Exam 1: Chapter 10 Flashcards

1
Q

Pre embryonic

A

fertilization through 2nd week

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2
Q

Embryonic

A

end of 2nd week through 8th week

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3
Q

fetal

A

end of the 8th week through birth

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4
Q

Average length of pregnancy

A

280 days from the first day of the LMP

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5
Q

Viability

A

capability of fetus to survive outside of the uterus

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6
Q

Amniotic fluid characteristics

A

98% water and 2% organic matter

Organic matter: albumin, urea, uric acid, creatinine, bilirubin,
lecithin, sphingomyelin, epithelial cells, vernix and lanugo

Dynamic, constantly changing

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7
Q

Amniotic fluid: Oligohydramnios

A

Oligohydramnios (<500 mL, too little) uteroplacental insufficiency and renal abnormalities

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8
Q

Amniotic fluid: Hydramnios

A

Hydramnios (>2,000 mL, too much) associated with maternal diabetes, neural tube defects, chromosomal deviation, malformations of the CNS, GI alterations

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9
Q

Functions of amniotic fluid

A

§ Helps maintain a constant body temperature for the fetus

§ Permits symmetric growth and development

§ Cushions the fetus from trauma

§ Allow the umbilical cord to be relatively free of compression

§ Promotes fetal movement to enhance musculoskeletal
development

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10
Q

Down syndrome

A

Abnormality of chromosome number—trisomy21

§ Reasons
* 3 copies of chromosome 21
* Cells with an extra copy chromosome 21
* Translocation of chromosomes 21

§ Can be seen with a fetal nuchal translucency test—ultrasound
* When increased nuchal thickness is found
* Karyotyping can be done

Main characteristics
§ Hyper flexibility
§ Small feet and hands
§ Muscle hypotonia
§ Short neck
§ Almond shaped eyes that slant upward § Ulnar loop on the second digit
§ Short stature

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11
Q

Tay Sachs

A

Inherited disorder
§ Due to mutations
§ Insufficient activity of the enzyme hexosaminidase A, necessary for the breakdown of fatty substances in the brain
* Result: damage to nerve cells

o Autosomal recessive inheritance receive the gene from both parents
and both parents are carriers

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12
Q

IgG

A

onlyimmunoglobulinthatcrossestheplacenta—providespassive
acquired immunity to specific bacterial toxins

§ Production quickens when IgM responds (rid the problem)
§ Most common immunoglobulin

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13
Q

IgM

A

Fetus produced

Largest antibody

Starts the healing and recovery process -> First to respond

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14
Q

IgA

A

does not cross the placenta but are produced in large amounts in the colostrum

Lining of the respiratory tract and digestive tract

saliva, tears

breast milk

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15
Q

IgE

A

allergens and infection from a parasite

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16
Q

Placenta: development of the maternal blood supply to the placenta is complete by the end of

A

the first trimester of pregnancy (12 to 13 weeks)

17
Q

The baby is fed through the _____ and ________

A

placenta and umbilical cord

18
Q

T/F maternal blood and fetal blood cross

A

False, they do not cross

19
Q

What is the main function of the placenta

A

serving as the interface between the mother and fetus (O2 and nutrients)

20
Q

What hormones does the placenta make

A

HCG
progesterone
estrogen
relaxin
human placental lactogen or human choronic somatomammotropin

21
Q

HCG

A

preserves the corpus luteum and its progesterone production, basis for pregnancy test

22
Q

Progesterone

A

maintain endometrium

decreases contractility of the uterus

stimulates maternal metabolism and breast development

23
Q

estrogen

A

enlargement of women’s breast, uterus, and external genitalia

stimulates myometrial contractility

24
Q

relaxin

A

relaxation of pelvic ligaments

softens the cervix in preparation for birth

25
Q

HpL and hCS

A

regulates fetal and maternal metabolism

development of breast for lactation

decreases maternal glucose utilization, which increases glucose availability to the fetus

26
Q

The umbilical cord is formed in the ______

A

amnion

27
Q

What does the umbilical cord contain for vasculature

A

one large vein (O2) and two small arteries (CO2)

28
Q

Fetus does not need functioning kidneys in utero because the _____ acts as an organ of excretion, maintaining electrolyte balance

A

placenta

29
Q

What is the first stool of a baby called? what is it like?

A

Meconium, black tarry substance usually passed within 24 hours of life

30
Q

What are the three shunts during fetal life

A

ductus venosus

ductus arteriosus

foramen ovale

31
Q

Ductus venosus

A

connects the umbilical vein to the inferior vena cava

32
Q

Ductus arteriosus

A

connects the main pulmonary artery to the aorta

33
Q

Foramen ovale

A

anatomic opening between the right and left atrium
–> closes within 1 to 2 hours after birth

34
Q
A