FETAL SUPPORT STRUCTURES, STAGES OF INTRAUTERINE DEVELOPMENT AND FETAL CIRCULATION Flashcards

1
Q

T or F = The study of development begins at birth

A

false, it begins at the moment of conception

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2
Q

What is decidua?

A

inner lining of uterus implanted with blastocyst

Structure of thickened endometrium that develops after implantation

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3
Q

What are the 3 decidua layers

A

1 Decidua Basalis

2 Decidua Capsularis

3 Decidua vera

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4
Q

Decidua Basalis location and function

A

L: Lies directly under embryo

F: Where trophoblast cell communicates w/ maternal blood vessels

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5
Q

Decidua Capsularis location and function

A

L: Encloses the embedded blastocyst

F: Separates blastocyst from uterine cavity

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6
Q

Decidua Vera location and function

A

L: Layer not in contact w/ ovum

F: Lines the remaining uterus

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7
Q

The decidua layer that becomes the maternal part of the placenta

A

decidua basalis

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8
Q

are called finger-like projections

A

Chorionic Villi

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9
Q

Contains a reservoirs of blood which provides O2 and Nutrients to fetus

A

intervillous spaces

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10
Q

Tiny Projections into the intervillous space that contain a fetal artery and vein to release waste products & pick up oxygen & nutrients from maternal blood

A

Chorionic Villi

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11
Q

fetal membranes is also known as

A

embryonic membrane

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12
Q

Function of fetal membrane

A

encloses fetus & amniotic fluid, protecting it from bacterial infection

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13
Q

2 Division of fetal membrane

A

Chorion (chorionic membrane) & amnion (amniotic membrane)

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14
Q

The outer most fetal membrane and is described as protective & nutritive

A

Chorion

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15
Q

Smooth, glistening, thin, tough, & translucent fetal membrane that lines the amniotic cavity, enclosing the fetus

A

Amnion

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16
Q

Produces the amniotic fluid

A

Amnion

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17
Q

Described as bag of water as it contains the amniotic fluid

A

amniotic cavity

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18
Q

the fetus’ position withing the amniotic cavity

A

flexion

19
Q

The amount of amniotic fluid in mL ranges from

A

800-1200 mL

20
Q

what is the color, alkalinity, and composition of amniotic fluid

A

color: clear
alkalinity: 7-&.25
composition: 99% water & 1 % solid particles

21
Q

amniotic fluid function (8)

A
  1. Protection
  2. Allows movement
  3. Permits symmetrical growth
  4. Excretion
  5. Fetus has fetal waste metabolism, so it urinates & urine goes to circulation
  6. Temperature regulation
  7. Source of intrauterine oral fluid
  8. Lubricant during labor
22
Q

To determine if the amniotic fluid or urine is the one that raptures and come out (during the time when it is thought that pregnant woman is about to deliver), what test is utilized?

A

Nitrazine Paper Test

23
Q

Test that involves putting a drop of fluid sample from vagina onto litmus paper strips with nitrazine dye.

A

Nitrazine Paper Test

24
Q

Yellow result of Nitrazine Paper Test indicates?

A

pH is 4-6
Negative for amniotic fluid

25
Q

Blue result of Nitrazine Paper Test indicates?

A

pH 6.5 -7.5
Positive

26
Q

Characterized as too much amniotic fluid around the baby during pregnancy.

A

Polyhydramnios (hydramnios)

27
Q

What amount of amniotic fluid is considered as Polyhydramnios (hydramnios)?

A

more than 2000 mL

28
Q

It is the decreased amniotic fluid volume

A

Oligohydramnios

29
Q

What amount of amniotic fluid is considered as Oligohydramnios?

A

less than 500 mL

30
Q

What are the Abnormal amniotic colors?

A

Greenish

Distress fetus causes relaxation of GI tract of fetus which stimulates meconium (it is a fetal waste metabolism, means it can only be release after delivery ) release
Gold or yellow
Means hemolytic disease such as RH or ABO incompatibility
cloudy/ gray
infection
pinkish/ reddish
Means bleeding

31
Q

Amniotic color that indicates Meconium staining; fetal distress in a non breech presentation

A

Greenish

32
Q

waste that can only be release after delivery

A

Meconium

33
Q

newborn’s first poop

A

Meconium

34
Q

Amniotic color that indicates hemolytic disease such as RH or ABO incompatibility

A

Gold or yellow

35
Q

Amniotic color that indicates infection

A

greyish / cloudy

36
Q

Amniotic color that indicates bleeding

A

pinkish / reddish

37
Q

In pregnancy we are using _______to monitor there the growth of baby

A

lunar months

38
Q

weight of placenta

A

500 g

39
Q

placenta is formed from the union of

A

chronic (fetal portion) & decidua basalis (maternal portion)

40
Q

Placenta is fully functional at what week

A

12th

41
Q

2 sides of placenta

A

maternal & fetal

42
Q

The side of placenta that is overed w/ amnions & cotyledon, Red & flesh

A

maternal

43
Q

smooth & shiny side of placenta

A

fetal

44
Q

4 Functions of placenta

A
  1. Organ of respiration
    = Exchange of gasses takes place in the placenta
  2. Excretion
    = Waste products metabolism & carbon dioxide are bein excreted into maternal blood by diffusion
  3. Nutrition
    = Transport nutrients from mother to fetus via the placenta by diffusion through the placental tissues
  4. Organ of protection
    = Inhibits passage of certain bacteria & large molecules
    Provides maternal Ig G (Immunoglobulin)