OB Exam2 Flashcards

1
Q

What is responsible for passing on genetic traits?

A

chromosomes

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2
Q

What is the number of chromosomes in a mature sperm or egg cell?

A

23

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3
Q

When is a recessive gene expressed?

A

When it is received from both parents

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4
Q

What type of chromosome does an ovum contribute, and what type of chromosome does a sperm contribute?

A

Ovum- X

Sperm X or Y

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5
Q

What does a dominant gene do?

A

Expresses itself

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6
Q

What is the most important function of the amniotic fluid?

A

To protect the fetus

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7
Q

What is the function of the anion and chorion?

A

Together they form the amniotic sac

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8
Q

Which of the four layers of the cell is thick with villi on the outer surface?

A

chorion

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9
Q

What is the second layer of the cell

A

anion

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10
Q

What is the third layer of the cell

A

yolk sac

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11
Q

What is the function of the yolk sac?

A

only needed during embryonic life, initiates the production of the RBCs

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12
Q

What are the three stages of prenatal development?

A

1, zygote
2, embryo week 2 to 8
3, fetus- week 9 to birth

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13
Q

What is the age of viability?

A

week 20

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14
Q

what is considered full term?

A

week 38-40

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15
Q

The fetal side of the placenta looks like?

A

gray and shiny

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16
Q

What does the maternal side of the placenta look like?

A

bloody red and flesh like

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17
Q

True or False: the placenta allows most medications to pass to the fetus?

A

True

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18
Q

What are the four hormones produced by the placenta?

A

Progesterone, estrogen, HCG (human chorionic gonadotropin, and hPL (human placental lactogen)

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19
Q

What is the function of progesterone?

A

maintains uterine lining for implantation
reduces uterine contractions
prepares glands of the breast for lactation
stimulates testes to produce testosterone, which aid the mail fetus in developing their reproductive tract

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20
Q

What is the function of estrogen?

A

stimulates uterine growth
increases the blood flow to the uterine vessels
stimulates development of the breast ducts to prepare for lactation

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21
Q

What is the function of hCG?

A

hCG signals the corpus luteum to continue and produce estrogen and progesterone to sustain pregnancy,

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22
Q

When is hCG detectable in maternal blood?

A

7 to 9 days after fertilization

23
Q

What is the function of hPL

A

causes decreased insulin sensitivity and utilization of glucose by the mother, this makes more glucose available to the fetus.

24
Q

What is located between the fetus and the placenta?

A

The umbilical cord

25
Q

What separates the three vessels (AVA ) and cushions the cord?

A

Whartons jelly

26
Q

What are the three shunts of fetal circulation?

A

ductus venosus
foramen ovale
ductus arteriosus

27
Q

What does the ductus venosus divert?

A

diverts some blood away from the liver as it returns from the placenta

28
Q

What does the foramen ovale divert?

A

diverts most blood from the right atrium directly to the left atrium, rather than circulating it to the lungs

29
Q

What does the ductus arteriosus divert?

A

diverts most of the blood from the pulmonary artery to the aorta.

30
Q

define dizygotic and monozygotic?

A

dizygotic - fraternal twins, develops from two eggs

monozygotic- identical twins, develops from one egg

31
Q

How many placentas do dizygotic twins and monozygotic twins have

A

dizygotic - two

monozygotic- one

32
Q

What is the purpose of chorionic villus sampling

A

helps to identify chromosome abnormalities or other defects. obtain a small part of the developing placenta to analyze fetal cells at 10-12 weeks gestation

33
Q

What conditions might AFP (alpha fetoprotein) testing discover?

A

identifies high levels of AFP which are associated with defects such as spina bifida, anencephaly, or gastroschisis.

34
Q

What does folic acid help to prevent?

A

Neural tube defects

35
Q

What are the two types of spina bifida?

A

occulta (hidden)

cystica (sac or cyst)

36
Q

What is the most serious type of spina bifida cystica?

A

meningomyelocele

37
Q

what may be used to feed an infant after cleft lip surgery?

A

a dropper until the wound is healed.

38
Q

children with a cleft palate are prone to what two medical conditions later in their development?

A

hearing loss, and speech difficulties

39
Q

What may an infant with hip dysplasia present with?

A

one leg shorter than the other if the head of the femur is completely displaced

40
Q

What is one treatment used for infants with hip dysplasia between 1-6 months old?

A

The pavlik harness

41
Q

What is tetrology of fallot?

A

a congenital heart defect with four defects

42
Q

What are the s/s of tetrology of fallot ?

A

excessive c
rying
heart murmurs
cyanosis around the mouth and lips

43
Q

What is PKU

A

Phenylketonuria, a genetic disorder caused by faulty metabolism of phenylalanine.

44
Q

If PKU is not addressed what could it result in?

A

severe retardation

45
Q

What is the test for PKU and when is it done

A

guthrie blood test- a heel stick done at about 48-72 hours after birth,

46
Q

What is the treatment for PKU

A

low phenylanine diet

47
Q

What is TaySachs

A

fatal inherited disease of the central nervous system found in jewish populations, death usually happens before the child turns 5

48
Q

How can sickle cell anemia be detected?

A

Before birth with chorionic villi sample

49
Q

What is a screening test for sickle cell?

A

sickledex

50
Q

What is Thalassemia

A

group of hereditary blood disorders in which a pts body cannot produce enough hemoglobin

51
Q

How is Thalassemia treated?

A

diet high in iron

52
Q

what are the s/s of thalassemia?

A

enlarged spleen, fever and distended abdomen

53
Q

What is downs syndrome?

A

chromosomal abnormality

54
Q

What are the three types of downs syndrome

A

Trisomy 21
mosaicism
translocation of a chromosome