Fetal Development and Pregnancy Flashcards

1
Q

Describe oogenesis.

A
  • Production or development of an ovum (divides to give rise to embryo)
  • Begins during embryological and fetal development of the female
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2
Q

Describe oogenesis in relation to the cell cycle.

A
  • All potential eggs are established as an embryo: start to undergo first meiotic division to replicate DNA, but stop before its finished
  • After onset of puberty, 1 oocyte matures q28 days and completes the first meiotic division
    • 2 unequal cells – secondary oocyte and a small polar body
    • Contain 22 autosomes and 1 X chromosome
  • After ovulation, second meiotic division begins – completes only if fertilized
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3
Q

Describe spermatogenesis.

A
  • Production or development of mature sperm
  • Spermatogonium – primitive sperm cells produced in the testes at onset of puberty
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4
Q

Describe spermatogenesis in relation to the cell cycle.

A
  • First meiotic division – 2 haploid secondary spermatocytes are formed
    • Each contains 22 autosomes and 1 sex chromosome
    • Secondary spermatocytes divide results in 4 sperm
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5
Q

Describe the ovum during fertilization.

A
  • Fimbria of uterine tubes pulls ovum into tube
  • Corpus luteum on the ovary produces progesterone
  • Two protective layers: zona pellucida and corona radiate
  • Viable for approx. 24 hours after ovulation
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6
Q

Describe the sperm during fertilization.

A
  • Approx. 1tsp of semen = 200-500 million sperm
  • Tail of sperm contain mitochondria
  • Head of sperm contain enzymes that help get past those protective layers of the ovum
  • Viable for up to 5 days
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7
Q

What happens during ovulation?

A
  • Sperm and ovum meet in ampulla (outer third) of the uterine tube
  • Chemical reaction prevents more than one sperm from entering the ovum – called the zona reaction
  • Restores the diploid number to form zygote
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8
Q

What are embryo (until 8 weeks gestation) susceptible to?

A

Teratogens:

  • Infections: Rubella, toxoplasma, TORCH
  • Environmental exposures: heat, toxins
  • Chemical exposures: alcohol, medications
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9
Q

Structure of the placenta?

A
  • Derived from the trophoblast cells of the blastocyst, has 2 layers.
  • Circulation begins around day 17
  • Large network of blood vessels that invades maternal circulation
  • Facilitates embryonic blood circulating by day 21
  • Intervillous spaces
    • Maternal blood provides oxygen and nutrients
    • Exchanges waste and carbon dioxide from the fetus
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10
Q

Functions of the placenta?

A
  • Endocrine
  • Immune barrier (semipermeable membrane)
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11
Q

List additional information about the placenta.

A
  • Maternal side is rough and convoluted
    • Dull red in color due to maternal blood
  • Fetal side is shiny and smooth
  • Weighs about 1lb at term
  • Until week 16 the placenta grows in thickness and circumference
    • Remainder of pregnancy only grows in circumference
    • Viral infections can influence thickness of placenta
  • Contains approx. 500mL of blood at term
  • Blood in the intervillous space is replenished 3-4 times every minute
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12
Q

Where is amniotic fluid produced? How much amniotic fluid is present at term?

A
  • Produced by fetal kidneys & lungs at 10 weeks
  • At term, approximately 1000 mL
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13
Q

What is the purpose of amniotic fluid?

A
  • Maintains constant temperature
    • Cushions fetus
    • Allows movement and development of fetal limbs
    • Provide vitamins, proteins, IgG, electrolytes
    • Antibacterial properties
    • Important to fetal lung development
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14
Q

Describe Polyhydramnios.

A
  • Too much amniotic fluid
  • Risk of cord prolapse upon rupture
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15
Q

Describe Oligohydramnios.

A
  • Too little amniotic fluid
  • Risk of poor fetal lung development;
    fetal demise
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16
Q

What is the structure and function of umbilical cord?

A
  • 3 vessels (AVA)
    • 2 arteries – return blood to the placenta/chorionic villi
    • 1 vein – carries nutrient and oxygen rich blood to the embryo/fetus
  • Covered with Wharton’s jelly
17
Q

What are Autosomes?

A

A chromosome that is not directly involved in determining the sex of an organism.

18
Q

What is a Sex Chromosome?

A

A chromosome that determines whether an organism is male or female.

19
Q

Describe Multifactorial inheritance.

A
  • Typically complex disorders
  • Most common congenital conditions
  • Multiple genes and environmental interactions
  • Examples: cleft lip, cleft palate, congenital heart disease, neural tube defects, and pyloric stenosis.
20
Q

What causes Unifactorial inheritance?

A

Caused by mutations in a single gene (Mendelian genetics)

21
Q

Compare the different types of Unifactorial Inheritance disorders.

A
  • Autosomal dominant – only one mutated allele needed for expression (Marfan’s Syndrome)
  • Autosomal recessive – two copies of mutant gene needed for expression (Sickle cell disease )
  • X-linked dominant – dominant gene carried on X-chromosome (Fragile X)
  • X-linked recessive – recessive gene carried on X-chromosome (Hemophilia)
22
Q

List the types of genetic tests used in the perinatal period.

A
  • Alpha-Fetoprotein (AFP)
  • Fetal nuchal translucency (FNT)
  • Triple & Quad Screening
  • Preimplantation genetic testing
  • Cell-free DNA
23
Q

What is used in Alpha-Fetoprotein (AFP) testing?

A

Maternal serum

24
Q

How is Fetal nuchal translucency (FNT) done?

A

Vaginal probe ultrasound to measure fluid collection at base of fetal neck

25
Q

What is used in Triple & Quad Screening?

A

Maternal serum measure of AFP, estriol, beta-HCG and inhibin A

26
Q

Describe Preimplantation genetic testing.

A

Genetic testing of embryos produced through IVF

27
Q

What is used in Cell-free DNA testing?

A

Maternal plasma