG

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40
Q

HCG levels remain high for the first ____ months and then decline.

A

three

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41
Q

The _____ degenerates once HCG levels drop. At this point estrogen/progesterone is secreted by the ____.

A

corpus luteum

placenta

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42
Q

By day 8, embryoblast differentiates into two layers: _______ and _______.

A

hypoblast

epiblast

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43
Q

The ____ forms into the yolk sac.

A

hypoblast

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44
Q

The ____ forms into amnion.

A

epiblast

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45
Q

Hypoblast + epiblast =’s ________

A

bilaminar germinal disc

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46
Q

Bilaminar germinal disc and trophoblast produce ________.

A

extraembryonic membranes

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47
Q

The _____ protects the embryo.

A

extraembryonic membranes

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48
Q

The _____ assist in vital functions such as nutrition and gas exchange as well as removal and storage of _____.

A

extraembryonic membranes

waste materials.

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49
Q

The ____ is the first membrane to develop.

A

yolk sac

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50
Q

The _____ is an important site for early blood cell and blood vessel formation.

A

yolk sac

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51
Q

The _____ eventually encloses the entire embryo in a fluid-filled sac called the amniotic cavity.

A

amnion

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52
Q

The ____ is formed from both cytotrophoblast cells and syncytiotrophoblast

A

chorion

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53
Q

The ____ blend with functional layer of endometrium and eventually forms the placenta

A

chorion

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54
Q

The chorion blend with functional layer of endometrium and eventually forms the ____.

A

placenta

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55
Q

The function of the _____ is to exchange of nutrients, waste products, and respiratory gases between the maternal and fetal blood.

A

placenta

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56
Q

Transmission of maternal antibodies to the developing embryo or fetus occurs in the ____.

A

placenta

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57
Q

The _____ produces of estrogen and progesterone to maintain and build the uterine lining.

A

placenta

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58
Q

The placenta begins to form during the ____ of development.

A

2nd week

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59
Q

The chorion forms ____ portion and ____ layer of uterus forms maternal portion.

A

fetal

functional

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60
Q

Early organism connected to the placenta via the ______, which eventually forms the umbilical cord

A

connecting stalk

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61
Q

____ form from the chorion.

A

chorionic villi

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62
Q

The chorion villi contain branches of _____.

A

umbillical vessels

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63
Q

The chorionic villi are surrounded by ______ which contains maternal blood.

A

endometerium

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64
Q

Fetal blood and maternal blood ___, but bloodstreams so are so close they allow for the exchanges of gases and nutrients.

A

do not mix unless something goes wrong

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65
Q

Alcohol, drugs, ___, bacteria, and ____ from smoking can pass through placental barrier as well.

A

viruses

toxins

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66
Q

The ___ period takes place from weeks 3 thru 8.

A

embryonic

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67
Q

____ is the establishment of primary germ layers.

A

gastrulation

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68
Q

_____ is the formation of specific tissues and organs from the primary germ layers.

A

organogenesis

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69
Q

The _____ period involves gastrulation and organogenesis

A

embryonic

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70
Q

By week ___ the embryo has a beating heart.

A

week 4

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71
Q

By week ____ the main organ systems have been established.

A

8

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72
Q

____ is the process by which the cells of the epiblast migrate and form the three primary germ layers.

A

gastrulation

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73
Q

The three primary germ layers

A

ectoderm
mesoderm
endoderm

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74
Q

The formation of germ layers forms an ____.

A

embryo

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75
Q

During gastrulation, the cells from epiblast migrate through ______ to the area between the epiblast and hypoblast forming the ______

A

primitive streak

endoderm

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76
Q

During gastrulation more epiblast cells migrate and form the ____.

A

mesoderm

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77
Q

Remaining cells of the epiblast form the _______.

A

ectoderm

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78
Q

An ____ is a flattened, disc-shaped structure.

A

embryonic disc

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79
Q

In the late 3rd to 4th weeks, ____ transforms shape.

A

embryonic disc

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80
Q

Certain regions of the embryo grow ____ than others causing folding.

A

faster

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81
Q

The two types of folding caused by faster growth in regions of the embryo are ______ and ______.

A

cephalocaudal

transverse

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82
Q

Folding that occurs in the cephalic and caudal regions of the embryo is ____ folding.

A

cephalocaudal

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83
Q

Amnion grows very quickly but ___ does not grow at all during cephalocaudal folding.

