Fetus, Placenta, Membranes And Amniotic Fluid Flashcards

1
Q

The first step of Conception is Gametogenesis, which consists of which 2 things

A

Spermatogenesis and Oogenesis

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2
Q

In spermatogenesis, how long does Spermatogonia take to develop into a mature sperm?

A

75 days

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3
Q

In spermatogenesis, how long total does it take for mature sperm, including storage

A

90 days

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4
Q

Fertilization takes place in which part of the fallopian tube?

A

Ampullary part.

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5
Q

What is Cleavage

A

The mitotic division of the zygote

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6
Q

The division in cleavage, produces multiple cells until the 4th day post fertilization, what is the resultant cluster of cells called?

A

A morula

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7
Q

The division in cleavage produces multiple cells, these are called what? Individually

A

Blastomeres

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8
Q

On the 5th day post fertilization, a fluid structure is formed, what is it called?

A

A blastocyst

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9
Q

The Blastocyst has an outer and inner cell mass, what is the outer called?

A

Trophectoderm

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10
Q

What is the inner cell mass of the blastocyst?

A

The future embryo

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11
Q

The expanding blastocyst, eventually hatches from its degenerative cover called the…

A

Zona pellucida

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12
Q

Implantation occurs on which day and where

A

6th day, anterior or posterior wall of the body.

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13
Q

In implantation, the blastocyst’s outer call mass (Trophoblast) becomes what?

A

The placenta and chorion

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14
Q

In implantation, the inner cell mass (Embryoblast) becomes what?

A

The embryo and umbilical cord

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15
Q

The stages of Implantation are 4. What are all of them called

A

Hatching, Apposition, Adhesion, Invasion.

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16
Q

What is Decidualization

A

The changes that happen in the endometrium to form the decidual lining, in which the blastocyst implants

18
Q

What part of the Desidua covers the embryo, protecting it from the uterine cavity

A

Desidua capsularis

19
Q

Which part of the desidua is directly beneath the embryo, and forms maternal part of the placenta?

A

Desidua basalis

21
Q

The Trophoectoderm is further differentiated into what

A

syncitiotrophoblast and cytotrophoblast

22
Q

Explain the arterial circulation of the placenta

A

120-200 spiral arteries open into the intervillous space

23
Q

Cytotrophoblast invasion happens in which time frame

A

Before 12 weeks of pregnancy (First wave of trophoblastic invasion)

24
Q

The spiral arteries feeding into the placenta are the terminal branches of which artery?

A

Uterine artery

25
When does the 2nd wave of trophoblastic invasion happen
12-16 weeks.
26
What is the point/net effect of the invasion?
Reducing the pressure of the blood to 70-80 mmHg before reaching the intervillous space, hence increasing blood flow
27
How much of the placenta is of fetal origin?
4/5 at term
28
What does the maternal surface of the placenta look like?
Rough and spongy. Cobblestone-like
29
Where does the placenta attach
Posterior or anterior wall of the uterine fundus
30
The arterial blood in the placenta reaches the fetus how?
Two umbilical arteries
31
The venous blood reaches the fetus how?
A single umbilical vein
32
What is Circumvallate placenta
The fetal membranes fold back around the edge, creating a raised edge.
33
What is the circumvallate placenta associated with, as complications
Pre term birth, fetal growth restriction, or increased risk of placental abruption
34
What is Succenturiate placenta
Essentially an accessory lobe
35
What is Bilobed placenta
It’s divided into 2 equal lobes, at risk of postpartum hemorrhage or retained placenta
36
The absence of a certain layer, leads to morbid adherent placenta, what is it called?
Hyaline layer of nitabuch
37
What is Placenta Previa?
The placenta implanting in the lower part of the crevix, as such cesarean delivery is necessary
38
What is the most common placental lesion?
Placental infarctions
39