chapter 56 Flashcards

1
Q

what are the 3 decidual ?

A
  1. decidua basalis
  2. decidual capsularis
  3. decidual vera
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2
Q

chorion frondosum :

A

forms fetal part of placenta: contains villi

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3
Q

chorion laeve:

A

nonvillios part of chorion around gestational sac.

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4
Q

chorionic plate:

A

fetal surface of placenta

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5
Q

basal plate:

A

maternal surface of placenta

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6
Q

fetal placenta cells come from

A

cytotrophoblastic shell and anchoring villi.

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7
Q

approximately 40 % of fetal cardiac out put is directed through ____?

A

umbilical circulation

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8
Q

infraction is?

A

obstruction of blood flow.

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9
Q

placenta membranes is called ____?

A

barrier

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10
Q

battledore?

A

abnormal cordal attachments to placenta: edge of placenta.

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11
Q

when does the secondary yolk sac form ?

A

after the regression of primary yolk sac.

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12
Q

by 9 weeks yolk sac should be ___ mm

A

5 mm

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13
Q

what is the most common implantation of the placenta?

A

fundal posterior

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14
Q

amnion fuses with chorion by which week?

A

16th week

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15
Q

in 1st trimenster the fetus begins to ___?

A

excrete urine to fill amniotic cavity

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16
Q

amniotic fluid functions are:

A

permitting fetus room to move
allowing lungs to develop properly
serving as protective buffer for fetus
maintaining constant fetal body temp.

17
Q

the umbilical cord is formed during 1st ___ weeks of gestation.

A

5 weeks

18
Q

what is the percentage that the fetus has a single umbilical cord abnormality ?

A

25 to 50 %

19
Q

the second surface is ____, the maternal portion of the placenta.

A

basal plate

20
Q

Normal placenta should not exceed?

A

4 cm

21
Q

placenta is separate from ____?

A

myometrium

22
Q

If the bladder is full, what impression can it present?

A

impression of previa- falsely elongated

23
Q

what is the best way to identify lower uterine segment,

A

transvaginal

24
Q

high resistance flow is seen when there is ?

A

stenosis

25
Q

normal flow pattern is ?

A

low-resistance

26
Q

normal characteristic of placenta are?

A

measure 15 to 20 cm
weighs about 600 g
measures < 4 cm in thickness
discoid shape

27
Q

placenta accreta

A

chorionic villi attach to myometrium without muscular invasion.

28
Q

placenta abruption- dissecting

A

trickling down / showing of detachment. On the side

29
Q

placental abruption- concealed:

A

not showing with severe pain. On the top

30
Q

what happends with placental infacts

A

calcification may occur over time

31
Q

gestational trophoblast disease

A

23 chromosons or 25
possible more fetuses or none.
mole tumor takes nutrients. grows rapidly.

32
Q

placenta abruption refers to?

A

separation of normally implanted placenta prior to term delivery

33
Q

Name the layers of endometrium.

A

Zona basalis and zona functionalis

34
Q

What is succenturiate placenta?

A

If the placenta does not communicate with an anterior/posterior then it will be considered an accessory lobe placenta. Additional lobes joined to the main placenta.

35
Q

What is battledores placenta?

A

The umbilical cord is inserted at or near the placental margin rather than in the center. Less than 2 cm of the edge.

36
Q

What is velamentous placenta?

A

Is one of the two most common causes of vasa previa. Insertion of the umbilical cord into placental membranes, which cross over the cervix.