chapter 57 Flashcards

1
Q

what is wharton’s jelly ?

A

A myxomatous connective tissue that varies in size: wraps around the 2 arteries and 1 vain

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2
Q

umbilical cord in the 1st trimester is same size as the?

A

CRL

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3
Q

omphalocele cyst

A

cyst lesion of cord caused by persistence and dilation of segment of omphalocele duct..

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4
Q

true knots

A

when loop of cord slipped over infants head or shoulder during delivery.

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5
Q

false knots

A

seen when blood vessels are longer than cord .

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6
Q

Nuchal cord

A

most common; multiple coils around fetal neck; baby can die from this

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7
Q

marginal insertion of the cord ?

A

cord implants into the edge of placenta instead of into middle of placenta.

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8
Q

vasa previa and prolapse of cord mortality rate high or low ?

A

mortality rate high; 60 to 70 %;

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9
Q

single umbilical artery congenital anomalies is?

A

may occur in conjunction with many syndromes and is associated with congenital abnormalities.

Abnormalities include: trisomy 18 and renal and cardiac anomalie

20 to 50 % of cases

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10
Q

umbilical vein primary purpose is to?

A

transport oxygenated blood back to fetus

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11
Q

ductus venous transform to?

A

ligamentum venosum; 2nd week after birth

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12
Q

long abnormal umbilical cord measures ?

A

> 80 cm

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13
Q

what are some masses associated with imbilical cord?

A
omphalocele
gastroschisis
umbilical herniation 
teratoma of umbilical cord 
aneurysm of cord 
varix of cord
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14
Q

umbilical herniation

A

herniate either prenatally or postnatally through inadequately closed umbilicus

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15
Q

omphalomesenteric cyst

A

cystic lesion of cord caused by persistence and dilation of segment of omphalomesenteric duct

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16
Q

atretic umbilical cord

A

cord is basically absent and the fetal abdomen is directly attached to the placenta.
omphalocele is always present.

17
Q

vasa previa and prolapse of cord occurs when

A

membranes that contain fetal blood vessels connecting the umbilical cord and placenta overlie or are within 2 cm of the internal cervical os.