Perinatal Adaptions Lecture I

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In neonates, the patent blood vessel that shunts blood from the pulmonary artery to the aorta is known as the

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At what point in gestation do the alveoli develop?
( 36 weeks, 30 weeks, 34 weeks ) gestation

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Later in the pregnancy, the amniotic fluid is mostly made up of which fluid produced by the foetus?
Foetal

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Frage 4 von 33

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Which organ(s), which allow processing of amniotic fluid when swallowed by the foetus, plays an important role in amniotic fluid recycling?

Wähle eine der folgenden:

The kidneys
The liver
The stomach
The pancreas

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Which maternal antibody is passed from mother to baby via the placenta?

Wähle eine der folgenden:

IgG
IgA
IgE
IgD

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The ductus venosus allows bypassing of which organ by the foetal blood before birth?
The

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Frage 7 von 33

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The foramen ovale, which closes after birth, causes a ( right to left, left to right ) shunting of blood whilst the foetus is still inside the uterus

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Frage 8 von 33

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No blood whatsoever is transported to the lungs in the growing foetus

Wähle eins der folgenden:

WAHR
FALSCH

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In adults, the remnant of the ductus venosus is called the of the liver

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In adults, the remnant of the ductus arteriosus is known as the

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Unlike anywhere else in the body, ( oxygen, nitrogen, carbon dioxide ) acts as a vasoconstrictor in the ductus arteriosus thus contributing towards its closure following birth.
( A reduction, An increase ) in the level of prostaglandins in the blood also contributes towards ductus arteriosus closure following birth

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Oxygen typically acts as a ( vasodilator, vasoconstrictor ) in the body's blood vessels

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The foramen in the foetal heart allowing right to left shunting of blood via the atria is called the foramen

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Which form of fat is produced in excess by the foetus in the final stages of pregnancy in order to facilitate thermogeneration upon entrance to the world?

Wähle eine der folgenden:

White fat
Brown fat

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Frage 15 von 33

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Fat Types:
❌ = Good for energy storage
❌ = Good for quick breakdown and energy release (e.g. thermogeneration)

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Brown fat

White fat

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Frage 16 von 33

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The fat pad that typically generates between the scapulae of the foetus in late pregnancy typically consists of which type of fat?
( Brown, White ) fat

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Frage 17 von 33

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One of the main worries for the baby during late pregnancy/labour/birth is the development of hypoxia. Hypoxia in a foetus would likely lead to ...

Wähle eine der folgenden:

Metabolic acidosis
Metabolic alkalosis
Respiratory acidosis
Respiratory alkalosis

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Frage 18 von 33

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Persistence of the foetal circulation (patent foramen ovale/ductus arteriosus/etc) can lead to the pulmonary vessels not opening properly thus causing persistent pulmonary ( hypertension, hypotension ) of the newborn (PPHN)

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Frage 19 von 33

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Persistent Pulmonary Hypertension of the Newborn is investigated by measuring the oxygen saturations of the hands and feet.
In a case of PPHN:
The ( hands, feet ) will have a near normal O2 saturation
The ( feet, hands ) will have an abnormal O2 saturation

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Management of PPHN is via multiple processes, one of which is ventilation using oxygen and which other vasodilating molecule?

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Frage 21 von 33

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Inotropes such as ( adrenaline, oxytocin, oxygen, magnesium sulphate ) are also given in order to raise the ( systemic, pulmonary ) blood pressure above the ( pulmonary, systemic ) pressure thus allowing the blood to force itself into the pulmonary circulation, hopefully solving the problem.

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Transient occurs in infants when there is insufficient clearing of fluid from the foetal lungs

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Neonates typically do not shiver in order to produce heat. Preterm neonates are therefore more likely to become hypothermic due to a lower content of ( brown fat, white fat, glycogen )

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The dark green substance forming the first faeces of a newborn infant is called the

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When something touches a neonate's mouth, it instinctively opens it's mouth and tries to latch onto it. What is this reflex called?
The reflex

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Frage 26 von 33

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Noramly breastfeeding should involve the neonate's tongue pushing the nipple against the ( soft, hard ) palate in order to facilitate lactation

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Foetal blood is ( more, less ) concentrated in haemoglobin than adult blood

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Frage 28 von 33

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For which of the following reasons does Foetal Haemoglobin have a higher affinity for oxygen?

Wähle eine der folgenden:

It does not interact with 2,3-DPG
It does interact with 2,3-DPG
It does not respond to changes in temperature
It does respond to changes in temperature
It does not respond to changes in CO2 content of the foetal blood
It does respond to changes in CO2 content of the foetal blood

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Frage 29 von 33

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Foetal haemoglobin is produced in the
Adult haemoglobin is produced in the

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Newborns can typically become anaemic as the foetal haemoglobin is broken down faster than the adult haemoglobin can be produced to replace it

Wähle eins der folgenden:

WAHR
FALSCH

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Haemoglobin breakdown yields which substance?

