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58 Cards in this Set

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  • Back
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What trimester is Braston hicks detected

2nd trimester

Total uterine flow

Placental perfusion is dependent on?

Which blood flow

Decrease uterine bld flow

Uterine contraction causes?

Chadwick sign

Char. Violet color of vagina during pregnancy

3.5-6

Vaginal ph

6-7 weeks pregnancy

Corpus luteum fxns in progesterone prod

Striae gravidarum

Reddish, slightly depressed streaks also seen in breast and thighs

Diastasis recti

Striae gravidarum

Angioma/vascular spider

Minute, red elevations on skin. Esp on the face, neck, upper chest and arms

12.5kg/27.5 pounds

Ave wt gain

10-20% increased

Maternal basal metabolic rate

Enhanced

Lipolytic act

Fat metabolism of pregnant woman

Decreased activity

Lipoprotein lipase activity

Fat metabolism for pregnant woman

40-45%

Inc in maternal blood volume after 32-34 weeks

More plasma than rbc

Increase in blood volume is due to plasma or rbc?

6-7mg/day

Daily iron req

500-600ml

How much bld is los during normal delivery

1000ml 1L

Caesarean section bld loss

Prostacyclin

Principal prostaglandin of endothelium that has been implicated in this angiotensin resistance

1.5cm

Kidney size increases approx?

60% renal plasma

Urinary frequency increase

Alk phos increased

In the liver, alk phos inc or dec

3-5 days

Days req for transport of the fertilized ovum to the remainder of fallopian tube

Prostaglandin

Contractions of the uterus and fallopian tubes are stimulated byyy

Iinatnan rajosh

Solid-mulberry ball of cellls

6-7 days after fertilization

Implantation of blatocyst

Apposition

Initial adhesion of the blastocys to the uppet posterior uterine wall

Adhesion

Increased physical contact between blastocyst and uterint epithelium

Invasion

Penetration of syncitiotrophoblast and cytotrophoblast into the endometrium, inner 3rd of myometrium, and uterine vasculature

Prior to implantation

Zona pellucida disappears when?

12th day after fertilization

Chorionic villi appears?

12th week

1st wave of endovascular invasion by endovascular trophoblast to the spiral arteries- border bet decidua and myometriun

12-16th week

2nd invasion of endovascular trophoblast to the arteries- intromyometrial

14th-15th day

Maternal arterial blood enters the intervillous space

17th day

Fetal & matern bv are functional and placental circ is established

Placental surface/chorionic vessels

Branches of umbilical vessels that traverse along the surface of placenta

Truncal arteries

Perforating branches of the surface arteries that pass through the chorionic plate

20-50% more

O2 carrying capacity of fetal hgb

50% more

Hgb conc. In fetus than in the mother

8 weeks

Progesterone produced by the corpus luteum

Cholesterol from mother

Precursor of progesterone

Fetal adrenal glands

Most important source of placental estrogen precursors

C19 steroids dhea and dhea s

Precursors of estrogen in pregnant woman

2nd trimester

Amnionic fluid is composed largely of extracellular fluid that defuses through fetal skin

20 weeks

Amnionic fluid is composed of fetal urine and small proportion of pulmonary fluid

Amnionic fluid: 10ml/week into 60ml wee

Amnionic fluid increase from 8th week to 21st week

34th week

Amnionic peak

6th month

Myelination of the ventral roots of cerebrospinal nerves and brainstem

24 weeks

Spinal cord extends to s1

Birth

Spinal cord extends up to L3 only

12 weeks

-Plasma insulin in fetus detected


-fetal kidneys produce urine

6-16 weeks

Pseudoglandular stage: intrasegmental bronchial tree

16-26 weeks

Canalicular stage- terminal bronchioles to respi bronc with saccular ducts + cartilage plates

26 weeks

Terminal sac stage - primitive alveoli aka terminal sac

32 weeks

Alveolar stage- alveolar lining thinning to improve gas exchange ; surfantant produced by type II pneumocytes

5-20L

From 10mL capacity, the uterus can increase upto how much?

Fundus

What part of uterus is the enlargement most marked

6-7 days

Implantation of blastocyst