Exam 1 Materials Flashcards
What are three important dates during week one of development? What happens on each day?
Day 1- Zygote formed after fertilization in ampulla of uterine tube
Day 4- Morula enters Uterus
Day 6- implantation of blastocyst begins
When is the preembryonic, embryonic, and fetal periods of prenatal development? What happens in each period?
Weeks 1 & 2: Pre-Embryonic. Fertilization & implantation
Weeks 3-8; Embryonic. Germ layers developed & organogenesis.
Weeks 9-38: Fetal. Growth & maturation of organ systems
What period and week do most birth defects appear? Why?
embryonic period 3-8 weeks b/c its the period of organogenesis
approximately___% of embryos are spontaneously _______ in the ________period
50%, aborted, pre-embryonic period
_________account for ____% of spontaneous abortions and ____% of birth defects and develop primarily during ______ stage of _________.
Chromosomal aberrations, 25%, 12%, Meiosis, gametogenesis.
When does M1 begin in female oogenesis? When does it end and M2 begin? when does M2 end? what is the product of oogenesis?
M1 begins-prenatal
M1 ends (completed at ovulation) M2 arrested until ovulation.
M2 ends at fertilization.
produces 1 oocyte, 3 polar bodies (not viable).
What is capacitation? How many capacitated sperm reach oocyte?
7 hour conditioning of sperm where the glycoprotein coat on sperm head is removed to facilitate fertilization. 300 to 500 reach oocyte
What percent of couples are infertile and why?
15-30%. Infecction, low sperm count, motility issues, ovulation disorders, cysts, fibroids
Mosaicism
MITOTIC (not meiotic) nondisjunction during cleavage. Generally less severe mosaic down syndrome.
Week 2 events? What are primary nutrition sources? When is uteroplacental circulation fully established?
Uteroplacental exchange begins. Syncytiotrophoblast invaginates uterine wall. Primary nutrition sources are uterine gland secretions then becomes the uteroplacental exchange of vascular lacunae
Implantation bleeding. What secretes hCG? what cascade sustains embryonic growth? What day levels detect w/ prego test?
can be mistaken for menstrual bleeding and effect age estimates. Syncytiotrophoblast secretes hCG.
hCG stimulates progesterone to increase uterine blood flow to sustain embryonic growth.
hCG linked to hyperemesis gravidium
what causes hydatidiform mole? What called if malignant? What sign exists for mole?
embryoblast absent/incomplete and trophoblast continues to function/implant/grow without growth regulators from embryoblast and forms large tumor. choriocarcinoma if malignant. Elevated hCG.
epiblast cavitation forms what cavity? What is the bilaminar disk?
amniotic cavity. embryoblast divides into hypoblast and epiblast then cavity forms in epiblast to form amniotic cavity. hypoblast becomes PYS.
Hypoblast development? PYS,EM,CC,SYS
hypoblast migrates out to line the primary yoke sac, then differentiates further to form the EM: extraembryonic mesoderm. Cavitation of the EM creates a CC: Chorionic cavity which compresses the primary yolk sac into becoming a secondary yolk sac.
Ectoderm gives rise to what?
Surface ectoderm-> epidermis (hair, nails, glands)
Neuro ectoderm -> NEURAL TUBE-> CNS
NEURAL CREST->PNS and more
Endoderm turns into what organs?
epithelial lining of GI & respiratory systems
Mesoderm turns into what ?
Paraxial, intermediate, lateral plate Turn into what?
Paraxial (somites)-
- Sclerotome -> vertebrae & ribs
- Dermatome -> dermis
- Myotome -> skeletal muscle
Intermediate -> Urinary & reproductive systems
Lateral Plate
- Parietal –> CT, Cartilage, bones & limbs
- Visceral –>Gi & Respiratory organs (except epithelium)
Identify Neural fold, Neural Groove, Neural tube, notochord, somites
Neural fold- speed humps
Neural groove almost barreled
Neural Tube- doughnut
H&E, PAS, Trichrome, silver, orcein, Sudan red, osmic acid Stains
HE- Hematoxylin blue, eosin red PAS-carbs magenta TRICHROME- Collagen fibers blue/green SILVER- reticular fibers/collagen- BLACK ORCEIN- Elastic fibers brown/black SudanRED-lipids red, OSMIC ACID-lipids Black
What happens at week 10, 12, 15, and 24-28 weeks?
