Chapter 6: Conception and Prenatal Development Flashcards

1
Q

explain oogenesis

A
  • formation of female gametes
  • Begins during prenatal life
  • Primary oogonium begins first meiotic division but does not complete the process until puberty
    • Shortly before ovulation, the primary oocyte completes its first meiotic division–>secondary oocyte (23 chromosomes)
    • At ovulation, the secondary oocyte undergoes a second meiotic division to form a mature ovum with 23 chromosomes
      • During the 2nd meiotic division, the oocyte is suspended in metaphase until fertilization takes place.
    • When ovum released from ovary, it is surrounded by zona pellucida and corona radiata which protect the ovum and prevent fertilization by more than one sperm
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2
Q

explain spermatogenesis

A
  • Begins during puberty, requires 70 days to be completes
  • Male continues to produce new spermatogonia that can reach maturity throughout his lifetime
  • 50% of the 4 spermatids that result from the 2 meiotic divisions of the spermatogonium carry an X and 50% carry a Y
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3
Q

how long can an ovum survive after its release?

how long can a sperm survive in the female reproductive tract?

A
  • ovum can survive no longer than 24 hours after its release
  • male sperm can survive no longer than 24 in the female’s reproductive tract, but some can live up to 80 hours
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4
Q

preparation for conception in the female

A
  • before ovulation, many oocytes begin to mature d/t the release of FSH and LH–>the maturing oocytes form Graafian follicles which produce estrogen and progesterone to prepare the endometriumàeventually, only follicle outgrows the others
    • release of the ovum:
      • ovulation: 14 days before next menstrual period
      • follicle develops a weak spot and ruptures
      • collapsed follicle becomes the corpus luteum which secretes high levels of progesterone and estrogen
    • ovum transport:
      • ovum picked up by fimbriae of fallopian tube and transported along the tube
      • fertilization normally occurs in the distal 1/3 of the fallopian tube (ampulla) near the ovary
      • ovum, fertilized or not, enters uterus 3 days after release from ovary
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5
Q

preparation for conception in the male

A
  • ejaculation:
    • sperm suspended in seminal fluid which nourishes and protects them
  • transport of sperm:whiplike movement of the tails propels the sperm
    • uterine contractions (induced by PGs in the seminal fluid) enhance the movement of the sperm
    • only sperm cells enter the cervix, seminal fluid stays in vagina
  • preparation of sperm for fertilization:
    • during trip to the ovum, the sperm undergoes capacitation–>glycoprotein coat and seminal proteins are removed from the acrosome on the sperm head
      • so now can better penetrate the corona radiata and zona pellucida
    • sperm then undergo an acrosomal rxn to penetrate the ovum by releasing hyaluronidase and acrosin
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6
Q

explain the process of fertilization

A
  • entry of one spermatozoa can cause 3 things:
    • zona reaction—zona pellucida changes and prevents a second sperm from entering
    • cell membranes of the ovum and sperm fuse and break down which allows the contents of the sperm head to enter the cytoplasm of the ovary
    • ovum completes its 2nd meiotic division
  • fusion of nuclei:
    • once the sperm has entered the ovum, the head enlarges and the tail degenerates and the nuclei start to fuse and move toward the center of the ovum
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7
Q

when does implantation typically occur?

A

b/w 6-10 days after conception (average about 9 days after ovulation)

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8
Q

what does implantation and survival of the conceptus require and how does the body get that?

A
  • Implantation and survival of the conceptus requires a supply of estrogen and progesterone, so the zygote secretes human chorionic gonadotropin (hCG) to tell the body pregnancy has begun and to make the corpus luteum continue to produce estrogen and progesterone
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9
Q

where does implantation occur most favorably? why?

A
  • Normally occurs at the upper uterus slightly more on the posterior wall—this is b/c:
    • Upper uterus has a rich blood supply for gas exchange, nutrition, waste
    • Uterine lining is thick, so placenta won’t go too deep into muscle and placenta is easily expelled after birth
    • Limits blood loss after birth b/c strong interlacin muscle fibers compress open endometrial vessels after placenta detaches
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10
Q

what does the placenta look like?

A
  • Thick disc-shaped organ that has a maternal and fetal component
    • Fetal side is smooth, with branching vessels covering membrane-covered surface with the umbilical cord inserted near the center
    • Maternal side is rough where it attaches to uterus
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11
Q

explain the maternal component of the placenta

A
  • when conception occurs, cells of endometrium undergo changes to provide nutrition to the early embryo and to convert to decidua
  • exchange of substance b/w mom and fetus occurs within the intervillous space
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12
Q

explain the fetal component of the placenta

A
  • develops from the outer cell layer of the blastocyst and the primary chorionic villi
  • umbilical cord contains the umbilical arteries and vein to transport bloodchorionic villi are bathed by oxygen and nutrient rich blood in the intervillous spaces
    • each chorionic villous is supplied by a tiny fetal artery carring deoxygenated blood and waste products from the fetus
    • vein of the chorionic villous returns oxygenated blood and nutrients to the fetus
    • membranes of the villous separate the mother’s blood from contact with the fetal blood—good for compatibility problems
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13
Q

what are the metabolic functions of the placenta?

