Fetal membranes, placenta, and multiple pregnancies Flashcards

1
Q

Which 3 components make up blastocyst?

A

Trophoblast, inner cell mass, and blastocyst cavity

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2
Q

Which two components make up trophoblast?

A

syncytiotrophoblast and cytotrophoblast

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3
Q

When do lacunae appear in syncytiotrophoblast?

A

Day 10

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4
Q

When do lacunar networks form?

A

Day 12

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5
Q

EEM splits to form

A

extraembryonic coelom (chorionic cavity)

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6
Q

Extraembryonic somatic mesoderm lines

A

trophoblast and amnion

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7
Q

Extraembryonic splanchnic mesoderm surrounds

A

yolk sac

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8
Q

Amniotic membrane is made up of

A

amniotic epithelium and extraembryonic mesoderm

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9
Q

Chorionic membrane is made up of

A

extraembryonic mesoderm, cytotrophoblast, syncytiotrophoblast

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10
Q

Yolk sac is made up of

A

endoderm, extraembryonic mesoderm

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11
Q

The amnion contains amniotic fluid which is produced by

A

amniotic ectoderm, fetal respiratory tract, and fetal urine

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12
Q

Amniotic fluid is removed by

A

diffusion and swallowing by the fetus

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13
Q

What are the functions of the amnion?

A

cushions and protects, prevents adhesions, freedom of movement, controls body temp

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14
Q

Oligohydramnios

A

Disorder of amniotic fluid resulting in decreased amniotic fluid volume. Results in poor development of the lung tissue and can lead to fetal death. It can be caused by a rupture of the membranes or fetal kidney issues.

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15
Q

Polyhydramnios

A

Disorder where there is too much amniotic fluid around the baby during pregnancy. Could indicate that the fetus is having trouble swallowing or there is a GI blockage.

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16
Q

Primary villus

A

contains core of cytotrophoblast

17
Q

Secondary villus

A

contains core of mesenchyme

18
Q

cytotrophoblastic shell

A

cytotrophoblast extensions that anchor the chorionic sac to endometrium

19
Q

Tertiary villus

A

contains fetal capillaries

20
Q

Which type of circulation predates feto-placental circulation

A

utero-placental circulation

21
Q

When does feto-placental circulation develop

A

21 days

22
Q

Feto-placental circulation

A

embryonic blood vessels differentiate from mesenchyme in villi and connecting stalk

23
Q

chorion leavae

A

Smooth surface of chorion - forms protective shell around developing fetus

24
Q

chorion frondosum

A

rough surface of chorion - portion of chorion that has been modified to increase surface area contact with maternal tissues for physiologic exchange.

25
Q

What is the allantois

A

extension of yolk sac into connecting stalk

26
Q

What does the allantois do

A

gives rise to umbilical vessels, forms the urachus and median umbilical ligament

27
Q

What are the three decidua

A

decidua capsularis, decidua parietalis, decidua basalis

28
Q

What happens to the decidua capsularis

A

degenerates

29
Q

what happens to the decidua parietalis

A

fuses with chorion

30
Q

what happens to decidua basalis (smooth chorion)

A

fuses with amnion

31
Q

what is the fetal component of the placenta?

A

chorion frondosum (villous chorion)

32
Q

what is the maternal component of the placenta?

A

decidua basalis

33
Q

What is the chorionic plate in relation to the placenta?

A

fetal surface of placenta

34
Q

Which structures make up the full term placenta?

A

Cytotrophoblastic shell, mainstem villus (trunk), free floating villi, anchoring villi, and branch villi

35
Q

What does the branch villus do?

A

Exchange between fetal and maternal blood

36
Q

Which hormones does the placenta release?

A

steriod hormones (estrogen and progesterone), prostaglandins, protein hormones

37
Q

what are the protein hormones

A

human chorionic gonadotropin, human placental lactogen, human chorionic thyrotropin, human chorionic corticotropin

38
Q

Contents of intervillous space normally include

A

oxygen, carbon dioxide, maternal blood, and electrolytes

39
Q

The amniotic cavity appears on the 8th day of development as a slitlike space between the trophoblast and the

A

inner cell mass