Normal foetal adaptations Flashcards

1
Q

Foetal circulation:

Blood flows from the placenta and travels to the baby in the _____ vein.

A

Umbilical vein

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2
Q

Foetal circulation:

What is the shunt which causes blood to bypass the liver and instead connects the umbilical vein with the IVC ?

A

Ductus venosus shunt

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3
Q

Majority of foetal blood goes from RA –> ??? through which structure

A

LA

through the foramen ovale

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4
Q

Where is the foramen ovale located?

A

Between RA and LA

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5
Q

What is the function of foramen ovale?

A

Allows oxygenated blood to cross straight over to the LA, bypassing the RV and lugs

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6
Q

Which structure connects the main pulmonary artery to the descending part of the aortic arch?

A

Ductus arteriosus

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7
Q

What is the function of the ductus arteriosus in the foetus?

A

Allows most of the blood from the RV to bypass the foetus’s fluid filled non-functioning lungs

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8
Q

In a developing baby in utero, there is HIGH/LOW resistance in the lung circulation and HIGH/LOW resistance from the placenta in the systemic circulation?

A

HIGH resistance in lung circulation

LOW resistance in systemic circulation

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9
Q

In the foetus the lungs are filled with?

A

Fluid

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10
Q

Where does gas exchange occur in the foetus?

A

Placenta

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11
Q

At which gestation do babies develop alveoli?

A

36 weeks

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12
Q

Developments of the RESPIRATORY SYSTEM in the third trimester?

A

Production of surfactant

- to prevent lung collapse

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13
Q

In the third trimester of pregnancy there is accumulation/depletion of glycogen. Why is this?

A

Accumulation of glycogen.

So that it can be broken down to glucagon and used as an energy source if needed

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14
Q

In the third trimester of pregnancy there is accumulation/depletion of brown fat. Why is this?

A

Accumulation of brown fat

Important in maintaining body temperature

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15
Q

Where is the accumulation of brown fat?

A

Between scapular and around internal organs

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16
Q

Production of which substance during labour stops the synthesis of fluid production in the lungs, preparing the foetus for life in the real world?

A

Cortisol or cateholamine production

17
Q

Changes in the newborn

A

Foetal -> newborn circulation
Decreased pulmonary arterial pressure
Alveolar expansion

18
Q

It is normal for the baby to be blue in the first few seconds of life. true or false ?

19
Q

Why is crying in a newborn good ?

A

Helps to activate the lungs for breathing

20
Q

After birth, what should happen to the foramen ovale?

A

Should close over

21
Q

After birth, what should happen to the ductus arteriosus?

A

Becomes ligament arteriosus

22
Q

After birth, what should happen to the ductus venosus

A

Becomes the ligament theres

23
Q

In the first few hours of life, heat loss occurs via which 4 methods?

A

Convection
Conduction
Evapouration
Radiation

24
Q

One way babies try to conserve heat is by shivering. True or false?

A

False

- babies can’t shiver

25
Hypothermia can cause hypoglycaemia and hypoxia. True or false?
True
26
After delivery, how does the baby maintain its own blood sugar levels?
By breaking down all the glycogen stores in the form of glucagon
27
It is normal to be hypoglycaemic in the first few days of life. True or false?
True
28
Which patients tend to get hypoglycaemic in the first few days of life?
Hypothermic patients Small/premature babies Babies with maternal diabetes