A
  • makes glycogen, cholesterol, fatty acids for the placenta
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14
Q

what are the transfer functions of the placenta?

A
  • Exchange of oxygen, nutrients, and waste products across the chorionic villi occurs through several methods
  • Placental transfer of harmful substances also may occur
  • Oxygen and carbon dioxide pass through the placental membrane by simple diffusion
  • Nutrients – glucose, fatty acids, vitamins, and electrolytes pass readily across placenta
  • Waste – carbon dioxide, urea, uric acid, and bilirubin are transferred from fetus to mother for disposal
  • Antibody – IgG antibodies are passed from mother to fetus through the placenta, which confers passive immunity to fetus against diseases to which mother is immune
    • Beneficial because newborn doesn’t produce antibodies for several months after birth
    • Not always beneficial in the case of Rh antibodies
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15
Q

What are the hormones the placenta can produce?

A
  • hCG
  • human placental lactogen
  • estrogen
  • progesterone
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16
Q

placenta and hCG

A
  • Present in blood 7-10 days after fertilization
  • Present in urine a few days after missed menses
  • Placenta produces hCG to allow the corpus luteum to persist for first 6-8 weeks
  • When a Y is present in the fetus, hCG causes the fetal testes to secrete testosterone
17
Q

placenta and human placental lactogen

A
  • promotes normal nutrition and growth of the fetus and causes breast development for lactation
  • Stimulates certain changes in mother’s metabolic system (inc BMR)
  • Antagonist of insulin à ensures more protein, glucose and minerals available for fetus
  • Can be detected at 4 weeks
  • Peaks at 28 weeks
18
Q

placenta and estrogen

A
  • enlargement of woman’s uterus, breasts; growth of ductal system in breast, enlargement of external genitalia
  • Proliferative function
  • Role in increasing vascularity and vasodilation
  • Causes enlargement of uterus and breasts
19
Q

placenta and progesterone

A
  • Causes secretory changes in endometrium–>nourishment
  • Changes endometrial cells to decidua
  • Reduces muscle contractions of uterus to prevent miscarriage
  • May induce immune tolerance in mom
  • Acts with estrogen to cause growth of breasts
  • Aids in transport of ovum
  • Needed for implantation
  • Produced by placenta by 11 weeks –> decreases contractility of uterus
20
Q

fetal umbilical cord

A
  • has 2 arteries that carry deoxygenated blood and waste products away from the fetus to the placenta
  • umbilical V carries oxygenated and nutrient rich blood back to the fetus
  • entire cord is cushioned by Wharton’s Jelly to prevent obstruction from pressure
21
Q

pathway of fetal circulation

A
  • fetal heart–>to placenta for exchange of oxygen/nutrients/waste products–>back to fetus for delivery to fetal tissues
    • Fetal deoxygenated blood flows through the umbilical arteries –> chorionic villi –> intervillous spaces –> returns through the umbilical vein –> fetal circulation
22
Q

flow of mother’s blood to placenta

A
  • Mothers arterial blood flows through uterine arteries –> the intervillous spaces of the placenta –> the umbilical vein –> the fetus –> returns through the uterine veins –> maternal circulation
23
Q

what are 3 shunts in fetal circulation and what is there purpose?

A
  • ductus venosus
  • foramen ovale
  • ductus arteriosus
    • allows the most highly oxygenated blood to be sent to the brain and heart
24
Q

fetal circulatory circuit involving the 3 shunts

A
  • oxygenated blood from placenta goes thru the umbilical V to the fetus–>about 2/3 go to the liver (by term) and the rest goes straight to the IVC by the ductus venosus
  • blood enters RA and joins with deoxygenated blood from lower body/head–>blood goes thru the foramen ovale to the LA–>LV–>aorta–>body
  • a small amt of blood from the RV is sent to the lungs to nourish that tissue, then the rest of the blood from the RV goes the ductus arteriosus to the aorta
25
Q

which ventricle of the fetal heart is thicker? why?

A
  • wall of RV is thicker than the LV b/c of the resistance to blood flow thru the uninflated lungs
26
Q

what are the changes in blood circulation of the baby after birth?

A
  • as infant breathes and the lungs expand, blood flow to the lungs increases, pressure in the right side of the heart falls, and foramen ovale closes
  • ductus arteriosus constricts as arterial O2 levels rise
  • ductus venosus constricts when blood flow from the umbilical cord stops
    • after birth, the ductus venosus and umbilical As and V become ligaments