A

yolk sac

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84
Q

____ folding forms the future head and buttocks region.

A

cephalocaudal

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85
Q

Left and right sides of the embryo curve and migrate toward the midline during ______

A

transverse folding

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86
Q

During transverse folding sides fuse in midline to create a ______ embryo creating the trunk/torso region.

A

cylindrical

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87
Q

During transverse folding the ____ is pinched off from most of the endoderm except one small region called the ____.

A

yolk sac

vitelline duct

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88
Q

_____ now solely along entire exterior embryo and endoderm confined to the internal region during transverse folding.

A

Ectoderm

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89
Q

____ forms nervous tissue and sensory organs.

A

ectoderm

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90
Q

_____ forms the epidermis and it’s derivatives. What are examples?

A

Ectoderm

hair, nails, sweat glands, mammary glands

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91
Q

____ forms the enamel of the teeth.

A

ectoderm

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92
Q

______ forms muscle and connective tissues.

A

mesoderm

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93
Q

______ forms the dermis.

A

mesoderm

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94
Q

_____ forms the pituitary gland.

A

ectoderm

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95
Q

_____ forms the lens of the eye.

A

ectoderm

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96
Q

_____ forms the adrenal medulla.

A

ectoderm

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97
Q

_____ forms kidneys.

A

mesoderm

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98
Q

_____ forms ureters.

A

mesoderm

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99
Q

______ forms reproductive system.

A

mesoderm

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100
Q

_____ forms spleen.

A

mesoderm

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101
Q

____ forms serous membranes.

A

mesoderm

102
Q

____ forms adrenal cortex.

A

mesoderm

103
Q

_____ forms the heart.

A

mesoderm

104
Q

____ forms the reproductive system.

A

mesoderm

105
Q

The ____ forms tympanic cavity and auditory tube.

A

endoderm

106
Q

_____ forms the lining of the GI tract.

A

endoderm

107
Q

_____ forms the respiratory tract

A

endoderm

108
Q

____ forms the urinary tract.

A

endoderm

109
Q

____ forms the reproductive tract.

A

endoderm

110
Q

_____ forms the liver.

A

endoderm

111
Q

_____ forms the gallbladder.

A

endoderm

112
Q

_____ forms the pancreas.

A

endoderm

113
Q

_____ forms the palatine tonsils.

A

endoderm

114
Q

____ forms the thyroid and parathyroid glands.

A

endoderm

115
Q

____ forms the thymus.

A

endoderm

116
Q

_____ is the rudimentary forming of most organ systems have developed by week 8.

A

organogenesis

117
Q

____ are substances that cause birth defects.

A

teratogens

118
Q

Organogenesis is sensitive to ____.

A

teratogens

119
Q

The fetal period extends from week ____ to birth.

A

fetal

120
Q

During the fetal period maturation of ____ and organs occurs. (rapid growth of the body)

A

tissues

121
Q

During the fetal period the embryo will grow from 1 inch to an average length of _____ by birth.

A

21 inches

122
Q

The average weight of a full term fetus is ____ lbs.

A

5.5 - 9.9 lbs

123
Q

There are ____ trimesters during pregnancy.

A

three.

124
Q

During the first three months called the ____ trimester a zygote turns into an _____ then into a fetus.

A

first

embryo

125
Q

The second trimester lasts from months ____.

A

4-6

126
Q

During the second trimester there is growth of the fetus and ____.

A

maternal tissues

127
Q

The third trimester lasts from ____ months.

A

7-9

128
Q

During the 3rd trimester there is rapid growth of fetus as mothers body prepares for the eventual _____.

A

labor and delivery

129
Q

HCG hormone changes

A

Secreted by blastocyst after implantation

Maintains the corpus luteum (continues to secrete progesterone / estrogen)
*Maintains and builds uterine lining

Levels remain high during first trimester then drop off
*Corpus luteum degenerates as well

130
Q

Estrogen/Progesterone Hormone Changes

A

After first trimester, secreted by placenta

High levels suppress FSH and LH secretion, so the ovarian cycle is arrested

Facilitate uterine enlargement, mammary gland enlargement and fetal growth

Effect integumentary system: faster-growing and stronger nails, hair tends to be fuller and thicker

131
Q

The change in _____ levels is responsible for the for relaxation of ligamentous joints such as sacroiliac joints and ____

A

estrogen

pubic symphysis

132
Q

The change in _____ is responsible for Responsible for functional layer growth and prevention of menstruation.

A

progesterone

133
Q

The change in progesterone is responsible for ______ and prevention of menstruation.

A

functional layer growth

134
Q

The change in progesterone is responsible for functional layer growth and _______.

