pregnancy Flashcards

(29 cards)

1
Q

Fertilization: male

A

sperm capacitation:
- enhance motility
- membrane fragile: release hydrolytic enzyme in acrosome
- only capacitated sperm can move towards ovum

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2
Q

Fertilization: progress

A

1.) corona radia and zona pellucia surround the ovulated oocyte: sperm d hyaluronidase enzyme digest conrona radia d granulosa cell
2.) acrosomal reaction
3.) binding
4.) fusion
5.) blocks to polyspermy

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3
Q

fertilization: acrosomal reaction

A

1.) sperm binds to receptors in the zona pellucia -> increase Ca level -> trigger release of acrosomal enzyme -> many sperm geh acrosomal enzyme digest a bole in zona pellucia

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4
Q

Fertilization: binding

A

sperm’s membrane binds to the oocyte’s sperm-binding receptor -> fusion

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5
Q

Fertilization: fusion

A

sperm and oocyte plasma membrane fuse: sperm content enter the oocyte

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6
Q

Fertilization: block polyspermy

A

oocyte membrane block
-> sperm-binding receptor are shed
cortical reaction: Ca lv increase triggers exocytosis of cortical granules -> harden zona pellucia and destroy sperm-binding receptor

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7
Q

pronuclei

A

sperm and ovum nuclei swell
-> pronuclei approach each other and a mitotic spindle form between them
–> chromosome intermixed
—> END OF FERTILIZATION
ZYCOTES formed

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8
Q

cleavage

A

produce small cells: enhance nutrient uptakes

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9
Q

trophoblast

A
  • protect the conceptus from the immunosuppressive effect (attack) from mother
  • secrete digestive enzyme and growth factor onto the endometrial surface (thicken)
    proliferate and form cytotrophoblast and syncytiotrophoblast (HCG)
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10
Q

before implantation: blastocytes

A

blastocytes floats in the uterine cavity: nourished by the glycoprotein-rich uterine secretion

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11
Q

Implantation: mucosa prepared

A

integrin and selectin proteins in trophoblast bind to the extracellular matrix and to selectin-binding carbohydrate on the inner uterine wall

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12
Q

Implantation: mucosa not prepared

A

blastocytes detaches and floats to a lower level
-> implant when find a site with proper receptors

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13
Q

HCG

A

maintain corpus luteum -> secrete progesterone and estrogen

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14
Q

placenta

A

chorionic villi: contain rich network of capillaries
umbilical cord

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15
Q

Placenta: function

A

1.) exchange of substances
2.) production of hormones
- progesterone and estrogen
- human placental lactogen: lower the usage of maternal glucose: more availability of maternal glucuse; mobilize fat from maternal adipose tissue: more free fatty acid levels
- relaxin: relaxation of ligament in pubic symphysis

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16
Q

function of estrogen

A
  • enlargement of uterus
  • relaxation and softening of pelvic ligaments and pubis symphysis
  • ductal development of mammary gland
  • secretion of prolactin
17
Q

function of progesterone

A
  • maintenance of the endometrium
  • decrease the contractility -> prevent abortion
  • increase secretion of mother fallopian tubes -> provide appropriate nutritive matter
  • help estrogen -> prepare lactation
18
Q

labour: initiation

A

estrogen highest level:
- stimulate myometrial cell to form abundant oxytoxin receptor
- irregular uterine contraction
oxytoxin: uterus contract, stimulate placenta to prostaglandins
prostaglandins: more contraction
(positive feedback)

19
Q

labour: dilation

A

amnion ruptures-> releasing amniotic fluid

20
Q

labour: explusion stage

A

strong contraction

21
Q

labour: afterbirth

A

strong contraction: compress uterine blood vessel-> linit bleeding
all placental fragment should be removed: prevent bleeding

22
Q

milk production: estrogen

A

development of ductal system
inhibit milk production during pregnancy

23
Q

milk production: progesterone

A

development of lobule-alveolar system
inhibit milk production during pregnancy

24
Q

milk production: prolactin

A

development of lobule-alveolar system;
milk production

25
foramen ovule
fossa ovalis
26
factors in fetal blood
fetal HB has higher affinity O2 -> carry more O2
27
double bohr effect
more CO2 in maternal blood low O2 affinity in HbA more O2 release from mother
28
fetal lungs
surfactant: prevent respiratory distress
29
first breath
low pH detect by chemoreceptor and central -> fluid in lung is drained.