Unit 5- Embryology & Teratology Flashcards

1
Q

What’s re 3 trimesters of pregnancy?

A
  • 1st trimester- Zygote develops into a multicellular embryo, then a foetus with major organ beginnings.
  • 2nd trimester- Organs further develop; foetus becomes recognisably human.
  • 3rd trimester- Organs become functional; rapid growth & fat accumulation.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What occurs during days 1-6 of prenatal development?

A

Fertilisation & cleavage (formation of blastomeres).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What occurs during day 7 of prenatal development?

A

Implantation occurs.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What occurs on day 20 of prenatal development?

A

The neural tube begins to form (central, peripheral , & enteric nervous systems).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What occurs on day 22 of prenatal development?

A

Myogenic activity in the heart begins.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What occurs on days 26-28 of prenatal development

A

Limb buds & eyes begin to form.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What occurs on day 28 of prenatal development?

A

A basic gastrointestinal tract is present.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What developmental milestone occurs on day 33?

A

The cerebral cortex begins forming.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What occurs on day 36 of prenatal development?

A

Kidneys start developing.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What occurs on day 46 of prenatal development?

A

Ovaries & testes differentiate microscopically.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What occurs on day 54 of prenatal development?

A

Major blood vessels take their adult pattern.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What occurs on day 56 of prenatal development?

A

Most organs & systems are developed.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are teratogens?

A

Agents causing malformations in an embryo or foetus.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What occurs on the 10th week of prenatal development?

A

Fingernails & toenails begin to develop.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What occurs during the 4th month of prenatal development?

A

Fine palm lines have formed that can be used to permanently identify the child.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are the factors affecting the ability of a teratogen to affect a developing foetus.

A
  • Nature of the agent itself
  • Route & degree of maternal exposure
  • Rate of placental transfer & systemic absorption.
  • Composition of the maternal & embryonic/foetal genotypes.
17
Q

What are the 4 results to the foetus of deviant development?

A
  • Death
  • Malformation
  • Growth retardation
  • Functional defect
18
Q

How does ACE inhibitors affect foetal development?

A

Safe in the 1st trimester but can cause renal tubular aplasia & growth retardation in the 2nd & 3rd trimesters.

19
Q

Why & when should satins be avoided in pregnancy?

A

They are teratogenic & should be stopped 3 months before conception.

20
Q

What risks are associated with anti-epileptic drugs (AED’s) during pregnancy?

A

Most AEDs are teratogenic, but the risk can be reduced with monotherapay. Risks must be weighed against potential seizures in the mother.

21
Q

What is Foetal Alcohol Consumption (FAS)?

A

A condition caused by excessive maternal alcohol consumption, leading to growth deficiencies & mental impairments.

22
Q

Which antibiotics are safe during pregnancy?

A

Penicillins, erythromycin, & cephalosporins.

23
Q

Which antibiotics should be avoided during pregnancy and when?

A

Streptomycin, tetracycline family (3rd trimester), & trimethoprim (1st trimester).

24
Q

What can vitamin A during pregnancy?

A

Malformation of the ear.

25
Why should warfarin be avoided during pregnancy?
Linked to developmental abnormalities in the 1st trimester & risk of bleeding near delivery.
26
What is the impact of lithium during pregnancy?
Can cause Ebstein’s anomaly; requires high-resolution ultrasound & foetal echocardiogram at 18-20 weeks if used.