Maternal and Fetal Timelines Quiz

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Questions and Answers

What is the role of the chorion frondosum in the placenta?

  • It stores nutrients for the embryo.
  • It separates the maternal and fetal blood supply.
  • It becomes the fetal side of the placenta. (correct)
  • It provides structural support to the placenta.

Which layer of the decidua surrounds the embryo and is known as decidua capsularis?

  • Decidua parietalis
  • Decidua basalis
  • Decidua capsularis (correct)
  • Chorion laeve

What is the function of the yolk sac in early pregnancy?

  • Formation of the umbilical cord
  • Source of primordial germ cells and blood cells (correct)
  • Protection from mechanical stress
  • Source of amniotic fluid

What does the allantois primarily contribute to during fetal development?

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

What is the primary role of extravillous trophoblasts during spiral artery remodeling?

<p>To modify the walls of maternal arteries (D)</p> Signup and view all the answers

Where is the extraembryonic coelom located?

<p>Between the amnion and the chorion (D)</p> Signup and view all the answers

What type of arteries undergo remodeling to supply the placenta during pregnancy?

<p>Spiral arteries (C)</p> Signup and view all the answers

At what stage do extravillous trophoblasts differentiate into two types?

<p>At the end of the first trimester (D)</p> Signup and view all the answers

What characterizes primary villi in early development?

<p>They are avascular and have a cytotrophoblast core. (D)</p> Signup and view all the answers

Which of the following statements about tertiary villi is correct?

<p>They contain an extraembryonic mesodermal core with villous capillaries. (A)</p> Signup and view all the answers

What is the primary role of anchoring villi?

<p>They connect the cytotrophoblastic shell to the chorionic plate. (C)</p> Signup and view all the answers

How do secondary villi differ from primary villi?

<p>Secondary villi have an extraembryonic mesodermal core. (C)</p> Signup and view all the answers

What is the primary function of the chorion?

<p>To serve as the outermost covering of the embryo. (D)</p> Signup and view all the answers

What occurs during the formation of the cytotrophoblastic shell?

<p>Cytotrophoblasts invade the syncytiotrophoblast and contact maternal decidua. (A)</p> Signup and view all the answers

Which statement best describes the development of tertiary villi?

<p>They develop asymmetrically at the anchoring side of the embryo. (C)</p> Signup and view all the answers

What is found in the intervillous space?

<p>Maternal blood circulation. (D)</p> Signup and view all the answers

What triggers the release of oxytocin during labor?

<p>Nerve impulses sent to the hypothalamus (B)</p> Signup and view all the answers

What process occurs to prepare the cervix for labor?

<p>Cervical ripening (C)</p> Signup and view all the answers

What physiological change occurs to the breasts during pregnancy?

<p>Increase in vascular supply and size (D)</p> Signup and view all the answers

What happens to the uterine volume by the end of pregnancy?

<p>Increases 500 to 1000 times its original capacity (B)</p> Signup and view all the answers

During the active labor phase, how far does the cervix dilate?

<p>From 3 cm to 10 cm (A)</p> Signup and view all the answers

What is the Ferguson reflex associated with during labor?

<p>Pressure on the cervix leading to oxytocin release (A)</p> Signup and view all the answers

What role does the mucus plug created by cervical glands serve during pregnancy?

<p>Acts as a barrier against infections (D)</p> Signup and view all the answers

How much does cardiac output increase by mid-pregnancy?

<p>Up to 50% (B)</p> Signup and view all the answers

What does lightening refer to in the context of labor?

<p>When the baby moves down in the pelvis (D)</p> Signup and view all the answers

What is decidualization?

<p>Transformation of the uterine endometrial layer (B)</p> Signup and view all the answers

What marks the beginning of the latent phase of labor?

<p>Regular contractions and cervical dilation to 3 cm (D)</p> Signup and view all the answers

How long can the process of dilation and effacement last during active labor?

<p>8 to 20 hours (A)</p> Signup and view all the answers

Which major change occurs in the circulatory system of a pregnant woman?

