foetal circulation Flashcards

1
Q

where is the placenta usually located?

A

in the posterior funded of the uterus

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2
Q

what vessels carry oxygenated and nutrient rich blood away from the placenta to the foetus?

A

umbilical veins

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3
Q

where does the smaller branch of the umbilical vein go to?

A

the liver

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4
Q

where does the larger branch of the umbilical vein go to?

A

it by-passes the liver and drains straight into the inferior vena cava as the DUCTUS VENOSUS

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5
Q

what happens to the blood from the DUCTUS VENOSUS before it reaches the right atrium?

A

it mixes with venous blood from the lower limbs

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6
Q

what happens to most of the blood entering through the inferior vena cava?

A

most of the blood passes into the left atrium through the foramen ovale, then into the left ventricle, then aorta

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7
Q

what happens to the remainder of the blood entering the heart through the inferior vena cava?

A

it passes to the lungs via the right ventricle

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8
Q

what valve directs the blood to the foramen ovale?

A

the valve of the inferior vena cava

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9
Q

what is the name of the inter-atrial septum that has the foramen ovale?

A

septum secundum

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10
Q

what is the name of the inter-atrial septum which has the foramen secundum?

A

septum primum

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11
Q

from the PULMONARY TRUNK, where does 90% of the blood go?

A

to the DUCTUS ARTERIOSUS, which then joins the descending aorta

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12
Q

from the PULMONARY TRUNK, where does 10% of the blood go?

A

to the lungs via the pulmonary veins

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13
Q

where does 2/3 of the blood go from the descending aorta?

A

to the placenta via the internal iliac artery then the umbilical artery

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14
Q

where does 1/3 of the blood go from the descending aorta?

A

to the abdomen, pelvis and lower limbs

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15
Q

what is the first shunt in foetal circulation?

A

the ductus venosus

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16
Q

what is the second shunt in foetal circulation?

A

the foramen ovale

17
Q

what is the third shunt in foetal circulation?

A

the ductus arteriosus

18
Q

what happens when there is a loss of blood flow to the placenta when the umbilical cord is tied and cut?

A

increased systemic resistance, increase aortic, left ventricular and left atrial pressures

19
Q

what happens to the alveoli of the lungs after the first breath of the baby?

A

they expand

20
Q

what happens to the pulmonary vascular resistance after the first breath of the baby?

A

it decreases

21
Q

what happens to the pulmonary arterial, right ventricular and right atrial pressures after the first breath of the baby?

A

they reduce

22
Q

what causes the foramen ovale to be pushed shut?

A

the pressure in the left atrium rises and the pressure in the right atrium is decreased

23
Q

after how many months does it take to STRUCTURALLY close the foramen ovale?

A

4 months