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OB
for test #3
110
Medical
Undergraduate 1
04/23/2011

Additional Medical Flashcards

 


 

Cards

Term
placenta role
Definition
permit exchange of oxygenated maternal blood & deoxygenated fetal blood
Term
7th-8th week of gestation
Definition
u/s can determine approximate location & position of placenta by end of first trimester
Term
fetal contribution
Definition
chorion frondosum (chorionic plate)
Term
maternal contribution
Definition
decidua balasis (endometrial surface)
Term
chorionic villi
Definition
main functioning unit of placenta
Term
decidual reaction
Definition
cell change into glycogen & lipids, occurs in respons to estrogen & progesterone
Term
spiral arteries
Definition
mother's blood to placenta
Term
fetal membranes
Definition
chorion, amnion, yolk sac, allantois
Term
functions of placenta
Definition
respiration, nutrition, excretion, protection, storage, hormonal production
Term
the fetal placenta is anchored to the maternal placenta by
Definition
cytotrophoblast shell and anchoring villi
Term
The fetal tissue that seperates maternal and fetal blood
Definition
placental membrane
Term
the main three activities of the placenta
Definition
metabolism, endocrine secretion, transfer
Term
the cord is usually attached where on the placenta
Definition
center
Term
battledore placenta
Definition
insertion at margins of placenta
Term
velamentous placenta
Definition
membranous insertion of cord before it enters placenta
Term
yolk sace
Definition
provides nutrients to embryo while placenta forms, diminishes in size by week 9
Term
yolk sac is connected to..
Definition
midgut by narrow stalk
Term
placenta previa
Definition
placenta implanted low in uterus
Term
chorion origiates from where?
Definition
tropoblastic cell and remains with trophoblast throughout pregnancy
Term
umbilicus
Definition
embryo growth and folds ventrally with juction of amnion reduced to small area on ventral surface
Term
amnion fuses with chorion by week?
Definition
16
Term
polyhydramnios or prior amniocentesis
Definition
seperation of chorion and amnion beyond 16 weeks
Term
cytotrophoblast
Definition
inner layer of central core with abundant capillaries
Term
syncytiotrophoblast
Definition
outer layer of central core with abundant capillaries
Term
cytotrophoblast produce
Definition
neuropeptides
Term
syncytiotrophoblast produce
Definition
protein hormones hCG, hPL, estrogent, progesterone
Term
hGC function
Definition
maintain corpus luteum in ealy pregnancy
Term
progesterone production is
Definition
exclusively maternal-placental ineraction
Term
estrogen involves
Definition
maternal, placental and fetal contributions
Term
hPL is responsible for
Definition
promotion of lipolysis and anti-insulin for fetal nutrients
Term
chorionic plate area of placenta
Definition
fetal surface, portion closest to amniotic cavity
Term
basal plate area of placenta
Definition
maternal portion, junction of myometrium
Term
placenta substance area of placenta
Definition
homogeneous pebble gray apperance during first part of pregnancy (thickness of placenta)
Term
placenta thickness
Definition
15mm-50mm
Term
enlarged placentas
Definition
associated with Rh sensitizaion, diabetes, or congenital anomalies
Term
what should not be confused for placental pathology?
Definition
Braxton-Hicks contractions
Term
thickness of placenta should correspond to what?
Definition
pregnacy weeks
Term
risk factors of placenta previa
Definition
multiparity, advancing maternal age, previous c-sections, smoking
Term
placenta previa symptoms
Definition
spotting 1st & 2nd trimester, mild cramping, painless vaginal bleeding in 3rd trimester
Term
why is placenta revia pregnancy a high risk?
Definition
baby can not be born through placenta
Term
normal cervical length range
Definition
25mm-50mm
Term
when two grades of placental grading are present, which grade should be assigned?
Definition
highest
Term
what percentage of placentas reach grade 3?
Definition
15-20 percent
Term
normal term placenta characteristics
Definition
15-20cm in diameter, discoid shape, weighs 600gm, <4cm in thickness
Term
essential link for oxygen and nutrients between fetus, placenta, and mother
Definition
umbilical cord
Term
to visualize internal os, patient needs to have what?
Definition
full bladder
Term
at what week does umbilical cord form
Definition
5 weeks
Term
normal intestinal herniation into umbilical cord at what week of pregnancy?
Definition
7-10 weeks
Term
intestinal herniation of umbilical cord resumes back into abdomin at what week of pregnacny
Definition
12 weeks
Term
umbilical cord is covered by
Definition
amniotic membrane
Term
umbilical cord surrounded by
Definition
wharton's jelly
Term
the left umbilical vein enters umbilicus and joins what
Definition
left portal
Term
umbilical vein increases or decreases throughout pregnancy and what is maximum diameter
Definition
increases, .9cm by 30 weeks
Term
ductus venosus
Definition
lies between left lobe and caudate lobe of liver and becomes ligament venosum after birth
Term
umbilical arteries run where in body?
Definition
lateral to fetal bladder to iliac arteries and becomes superior vesicle ateries after birth to suppy blood to bladder