<p>Increase in red blood cell mass and blood flow (B)</p> Signup and view all the answers

What occurs in the third stage of labor?

<p>Delivery of the placenta (A)</p> Signup and view all the answers

What is the primary function of the cervix during pregnancy?

<p>To allow for structural support and dilation during delivery (A)</p> Signup and view all the answers

What triggers the production of colostrum in the alveoli during pregnancy?

<p>Influence of estrogen, progesterone, and prolactin (C)</p> Signup and view all the answers

Which hormone is primarily responsible for supporting the function of the corpus luteum during early pregnancy?

<p>Human Chorionic Gonadotropin (hCG) (C)</p> Signup and view all the answers

What is a pregnancy complication?

<p>Any health issue affecting the mother, fetus, or both during pregnancy. (B)</p> Signup and view all the answers

What is the role of syncytiotrophoblasts in early pregnancy?

<p>They synthesize human chorionic gonadotropin (hCG). (A)</p> Signup and view all the answers

When can pregnancy complications arise?

<p>At any time during the course of pregnancy. (A)</p> Signup and view all the answers

When is a pregnancy test most accurate?

<p>After the first missed menstrual cycle. (A)</p> Signup and view all the answers

What role does the placenta play in pregnancy complications?

<p>It regulates the feto-maternal link, and disruptions can lead to complications. (C)</p> Signup and view all the answers

What effect do declining levels of estrogen and progesterone have on the menstrual cycle?

<p>They signal the beginning of menstruation. (A)</p> Signup and view all the answers

How long does the corpus luteum continue to secrete hormones after ovulation if pregnancy does not occur?

<p>About 10 days (B)</p> Signup and view all the answers

Which trimester is most associated with complications due to implantation disruption?

<p>First trimester. (C)</p> Signup and view all the answers

Which of the following options describes the timing of hCG production in relation to embryo implantation?

<p>hCG levels must be detectable by 10 days post-ovulation. (B)</p> Signup and view all the answers

Which of the following is NOT a potential cause of pregnancy complications?

<p>Diet during pregnancy. (A)</p> Signup and view all the answers

What triggers the corpus luteum to continue functioning during pregnancy?

<p>Human chorionic gonadotropin from the embryo. (C)</p> Signup and view all the answers

How does the timing of pregnancy complication onset affect its severity?

<p>Severity varies with timing and the underlying cause. (D)</p> Signup and view all the answers

Which statement about pregnancy tests is accurate?

<p>They are less sensitive than blood tests. (D)</p> Signup and view all the answers

What is excluded from the discussion of pregnancy complications in this section?

<p>Extrinsic factors like drug exposure. (A)</p> Signup and view all the answers

What generally affects both the mother and fetus during pregnancy complications?

<p>The natural connection between mother and fetus. (A)</p> Signup and view all the answers

Flashcards

Primary Villi

Small, avascular villi formed by cytotrophoblast cells invading the syncytiotrophoblast layer.

Secondary Villi

Villi with an extraembryonic mesodermal core, covered by cytotrophoblast and syncytiotrophoblast layers.

Tertiary Villi

Fully developed villi with embryonic blood vessels (villous capillaries) in the mesodermal core.

Chorionic Plate

The base of the placenta from which chorionic villi originate.

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Cytotrophoblastic Shell

A layer of cytotrophoblast cells that surrounds the syncytiotrophoblast and embryo.

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Anchoring Villi

Large tertiary villi that connect to the cytotrophoblastic shell and have villous branches.

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Intervillous Space

Space between the chorionic villi, where maternal blood circulates.

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Asymmetrical Villi Development

Tertiary villi develop more densely on the anchoring side of the embryo facing maternal decidua.

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Chorion frondosum

The villous side of the placenta, facing the fetus.

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Chorion laeve

The smooth side of the placenta, opposite the chorion frondosum.

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Decidua basalis

The part of the uterine lining where the chorion frondosum attaches.

