Fetal Circulation Flashcards

1
Q

Oxygenation occurs in the ____ during fetal circulation

A

Placenta

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2
Q

O2 blood returns from the placenta to which vein during fetal circulation?

A

Umbilical vein and IVC (sinus venosus)

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3
Q

There are two shunts in fetal circulation. Which are they?

A

PFO and PDA

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4
Q

A PFO and a PDA are both shunts that move in which direction during fetal circulation

A

R-L

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5
Q

This shunt has flow from the IVC enter the right atrium and crosses into the left atrium via the eustachian valve, which shunt is this during fetal circulation?

A

PFO

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6
Q

This shunt has flow from the pulmonic artery, go into the aorta which shunt is this?

A

PDA

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7
Q

Why does a majority of flow cross the ductus arteriosus rather than go through the pulmonic artery during fetal circulation?

A

Because the ductus arteriosus has less resistance than the pulmonic artery

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8
Q

In normal fetal development, which shunt is the last to close?

A

PFO

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9
Q

In normal fetal circulation, which shunt is the first to close

A

PDA

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10
Q

Where is the location of the aortic isthumus?

A

The area between the left subclavian and the ductus arteriosus

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11
Q

What is the ligamentum arteriosum?

A

A remnant of the ductus arteriosus blood vessel in fetal development

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12
Q

With a interrupted aorta, where does the descending aorta then receive its blood from?

A

From the PDA

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13
Q

Once the baby is born, the lungs ___ and the ______ artery resistance should drop. This allows blood to fully cross the ____ artery rather than continuing through the _____

A

Inflate; pulmonic artery; pulmonic artery; PDA

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14
Q

After birth, how long does it take for the ductus arteriosus to close?

A

2-3 days

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15
Q

After birth, what causes the the PFO closing?

A

After birth, right atrial pressure decreases and left atrial pressure increases this left atrial pressure increase closes the PFO

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16
Q

After birth, how long does it take for the PFO to close?

A

4-6 days

17
Q

What is persistent fetal circulation?

A

This occurs after birth, and instead of the pulmonic artery resistance dropping it remains high, and this allows the PDA and PFO to remain open with a right to left shunt after birth

18
Q

True or false- persistent, fetal circulation, usually affects premature, born babies

A

False this disease usually affects full-term babies