Lecture 22: Reproductive Physiology III Flashcards

1
Q

Cells of the embryoblast differentiate to form what? Name the layers.

A

Bilaminar disc. Endoderm called hypoblast, ectoderm called epiblast.

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2
Q

What is special about the epiblast?

A

Contains cavity called enlarges to form amniotic cavity.

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3
Q

Cells on the edge of the _______ migrate to cover the inner surface of the _________. The former _________ cavity becomes the _____ ____.

A

Hypoblast, blastocyst, blastocyst, yolk sac.

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4
Q

What does the yolk sac do?

A

Supply nutrients, blood cells, primoridal germ cells, forms part of the GI tract.

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5
Q

____ days after fertilization, the ______ disc transforms to form which THREE layers? This process is called what?

A

15, bilaminar. Ectoderm, mesoderm, endoderm. Gastrulation.

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6
Q

During gastrulation, cells from the _______ rearrange/migrate. A ________ _______ forms on the dorsal surface of the _______. What does it do?

A

Epiblast, primitive streak, epiblast. Establishes tail/head, R/L, etc.

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7
Q

_______ cells from the primitive streak displace cells from the ________, which forms the _______.

A

Epiblast, hypoblast, mesoderm.

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8
Q

At the head of the _________ _______, epiblastic cells form the ________ ______. What does this eventually form?

A

Primitive streak, primitive node. Forms NS.

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9
Q

Describe the cells of the ecto/meso/endoderm and what they eventually form.

A

ecto = tight epithelia, form all NS/skin
meso = loose CT, form all muscle things
endo = tight epithelia, form all epithelia and gametes

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10
Q

What occurs during the 4th-8th week?

A

Organogenesis. By the end of the 8th week, all systems have begun to develop.

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11
Q

During the folding stage, the _______ ____ is incorporated into the embryo to form the ___________ _________.

A

Yolk sac, primitive gut.

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12
Q

How does the cardiovascular system adapt to pregnancy (4)?

A
  1. increased blood to placenta
  2. SV/CO increase
  3. HR increase
  4. blood volume increases
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13
Q

How does the respiratory system adapt to pregnancy (2)?

A
  1. tidal volume increases
  2. oxygen consumption increases
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14
Q

How do the GI system, urinary system adapt to pregnancy?

A

GI = decreased motility
Uro = pressure on bladder, ureters/kidneys enlarged

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15
Q

Labour onset is a complex interaction of ________ and ________ hormones, but mostly driven by ___________.

A

Placental, fetal, oxytocin.

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16
Q

_________ has been maintaining the pregnancy, preventing __________ __________. Labor cannot occur until ____________ has been diminished.

A

Progesterone, uterine contractions, progesterone

17
Q

At the end of pregnancy, ________ levels soar. Why does this happen?

A

Estrogen. Increased CRH from placenta, causes fetus to release cortisol, DHEA (which is converted into estrogen).

18
Q

What do increased levels of estrogens do? (2)

A
  1. increase oxytocin receptors on uterine myometrium
  2. uterine muscle fibers form gap junctions
19
Q

During birth, __________ __________ in the cervix send impulses to the ___________ so oxytocin can be released from the _______ ________.

A

Stretch receptors, hypothalamus, posterior pituitary

20
Q

Describe the three layers of the muscular myometrium.

A

Outer (long), middle (mesh), inner (circular)

21
Q

Differentiate between 1st, 2nd and 3rd stage of labor.

A

1st - strong contractions until full dilation
2nd - full dilation until expulsion of the fetus
3rd - expulsion of fetus until placenta delivery

22
Q

What is the fourth stage of labor? What does the uterus undergo?

A

Puerperium, involution.

23
Q

Labor promoted clearance of ______ ______ fluid. Metabolism is boosted in the fetus and prepares to switch to ___________.

A

Fetal lung, glycogenolysis

24
Q

Name the 8 cardinal movements in order.

A

Engagement
Descent
Flexion
Internal rotation
Extension
Restitution
External rotation
Expulsion