Term
from the left portal vein, the umbilical blood flows the..
Definition
ductus venosus to IVC or hepatics by-passing the liver or through the right portal sinus to right portal vein
Term
the ductus venosus forms the conduit between what?
Definition
portal system and systemic veins
Term
in the postpartum stage, the umbilical ateries becomes what?
Definition
superior vesical arteries
Term
what is the vital role of the amniotic fluid?
Definition
fetal growth, movement, maintain intrauterine temperature, protecting
Term
amniotic fluid is produced by what?
Definition
umbilical cord and membranes, lungs, skin, kidneys
Term
the portion of chorion site at which water is exchanged freely between fetal blood and amniotic fluid across the amnion.
Definition
chorion frondosum
Term
fetal production of urine and ability to swallow begins
Definition
between 8-11 weeks gestation
Term
fetal urination into the amniotic sac accounts for how much of the amniotic fluid volume
Definition
total
Term
amniotic fluid is directly related to
Definition
kidney function
Term
normal lung development is critically dependent on what
Definition
exchange of amniotic fluid within lungs
Term
inadequate lung development may occur when what is present
Definition
severe oligohydramnios
Term
normal amniotic fluid index (AFI)
Definition
8-22 cm
Term
other conditions associated with polyhydramnios
Definition
maternal diabetes, fetal macrosomia, Rh isoimmunization
Term
increased AF volume causes
Definition
pain, compressed organs, hydronephrosis, postpartum hemorrhage
Term
mild polyhydramnios volum
Definition
>20cm
Term
moderate polyhydramnios volume
Definition
>24cm
Term
severe polyhydramnios volume
Definition
>25cm
Term
olygohydramnios AFI volume
Definition
<5cm
Term
amniotic band syndrome
Definition
amniotic (fibrous) bands that entangle or amputate fetal parts
Term
amniotic band syndrome is due to
Definition
the rupture of amnionic membrane
Term
theory for formation of amniotic bands
Definition
Torpin-amniotic fluid and fetus exit through space between amnion and chorion
Term
amniotic sheets
Definition
caused by uterine scars (synechiae)
Term
neurulation
Definition
formation of neural plate, neural folds and fusion & closure as neural tube
Term
CNS arises from what
Definition
neural plate at 18 days
Term
which part of the neural plate fuses first
Definition
midportion with cephalic at 24 days, caudal at 26 days
Term
neural functiion begins at how many weeks
Definition
6 weeks of gestation
Term
what measurement is useful in diagnosing hypo/hypertelorism
Definition
outside orbital dimension
Term
what is associated with nuchal fold measurement >6mm
Definition
Down's syndrome
Term
what is the major reason why fetuses younger than 24 weeks are considered nonviable
Definition
pulmonary immaturity (lung development)
Term
heart circumference is how much of thoracic cavity
Definition
one third
Term
the formula for predicting pulmonary hypoplasia
Definition
(CA-HA x 100) / CA
Term
TA/AC ratio - normal 0.94 (+/- 0.05)
Definition
Term
u/s cannot assess what in a fetus
Definition
lung maturity
Term
umbilical hernia of bowel as midgut extends outside of fetus, at what week should this hernia return to abdominal cavity and not be visualized on u/s
Definition
after the 12th week
Term
a birth defect in which the infant's intestine or other abdominal organs stick out of the belly button (navel).
Definition
omphalocele
Term
a birth defect in which an infant's intestines stick out of the body through a defect on one side of the umbilical cord usually the right side
Definition
gastroschisis
Term
forms during the fourth week of gestation as the dorsal part of the yolk sac and is incorporated into the embryo during folding.
Definition
primitive gut
Term
when is the sex of the fetus
Definition
at fertilization
Term
most anomalies of fetal skeleton are a result of what
Definition
genetic factors
Term
majority of musculoskeletal system for from what
Definition
mesoderm
Term
normal amniotic fluid index volume
Definition
8-22cm
Term
what determines fetal well-being
Definition
biophysical profile (BPP)
Term
parameters of BPP
Definition
NST, FBM, FM, AFV, FT
Term
what is the goal of BPP
Definition
predict and manage fetal hypoxia
Term
hypoxia
Definition
low oxygen levels in fetus commonly caused by diminished placental perfusion or umbilical cord compression
Term
apgar score
Definition
performed one minute after birth to assess physical condition of infant
Term
resistance
Definition
a measure of difficulty in forcing blood through vessels into tissue
Term
the umbilical artery systolic/diastolic ratio should be what
Definition
below 3
Term
the uterine artery systolic/diastolic ratio should be
Definition
below 2.6 (ideally 2)
Term
dizygotic
Definition
fraternal twins that arise from 2 seperate ova
Term
monozygotic
Definition
identical twins that arise from a single ova
Term
dichorionic/diamniotic
Definition
2 chorions / 2 placenta 2 amnions
Term
monochorionic/diamniotic
Definition
one chorion / one placenta 2 amnions
Term
monochorionic / monoamniotic
Definition
1 chorion /1 placenta 1 amnion
Term
most common place conjoined twins are connected
Definition
thorax
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