Chromosomal Abnormalities Flashcards
diploid
a cell having the normal pair of each chromosome
normal cells are diploid
except gametes
haploid
a cell having only one member of each pair of chromosomes
monosomy
a cell having only one of an individual chromosome
mosiac (cells)
a situation in which some cells have an abnormal number of chromosomes, others do not
anomaly
a structural difference that differs from the norm
triple screen
maternal blood test in the 2nd tri. to detect chromosomal abnormalities
- AFP (produced by yolk sac and fetal liver)
- estriol (produced by placenta)
- hCG (produced by placenta
quadruple screen
done at 16 wks gest. detects down's syndrome the triple screen plus 2 proteins 1. PAPP-A (produced by placenta) 2. dimeric inhibin A (produced by placenta)
chorionic villi sampling (CVS)
10-12 wks gest.
earliest procedure
1. transvag.
2. transabd
amniocentesis
16 wks gest. evalute AFI look for MVP extremely accurate takes longer for results done in mothers with advanced maternal age
cordocentesis
PUBS percutaneous umbilical cord blood sampling 17 wks. gest. rapid results tests for Rh sensitization
abnormal lab values for a fetus with Trisomy 21
low AFP low Estriol ^ hCG ^ inhibin A low PAPP-A
lab values for edwards syndrome
(trisomy 18)
all lab values are decreased
what is typically found with a triploidy fetus
partial molar pregnancy
^ hCG
bilateral theca lutein cysts
CVS
10-13 wks gest
carries most risk for fetal death
chorionic villi = in the primitive placenta a.k.a. “chrionic frondosum”