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Normal 1st Trimester
Diagnostic Medical Sonography
101
Medical
Not Applicable
11/05/2011

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Cards

Term
amniotic cavity
Definition
cavity in which the fetus exists; closed sac between the embryo and the amnion, containing the amniotic fluid
Term
chorionic cavity
Definition
Surrounds the amniotic cavity; the yolk sac is within the cavity
Term
corpus luteum cyst
Definition
The small yellow endocrine structure that develops within a ruptured ovarian follicle and secretes progesterone and estrogen
Term
CRL
Definition
Most accurate measurement of the embryo in the first trimester
Term
Decidua basalis
Definition
The villi on the maternal side of the placenta or embryo; unites with the chorion to form the placenta
Term
decidua capsularis
Definition
The villi surrounding the chorionoic sac
Term
diamniotic
Definition
Exhibiting two amniotic sacs
Term
dichorionic
Definition
Multiple pregnancy with two chorionic sacs
Term
double decidual sac sign
Definition
Interface between the decuda capsularis and the echogenic, highly vascular endometrium
Term
embryonic age
Definition
conceptual age is also known as ?
Term
embryonic age/conceptual age
Definition
age calculated from when conception occurs
Term
embryonic period
Definition
Tme btw 6 and 10 weeks of gestation
Term
EV transducer
Definition
high frequency transducer that is inserted into the vaginal canal to obtain better definition on first trimester pregnancy
Term
hematopoiesis
Definition
Production and dev’t of blood cells
Term
HCG
Definition
Hormone secreted by the trophoblastic cells (dev’ping placental cells) of the blastocyte; Elevated lab test indicates pregnancy
Term
IUP
Definition
Pregnancy occurring within the uterus
Term
menstrual age
Definition
gestational age is also referred to as ?
Term
menstrual age (gestational age)
Definition
calculated by adding 2 weeks (14 days) to embryologic age; refers to length of time calculated from the first day of the last normal menstrual period (LMP) to the point at which the pregnancy is being assessed
Term
monoamniotic
Definition
Multiple pregnancy with one amniotic sac
Term
monochorionic
Definition
Multiple pregnancy with one chorionic sac
Term
MSD
Definition
sonographic measurement of the gestational sac; Mean sac diameter
Term
primary yolk sac
Definition
first site of formation of red blood cells that will nourish the embryo
Term
secondary yolk sac
Definition
Formed at 23 days when the primary yolk sac is pinched off by the extra embryonic coelom
Term
yolk sac
Definition
The umbilical duct connecting the yolk sac with the embryo
Term
zygote
Definition
Fertilized ovum resulting from union of male and female gamete
Term
gestational age, conceptual age
Definition
? would add 2 weeks to the ?
Term
embryo
Definition
the first 9 weeks the conceptus is called ?
Term
fetus
Definition
after the first 9 weeks the conceptus is called ?
Term
distal end of FT; 1-2 days
Definition
ovum is swept into the distal FT and fertilization occurs where ? and how many days after ovulation
Term
corpus luteum cyst
Definition
follicle that released the mature ovum hemorrhages and collapses to form the ?
Term
FT
Definition
zygote occurs in the ?
Term
23 day
Definition
when is the primary yolk sac pinched off and becomes the secondary yolk sac
Term
embryonic phase
Definition
during this phase all major internal and external structures begin to dev'p
Term
5.5 weeks
Definition
initial heart is when ?
Term
6 weeks
Definition
embryo changes from flat, disc-like configuration to a C-shaped structure
Term
30 mm
Definition
how long should the fetus be by the end of the 10th week
Term
weeks 11-12
Definition
What part of the 1st trimester is the beginning of the fetal period
Term
8 weeks; 25mm
Definition
the gestational sac and hCG increase proportionally until ? weeks; and the MSD is ?mm
Term
1800 mIU/ml
500 mIU/ml
Definition
transabdominally, a normal gestational sac can be demonstarted wihen the hCG level is ?
Endovaginally, hCG levels are around ?
Term
1000-2000 mIU/ml
Definition
what is the hCG level that indicates a normal pregnancy
Term
ectopic pregnancy
Definition
what should be considered if the hCG level is elevated and the gestational sac is not seen within the uterus
Term
hCG
Definition
? will likely decrease after 1st trimester when the placenta takes over
Term
miscarriage
Definition
failure for the levels of hCG to double every ffew days indicates ?
Term
1-2 mm sac with an echogenic ring having a sonolucent center
Definition
what does an IUP look like at 5 weeks
Term
chorionic cavity
Definition
what does the anechoic center of the gestational sac represent at 5 week
Term
trophoblastic tissue
Definition
what does the echogenic ring with an IUP represent
Term
1mm per day
Definition
gestational sac size grows at what rate in early pregnancy
Term
yolk sac
Definition
what is the first intragestation sac seen
Term
yes
Definition
is the gestational sac seen before the heart beat?
