Fetal Circulation Flashcards

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Questions and Answers

What structures play a role in shunting blood away from the lungs?

  • Ductus arteriosus (correct)
  • Ductus venosus
  • Umbilical vein
  • Foramen ovale (correct)

What structure plays a role with shunting blood away from the liver?

Ductus venosus

What is the role of the ductus arteriosus?

Connects the pulmonary artery and aorta

The ______ carries oxygenated blood from the placenta to the fetus. Some of the blood flow from this structure is shunted from the ______ to the ______ via the ______.

<p>umbilical vein; liver; IVC; ductus venosus</p> Signup and view all the answers

The pressure in the fetal lungs before birth is _____, which allows blood from the _____ to shunt into the _____ via the ______.

<p>high; pulmonary artery; aorta; ductus arteriosus</p> Signup and view all the answers

In the fetus' circulation before birth the pressure is _____ on the right side of the heart compared to the left side. This causes some of the blood from the _____ atrium to flow into the _____ atrium via the _____.

<p>higher; right; left; foramen ovale</p> Signup and view all the answers

The umbilical cord is made up of one umbilical vein (oxygenated) and two umbilical arteries (deoxygenated).

<p>True (A)</p> Signup and view all the answers

Select all the reasons for the closure of shunting structures after the birth of a baby.

<p>Oxygen levels in the baby's body increase (A), The resistance in the lungs decreases (C), The pressure in the right side of the heart decreases compared to the left side (D)</p> Signup and view all the answers

What does the placenta produce?

<p>Prostaglandins</p> Signup and view all the answers

In fetal circulation, the umbilical artery carries ______, while the umbilical vein carries _____.

<p>deoxygenated blood; oxygenated blood</p> Signup and view all the answers

The right ventricle pumps what type of blood up through the pulmonary artery?

<p>Mixed</p> Signup and view all the answers

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Study Notes

Fetal Circulation Overview

  • Key structures involved in shunting blood away from the lungs include the ductus arteriosus and foramen ovale.
  • The ductus venosus functions to shunt blood away from the liver.

Ductus Arteriosus Functionality

  • Connects the pulmonary artery to the aorta.
  • Transports mixed blood to the lower body, returning to the placenta through umbilical arteries from the descending aorta.

Umbilical Vein and Blood Shunting

  • The umbilical vein carries oxygenated blood from the placenta to the fetus.
  • Blood from the umbilical vein is partially shunted from the liver to the inferior vena cava via the ductus venosus.

Pressure Dynamics in Fetal Lungs

  • Prior to birth, pressure in fetal lungs is high, allowing blood to shunt from the pulmonary artery to the aorta through the ductus arteriosus.

Heart Chambers and Foramen Ovale

  • Right atrium pressure is higher than that in the left atrium before birth.
  • This pressure differential allows blood to flow from the right atrium to the left atrium via the foramen ovale.

Umbilical Cord Composition

  • The umbilical cord consists of one umbilical vein (carrying oxygenated blood) and two umbilical arteries (carrying deoxygenated blood).

Changes Post-Birth

  • Closure of shunting structures occurs due to decreased pressure on the right side of the heart, reduced resistance in the lungs, and increased oxygen levels in the body.

Role of the Placenta

  • The placenta produces prostaglandins, which maintain ductus arteriosus patency; removal of the placenta decreases prostaglandin levels, facilitating closure.

Blood Composition in Fetal Circulation

  • Umbilical arteries carry deoxygenated blood while the umbilical vein carries oxygenated blood.

Right Ventricle Function

  • The right ventricle pumps mixed blood through the pulmonary artery during fetal circulation.

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