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Decidua capsularis

The part of the decidua that surrounds the embryo and doesn't interact with the villi.

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Spiral artery remodelling

The process where maternal arteries near the placenta are modified for blood flow.

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Extravillous trophoblasts

Specialized cells that invade the maternal tissue around the placenta.

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Amnion

Innermost fetal membrane, containing amniotic fluid.

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Yolk sac

Small sac providing early pregnancy blood and germ cells.

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Corpus Luteum

A temporary gland that forms in the ovary after ovulation. It secretes estrogen and progesterone, hormones essential for preparing the uterus for pregnancy.

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hCG

Human Chorionic Gonadotropin, a hormone produced by the embryo's trophoblast cells after implantation. It maintains the corpus luteum, ensuring continued progesterone and estrogen production.

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Trophoblast Cells

Specialized cells that form the outer layer of a developing embryo. They are responsible for implantation and produce hCG.

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Syncytiotrophoblast

A multinucleated layer of trophoblast cells that forms the outer layer of the placenta. It invades the maternal tissues and helps with nutrient exchange.

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Why is hCG crucial during pregnancy?

hCG acts as a substitute for LH, preventing the corpus luteum from degrading and ensuring the sustained production of progesterone and estrogen necessary for maintaining pregnancy during the first trimester.

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What is the function of the placenta?

The placenta is a vital organ during pregnancy, acting as a bridge between the mother and developing fetus. It facilitates nutrient and gas exchange, removes waste products, and produces hormones essential for maintaining pregnancy.

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Why is hCG detection crucial for pregnancy tests?

hCG, unique to pregnancy, is only produced by the body after implantation. Its presence in urine or blood confirms a pregnancy. The higher the hCG level, the further along the pregnancy.

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What are some key differences between a urine and a blood pregnancy test?

Urine tests are more readily available but less sensitive, requiring higher hCG levels to detect a pregnancy. Blood tests are more sensitive, detecting pregnancy earlier but are usually performed in a medical setting.

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Parturition

The process of childbirth or labor, involving the delivery of the baby and placenta.

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Decidualization

The transformation of the uterine lining (endometrium) during pregnancy, creating a specialized tissue that supports the developing embryo.

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Uteroplacental Blood Flow

The flow of blood between the mother and the placenta, providing nutrients and oxygen to the fetus.

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Cervical Softening

A change in the cervix during pregnancy, making it softer and more pliable to prepare for delivery.

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Cervical Mucus Plug

A sticky barrier of mucus that forms in the cervix during pregnancy, protecting the uterus from infections.

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Cardiac Output During Pregnancy

The amount of blood pumped by the heart per minute, which significantly increases during pregnancy to meet the needs of the growing baby.

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Blood Volume Increase in Pregnancy

The amount of blood in the mother's body increases significantly during pregnancy, providing more oxygen and nutrients to the fetus.

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Total Vascular Resistance

The resistance to blood flow in the circulatory system, which decreases during pregnancy due to the widening of blood vessels.

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Oxytocin's Role in Labor

Oxytocin, released by the posterior pituitary, stimulates uterine contractions, causing cervical dilation and promoting labor progression. It plays a crucial role in the positive feedback loop of labor.

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Cervical Ripening

Cervical ripening refers to the softening and dilation of the cervix in preparation for labor. It's a gradual process that makes the cervix more pliable for the baby's descent.

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Latent Phase of Labor

The latent phase is the initial stage of labor, characterized by mild, irregular contractions that gradually increase in frequency and intensity. The cervix dilates to 3 cm during this phase.

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Active Phase of Labor

The active phase is marked by stronger, more frequent contractions that intensify further as labor progresses. During this phase, the cervix dilates from 3 cm to 10 cm.

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Ferguson Reflex

This refers to the positive feedback loop in which the pressure on the cervix during labor stimulates oxytocin release, further increasing uterine contractions. This cycle continues until delivery.

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Stage 3 of Labor

This is the final stage of labor, beginning immediately after the baby's birth and ending with the delivery of the placenta. It typically lasts between 5 and 30 minutes.

