1- Placental & Fetal Physiology

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Questions and Answers

Which type of placenta allows for the least amount of maternal blood exposure to fetal blood?

  • Vasa previa with velamentous cord insertion
  • Complete placenta (correct)
  • Low lying placenta
  • Marginal placenta

In the context of placental abruption, what term describes the type where bleeding is not visible externally?

  • Increta
  • Concealed placental abruption (correct)
  • Revealed placental abruption
  • Accreta

Which stage follows the fertilized egg during the early development of a human embryo?

  • Cleavage
  • 4-cell stage
  • 8-cell uncompacted morula (correct)
  • Late-stage blastocyst

Which term refers to the placental layer where trophoblast invasion occurs and can lead to defects if dysfunctional?

<p>Nitabuch layer (B)</p> Signup and view all the answers

What is the primary function of the placental barrier between maternal and fetal blood?

<p>Facilitates gas and nutrient exchange (A)</p> Signup and view all the answers

What is the primary function of the Nitabuch layer in placenta formation?

<p>Serves as a barrier for invading trophoblasts (B)</p> Signup and view all the answers

Which part of the placenta is primarily responsible for regulating maternal-fetal exchange?

<p>Lobules of the placenta (B)</p> Signup and view all the answers

What characterizes a circumvallate placenta?

<p>Thickened ring created by folds of amnion and chorion (C)</p> Signup and view all the answers

How does fetal circulation differ from adult circulation?

<p>It bypasses the liver through various shunts (B)</p> Signup and view all the answers

What is the average normal length of an umbilical cord?

<p>50-60 cm (A)</p> Signup and view all the answers

What consequence can occur due to a long umbilical cord?

<p>Increased risk of cord prolapse (B)</p> Signup and view all the answers

Which of the following accurately describes the role of the foramen ovale in fetal circulation?

<p>Shunts blood from the right atrium to the left atrium (A)</p> Signup and view all the answers

What is the expected outcome of short umbilical cord length?

<p>Fetal distress and prolonged labor (A)</p> Signup and view all the answers

Flashcards

Placenta formation

The process of placenta development, beginning with trophoblast interaction during implantation.

Fetal circulation

The unique circulatory system in a fetus, featuring shunts to bypass the lungs and liver.

Umbilical cord

Connects the fetus to the placenta, carrying blood vessels.

Ductus venosus

A fetal blood vessel that shunts blood away from the liver.

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Foramen ovale

A fetal shunt allowing blood to flow directly from the right to the left atrium.

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Ductus arteriosus

A fetal blood vessel that shunts blood from the pulmonary artery to the aorta, bypassing the lungs.

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Short umbilical cord

Umbilical cord shorter than the average (under 35 cm).

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Long umbilical cord

Umbilical cord longer than the average (over 80 cm).

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Placental Abruption

Premature separation of the placenta from the uterus wall during pregnancy.

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Velamentous Cord Insertion

The umbilical cord inserts into the placenta's membrane rather than directly into the chorionic villi.

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Placental Barrier

A layer separating maternal and fetal blood; enabling nutrient/gas exchange and hormone production.

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Chorion Frondosum

Part of the placenta that develops into the fetal side of the placenta.

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Nitabuch Layer

A fibrinoid layer where invading trophoblasts meet the decidua.

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Study Notes

Key Terms and Symbols

  • $ % & # "
  • !
  • "

Placenta Formation

  • Placenta is formed from trophoblasts upon implantation.

Fetal Blood

  • The fetal (chorionic) epithelium is bathed in fetal blood.

Structures of the Placenta

  • Decidua parietalis
  • Chorionic cavity
  • Decidua basalis
  • Chorion frondosum
  • Decidua capsularis
  • Chorion laeve
  • Amniotic cavity
  • Yolk sac
  • Uterine cavity

Amniotic Fluid

  • Amniotic fluid originates from maternal circulation (transudation) from amniotic epithelium and is secreted by the placenta.
  • The fluid exchanges with the respiratory tract and undergoes ingestion by the fetus and intestinal absorption by the fetus.

Nitabuch Layer

  • Zone of fibrinoid degeneration where invading trophoblasts meet the decidua.

Additional Anatomical and Physiological Notes

  • The document contains numerous anatomical diagrams, which depict various structures involved in pregnancy and prenatal development.
  • Several images show ultrasound images for different pregnancy stages.
  • The text describes normal umbilical cord insertion, and velamentous cord insertion.
  • Types of abnormal placentations like Accreta, Increta, percreta are mentioned.

Developmental Stages

  • Stages of embryo implantation are outlined
  • Stages involved in the formation of the placenta are discussed
  • Fetus' stages shown in diagrams
  • The document has data points showing different gestational weeks.

Other Key Concepts

  • Pregnancy complications like diabetes and their effect are discussed
  • Issues related to the cord and its length are highlighted
  • Amniotic fluid's role, characteristics, and formation are described
  • Different types of placentas are discussed.
  • Fetal circulation process is illustrated
  • Detailed diagrams showing important anatomical structures during pregnancy
  • Description of different types of placentas.

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