Physiology Lecture 26
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Questions and Answers

What is the primary function of human placental lactogen (hPL) during pregnancy?

  • Stimulating uterine contractions
  • Increasing maternal blood pressure
  • Reducing insulin sensitivity in the mother (correct)
  • Supporting fetal bone growth
  • Progesterone contributes to pregnancy by enhancing uterine smooth muscle contraction.

    False

    What role do prostaglandins play in pregnancy?

    They trigger and participate in parturition.

    Maternal cholesterol is primarily supplied as _____ particles, which serve as precursors for progesterone synthesis.

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

    Match the following hormones with their primary roles during pregnancy:

    <p>Testosterone = Promotes male phenotypic formation Estrogens (E3) = Promotes uterine growth and breast development Progesterone = Facilitates implantation and prevents preterm labor hPL = Reduces maternal insulin sensitivity</p> Signup and view all the answers

    What happens to the zygote while it is in the fallopian tube?

    <p>It undergoes mitotic divisions and develops into a blastocyst.</p> Signup and view all the answers

    Decidualization refers to the transformation of endometrial stromal cells into corpus luteum cells.

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

    What is the role of syncytiotrophoblasts during implantation?

    <p>They secrete proteolytic enzymes that digest adjacent cells of the uterine endometrium.</p> Signup and view all the answers

    High levels of _____ released from the corpus luteum prepare the uterus to receive the blastocyst.

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

    What are the two main types of cells in the blastocyst?

    <p>Inner cell mass and outer layer of trophoblasts</p> Signup and view all the answers

    The zygote remains in the fallopian tube for approximately 5 days.

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

    Match the following types of trophoblasts with their roles:

    <p>Syncytiotrophoblasts = Crucial for fetal and placental development Cytotrophoblasts = Provide a supportive layer for cell division</p> Signup and view all the answers

    What maternal response occurs following implantation?

    <p>Decidualization occurs.</p> Signup and view all the answers

    Decidual cells are transformed endometrial stromal cells that form the _____, which constitutes the maternal portion of the placenta.

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

    What is the primary function of the estrogenic placenta during pregnancy?

    <p>Collaborate with the mother and fetus to produce estrogen</p> Signup and view all the answers

    The luteal-placenta shift occurs around 8 weeks of pregnancy.

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

    What is a crucial factor in maintaining normal gestation during pregnancy?

    <p>Low estrogen to progesterone ratio (E/P ratio)</p> Signup and view all the answers

    As pregnancy progresses, the estrogen to progesterone ratio (E/P ratio) generally __________ later in preparation for parturition.

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

    What contributes to maternal weight gain during pregnancy?

    <p>Increase in fetal size and fluid volume</p> Signup and view all the answers

    Match the following hormones or factors with their effects during pregnancy:

    <p>Progesterone = Relaxes uterine smooth muscle Estrogen = Constricts uterine smooth muscle Human placental lactogen (hPL) = Causes insulin resistance</p> Signup and view all the answers

    The fetal adrenal gland and liver are responsible for providing enzymes for estrogen synthesis.

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

    What does an increased E3 to E2 ratio indicate during pregnancy?

    <p>Well fetal development facilitated by placental function</p> Signup and view all the answers

    What primarily influences the expansion of blood volume during pregnancy?

    <p>Elevated estrogen and aldosterone levels</p> Signup and view all the answers

    During later stages of pregnancy, cardiac output remains constant.

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

    What physiological change leads to increased alveolar ventilation during pregnancy?

    <p>Heightened metabolic demands and increased circulating load.</p> Signup and view all the answers

    The increased sensitivity of the respiratory center to CO2 is primarily influenced by __________.

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

    What effect does uterine enlargement have on the diaphragm during pregnancy?

    <p>Reduces its excursion</p> Signup and view all the answers

    Match the parturition related roles of prostaglandins:

    <p>Softening the cervix = Cervical ripening Stimulating uterine contractions = Enhancing labor efforts Increasing oxytocin receptors = Facilitating contractions</p> Signup and view all the answers

    Increased renal blood flow during pregnancy helps manage tubular reabsorption.

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

    What causes the initial stimulation of uterine contractility as pregnancy nears its end?

    <p>Uterine distention.</p> Signup and view all the answers

    What primarily inhibits lactation during pregnancy?

    <p>Estrogen and progesterone blocking prolactin's action</p> Signup and view all the answers

    Prolactin is responsible for stimulating milk ejection from the alveoli.

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

    What is the role of myoepithelial cells in lactation?

    <p>They contract to help eject milk into the lactiferous ducts.</p> Signup and view all the answers

    The _____ ducts converge to form the lactiferous sinus, located just before the nipple.

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

    Match the following hormones with their roles in lactation:

    <p>Prolactin = Stimulates milk synthesis Oxytocin = Triggers milk ejection Dopamine = Suppresses prolactin release Gonadotropin-releasing hormone (GnRH) = Inhibited during nursing</p> Signup and view all the answers

    What happens to prolactin and oxytocin levels during nursing?