10- swallowing & urine formation (important for GI)
12- long bone ossification centers formed
12- external genitals visible w/ ultrasound
15- respiratory movements
24-28- sound & light recognition
What do you use Ultrasound for monitoring? What measurements made? when can you use it?
Fetal weight, size, age, developmental defects, nutritional deficiencies.circulation. CRL, Biparietal diameter (around crown), AC, (ab circ). FL. use it after 5 weeks
EFW? SGA?
Estimated Fetal Weight
Small for Gestational Age-> low EFW for age but normal weight for the size of fetus
Low EFW for age, low EFW for size is a result of what two possible things? how much more likely is mortality?
Intrauterine growth restriction
or
In utero growth retardation (IUGR)
30X more likely mortality
fFN Test? what does it assess? how? when?
fetal fibronectin test. Assesses preterm delivery risk. by taking vaginal swab for placental adhesive glycoproteins and is reliable between weeks 22-34. Preterm skin is red/wrinkled paucity of dermal ct
What test do you use for RDS? what should you see? what else can you use if water breaks?
lecithin-sphingomyelin ratio test. Lecithin should rise relative to sphingomyelin of 2:1 by 34th week = low rds. can use vaginal swab for ACM rupture
What types of maternal serum screening? what used for?
a-fetoprotein: neural tube defects, down syndrome (common used)
hCG: molar pregnancy, choriocarcinoma, ectopic pregnancy, down syndrome
Cell-free fetal DNA (cffDNA): karyotyping 7+weeks not reliable. synscitiotrophoblast cells used?
CVS, AFT, what, when, how. Which is better?
Chorionic villus sampling: biopsy of chorionic villus w/ needle. 10-14 weeks, higher risk than aft, used for Karyotyping
Amniocentesis, amniotic fluid test: sample amnionic fluid w/ needle. 14-20 weeks (adequate fluid). Used for karyotyping, fetal metabolites, proteins, hormones. low risk
PUBS, Fetendo
percutaneous umbilical cord blood sampling- detect/treat fetal blood disorders (anemia) or administer blood transfusion or meds.
Fetoscopy- invasive high risk, penetrates amnionic cavity.
Culdocentesis:
needle transvaginal to peritoneal cavity, invasive, rare; used to detect ruptured tubal pregnancy (now they just use ultrasound and surgery)
Dilation and curettage (DC)
dialation of cervix and removal of endometrium (scraping/suction). Used for miscarriage, molar pregnancy, postpartum hemorrhage.
Chorionic villi floats in saline.
Tocodynamometer TOCO. what used with?
Pressure monitor on abdomen to detect uterine contractions. contractions & heart rate used together to estimate adequate fetal oxygen levels
ACM? ABS? PROM?
amniochorionic membrane - fused- water break
Amniotic band syndrome with premature repturing of the ACM.
Amnionic fluid. Function. Composition. origin. fetal circulation. maternal circulation. Amniocentesis
protects (physical, infection, body temp, fluid homeostasis) composed of (fetal cells, proteins, electrolytes)
Formed by fetal amniotic cells lining cavity, diffusion of maternal tissue fluid, fetal urination
swallowed, aspirated, absorbed skin
returns to mom uteroplacental xchng, excretion to amnion & diffused into maternal tissue
AFV. if high what does it mean? low?
amnionic fluid volume.
High afv -> means GI problems (AF not being swallowed)
Low afv-> means renal malformations (fetus not urinating) or
PROM. of ACM
Oligohydramnios (potter’s ) sequence
clubbed feet & cranial anomalies due to compression.
Pulmonary hypoplasia
Pulmonary hypoplasia (under-developed lungs) due to lack of fluid during respiratory movements
Placenta is made up of what layers?