A

prevention of menstruation

135
Q

The change in estrogen levels is responsible for the for relaxation of ________ such as sacroiliac joints and pubic sympysis

A

ligamentous joints

136
Q

During pregnancy ___ is secreted by the corpus luteum and the placenta.

A

relaxin

137
Q

During pregnancy relaxin promotes ____ growth in the uterus.

A

blood vessel growth

138
Q

Corticotropin-releasing hormone (CRH) is normally secreted by the _____, which stimulates ACTH release from AP.

A

hypothlamus

139
Q

The ______ secretes large amounts of CRH during pregnancy.

A

placenta

140
Q

_____ is believed to play a role in length of pregnancy and timing of childbirth.

A

CRH

141
Q

CRH causes an increase in _____ levels which promotes fluid retention and can lead to edema.

A

aldosterone

142
Q

Human chorionic thyrotropin (HCT) is similar to ____.

A

TSH

143
Q

_____ is secreted by the placenta.

A

Human chorionic thyrotropin (HCT)

144
Q

HCT stimulates the release of ______ increasing mothers metabolic rate.

A

thyroid hormones

145
Q

HCT stimulates the release of thyroid hormones increasing the ______.

A

mothers metabolic rate

146
Q

human placental lactogen (HPL) is secreted by the ______.

A

placenta

147
Q

The HPL causes the mother to metabolize more _____, saving glucose for the fetus.

A

fatty acids

148
Q

Human placental lactogen (HPL) inhibits ____. leaving more glucose in blood fro the fetus.

A

insulin

149
Q

____ levels increase from the 5th week till max levels at week 36.

A

Human placental lactogen (HPL)

150
Q

_____ is produced by the hypothalamus and secreted by the posterior pituitary gland.

A

oxytocin

151
Q

_____ is involved in uterine contractions.

A

oxytocin

152
Q

Oxytocin is involved in _____ from mammary glands.

A

milk expulsion

153
Q

____ levels increase during the 2nd and 3rd trimester in response to rising estrogen levels and peak during ____.

A

oxytocin

labor

154
Q

Prolactin is secreted by the ________.

A

anterior pituitary gland

155
Q

_____ is responsible for milk production.

A

prolactin

156
Q

Prolactin levels increase ____ during pregnancy to ensure lactation occurs after birth.

A

10 fold

157
Q

Prior to pregnancy the uterus measures ____.

A

8 cm by 5 cm

158
Q

After implantation, the uterus enlarges due to hypertrophy and hyperplasia of its ______.

A

muscular layer

159
Q

After implantation, the uterus englarges due to ______ and ____ of its muscular layer.

A

hypertrophy and hyperplasia

160
Q

Four weeks after fertilization, uterine enlargement can be detected during a _____.

A

vaginal exam

161
Q

By week ____ the uterus is the size of a large grapefruit.

A

12

162
Q

By week ___ the uterus is expanded to abdominal cavity and fundus is midpoint level between pubic symphysis and umbilicus

A

16

163
Q

By week ____ the fundus reaches the level of the umbilicus

A

22

164
Q

By week 22 the fundus is superior to the ____.

A

umbillicus

165
Q

By the ____, the fundus is at the level of the xiphoid process of the sternum.

A

9th month

166
Q

The enlarged uterus pushes against eh diaphragm and compresses many of the _____.

A

abdominopelvic organs

167
Q

______ causes mother to metabolize more fatty acids instead of glucose

A

HPL

168
Q

Estrogen/progesterone/HPL cause increased ______ and can lead to gestational diabetes.

A

insulin resistance

169
Q

Morning sickness is caused by two theories: high levels of hormones primarily _____. Also an evolutionary adaption to ____ the developing fetus from harmful toxins in certain foods (____).

A

HCG
protect
protein

170
Q

Heartburn, indigestion and _____ can also occur during pregnancy.

A

hemorrhoids

171
Q

Folic acid, calcium, _____, andiron are especially important during pregnancy.

A

protein

172
Q

____ lbs normal weight gain due to fetus, placenta, breast and uterine enlargement as well as fluid retention.

A

20 lbs

173
Q

A cardiovasuclar change is the plasma volume increases by about ___

A

50%

174
Q

More blood is needed to transport _______ to both the mother and fetus.

A

nutrients/respiratory gases

175
Q

A cardiovascular change due to the increased plasma volume causes an increase in cardiac output by _____.

A

(30-50%)

176
Q

An increase of cardiac output begins at week ____ and peaks around weeks ____.

