Term
what week begins the fetal period |
|
Definition
|
|
Term
what are some of the major changes in the fetal period |
|
Definition
growth and maturation, early in it elongation, later weight gain, head growth slows |
|
|
Term
what is the clinical vs our definition of the gestation period |
|
Definition
clinical: from last period, 280d, 140 weeks
ours: from fertilization, 266d, 138 weeks |
|
|
Term
what are some of the physical changes in month 3 |
|
Definition
eyes move ventrally, ears raise, limb proportion improves (lower are still behind), bones form, itestinal loops withdraw from the umbilical cord, muscular activity begins, genitalia appear |
|
|
Term
when do primary ossification centers appear? what do they do first? |
|
Definition
month 3, make scull and long bones |
|
|
Term
what physical changes occur in month 4/5 |
|
Definition
increased length 15 cm, less than 1 lb still, hair and lanugo hair, eyebrows, fetal movement |
|
|
Term
|
Definition
full body hair, appears in months 4/5 |
|
|
Term
what physical changes occur in month 6/7 |
|
Definition
skin reddish and wrinkled, by the end the length is 25 cm and 1100 grams
no connective tissue or CNS maturity |
|
|
Term
what is the clinical significance of the end of month 7 |
|
Definition
baby can survive outside mom with medical assistance |
|
|
Term
what physical changes occur in month 8/9 |
|
Definition
increase in weight due to subcutaneous fat, rounder coutours, vernix caseosa appears, 3000-3400 g, 50 cm head |
|
|
Term
|
Definition
fatty sebaceous gland secretion that appears in month 8/9 over skin |
|
|
Term
what is the time spand to be considered a pre mature baby |
|
Definition
|
|
Term
how long can a baby stay after its due date |
|
Definition
2 weeks before it is induced by doctors so it doesnt cause problems |
|
|
Term
changes in trophoblast of placenta during fetal period |
|
Definition
extensions from out from the villi into the intervillous spaces so circulation is only seperated by the endothelial wall and syncytium |
|
|
Term
changes in the chorion during the fetal period |
|
Definition
villi continue to grow and expand on the embryonic pole becoming the chorion fondosum
villi on abembryonic pole degenerate (chorion leave) |
|
|
Term
changes in the decudia during the fetal period |
|
Definition
deciduia capsularis over the abembryonic pole stretches and degenerates as the pregnacy progresses, the chorion leave evuntally contacts the uterine wall (deciduia parietalis) and fuses it with obliterating the uterine cavity |
|
|
Term
|
Definition
decuduia (endometrial lining) is adjacent to chorion fondosum and is made of large cells with abundent lipid and glycogen |
|
|
Term
what is the only part of the chorion that participates in exchange between fetal and maternal circulation |
|
Definition
|
|
Term
chorion fondosum + deciduia basalis = |
|
Definition
|
|
Term
what happens to the chorionic cavity later in pregnacy |
|
Definition
the amniotic cavity expands with pregnacy obliterating the chorionic cavity with the fusion of the amnion and chorion into the amniochorionic membrane |
|
|
Term
what makes up the amniochorionic membrane? |
|
Definition
the fusion of the amniotic and chorionic cavities |
|
|
Term
what is the fetal contribution to the placenta structure |
|
Definition
|
|
Term
what is the maternal contribution to the placenta structure |
|
Definition
|
|
Term
what is the layer on the fetal side of the placenta |
|
Definition
|
|
Term
what is the layer on the maternal side of the placenta |
|
Definition
|
|
Term
|
Definition
forms in month 4/5
projections of the decuidia into the intervillous spaces, dont reach chorionic plate, divides placenta into cotyledons |
|
|
Term
what is the function of cotelydons |
|
Definition
|
|
Term
where is the umbilical cord on the placenta |
|
Definition
|
|
Term
when is the placenta expelled |
|
Definition
|
|
Term
what arteries supply the placenta |
|
Definition
80-100 spiral arteries let blood into villi |
|
|
Term
what veins supply the placenta |
|
Definition
|
|
Term
what percentage of mom's blood is inside the placenta |
|
Definition
|
|
Term
gas exchange in the placenta |
|
Definition
simple diffusion between fetal capillaries and villi, senitive to O2 deprivation |
|
|
Term
what is the rate that the baby extracts O2 from mom? |
|
Definition
|
|
Term
what is the placental role in immunity |
|
Definition
mechanisms in it transport IgG and passive immunities to the baby but the less after birth |
|
|
Term
what kinds of nutrients does the placenta deliver to the baby |
|
Definition
electrolites, aa, fa, carbs, vitamins |
|
|
Term
what is the timeline of the corpus leutum? how is it maintained over time? |
|
Definition
early on LH induces progesterone secretion to develop and maintain it
if mom wasn't pregant, it would die around menstration time
if pregnat, hCG supplies the corpus leutum until the placenta can provide enough progesterone on its own and the corpus leutim dies (end of month 4) |
|
|
Term
hormones made in the synctytiotropoblast |
|
Definition
progesterone, hCG, estrogenic, somatommotropin |
|
|
Term
|
Definition
hormone made in the synctiotrophoblast
mostly estradiol
uterine growth, mammary gland development |
|
|
Term
|
Definition
hormone made in the synctiotrophoblast
helps baby to moms glucose first making mom a little diabetogenic
breast development, milk production, growth hormone like |
|
|
Term
|
Definition
early ambilical cord
located where ectoderm meets amnion |
|
|
Term
contents of the umbilical ring |
|
Definition
connecting stalk, allantois, umbilical vessels, yolk stalk, extraembryonic cavity communicates with intraembryonic cavity |
|
|
Term
|
Definition
extension of bladder, in umbilical ring |
|
|
Term
|
Definition
viteline duct and vessels |
|
|
Term
|
Definition
as the amniotic cavity expands, amnion begins to envelope the connecting stalk and yolk stalk forming the umbilical cord
evuntally only umbilical vessels and Wharton's jelly will in in it |
|
|
Term
where is amniotic fluid derived from |
|
Definition
|
|
Term
functions of amniotic fluid |
|
Definition
absorb jolts, prevent adherance of the embryo to the amnion, allow fetal movements, drink for fetus (5 mo), urination area for fetus |
|
|
Term
how often is the amniotic fluid replaced |
|
Definition
|
|
Term
what do amniotic fluid level changes suggest |
|
Definition
obstructions, no swallowing, not breating, changes in urination |
|
|