Pregnancy And Childbirth Flashcards

(55 cards)

1
Q

What is the function human chorionic gonadotropin during pregnancy

A

Rescues corpus luteum from degeneration until, the 3rd or 4th month of pregnancy

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2
Q

What are the functions of progesterone and estrogen during pregnancy

A
  1. maintains endometrium of uterus
  2. helps prepare mammary glands for lactation
  3. prepare Mother’s body for birth of the baby
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3
Q

Function of relaxin during pregnancy

A
  1. increases flexibility of pubic symphysis

2. Helps dilate uterine cervix during labor

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4
Q

What is the function of the hormone hCS

A
  1. helps prepare mammary glands for lactation
  2. enhances growth by increasing protein synthesis
  3. decreases glucose use and increases fatty acid use for ATP production
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5
Q

Corticotropin releasing hormone function

A
  1. establishes the timing of birth

2. increases secretion of cortisol

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6
Q

What are the steps of the first week of development

A

1 .fertilization

  1. cleavage
  2. morula
  3. blastocyst
  4. implantation
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7
Q

What may cause female infertility

A

Ovarian disease
Obstruction of the uterine tubes
Inadequate body fat
Uterus is not prepared for a fertilized ovum

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8
Q

Male fertility is the inability of the sperm fertilizing the secondary oocyte what are the possible causes of male infertility

A
Over exposure to x rays and ionizing radiation 
Infections 
Toxins 
Malnutrition 
Higher -than normal scrotal temperatures
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9
Q

When is intracytoplasmic sperm injection uses

A

This has been used when infertility is due to imapairments in spermatozoon motility or to the failure of spermatic to develop into spermatazoa

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10
Q

What happens in the procedure of in vitro fertilization

A

Mother - mother is given FSH soon after menstruation ,so we have several secondary oocytes
When several follicles have reached the appropriate size ,the stimulated follicles and transferred to a solution containing sperm and the oocytes go under fertilization

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11
Q

What is an ectopic pregnancy

A

It is the development of an embryo or fetus outside the uterine cavity

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12
Q

Where can an ectopic pregnancy occur

A

Uterine tube ,uterine cervix ,ovaries ,abdominal cavity

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13
Q

What are the signs and symptoms of ectopic pregnancy

A

One are two missed periods followed by bleeding and acute abdominal and pelvic

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14
Q

How would you treat an ectopic pregnancy

A

Include surgery or the use of cancer drug called methotrexate (embryonic cells stop dividing and eventually disappear )

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15
Q

What can be detected in the urine 8 days after fertilization

A

Human chorionic gonadotropin

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16
Q

What is placentation

A

This is the process of forming the placenta

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17
Q

What forms the fetal portion of the placenta

A

Chorionic villi of the chorion

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18
Q

What forms the maternal portion of the placenta

A

Decidua basalis of the endometrium

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19
Q

What do the umbilical arteries carry

A

Deoxygenated blood from the fetus to the placenta

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20
Q

What does the umbilical vein carry

A

It carries oxygenated blood to the fetus and the Wharton’s jelly

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21
Q

Describe the maternal cardiovascular changes when a mother is pregnant

A
Stroke volume goes up
Heart rate goes up 
Cardiac output goes up 
Blood volume goes up 
IVC compressions loser venous return and may cause edema
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22
Q

When the mother is pregnant she can experience renal artery compression what can this cause

A

Renal hypertension

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23
Q

What happens to the today volume during pregnancy

A

Goes up 30 percent

24
Q

What happens to the expiratory reserve volume during pregnancy

A

Goes down by 40 percent

25
What happens to functional residual capacity
It goes down by 25 percent
26
What happens to minute ventilation during pregnancy
It goes up by 40 percent
27
What happens to total oxygen body consumption during pregnancy
It goes up by 10 percent
28
What two changes occur in a pregnant woman’s digestive system
Increased appetite | Decreased GIT motility
29
What changes occur in the mother’s urinary system
Increased urgency and frequency to pee | And increased renal filtering capacity (allows elimination of the fetus waste products )
30
What happens to the renal plasma flow and glomerular filtration
Renal plasma flow : goes up by 30 percent | Glomerular filtration : goes 40 percent
31
What changes happen to the the maternal skin
Chloasma ,changes areolae of the breast ,Linea Nigra ,striae
32
What is a teratogen
Agent that causes developmental defects in the embryo
33
What are the classes teratogens
Chemicals ,microorganisms ,prescription and recreational drugs
34
What does amniocentesis involve
It invokes withdrawing some of the amniotic fluid and analyzing the fetal cells and dissolved substances
35
What Is the fetal ultrasonography used to determine
Fetal age ,Evaluate fetal viability and growth ,determine fetal position,identify multiple pregnancies ,identify fetal -maternal abnormalities
36
What are the advantages if using chorionic villi sampling
It can be performed as early as 8 weeks of gestation and test is available in a few days
37
Which one has a higher chance of spontaneous abortion
CVS
38
What produces the corticotropin releasing hormone
Placenta
39
What produces adrenocorticotropic hormone
Produced by fetal anterior pituitary gland
40
What produces DHEA
the fetal adrenal cortex
41
What does DHEA convert to in the placenta
Estrogen
42
Oxytocin during labor is produced by :
The pituitary gland of the mother
43
During labor what hormone is produced by the fetal adrenal cortex
Cortisol
44
What are the different types of induced abortion
Mifepristone Vacuum aspiration Dilation and evacuation Late stage abortion
45
What are the three stages of labor
Dilation Expulsion Placental stage
46
When do we get dystocia
It may result when there’s an abnormal position of the fetus or the birth canal cannot support vaginal delivery
47
What is an episiotomy
It is a perineal cut between the vagina and the anus made with surgical scissors to widen the birth canal for the baby to pass out
48
When do we consider a baby premature
A baby who weighs less than 2500 g at birth
49
What are the risk factors for prematurity
Poor prenatal care Drug abuse Mother below 16 or above 35
50
What is the major problem after delivery of an infant under 36 weeks of gestation due to insufficient surfactant
Respiratory distress syndrome
51
What is the principle hormone that promotes milk production
Prolactin
52
Which hormone inhibits the the production of milk during pregnancy
Progesterone
53
What is the principle stimulus in maintaining prolactin secretion during lactation
Sucking action of the infant
54
What are the beneficial cells in the mothers milk
Several types of white blood cells that fell boost the baby’s immunity
55
What are the beneficial molecules found in breast milk
Maternal IgA antibodies which protect the baby against specific infectious agents