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Accumulation of bilirubin in the foetal circulation causes neonatal

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Frage 33 von 33

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	Erstellt von Matthew Coulson vor fast 6 Jahre

Perinatal adaptions I lecture given on the monday morning of week 5

Perinatal Adaptions Lecture I

Frage 1 von 33

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In neonates, the patent blood vessel that shunts blood from the pulmonary artery to the aorta is known as the

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Frage 2 von 33

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At what point in gestation do the alveoli develop? 36 weeks 30 weeks 34 weeks( 36 weeks, 30 weeks, 34 weeks ) gestation

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Frage 3 von 33

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Later in the pregnancy, the amniotic fluid is mostly made up of which fluid produced by the foetus? Foetal

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Frage 4 von 33

Which organ(s), which allow processing of amniotic fluid when swallowed by the foetus, plays an important role in amniotic fluid recycling?

Wähle eine der folgenden:

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Frage 5 von 33

Which maternal antibody is passed from mother to baby via the placenta?

Wähle eine der folgenden:

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Frage 6 von 33

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The ductus venosus allows bypassing of which organ by the foetal blood before birth? The

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Frage 7 von 33

Wähle von der Aufklappliste, um den Text zu vervollständigen.

The foramen ovale, which closes after birth, causes a right to left left to right( right to left, left to right ) shunting of blood whilst the foetus is still inside the uterus

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Frage 8 von 33

No blood whatsoever is transported to the lungs in the growing foetus

Wähle eins der folgenden:

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Frage 9 von 33

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In adults, the remnant of the ductus venosus is called the of the liver

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Frage 10 von 33

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In adults, the remnant of the ductus arteriosus is known as the

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Frage 12 von 33

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Oxygen typically acts as a vasodilator vasoconstrictor( vasodilator, vasoconstrictor ) in the body's blood vessels

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Frage 13 von 33

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The foramen in the foetal heart allowing right to left shunting of blood via the atria is called the foramen

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Frage 14 von 33

Which form of fat is produced in excess by the foetus in the final stages of pregnancy in order to facilitate thermogeneration upon entrance to the world?

Wähle eine der folgenden:

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Frage 15 von 33

Fat Types: ❌ = Good for energy storage ❌ = Good for quick breakdown and energy release (e.g. thermogeneration)

Klicke und ziehe, um den Text zu vervollständigen.

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Frage 16 von 33

Wähle von der Aufklappliste, um den Text zu vervollständigen.

The fat pad that typically generates between the scapulae of the foetus in late pregnancy typically consists of which type of fat? Brown White( Brown, White ) fat

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Frage 17 von 33

One of the main worries for the baby during late pregnancy/labour/birth is the development of hypoxia. Hypoxia in a foetus would likely lead to ...

Wähle eine der folgenden:

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Frage 18 von 33

Wähle von der Aufklappliste, um den Text zu vervollständigen.

Persistence of the foetal circulation (patent foramen ovale/ductus arteriosus/etc) can lead to the pulmonary vessels not opening properly thus causing persistent pulmonary hypertension hypotension( hypertension, hypotension ) of the newborn (PPHN)

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Frage 19 von 33

Wähle von der Dropdown-Liste, um den Text zu vervollständigen.

Persistent Pulmonary Hypertension of the Newborn is investigated by measuring the oxygen saturations of the hands and feet. In a case of PPHN: The hands feet( hands, feet ) will have a near normal O2 saturation The feet hands( feet, hands ) will have an abnormal O2 saturation

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Frage 20 von 33

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Management of PPHN is via multiple processes, one of which is ventilation using oxygen and which other vasodilating molecule?

At what point in gestation do the alveoli develop?
( 36 weeks, 30 weeks, 34 weeks ) gestation

Later in the pregnancy, the amniotic fluid is mostly made up of which fluid produced by the foetus?
Foetal

The ductus venosus allows bypassing of which organ by the foetal blood before birth?
The

The foramen ovale, which closes after birth, causes a ( right to left, left to right ) shunting of blood whilst the foetus is still inside the uterus

Oxygen typically acts as a ( vasodilator, vasoconstrictor ) in the body's blood vessels

Fat Types:
❌ = Good for energy storage
❌ = Good for quick breakdown and energy release (e.g. thermogeneration)

The fat pad that typically generates between the scapulae of the foetus in late pregnancy typically consists of which type of fat?
( Brown, White ) fat

Persistence of the foetal circulation (patent foramen ovale/ductus arteriosus/etc) can lead to the pulmonary vessels not opening properly thus causing persistent pulmonary ( hypertension, hypotension ) of the newborn (PPHN)

Persistent Pulmonary Hypertension of the Newborn is investigated by measuring the oxygen saturations of the hands and feet.
In a case of PPHN:
The ( hands, feet ) will have a near normal O2 saturation
The ( feet, hands ) will have an abnormal O2 saturation

Neonates typically do not shiver in order to produce heat. Preterm neonates are therefore more likely to become hypothermic due to a lower content of ( brown fat, white fat, glycogen )

When something touches a neonate's mouth, it instinctively opens it's mouth and tries to latch onto it. What is this reflex called?
The reflex

Noramly breastfeeding should involve the neonate's tongue pushing the nipple against the ( soft, hard ) palate in order to facilitate lactation

Foetal blood is ( more, less ) concentrated in haemoglobin than adult blood

Foetal haemoglobin is produced in the
Adult haemoglobin is produced in the

Foetal jaundice is a case of accumulation of ( unconjugated, conjugated ) bilirubin