1st Trimester Flashcards

(50 cards)

1
Q

After ovulation, conception usually occurs within ____

A

24 hours

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2
Q

Sperm + ovum =

A

Zygote

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3
Q

Zygote forms into the ___

A

Morula

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4
Q

Morula becomes the ___

A

Blastocyst

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5
Q

Outer layer of blastocyst is made up of _____ cells

A

Trophoblastic cells

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6
Q

The cells that produce hCG

A

Trophoblastic cells

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7
Q

Inner part of blastocyst develops into

A

Embryo, amnion, umbilical cord, yolk sacs

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8
Q

Trophoblastic tissue develops into

A

Placenta and chorion

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9
Q

Blastocyst begins to implant into the decidualized endometrium by day ___ of menstrual cycle

A

Day 20-21 of menstrual cycle

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10
Q

Implantation is complete by day

A

Day 28

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11
Q

Blastocyst connects to endometrium via small projections called:

A

Chorionic villi

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12
Q

Chorion

A

Gestational sac

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13
Q

HCG is detected in the maternal blood as early as

A

23 days menstrual age

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14
Q

Gestational sac should be visualized transvaginally when hCG levels are

A

Between 1000 and 2000 mlU

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15
Q

Normal hCG levels double every ____ hours in the 1st trimester

A

48 hours

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16
Q

In first trimester, thermal index should be kept below ____

A

1

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17
Q

Decidual reaction

A

Endometrium becomes thick and echogenic in preparation for implantation

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18
Q

First definitive sonographic sign of an IUP

A

Gestational sac

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19
Q

To distinguish gestational sac vs pseudogestational sac, look for

A

Double sac sign or double decidual sign

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20
Q

Double sac/ double decidual sign

A

Two rings surrounding a true gestational sac. Inner(capsularis) outer(parietalis)

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21
Q

What sign is this

A

Double sac sign or double decidual sign

22
Q

The short arrows are pointing to

A

Decidua capsularis

23
Q

The long arrows are pointing to

A

Decidua parietalis

24
Q

Earliest measurement to date pregnancy

A

Mean Sac Diameter(MSD)

25
Adding ____ to the MSD, in mm, is an estimate to gestational age
By adding 30 to MSD
26
MSD of ____ that doesn’t have a fetal pole is abnormal
>25 mm
27
First structure within gestational sac
Secondary Yolk sac
28
Yolk sac produces
AFP
29
Yolk sac is connected to the embryo by
Vitelline duct
30
Vitillene duct aka
Omphalomesenteric duct
31
Yolk sacs role in early pregnancy
Nutrient transfer and hematopoiesis
32
Vitelline/omphalomesenteric duct contains ___ vein and ____ artery
1 vein and 1 artery
33
Yolk sac is within the ___ cavity
Chorionic cavity
34
Gestational sac contains ____ cavities
Two cavities. 1. Chorionic 2. Amniotic
35
Amniotic cavity contains
Amniotic fluid and embryo
36
Amnion and chorion are fused by ____ weeks
16 weeks
37
Embryo will grow at a rate of ____ per day
1mm per day in first trimester
38
Limb buds are identified by week
Week 7
39
Cystic structure noted within early fetal head
Rhombencephalon
40
Rhombencephalon develops into the
4th ventricle
41
What is the arrow pointing to
Rhombencephalon
42
Physiologic bowel herniation begins at ___ weeks
8 weeks
43
Physiologic bowel herniation is typically resolved by week
Week 12
44
This is an image of a 11.5 week fetus. What do you suspect the arrow is pointing to?
Physiologic bowel herniation
45
Decidua basalis is the
Maternal contribution of the placenta
46
Chorion frondosum is
The fetal contribution of the placenta
47
Most common anomalies associated with increased NT
Trisomy 21,18, Turner syndrome, CHF
48
NT is measured between _____ weeks
11 weeks - 13 weeks 6 days
49
NT is measured when he CRL measures ______
Between 45-84 mm
50
Abnormal NT measures
>3mm