Pregnancy Flashcards

1
Q

What protective layer covers the secondary oocyte?

A

corona radiata (formed from granulosa cells)

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2
Q

Oocyte activation

A

Intact sperm contacts zona pellucidum
- Digestive enzymes

Fusion of oocyte and sperm membrane

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3
Q

Fusion of oocyte and sperm membrane process

A

Depolarization of oocyte
- Na+ and Ca+2

Completion of meiosis II
- Ovum

Hardening of zona pellucidum (acrosome has no effect)
- Polyspermy (no multiple sperm/fertilization)

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4
Q

What forms 30 hrs after amphimixis?

A

blastomeres

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5
Q

Amphimixis

A

sexual reproduction involving the fusion of two different gametes to form a zygote.

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6
Q

Blastocyst formation

A

Pre-embryo continues to divide

Moves through fallopian tube

Muscular contractions and cilia

Arrives at uterus ~ day 4
- Morula (is solid)

~ day 6 form blastocyst

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7
Q

Blastocyst characteristics

A

Hollow
Trophoblast (outer layer)
Blastocoel (fluid-filled cavity)
Inner cell mass

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8
Q

Implantation Day 7 & 9

A

Day 7, blastocyst contacts uterine wall
- Trophoblast digests (embeds) into uterine lining (troph- = food/nutrition)

Day 9, blastocyst surrounded by endometrium (completely embedded)
- Formation of amniotic cavity

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9
Q

Eptopic pregnancies occur during what stage of pregnancy?

A

implantation

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10
Q

Uterine glands

A

Nutrition provided by uterine glands

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11
Q

Human chorionic gonadotropin (hCG)

A

Maintains corpus luteum

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12
Q

Gastrulation

A

the blastocyst is reorganized into a multilayered structure known as the gastrula
- forms third layer

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13
Q

Implantation: Day 12-15

A
  • Gastrulation
  • Formation of germ layers
    - Ectoderm, mesoderm and endoderm
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14
Q

Yolk sac:

A
  • formed from endoderm and mesoderm
  • blood cell formation
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15
Q

Amnion:

A
  • fromed from ectoderm and mesoderm
  • amniotic fluid
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16
Q

Allantois:

A
  • formed from endoderm and mesoderm
  • bladder formation
17
Q

Chorion:

A
  • Formed from mesoderm and trophoblast
  • Nutrient transfer
  • Chorionic blood vessels and villi
  • Formation of placenta
18
Q

What occurs during the First Trimester?

A

Implantation
Gastrulation
Embryogenesis
Organogenesis

19
Q

What occurs during the Second Trimester?

A
  • Growth
  • Further organ development
20
Q

What occurs during the Third Trimester?

A
  • Organs prepare for functioning
  • Large weight gain
21
Q

Maternal compensations

A

Breathing rate and tidal volume increases

Blood volume increases

Nutritional requirements increase 10-30%

Increased GFR

Uterus increase in size

Mammary gland increase in size
- Secretion of products

22
Q

What factors initiate labor?

A
  • Placental estrogens
    - Increase smooth muscle sensitivity
  • Relaxin
  • Stretch of myometrium
    - Fetal growth
  • Fetal oxytocin
  • Positive feedback cycle
23
Q

How is smooth muscle sensitivity increased?

A

Contraction

Oxytocin: causes contractions

24
Q

What are the effects of relaxin during labor?

A

Relaxing pubic symphysis

Dilates cervix

25
Q

Labor: Positive feedback cycle

A

Increases frequency and strength of uterine contractions

26
Q

What are the three stages of Labor?

A

Dilation stage

Expulsion stage

Placental stage

27
Q

Dilation stage

A

Start of contractions

Fetus shifts towards canal

Rupture of membranes
- “breaking water”

28
Q

Expulsion stage

A

Dilation complete

Strongest contractions
- Lengthen and come closer together

Delivery

29
Q

Placental stage

A

Contractions and shrinkage of uterus tears placenta

Afterbirth