    <p>They increase due to positive feedback</p> Signup and view all the answers

    The nipple contains few nerve endings, making it less sensitive to suckling.

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

    What triggers the release of milk from the alveolar lumen into the ductules?

    <p>Contraction of myoepithelial cells due to oxytocin.</p> Signup and view all the answers

    What is the function of human chorionic gonadotropin (HCG) in early pregnancy?

    <p>It prevents the regression of the corpus luteum.</p> Signup and view all the answers

    The surface of villi is covered with columnar epithelial cells.

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

    What do fetal umbilical arteries carry?

    <p>deoxygenated blood and waste products</p> Signup and view all the answers

    The __________ space is filled with maternal blood and serves as a capillary interface in the placenta.

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

    Match the following terms with their corresponding functions:

    <p>HCG = Maintaining corpus luteum Villi = Fetal placental capillaries Intervillous space = Maternal blood reservoir Fetal umbilical vein = Carries oxygenated blood</p> Signup and view all the answers

    How does sustained release of estrogen and progesterone affect follicle development?

    <p>It inhibits the development of new ovarian follicles.</p> Signup and view all the answers

    There are structural capillaries between maternal arterioles and venules within the placenta.

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

    What fills the intervillous space in the placenta?

    <p>Maternal blood</p> Signup and view all the answers

    Study Notes

    Physiology Lecture 26 - Summary

    • Fertilization and the Menstrual Cycle:

      • If fertilization occurs, the menstrual cycle is halted.
      • Follicle-stimulating hormone (FSH) and luteinizing hormone (LH) are inhibited.
      • The zygote remains in the fallopian tube for about 3 days.
    • Zygote Development:

      • The zygote undergoes mitotic divisions, becoming a blastocyst with roughly 100 cells.
      • The blastocyst remains in the uterine cavity for 1-2 days before implanting in the endometrium.
      • Two main cell types are present: the inner cell mass and the outer trophoblast layer.
      • The trophoblast layer includes syncytiotrophoblasts and cytotrophoblasts.
      • Syncytiotrophoblasts are critical for fetal and placental development.
      • Cytotrophoblasts initially provide support for cell division.
      • The embryonic pole attaches to the uterine endometrium during implantation.
    • Uterine Preparation for Implantation:

      • High progesterone levels from the corpus luteum prepare the uterus for blastocyst reception during the secretory phase.
      • Syncytiotrophoblasts secrete enzymes to break down uterine tissue, allowing blastocyst implantation.
      • Maternal response to implantation includes transforming endometrial cells into decidua cells, which provide nutrients to the developing embryo.
      • Decidual cells are rich in glycogen, proteins, lipids, and minerals.
      • Decidual cells form the maternel portion of the placenta.
    • Placenta Function:

      • The placenta delivers oxygen and nutrients.
      • It removes carbon dioxide and fetal waste products.
      • It releases hormones.
      • It acts as a protective barrier during pregnancy.
      • The placenta synthesises estrogen and progesterone.
      • Human chorionic gonadotropin (hCG) sustains corpus luteum function to maintain hormone levels.
    • Placental Structure and Function:

      • Villi, containing syncytiotrophoblasts, act as fetal placental capillaries.
      • The intervillous space is filled with maternal blood.
      • Placental capillaries facilitate nutrient and gas exchange.
      • Maternal and fetal blood do not directly mix.
    • Maternal Physiological Changes During Pregnancy:

      • Cardiac output increases.
      • Blood volume expands.
      • Bone marrow increases blood cell production.
      • Respiratory system adjusts.
      • Renal function (blood flow and filtration) increases.
      • Nutritional demands increase.
    • Hormonal Regulation and Labor:

      • Progesterone maintains pregnancy, and estrogen supports uterine growth.
      • The estrogen to progesterone ratio shifts in favor of estrogen, which facilitates labor and delivery.
      • Estrogen and prostaglandins are critical for uterine contractions.
      • Oxytocin receptors are upregulated, aiding in stronger contractions and labor.
    • Hormonal Regulation and Lactation:

      • Prolactin stimulates milk production.
      • Oxytocin stimulates milk ejection.
      • Progesterone and estrogen inhibit lactation during pregnancy.
      • After birth, these hormones levels reduce, allowing prolactin to stimulate milk production.
    • Lactation:

      • Lobules contain alveoli where milk is produced.
      • Myoepithelial cells contract to eject milk (let-down).
      • Prolactin's action is blocked during pregnancy by prolactin-inhibiting hormone (PIH).
    • Postpartum Hormonal Regulation:

      • High prolactin and oxytocin suppress GnRH release, reducing FSH and LH, which temporarily suspends the ovarian cycle.
      • GnRH, FSH and LH levels start increasing again allowing the ovarian cycle to resume.

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    Description

    Test your knowledge on human reproductive physiology with this quiz focusing on pregnancy and its hormonal regulation. Explore key concepts including the roles of hPL, progesterone, prostaglandins, and trophoblasts during the early stages of pregnancy. Ideal for students and professionals in biology and medicine.

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