Embryology Flashcards

1
Q

Fertilization

A
  • Ovulation mid-menstrual cycle
  • 12-24 hours
  • Begins in fallopian tube
  • Migrates to uterus
  • Implants in uterus by day 6 – then termed “blastocyst”
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2
Q

Week 3

A
  • Gastrulation: differentiation of
    • Endoderm (lining of GI and respiratory tracts)
    • Ectoderm (nervous system)
    • Mesoderm (44 somites become sclerotomes and myotomes become skeletal muscles and axial skeleton)
  • Cardiovascular system develops
  • Nervous system development
    • Notochord to ectoderm to neural plate to neural groove and neural folds to neural tube
    • Neural crest cells migrate to sides of neural tube (sensory ganglia, Schwann cells, meninges)
    • Neural tube closure begins at 21 days and is completed by 28th day
    • Failure of neuropore to close = neural tube defect [ie. anencephaly (cranial end) or spina bifida (caudal end)]
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3
Q

Embryo Development

A
  • Week 4
    • Heart begins to beat
    • 5 vesicle brain develops
  • Week 7
    • 4 cavity heart
  • Week 8
    • Separate digits
  • Week 10
    • Human profile to face
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4
Q

Periods of Development in Utero

A
  • Embryonic Period
    • 0-60 days
    • “fundamental importance”
  • Fetal Period
    • 60+ days
    • Period of maturation
    • “fetus”

***The greatest amount of bone development is during the last trimester

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5
Q

Malformations- Genetic

A
  • Genetic abnormality from egg or sperm, or chromosomal abnormality in gamete
    • Autosomal (chromosomes other than sex chromosomes) e.g. Down syndrome
    • Sex chromosomes (X or Y chromosome) e.g. Turner syndrome
    • 50% of genetic abnormalities result in spontaneous abortion ie miscarriage
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6
Q

Malformations- Environmental

A
  • Environmental: teratogens e.g. drugs, virus
    • Certain stages of developmental process more prone to teratogens than others e.g. the most critical period for brain developmental 3-16 weeks gestation
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7
Q

Amniocentesis

A
  • Amniocentesis (13-14 weeks gestation):
    • sample amniotic fluid via needle aspiration through abdomen and uterus in conjunction with ultrasonography for detection of birth defects
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8
Q

Chorionic Villus Sampling

A
  • 9-12 weeks gestation
  • Sample of chorionic villus taken via needle either via abdomen and uterus with ultrasonography or transcervically for detection of birth defects
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9
Q

Anomaly

A

Anomaly: structural abnormality; significant in that it may be indicative of additional anomalies or symptomatic of a syndrome

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10
Q

Primigravida

A

Primigravida: first pregnancy

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11
Q

Primipara

A

Primipara: first birth

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12
Q

Normal full term development:

A
  • 38-42 weeks
  • Before 38 weeks is premature
  • OB will not let pregnancy go beyond 42 weeks because of risk to infant
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13
Q

Gestational age (GA):

A

Gestational age (GA): number of weeks gestation when child born

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14
Q

Post-conceptual age (PCA):

A

Post-conceptual age (PCA): if child premature and not yet term age, this term is used instead of GA

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15
Q

Chronological age (CA):

A

Chronological age (CA): amount of time since birth

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16
Q

Adjusted age (AA)

A

Adjusted age (AA) – only correct until 2 years CA

17
Q

Average newborn weighs

A

>2500 grams=5.5 lbs

18
Q

Low birth weight (LBW)

A

1500-2500 grams (3.3-5.5 lbs)

19
Q

Very low birth weight (VLBW)

A

1000-1500 grams (2.2-3.3 lbs)

20
Q

Extremely low birth weight (ELBW)

A
  • <1000 grams (<2.2 lbs)
    • 10-20% risk
    • <800 grams, 10-40% risk
    • <600 grams or <23-24 weeks have 50% risk
21
Q

Critical window

A
  • Most optimum brain circuitry
    • Best time for developing:
      • —Gross motor skills = pre-natal to 5 years old
      • Reflexes = pre-natal
      • General movement & posture- first 2 years
      • Fine motor skills = birth to 9 years old
22
Q

Prenatal period reflexes

A
  • —Reflexes elicited in fetus 2-3 months after conception
  • MOST reflexes present at birth

***Involuntary movement reactions that are elicited by some type of sensory stimulus like:

—Sound

—Light

—Touch

—Body position

MOST REFLEXES INTEGRATED BY 6 MONTHS!