Pregnancy and Parturition Flashcards

1
Q

at the time of ovulation the oocyte is surrounded by the

A

zone pellucide + granulosa cells

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2
Q

the granulosa cells and theca cells eventually develop into the

A

corpus luteum

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3
Q

the oocyte remains fertile for about

A

6-24 hours

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4
Q

as the oocyte traverses through the oviduct the initial movement is

A

rapid

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5
Q

why is the initial movement rapid?

A

the contraction of myoepithelial cells

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6
Q

the contractions of myoepithelial cells are speeded by

A

estrogen

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7
Q

overall it takes how long fro the oocyte to travel through the oviduct?

A

4 days

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8
Q

where does fertilization take place?

A

the oviduct

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9
Q

capacitation means what?

A

when the sperm spends some time in the female reproductive tract

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10
Q

the sperm bind to what on the egg?

A

the zona pellucida

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11
Q

when the zygote reaches the uterus it has developed into a

A

blastocyte

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12
Q

the outer layer of cells of the zygote form the

A

placenta

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13
Q

there is a limited window to which the uterus is receptive to implantation, what 2 things are needed?

A

estrogen and progesterone

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14
Q

how many zygotes don’t even become blastocytes?

A

1/3-1/2

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15
Q

what % of blastocytes implant

A

70-75

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16
Q

how many implanted blastocytes survive to the second week?

A

1/2

17
Q

how many blastocytes that survive the second week are spontaneously aborted?

A

16%

18
Q

what are the 4 functions of the placenta?

A

gas exchange, nutrient-waste exchange, protective barrier and synthesizes and secretes hormones

19
Q

the placenta secretes 7 hormones which are

A

hCG, estrogen, progesterone, hCS, GnRH, ACTH, relaxin

20
Q

hCG secretion increases rapidly after

A

fertilization

21
Q

estrogens and progestins are first produced by what? but then get produced by what?

A

the corpus luteum but after 6 weeks get produced by the placenta

22
Q

estrogens and progestins continue to increase or decreases as pregnancy goes on?

A

increase

23
Q

which hormone levels off toward the end of pregnancy? which hormone continues to increase?

A

progestins level off, estrogen increases

24
Q

estrogens maintain 4 things

A

uterine endometrium
ductal proliferation
increasing the number of oxytocin receptor
increasing the number of gap junctions

25
Q

progestins do 5 things

A

maintain secretory function of the endometrium
maintain the decidual cells
quiet the myometrium
developing the lobules and alveoli in the breasts

26
Q

hCS is made by what?

A

syncytiotrophoblasts

27
Q

hCS does 4 things

A

increases mammary cel proliferation
increases insulin secretion
increaes lipolysis
spares glucose for fetal use

28
Q

PRL is essential for what 2 things

A

mammary development and lactation

29
Q

the placenta secretes what 4 main hormones in response to pregnancy

A

estrogen, progesterone, chrorionic gonadotropin, placental lactogen

30
Q

anterior pituitary secretes what 2 hormones a lot and what 2 hormones a little

A

a lot: PRL, ACTH

little: FSH, LH

31
Q

adrenal cortex increases secretion of what 2 hormones?

A

aldosterone and cortisol

32
Q

posterior pituitary increases secretion of what hormone

A

vasopressin

33
Q

parathyroid increases secretion of what hormone?

A

PTH

34
Q

kidney increases secretion of what hormones? (3)

A

renin, EPO, vit. d

35
Q

what are the causes of increased kidney hormone secretions (3 things)

A

estrogen, progesterone, PRL

36
Q

does blood volume increase or decrease when pregnant?

A

increase