Maternal, Fetal, and Neonatal Physiology Flashcards
Dr. Chad Touchberry (UMKC)
Days 0-14 Female reproductive cycle
Day 14 Female reproductive system
Days 14-28 Female reproductive system
Days 0-4 Female reproductive system
What is the acrosome?
Explain the capacitation & acrosome reaction in sperm
The acrosome contains enzymes that degrades the outside cell wall of the oocyte
Explain the 6 steps of fertilization
Once a sperm enters the egg, Ca++ activates and hardens the outside layer to prevent other sperm from entering
Explain Ovulation, fertilization, implantation in the fallopian tubes
What does an increase in estrogen do to the endometrial tissue?
Starts the remodelling process
Explain the steps of Placental development: adhesion and invasion
Explain the steps of Placental development: invasion and implantation
What is preeclampsia?
Preeclampsia is a pregnancy complication characterized by high blood pressure and signs of damage to another organ system, most often the liver and kidneys.
What is placenta accreta?
Placenta accreta is a serious pregnancy condition that occurs when the placenta grows too deeply into the uterine wall.
Trophoblastic nutrition is critical early on….and dependent upon what hormone?
At what point in pregnancy does the placenta become functional for fetus nutrition and support?
What are the functions of the placenta?
What factors increase drug transfer in across placental barrier?
What is hCG-what are it’s functions? When is it important?
How do the roles of hCG, estrogen, and progesterone change throughout pregnancy?
hCG’s begins it’s decline at 2 mos and the corpus luteum begins to secrete less progesterone and estrogen. However, by 7th week of pregnancy, the placenta had already begun to gradually take over the endocrine function of corpus luteum.
Roles of estrogen and progesterone throughout pregnancy?
When is Human Chorionic Somatomamotropin (hCS) aka Human placental lactogen (hPL) secreted and by what? What are it’s functions?
When is relaxin secreted and by what? What are it’s functions?
Differentiation of Internal and External Genitalia
What are the phases of parturition?
What are the two main triggers for birth?
What are the three stages of labor and delivery?
What is the Fersugon reflex?
What increases and decreases rate of uterine contraction?
What is the ABGAR score?
How does the sound of a baby’s cry stimulate milk production?
What is lactational amenorrhea?
What is the process of Fetal to neonatal RBC’s changing?
What are the four shunts in fetal circulation?
What are the circulatory changes: Fetal vs neonate?
What are the effects of the ductus arteriosis and foramen ovale closing?
What are the differences in Fetal vs Neonatal Lung (Alveolus)?
What is the difference between transient tachpynea and respiratory distress and how you treat them?
What are the three neonatal respiratory triggers?
What are the challenges of hypoxia in the neonate?
What are the threats of hypoglycemia in the neonate?
What are the threats of hypothermia for the neonate?
What is Nenonate non-shivering thermogenesis?