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Lightening During Pregnancy

The baby's descent into the pelvis, often felt as a lowering sensation. It can provide some relief from pressure on the lungs, leading to easier breathing.

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Water Break

This refers to the rupture of the amniotic sac, releasing amniotic fluid. It can occur during labor or before, signaling the start of labor.

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Pregnancy Complication

Any health problem related to pregnancy affecting the mother, the fetus, or both.

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Postpartum Period

The time after childbirth, typically lasting 6 weeks, when the mother's body recovers and adapts.

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Maternal Origin

A pregnancy complication caused by factors related to the mother's health or body.

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Fetal Origin

A pregnancy complication caused by factors related to the baby's health or development.

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Placental Dysfunction

A problem with the placenta's ability to properly function and support the fetus.

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First Trimester Complications

Pregnancy complications that occur during the first three months of pregnancy, often related to implantation or early embryo development.

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Implantation

The process where the fertilized egg attaches itself to the uterine lining.

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Early Embryo Development

The stage of pregnancy where the embryo grows and develops its basic organs and structures.

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Study Notes

Maternal and Fetal Timelines

  • Pregnancy involves adaptations in the female body to support fetal development.
  • Stages of pregnancy are divided into trimesters (approximately 12-14 weeks each).
  • First trimester (conception to week 13): Critical period of organ development in the embryo. Significant hormonal changes occur in the mother (increased blood supply, elevated heart rate). Common symptoms: fatigue, morning sickness, headaches, and constipation.
  • Second trimester (weeks 13-26): Uterus expands, fetal organs continue developing, sex of fetus can be determined around 20 weeks. Common symptoms in the mother: body aches, dizziness, and swelling of hands and feet.
  • Third trimester (weeks 27-40): Fetus gains weight, fetal systems mature (lung development). Regular check-ups for maternal and fetal health.

Trimesters of Pregnancy

  • Average pregnancy is 38-40 weeks (approximately 9 months).
  • Each trimester is approximately 12-14 weeks.
  • First, second, and third trimesters are periods for tracking maternal and fetal development.
  • Each trimester is marked by distinct physiological changes in both the mother and the fetus.

Fetal Vulnerability

  • First trimester is most vulnerable to teratogens (factors that cause birth defects).
  • Examples of teratogens include radiation, alcohol, and certain medications.
  • Miscarriages occur most commonly in the first trimester (80% of the time).

Fetal Development

  • Development is tracked using Carnegie stages (morphological classification).
  • Fetal growth and development are influenced by several components, including the placenta.
  • The developing offspring is called an embryo through the first 8 weeks.

Fetal Age (weeks)

  • 8 weeks (kumquat): Embryo tail disappears; fetus about 1-2 inches long.
  • 11 weeks (lemon): Fetus about 1.5 inches long, major organs are formed.
  • 14 weeks (avocado): Fetus around 3 inches long.
  • 21 weeks (grapefruit): Fetus about 10 inches long.
  • 29 weeks (coconut): Fetus 13.5–15 inches long.
  • 38 weeks (watermelon): Fetus about between 19.5–20 inches long just before birth.

Timing of Delivery

  • Full-term pregnancies last 37-41 weeks.
  • Preterm pregnancies occur before week 37.
  • Post-term pregnancies are beyond week 42.

Clinical Application

  • Knowledge of maternal and fetal development is used to monitor pregnancy and inform treatment and prevention of complications.
  • Ultrasound, blood work and other tests are used at different stages.

Placental Development

  • Placenta is the feto-maternal interface.
  • Placenta supports nutrient, oxygen, and waste exchange between the mother and the fetus.
  • Placenta is a temporary organ. It forms from the maternal and fetal tissue. The placenta regulates the exchange of oxygen, carbon dioxide, and nutrients.
  • Placental formation is a key process in sustaining the developing fetus.
  • Placental function is an essential part of monitoring maternal health during pregnancy.

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