ULO 1- Fetal Growth and Development (Fetal structures, circulation) Flashcards

1
Q

Fetal growth and development

Explain: 13-16weeks gestation

A
  • period of rapid growth
  • ossification of skeleton begins
  • eyes now anterior facing
  • lower limbs at correct proportion
  • external ears in correct position
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2
Q

Fetal growth and development

Explain: 17-20 weeks gestation

A
  • growth slows
  • fetal movements felt
  • brown fat forms
  • skin covered in vernix caseosa
  • lanugo
  • head and eyebrow hair
  • further development of vagina and testes
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3
Q

Fetal growth and development

Explain: 21-25 weeks gestation

A
  • surfactant production commences in lungs
  • skin lacks subcutaneous fat
  • red appearance of skills
  • fetus has periods of rest and activity/ responds to sound
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4
Q

Fetal growth and development

Explain: 26-29 weeks gestation

A
  • lungs capable of breathing and gas exchange
  • CNS can direct breathing
  • RBC’s produced in bone marrow
  • eyes reopen
  • intrauterine respiratory movements occur
  • white subcutaneous fat laid down
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5
Q

Fetal growth and development

Explain: 30-34 weeks gestation

A
  • pupils react to light
  • body fat 8% of body weight
  • skin opaque and smooth
  • lanugo disappears from face
  • fetus begins to store iron
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6
Q

Fetal growth and development

Explain: 35-38 weeks gestation

A
  • firm grasp
  • breast tissue present
  • testes in scrotum
  • nails reach finger tips
  • lanugo disappears from body
  • growth slows
  • 36 wks head and abdomen equal circumference
  • 38 wks body fat is 16% of body weight
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7
Q

Fetal growth and development

Explain: 9-12 weeks gestation

A
  • urine secreted into amniotic fluid
  • upper limb length relative to trunk (lower limbs short)
  • beginning of fetal movement
  • eyelids fuse
  • red cell formation commences in the spleen
  • sex distinguishable by 12wks
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8
Q

Fetal Structures

What are the 3 regions of the fetal skull

A

Vault
Face
Base

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9
Q

Fetal Structures

What are the Bones and Sutures of the Vault

A

Bones

  • occipital
  • parietals
  • Frontal

Sutures

  • Lambdoidal
  • Sagittal
  • Coronal
  • Frontal
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10
Q

Fetal Structures

Describe: Moulding

A

is an overriding of sutures

  • allows for a reduction in presenting diameters
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11
Q

Fetal Development- embryology

What are the 3 germ layers

A

Ectoderm (skin, glands, nervous system, sensory receptors)
Mesoderm (musculoskeletal system, excretory/circulatory system, reproductive)
Endoderm (epithelial linings, liver, pancreas, thymus)

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12
Q

Fetal Development

What cells form the embryo and placenta

A

Blastocyst- embryo

Trophoblast- placenta

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13
Q

Fetal Circulation

Name the structures involved in fetal circulation and their role

A

PLACENTA- gas exchange takes place
UMBILICAL VEIN- carries oxygenated blood to the fetus
DUCTUS VENOSUS- allows blood to go from the umbilical vein through it to the Inferior VC where blood mixes and goes onto the R atrium
FORAMEN OVALE- connects and allows blood to pass from the R atrium to the L atrium
DUCTUS ARTERIOSUS- connects and allows blood to pass from the pulmonary artery to the aorta (bypassing lungs)
UMBILICAL ARTERIES- carries deoxygenated blood from the fetus to the placenta

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14
Q

Fetal Structures

How many veins and arteries are in the umbilical cord

A

2- arteries

1- vein

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15
Q

Which fontanelle closes at 18months of age

A

Anterior fontanelle

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