Term
yolk stalk
Definition
the yolk sac is attached to the embryo by ?
Term
amniotic and chorionic cavity
Definition
the yolk sac lies between what two structures?
Term
8 weeks
Definition
when does the yolk sac detach from the yolk stalk?
Term
5th week
Definition
beginning of the ? week, the bilaminary embryoinic disk is converted into the trilaminar embryonic disc
Term
2 mm
Definition
at 5.5 weeks, how big is the CRL
Term
16-17th week
Definition
chorioamniotic fusion occurs
Term
6th week
Definition
the limb buds are recognized by ? week
Term
5-7th week
Definition
spine dev'ps when ?
Term
6th week
Definition
embryonic tail is seen ?
Term
6th week
Definition
primitive neural tube closes at ? weeks
Term
6th week
Definition
the skeletal system starts to dev't when ?
Term
upper limbs, lower limbs
Definition
what is the first part of the skeletal system to dev'p, what comes next
Term
10th week
Definition
the hands and feet are completely dev'pd by what week?
Term
11th week
Definition
the fingers and toes are completely dev'td by what week
Term
12 week
Definition
palate fusion begins when
Term
9th week
Definition
when are the maxilla and mandible visualized?
Term
6th week
Definition
the anterior abdominal wall is dev'ped by
Term
dorsal yolk sac into the embryo
Definition
the primitive gut is formed by the incorporation of the ? into the ?
Term
11th week
Definition
when does the midgut descend into the fetal abdomen
Term
after 12 weeks
Definition
when is the echogenic umbilical cord mass no longer visualized
Term
6th week
Definition
3 primary brain vesicles dev'p
Term
prosencephalon, mesencephalon, rhombencephalon
Definition
what are the three brain vesicles
Term
cephalic = metencephalon
caudal = myelencephalon
Definition
what are the two branches of the rhombencephalon
Term
rhomboid fossa
Definition
cerebellum, medulla, and medulla oblongata enclose the ? to form the 4th ventricle
Term
9 weeks
Definition
cerebral hemisphere seen around ? weeks
Term
echogenic
Definition
what does the choroid plexus look like on ultrasound
Term
lateral ventricles
Definition
the choroid plexus fills the ?
Term
CSF
Definition
? surrounds the choroid plexus
Term
slow fast slow
Definition
what is the normal rhythm of the embryonic heart beat during the first trimester
Term
90-115
Definition
? bpm at 6 weeks
Term
140-160
Definition
? bpm at 9 weeks
Term
140
Definition
? bpm from 9-12 weeks
Term
MSD
Definition
average sum of the length, width, and height of the gestational sac
Term
Menstrual age days
Menstrual age weeks
Definition
MSD (mm) + 30 =
MSD (mm) +30 / 7 =
Term
5.6mm
Definition
the normal yolk sac should never exceed
Term
12 weeks
Definition
CRL may be used up to ? weeks of gestation
Term
7-10x
Definition
twin gestations have a ?x greater mortality rate than singles
Term
two ova; dichorionic and diamniotic
Definition
dizigotic (? ?) twin pregnancies comprise 70% of all twins = di di means ?
Term
2 gestational sacs
Definition
di di twins have ? gestational sacs
Term
twins apear to be contained within one chorionic sac; two amnions, two yolk sacs, and two embryos
Definition
monochorionic-diamniotic means ?
Term
one gestational sac with one amniotic membrane, 1-2 yolk sacs, 2 embryos within 1 amniotic membrane
Definition
mono-mono is defined as ?
Term
50%
Definition
what is the mortality rate for mono-mono twins
Term
morula
Definition
as the zygote descends down the FT, what is it called 2-3 days after ovulation ?
Term
4-5, 7-9
Definition
the blastocyte enters the uterus ?-? days after fertilization, with implantation occurring ?-? days after ovulation
Term
3mm or greater
Definition
the wall of the gestational sac is ?
Term
10mm, 18mm
Definition
yolk sac seen when gestational sac is larger than ?mm and an embryo is seen when the gestational sac is larger than ?mm
Term
conceptual age
Definition
Embryologists use ?, also known as embryologic age, to assess gestational age, with conception as the first day of the pregnancy
Term
gestational age
Definition
Clinicians and sonographers use ?, also known as menstrual age, to date the pregnancy, with the first day of the last menstrual period as the beginning of gestation
Term
blastocyst, embryo
Definition
Further cell proliferation brings the morula to the ? stage, which contains trophoblastic cells and the “inner cell mass,” which forms the ?
Term
secondary yolk sac
Definition
Nutrients, blood cell production, and development of the embryonic endoderm
are essential functions of ?
Term
midgut
Definition
The ?, derived from the primitive gut, develops and forms the majority of the small bowel, cecum, ascending colon, and proximal transverse colon.
Term
7
4
Definition
Recent data suggest that normally the echogenic umbilical cord mass should not exceed ? mm at any gestational age and never measure less than ? mm
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