Placenta Flashcards

1
Q

Ovulation and __ occur day ___ of menstrual cycle

____ following fert, the developing ___ attaches to the ___ in the uterine cavity

Incomplete transit through the ___ may lead to ___

Blastocyst burrows into endometrium until ____ is buried and no longer w in

A

fert, 14

6 days, blastocyst, secretory epithelium

FT, ectopic pregnancy

conceptus, endometrial cavity proper

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2
Q

Trophoblastic cells of blastocyst differentiate into ___ and ___

___ makes contact w uterine lining

Troph develops ___ composed of __ and __ layers

Villli invades ___ and ___

__ and ___ differentiate from ___

first US cnfirmtation of ___ is a small ___ deep to he endometrial stripe

A

cytotrophoblast, synctiotrophoblst

synctiotrophoblast

villi, cyto/synctiotrophoblast

endometrium and maternal bv

yolk sac/amnion

intrauterine preg, lucency

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3
Q

villi normally surround __ but regress in ___ nearest the ___

___ facing away from endometrial surface becomes ___

___ of growing embryo expands into _ such that the enlarging amnion comes to surround the ___ and ___

as it fills the chorionic cavity, the ___ fuses w the ___ to form the ___ (membrnaes)

A

entire chorion, smooth chorion

villous chorion, placenta

dorsal surface, amniotic cavity, fetus/body stalk

amnion, chorion, chorioamnion

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4
Q

Yolk sac is originally __ nad becomes __

pedicle becomes __ during devel

dorsal part of yolk sac is taken to help form ___

allantois projects from ___ into the base of __ which lengthens and comes to be surrounded by ___

disorders of this underlie __ and __ malformations

A

prominent, smaller

longer

gut

yolk sac, body stalk, expanding amnion

gut, ab wall

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5
Q

As amnion covers the ___ and ___, resulting structure is the ___

cord contains ___ each arising from fetal____ and one vein returning blood through the liver to the __

vessels surrounded and protected by ___ known as

Development of ___ and ___ is visible on vaginal probe US bw ___ and ___ until around ___

at this time, choroamnion is ___ and placenta appears as ____ mass

A

placental disc/elongating body stalk, umbilical cord

2 arteries, internal iliac arties, lVC

special CT, whartons Jelly

placenta, membranes, 4/5, 9/10 wks

fused, cake like

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6
Q

Synctiotrophoblast makes __ and ___ and ___

HCG supports __ of ovarian ___ fxn and its secretion of __

as CL gradually deteriorates over the 1st trimester, ___ inc to replace endocrine fxn of ___ to support pregnancy

maternal BV spurts into ___ bathing villi and bearing ____, ___ and __

A

HCG and HPL, steroid hormones

prolongation, CL, progesterone

placental progesterone, CL

intervillous space, fetal arterioles/capillaries/venules

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7
Q

___ support enlarging arborizing pattern

___ tether ___ to decidua

secondary/tertiary terminal villi arise as ___ and acquire ___ and ___

third trimester terminal villi capillaries inc in __ and __

__ location in villi diminshes ___ bw __ and __ circulation

A

stem villi

anchoring villi, cotyledons

larger braches, mesenchymal core/BV

number/size

peripheral location, distance, fetal/maternal

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8
Q

Extravillous/ ____ troph

following initial erosion of ___ by synctiotrophoblast, scattered troph cells invade among paler _____

some of these ___ cells establish contact w _____ and __ maternal arteries, replacing maternal aterial wall w ____

___ changes decidual arteries to ___ vessels

lumens ___ have dec ___ to keep fetal intravillous vessels open and flowing

Derangements in this process underlie ___ and __

A

intermediate

endometrium, maternal decidual cells

troph, maternal endometrial vessels, remodel, fetal troph cells

physiologic conversion, uteroplacental vessels

widen, flow resistance

preeclampsia, fetal growth restriction

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9
Q

Fetal surface of placenta
___ cross over ___

maternal surface of placenta
inspect placenta at delivery for ____
adherent ___ may be left behind

tissue processors remove ___ and ___ from tissue secretions via a series of steps involving ___ and ___

replaces tissue fluid w ___

A

arteries, veins

completeness
cotyledons

water, formalin, alcohol/xylene

paraffin

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