ch28 Flashcards

(34 cards)

1
Q

Gestational Period

A

The entire duration of pregnancy, calculated from the first day of the mother’s last menstrual period (LMP).

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2
Q

Embryo

A

This stage refers to the developing organism during which all organ systems are recognizable, typically by Week 8. During the first 8 weeks, the structure grows rapidly from one cell to a 1-inch-long entity. The inner cell mass of the blastocyst forms the embryonic disc, which will eventually form the embryo.

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3
Q

Fetus

A

The developing human organism from weeks 9 through 38. Characterized by rapid growth of body structures established during the embryonic stage. Typically grows to 360 mm (14 in) and 3.2 kg (7+ lbs).

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4
Q

Neonatal Period

A

The first 28 days after birth, regardless of gestational age.

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5
Q

Capacitation

A

Process sperm must undergo before they can penetrate the oocyte. Motility is enhanced and membranes become fragile enough to release hydrolytic enzymes.

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6
Q

Zygote

A

The fertilized egg formed when sperm chromosomes combine with those of the secondary oocyte. A diploid cell that undergoes cleavage as it moves toward the uterus.

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7
Q

Morula

A

Cluster of 16+ cells formed about 72 hours after cleavage of the zygote.

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8
Q

Blastocyst

A

Formed around Day 4–5 when the 100-cell embryo reaches the uterus. Fluid-filled hollow sphere consisting of trophoblast cells and inner cell mass. Trophoblast secretes hCG.

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9
Q

hCG

A

Hormone secreted by trophoblast cells (later chorion). Promotes placental development and maintains the corpus luteum so progesterone and estrogen continue, preventing menstruation. Early pregnancy levels contribute to morning sickness.

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10
Q

Teratogens

A

Any factor that may cause severe congenital abnormalities or fetal death if it crosses the placenta. Includes alcohol (causes FAS) and nicotine (impairs oxygen delivery).

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11
Q

Sperm Capacitation

A

Sperm must be capacitated before penetrating the oocyte. Motility increases and membranes become fragile enough to release enzymes.

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12
Q

Acrosomal Reaction

A

Receptors in zona pellucida trigger enzyme release (hyaluronidase, acrosin, proteases) from many sperm to digest holes in the zona pellucida.

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13
Q

Cleavage

A

Rapid mitotic divisions of the zygote as it moves toward the uterus. Produces small cells with high surface-to-volume ratio. First cleavage at ~36 hours → two blastomeres

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14
Q

Implantation

A

Begins 6–7 days after ovulation. Trophoblast adheres, proliferates into two layers, and causes endometrium to become leaky. Blastocyst burrows in

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15
Q

Functions of the Placenta

A

Nutritive (nutrient transfer), respiratory (O₂ in/CO₂ out), excretory (waste removal), endocrine (hCG, estrogens, progesterone, hPL, relaxin), and barrier (prevents mixing of blood while allowing exchange).

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16
Q

Vascular Relationship at the Placenta

A

Chorionic villi extend into maternal blood. Umbilical vein carries oxygenated blood to fetus

17
Q

Amnion

A

Transparent membrane from epiblast, filled with amniotic fluid. Cushions embryo and maintains temperature.

18
Q

Yolk Sac

A

Hangs from ventral embryo. Forms part of digestive tube and earliest blood cells/vessels.

19
Q

Allantois

A

Outpocketing of yolk sac

20
Q

Chorion

A

Develops from trophoblast. Helps form placenta and encloses embryo and membranes.

21
Q

Ectoderm

A

Forms nervous system and epidermis.

22
Q

Mesoderm

A

Forms muscles, bones, circulatory system, kidneys, and gonads.

23
Q

Endoderm

A

Forms epithelial linings of digestive, respiratory, and urogenital systems and glands.

24
Q

Unique Features of Fetal Circulation

A

Umbilical arteries/vein, ductus venosus (bypasses liver), foramen ovale (bypasses lungs), ductus arteriosus (bypasses lungs).

25
Dilation Stage of Labor
Longest stage (6–12+ hrs). Weak to strong contractions. Cervix effaces and dilates to 10 cm. Amnion ruptures. Engagement occurs.
26
Expulsion Stage of Labor
From full dilation to delivery. Strong contractions every 2–3 minutes. Crowning occurs. Vertex position normal
27
Placental Stage of Labor
Delivery of placenta within ~30 min. Strong contractions detach placenta and compress vessels. All fragments must be removed to prevent bleeding.
28
Events Starting Respiration and Circulation After Birth
First breath triggered by CO₂ buildup
29
Feedback Mechanism for Lactation
Suckling → PRFs → prolactin for milk production
30
Contraception Methods
Behavioral (withdrawal, rhythm), barrier (condoms, diaphragms), hormonal (pill, injection, implants).
31
ART Methods
Oocytes removed after hormone stimulation → fertilization outside body → return to uterus. IVF: embryos transferred at cleavage/blastocyst stage. ZIFT: fertilized oocytes into uterine tubes. GIFT: sperm + oocytes placed in tubes for natural fertilization.
32
Preeclampsia
Occurs after 20 weeks. Hypertension + proteinuria → edema. Can progress to eclampsia with seizures. Treatment is delivery.
33
Ectopic Pregnancy
Embryo implants outside uterus, usually fallopian tube. Cannot support growth → rupture risk. Requires intervention.
34
Physiological Jaundice
Occurs 3–4 days after birth from rapid breakdown of fetal RBCs and immature liver not processing bilirubin fast enough.