A

6

24-28

177
Q

Increased cardiac output is caused by increased _______.

A

heart rate and stroke volume

178
Q

Increased blood volume initially increases blood pressure during the _____ trimester, but it drops by the ______ trimester.

A

first

second

179
Q

______ from lower body is impaired by third trimester due to uterus and fetus compressing abdominal blood vessels

A

Venous return

180
Q

Impairment of the venous return from the lower body in the third trimester can cause ___ in the lower limbs, varicose veins and hemorrhoids.

A

edema

181
Q

During the later part of pregnancy, expanding uterus prevents _____ from fully descending, keeping the lungs from ______

A

diaphragm

fully expanding

182
Q

_____ is an uncomfortable awareness of breathing

A

Dyspnea

183
Q

Increased estrogen increases the fluid within the______, as well as an increased blood flow causing congestion and _____ (nose bleeds)

A

nasal mucosa

epistaxis

184
Q

Increased estrogen causing increased blood flow causing ____ and ______.

A

congestion

epistaxis

185
Q

Progesterone increases sensitivity of chemoreceptors to ________.

A

blood CO2 levels

186
Q

Increased levels of progesterone lead to an increase in tidal volume and pulmonary ventilation by _____

A

30-40%

187
Q

Increased levels of progesterone lead to an increase in breathing rate, increasing the mothers ______

A

oxygen consumption

188
Q

Progesterone increases ____.

A

breathing rate

189
Q

Progesterone causes a ____ in CO2 blood levels which facilitates the diffusion of gases across the placenta.

A

decrease

190
Q

The urinary system is responsible for eliminating her metabolic waste products as well as the waste products from the ____.

A

fetus

191
Q

Since there is 50% more plasma volume, there is an increase in filtering by the _____ as well

A

kidneys

192
Q

GFR has to increase by ______ to keep up.

A

30-50%

193
Q

First and third trimesters uterus expansion can lead to __________ causing increased diuresis (urination)

A

pressure on the bladder

194
Q

During pregnancy there are higher rates of UTI due to _____ and ____ being compresses by the uterus.

A

ureters and kidneys

195
Q

During pregnancy there are higher rates of UTIs because ______ causes smooth muscle relaxation which can cause uretal and renal pelvic cilation. (ureters store more urine causing ______).

A

progesterone

urine stasis

196
Q

Labor is also known as ________.

A

parturition

197
Q

____ is the physical expulsion of the fetus and placenta from the uterus.

A

labor

198
Q

_____ is labor that occurs prior to 38 weeks.

A

premature labor

199
Q

_____ are contractions (braxton-hicks) are not strong enough to results in the three stages of True labor.

A

false labor

200
Q

Initiation of labor

A

Increasing levels of estrogen:
Counteract the relaxing nature of progesterone on the myometrium

Cause more oxytocin receptors to appear on the myometrium  causing an increase in oxytocin release from the PP

Uterine myometrium becomes more sensitive and contractions begin

201
Q

Weak contractions can start as early as the ____, they get stronger in the later stages.

A

2nd trimester

202
Q

Increasing levels of estrogen counteract the relaxing nature of _____ on the myometrium during the intiation of labor.

A

progesterone

203
Q

Increasing levels of estrogen cause more oxytocin receptors to appear on the myometrium causing an increase in oxytocin ______.

A

release from the PP

204
Q

______ is when uterine contractions that increase in intensity and regulatory and that results in changes to the cervix

A

true labor

205
Q

______ levels increase, not only from the mother but from the ______ as well and true labor begins

A

ocytocin

fetus

206
Q

Oxytocin stimulates the release of _______ from the placenta

A

prostaglandins

207
Q

Prostaglandins stimulates smooth _____ and soften and dilate the cervix.

A

contractions

208
Q

Prostaglandins stimulates smooth contraction and ______ the cervix.

A

soften and dilate

209
Q

Oxytocin, _____ and prostaglandins cause the rhythmic contractions of true labor

A

estrogen

210
Q

Oxytocin, estrogen and ______ cause the rhythmic contractions of true labor

A

prostaglandins

211
Q

Oxytocin, estrogen and prostaglandins cause the rhythmic contractions of true labor increase in frequency and ____ over time.

A

intensity

212
Q

During true labor pain radiates from lower back to the upper abdomen and does not change in response to _____ of the mother’s positin.

A

movement

213
Q

During true labor pain radiates from ____ to ____.

