Neonatal Flashcards

1
Q

The first stage in the development of a fetus

A

fertilization

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2
Q

process by which the male sperm and female egg join together

A

fertilization

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3
Q

Approximately thirty hours after fertilization, the fertilized oocyte (egg) splits into two cells of equal size

A

blastomeres

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4
Q

After three more divisions, there are 16
cells. At this point, the group of cells is referred to as

A

morula

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5
Q

Within the first week, the cells of the morula reorganize to form a cavity, known as the
blastocyst cavity (blastocoel). From this point, the morula is known

A

blastocyst

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6
Q

contacts with the endometrium of the uterus to facilitate implantation and the formation of the placenta

A

Outer cell mass (trophoblast)

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7
Q

responsible for the formation of the embryo itself

A

Inner cell mass (embryoblast)

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8
Q

The trophoblast divides into:

A

syncytiotrophoblast and cytotrophoblast.

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9
Q

The embryoblast divides into

A

epiblast and hypoblast,

forming a two-layered structure; the bilaminar disk.

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10
Q

The amniotic cavity forms within the

A

epiblast

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11
Q

During this process, the syncytiotrophoblast becomes continuous with the uterus

A

Implantation

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12
Q

In the 3rd week of embryonic development, the cells of the bilaminar disk (epiblast and hypoblast) undergo a highly specialized process called

A

gastrulation

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13
Q

During this process, the two cell layers become three germ cell layers, and the bodily axes observed in the mature adult are created

A

gastrulation

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14
Q

Is a process of cellular rearrangement which involves migration, invagination and differentiation of the epiblast

A

Gastrulation

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15
Q

Is a groove in the midline of the epiblast which appears during the third week

A

The Primitive Streak

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16
Q

Cells of the epiblast layer break off and migrate toward

A

primitive pit

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17
Q

Germ cell layers:
formed by epiblast cells that migrate through the primitive pit and displace the hypoblast cells.

A

Endoderm

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18
Q

Germ cell layers:
formed by epiblast cells that migrate through the primitive pit and lie between
the epiblast layer and the newly created endoderm.

A

Mesoderm

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19
Q

Germ cell layers:
formed by the epiblast cells that remain in position

A

Ectoderm

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20
Q

major cause of neonatal death and
disease

A

Congenital malformation with inadequate lung development

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21
Q

Is used to describe the growth and age of a fetus, the time period between the first day of the mother’s last
menstrual period and the day of delivery

A

Gestational age

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22
Q

A pregnancy is considered to be full term at what week?

A

40 weeks of gestation

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23
Q

Is the amount of time that has elapsed since birth, Days, weeks, months, and years are used to describe

A

Postnatal age

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24
Q

Includes primitive lung development and is generally regarded to encompass the first 2 months of gestation, the diaphragm also develops

A

Embryonic phase

25
The lung begins to emerge as a bud from the pharynx 26 days after conception, This lung bud elongates and forms two bronchial buds and the trachea, which then separate from the esophagus through the development of the tracheoesophageal septum
Embryonic Phase
26
Various growth factors and fibroblasts mediate morphogenesis of the tubular epithelium, which results in airway branching : __ on the right and __ on the left
10 on right , 9 on left
27
Left and right pulmonary veins start to develop at about week __ as a single evagination in the sinoatrial portion of the heart
Week 5
28
Complete development of the diaphragm occurs by approximately week __ of gestation
Week 7
29
This phase named after the distinct glandular appearance of the developing lung, extends to week 16 of gestation, during which time the conducting airways continue to develop.
Pseudoglandular Phase
30
During the pseudoglandular phase, cilia appear on the surface of the epithelium of the trachea and the mainstem bronchi at __ weeks of gestation and are present on the epithelial cells of the peripheral airways by __ weeks of gestation.
10 weeks, 13 weeks
31
Goblet cells appear in the bronchial epithelium at __ to __ weeks of gestation, and submucosal glands arise as solid buds from the basal layers of the surface epithelium at __ to __ weeks of gestation.
13 to 14 weeks, 15 to 16 weeks
32
The development of cartilage has been documented at __ weeks of gestation and may be present earlier.
24 weeks
33
By __ weeks’ gestation, T lymphocytes can be found in the respiratory system
14 weeks
34
This phase is so named because of the appearance of vascular channels, or capillaries, that begin to grow by forming a capillary network around the air passages. Pulmonary acinar units are also formed
Canalicular Phase
35
The capillaries develop at __ weeks of gestation and by __ weeks have increased in number.
20 weeks, 22 weeks
36
Appearance of surfactant, what phase?
Canalicular phase
37
approximately ______ terminal bronchioles exist in an adult lung
25,000
38
By __ to __ weeks of gestation of canalicular phase, two types of cells can be identified within the developing human lung. These distinct cell types are referred to as type I pneumocyte and type II pneumocyte epithelial cells.
20 to 22 weeks
39
The conducting airways have now developed smooth muscle By the end of the ________ phase, the developing air–blood barrier is thin enough to support gas exchange.
canalicular phase
40
The epithelial cells at this phase are capable of producing fetal lung liquid.
Canalicular
41
The _______ phase was formerly believed to be the last stage of lung development before birth
Saccular phase
42
However, because alveoli are now known to form before birth, the termination of the saccular period is arbitrarily set at __ to __ weeks of gestation.
35 to 36 weeks
43
At the beginning of this phase, at about __ weeks of gestation, the terminal structures are referred to as saccules and are relatively smooth-walled, cylindrical structures.
26 weeks of gestation
44
Alveoli can be seen as early as __ weeks of gestation and are present at __ weeks of gestation in all fetuses.
32 weeks, 36 weeks
45
During the ________ phase, there is a marked increase in the potential gas-exchanging surface area.
saccular phase
46
is characterized by a complex interaction of epithelial, fibroblast, and vascular growth factors with extracellular matrix components.
Alveologenesis
47
At birth, the number of alveoli is highly variable, ranging from __ million to ___ million
20 to 150 million
48
Fetus position
Vertex cephalic (Arterior position before the lobar)
49
Alveoli surface area
3 to 70 m2 at maturity
50
Lung maturity ratio
2:1
51
Lung maturity ratio
2:1
52
Phase which immature surfactant noted
Canalicular phase
53
Embryonal stage
Conception - week 6, Day 26 - 52
54
Pseudoglandular stage
Week 7 - 16, Day 52 - Week 16
55
Canalicular stage
Week 17 - 26
56
Saccular stage
Week 26 - 36
57
Alveolar stage
Week 36 - Full term
58
What stage do Alveolar surfactant matured?
Saccular stage , after week 35