Decidua basalis (maternal derived from endometrium) Villous Chorion (from fetal chorion)
Plaental barrier transformation at 4 months fertilization age. What happens? What happens if the transformation fails?
cytotrophoblast cells detach and migrate to line the maternal arteries to INCREASE maternal BLOOD VESSELS and INCREASE BLOOD FLOW.
If fails: Preeclampsia: causes maternal hypertension/slowed fetal growth
Eclampsia- seizures, coma, death
Placenta acts like a membrane. What does it allow to pass or not to pass?
Blocks: large molecules, protein hormones, bacteria
Allows: gas, nutrient, waste, steroid hormones, antibodies, medications/drugs, viruses
What is it called when the placenta attaches to the myometrium? invades myometrium? penetrates myometrium?
Placenta ACCRETA: attaches uterus
Placenta INCRETA: invades uterus
Placenta PERCRETA: penetrates uterus
DZ twins? DCDA
fraternal twins; derived from two fertilized oocytes (unique dna). Each twin has its own everything and develops independently. ALWAYS HAS ITS OWN CHORION AND ITS OWN AMNION
MZ: DCDA, MCDA, MCMA #trophoblasts = # chorions #embryoblasts=# amnions
Monozygotic twins- Identical.
DCDA–>2 cell zygote splits to form 2 blastocyts
MCDA-> one blastocyst w/ two embryoblasts
MCMA-> one blastocyst w/ one embryoblast
Conjoined, parasitic, vanishing, TTTS
conjoined: incomplete splitting of monozygotic twins
parasitic: asymmetrical conjoined monozygotic twins
vanishing: death of 1 fetus (common)
twin-to-twin transfusion syndrome (TTTS): MONOCHORIONIC TWINS ONLY… donor has slow growth, recipient is loaded w/ fluid
What characteristics should you find in a PROTEIN SECRETING CELL? What is constitutive vs. regulative?
Nucleus, Rough ER (make proteins), Golgi (package and ship), Secretory vesicle (exocytosis) mitochondria.
Constitutive is continuous; Regulative is for storage and release when signaled
What characteristics found in a STEROID SECRETING CELL?
SMOOTH ER (looks like cross sections of tubes), Lipid inclusions (droplets) cholesterol storage for steroid production
Vesicular mitochondria (tube-shaped cristae; for modifying steroids)
If I have blue or green fibers what stain and what type of tissue?
Trichrome & Collagen Fibers
What kind of stain for red/brown or black fibers? What kind of tissues?
Orcein for elastic fibers/ brown/red or black
What stains lipids red? black?
Sudan red, osmic acid-black
What stains reticular fibers and collagen? what color?
Silver stains collagen and reticular fibers BLACK
what stain used for glycoproteins and carbs?
PAS
What is urinary & reproductive system derived from?
INTERMEDIATE PLATE of the MESODERM that comes from EPIBLAST which comes from EMBRYOBLAST which comes from inner mass cells of the morula
What layer does skeletal muscle come from?
MYOTOME layer of PARAXIAL SOMITES of the MESODERM
What layer does the dermis come from?
DERMATOMES from PARAXIAL SOMITES from MESODERM
Where does vertebrae and ribs come from?
SCLEROTOME from PARAXIAL SOMITES from MESODERM
What three layers derived from PARAXIAL SOMITES?
SCLEROTOME (vertebrae/ribs), DERMATOME (dermis), MYOTOME (skeletal muscle).
Where is CT, Cartilage, bones of body wall and limb derived from?
PARIETAL from LATERAL PLATE from MESODERM
Where is GI & Respiratory organs derived from?
VISCERAL from LATERAL PLATE from MESODERM
Where is epithelial lining of Respiratory, GI, Urinary derived from?
ENDODERM
What are the three layers of mesoderm
PARAXIAL SOMITES- INTERMEDIATE- LATERAL PLATE
Where is epidermis derived from?
SURFACE ECTODERM from ECTODERM
Where is Nervous system and more derived from?
NEUROECTODERM from ECTODERM
When is the formation of the Neurotube?
nurulation of week three