A

lower back

upper abdomen

214
Q

Contractions facilitate ______ and expulsion of fetus and placenta

A

cervical dilation

215
Q

Contractions facilitate cervical dilation and ____________.

A

expulsion of fetus and placenta

216
Q

The positive feedback cycle of labor

A

slide 36

217
Q

Initiation of True labor is a _____ mechanism.

A

positive feedback

218
Q

Positive feedback mechanism

A

Positive feedback mechanism 
Contractions intensify causing fetus’s head to push against the cervix
This stimulates the stretching and dilation of the cervix
This stimulates the release of more oxytocin
Contractions also stimulate the placenta to secrete more prostaglandins
End of positive feedback is when the fetus and placenta are expelled from the body

219
Q

End of positive feedback is when the _____ are expelled from the body.

A

fetus and placenta are expelled from the body

220
Q

True labor has three stages:

A

dilation, expulsion, placental

221
Q

Dilation stage begins with the onset of regulation contractions and ends when the cervix is _____ and dilated to 10 centimeters.

A

effaced (thinned)

222
Q

The longest of the three stages of true labor.

A

dilation stage

223
Q

______ are women who have never given birth before, tend to be in this stage longer (8-24 hours)

A

Nulliparous women

Dilation stage

224
Q

____ have given birth before, the ______ stage lasts from 4-12 hours.

A

parous women

dilation stage

225
Q

During the ____ stage the amniotic sac releases the amniotic fluid (water breaking)

A

dilation stage

226
Q

The ____ stage begins with the complete dilation of the cervix and ends with the expulsion of the fetus (may last minutes to hours)

A

expulsion

227
Q

The expulsion stage begins with the complete dilation of the cervix and ends with the ________

A

expulsion of the fetus (may last minutes to hours)

228
Q

Nulliparous again will typically have a longer ___ stage than parous women.

A

expulsion stage

229
Q

_____ is the first part of the baby’s head distends from the vagina.

A

crowning

230
Q

_____ is when the perineal muscles are surgically incised to create a wider opening for the baby to pass through.

A

episiotomy

231
Q

Once the baby’s body is fully exprelled the umbilical cord is ______.

A

clamped and tied off

232
Q

The _____ stage occurs after the baby is expelled.

A

placental stage

233
Q

During the placental stage the uterus contracts to ________ as well as expels the placenta and remaining fetal membranes (afterbirth)

A

compresses uterine blood vessels

234
Q

During the placental stage the uterus contracts to compress uterine blood vessels as well as ______

A

expels the placenta and remaining fetal membranes (afterbirth)

235
Q

The ____ stage typically occurs within 20 minutes after expulsion phase.

A

placental

236
Q

Prolactin, released from the AP, is inhibited from being released in non-pregnant women and in men by the release of _____

A

dopamine

237
Q

During pregnancy, high levels of estrogen influences the secretion of _____

A

prolactin

238
Q

Increased estrogen and prolactin cause ________ proliferation and branching of the lactiferous ducts

A

mammary gland acini

239
Q

Increased estrogen and prolactin cause mammary gland acini proliferation and _______

A

branching of the lactiferous ducts

240
Q

Milk isn’t released until ______, when estrogen and progesterone levels drop

A

after birth

241
Q

Milk isn’t released until after birth, when ______ and _______ levels drop

A

estrogen

progesterone

242
Q

At end of pregnancy and first few days after birth, substance produced isn’t breast milk, but ______

A

colostrum

243
Q

______ has a lower concentration of fat than true breast milk and is rich in immunoglobulins (IgA)

A

colostrum

244
Q

Colostrum has a _____ effect and facilitates the infants first bowel movement.

A

laxative

245
Q

True breast milk produced a few days postpartum and has a ____ fat content than colostrum, several growth factors, essential fatty acids, _______ and an array of immunoglobulins

A

higher

specific enzymes to aid in digestion

246
Q

Human colosrum has less protein then cow’s milk, but more than ____.

A

human breast milk

247
Q

____ is needed for milk production while _____is needed for milk secretion.

A

prolactin

oxytocin

248
Q

Milk production is a ______ —>  prolactin is secreted every time the baby feeds.

A

positive feedback mechanism

249
Q

_____ is the release of breast.

A

milk letdown

250
Q

Milk Let down positive feedback cycle

A

Oxytocin released when baby feeds (mechanoreceptors in areola/nipple)

Stimulates the myoepithelial cells that surround the acini to contract forcing the milk from the breast

This ends when the baby stops feeding

251
Q

Breast feeding cycle

A

slide 44