Physiology of Pregnancy Flashcards
T/F the fetus is susceptible to teratogens in the first 1-2 weeks of pregnancy
False; the first ‘2 weeks of pregnancy’ are days 1-14 (ovulation) and actually before conception; during days 14-28 (4 weeks pregnant) teratogens are not thought to have effects because the organ systems don’t start developing until 4 weeks
Early pregnancy is considered to be
weeks 3-4, ie after conception (4 weeks from LMP)
Embryonic phase is from week
3-8 (5-10 from LMP)
Fetal phase is from week
9-38 (term; 11-40 from LMP)
Congenital malformations to organ systems are programmed during what phase of development?
Embryonic phase - weeks 3-8 from conception
The fetus is considered to be fully functioning at the end of week
8 (10 since LMP)
The foetal period is characterized by
exponential growth and maturation of the organ systems
Issues that face growth and development during the fetal period result in
functional deficits in the organ systems; can be some minor morphological abnormalities
Human chorionic gonadotropin is produced by
the trophoblast (becomes placenta)
The membranes surrounding the fetus are
amnion (inner) and chorion (outer)
The role of the fetal membranes is
protect fetus and allow fluid transfer (but mainly goes through umbilical cord)
The umbilical vein carries __________ blood and the umbilical arteries (2) carry ________ blood
vein carries the oxygenated blood; 2 arteries carry deoxygenated blood (and waste products)
The placenta is formed from
trophoblast cells that invade the endometrium
What are blood lakes within the placenta?
invasion of trophoblast cells into the endometrium breaks down uterine blood vessels and arterioles forming lakes; chorionic vili contain embryonic blood vessels (foetal capillaries) extending into the lakes
What is the purpose of formation of blood lakes?
These regions are safe from vasoactive/vasoconstrictive agents affecting the mother (eg stress, exercise, increased BP) tf the fetal blood supply is not affected by them (exception is pre-eclampsia)
Amniotic fluid is composed of
urine, liquid from lungs
T/F the gut is inactive during development
False; it is fully functioning though nutrition comes via teh umbilical vein; the foetus swallows amniotic fluid which helps with development
T/F the kidneys are functional during development
True; they are producing urine that goes into the amniotic sac; waste products still exit via umbilical arteries