Maternal Recognition of Pregnancy and Placentation Flashcards

1
Q

What are the mechanisms of fertilization?

A
  • Membrane receptors on an oocyte pulls in the head of the first sperm cell to make contact
  • The membrane of the oocyte does not permit a second sperm head to enter
  • The oocyte then undergoes its second meiotic division
  • Fertilization occurs when the genetic material of a sperm combines with that of an oocyte to form a zygote
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2
Q

What is the zygote?

A
  • First cell of a new individual
  • The result of the fusion of DNA from sperm and egg
  • The zygote begins rapid mitotic cell divisions
  • The zygote stage is in the uterine tube, moving toward the uterus
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3
Q

What is the embryo?

A
  • Developmental stage from the start of cleavage until the ninth week
  • The embryo first undergoes division without growth
  • The embryo enters the uterus at the 16-cell state
  • The embryo floats free in the uterus temporarily
  • Uterine secretions are used for nourishment
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4
Q

What is the blastocyst?

A
  • Ball-like circle of cells
  • Begins at about the 100 cell stage
  • Secretes human chorionic gonadotropin (hCG) to stimulate the corpus luteum to continue producing hormones
  • The blastocyst implants in the wall of the uterus (by day 14)
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5
Q

Describe development after implantation?

A
  1. Chorionic villi (projections of the blastocyst) develop
    - Cooperate with cells of the uterus to form the placenta
  2. The embryo is surrounded by the amnion (a fluid filled sac)
  3. An umbilical cord forms to attach the embryo to the placenta
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6
Q

What are the functions of the placenta?

A
  1. Forms a barrier between mother and embryo
    - blood is not exchanged
  2. Delivers nutrients and oxygen
  3. Removes waste from embryonic blood
  4. Becomes an endocrine organ (produces hormones) and takes over for the corpus luteum by producing:
    > Estrogen
    > Progesterone
    > Other hormones that maintain pregnancy
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7
Q

Describe the fetus at the beginning of the ninth week?

A
  • All organ systems are formed by the end of the eighth week
  • Activities of the fetus are growth and organ specialization
  • A stage of tremendous growth and change in appearance
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8
Q

What is pregnancy?

A

period from conception until birth

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9
Q

What are the anatomical changes of the mother during pregnancy?

A
  1. Enlargements of the uterus
  2. Accentuated lumbar curvature
  3. Relaxation of the pelvic ligaments and pubic symphysis due to production of relaxin
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10
Q

What are the physiological effects of pregnancy on the mothers GIT?

A
  1. Morning sickness is common due to elevated progesterone
  2. Heartburn is common because of organ crowding by the fetus
  3. Constipation is caused by declining motility of the digestive tract
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11
Q

What are the physiological effects of pregnancy on the mothers urinary system?

A
  1. Kidneys have additional burden and produce more urine

2. The uterus compresses the bladder

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12
Q

What are the effects of pregnancy on the mothers respiratory system?

A
  1. Nasal mucosa becomes congested and swollen

2. Vital capacity and respiratory rate increase

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13
Q

What are the effects of pregnancy on the mothers cardiovascular system?

A
  1. Body water rises
  2. Blood volume increases by 25 to 40 percent
  3. Blood pressure and pulse increase
  4. Varicose veins are common
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14
Q

Describe developmental aspects of the reproductive system?

A
  1. Testes form in the abdominal cavity and descend to the scrotum one month before birth
    - The determining factor for gonad differentiation is testosterone
  2. Reproductive system organs do not function until puberty
    - Puberty usually begins between ages 10 and 15
    - The first menses usually occurs about two years after the start of puberty
  3. Most women reach peak reproductive ability in their late 20s
  4. Menopause occurs when ovulation and menses cease entirely
    - Ovaries stop functioning as endocrine organs
    - There is a no equivalent of menopause in males, but there is a steady decline in testosterone
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