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A Morula is an early stage embryo consisting of [blank_start]16[blank_end] cells
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Layers of the blastocyst:
[blank_start]Trophoblast[blank_end] = Surface layer of cells of the blastocyst that penetrate the endometrium in order for implantation to occur
[blank_start]Inner Cell Mass[blank_end] = This part of the blastocyst goes on to become the embryo after implantation in the uterus
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Trophoblast
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Inner Cell Mass
Frage 3
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Which layer of the blastocyst goes on to become the placenta?
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Trophoblast
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Inner Cell Mass
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In order for implantation to occur, the trophoblastic cells of the blastocyst burrow into which layer of the uterus?
The [blank_start]Endometrium[blank_end]
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When implantation is finished the blastocyst is completely buried within the endometrial layer.
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The [blank_start]decidua[blank_end] is the uterine lining (endometrium) during a pregnancy, which forms the maternal part of the placenta
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The outermost membrane surrounding an embryo formed by Trophoblastic cells is known as the [blank_start]Chorion[blank_end]
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The placenta and the foetal heart are both fully functional by the [blank_start]5th[blank_end] week of pregnancy
Frage 9
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Which hormone signals the corpus luteum to continue to secrete progesterone in order to maintain the endometrium?
Frage 10
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Trophoblastic cells differentiate into syncytiotrophoblasts which invade the decidua in order to break down capillaries and to allow direct contact between foetal and maternal blood.
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The small capillary projections the embryo sends into the syncytiotrophoblast maternal blood filled regions are known as placental [blank_start]villi[blank_end]
Frage 12
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Which hormone, released by the corpus luteum, stimulates the endometrium to concentrate glycogen, protein and lipids?
[blank_start]Progesterone[blank_end]
Frage 13
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During foetal development, the lungs are deflated. Which structure allows gas exchange whilst such development is occurring?
The [blank_start]Placenta[blank_end]
Frage 14
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Oxygen saturated blood reaches the foetus via the [blank_start]umbilical[blank_end] [blank_start]vein[blank_end] after saturation from maternal blood.
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umbilical
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uterine
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vein
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artery
Frage 15
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Foetal haemoglobin has a lower affinity for oxygen and thus the mother is required to provide the foetus with increased amounts of oxygen.
Frage 16
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There is a higher concentration of haemoglobin in the foetal blood
Frage 17
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In the umbilical cord, there [blank_start]are 2 umbilical arteries[blank_end] and [blank_start]1 umbilical vein[blank_end]
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are 2 umbilical arteries
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is 1 umbilical artery
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1 umbilical vein
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2 umbilical veins
Frage 18
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Which blood vessel(s) carries oxygen rich blood from the placenta to the foetus via the umbilical cord?
The umbilical [blank_start]vein[blank_end]
Frage 19
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Which vessel(s) carries poorly oxygenated blood from the foetus to the placenta via the umbilical cord?
Umbilical [blank_start]arteries[blank_end]
Frage 20
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After gas exchange has occurred at the placenta so that the umbilical vein has been perfused with oxygen to go to the foetus, which veins drain the now deoxygenated maternal blood back towards the mother's heart?
The [blank_start]Uterine[blank_end] Veins
Frage 21
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Why does foetal haemoglobin have a higher affinity for oxygen than adult haemoglobin?
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Foetal blood has lower CO2 levels thus leading to a left shift in the oxygen dissociation curve
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Foetal blood is less acidic thus leading to a left shift in the oxygen dissociation curve
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Foetal haemoglobin interacts less with 2,3-diphosphoglycerate thus leading to a left shift in the oxygen dissociation curve
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Foetal blood is a lower temperature than adult blood thus leading to a left shift in the oxygen dissociation curve
Frage 22
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Which hormone prevents the degeneration of the corpus luteum?
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hCG
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Oestrogen
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Testosterone
Frage 23
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Electrolytes such as Calcium and Iron follow the osmotic gradient and thus these nutrients never pass from foetus to mother during pregnancy.
Frage 24
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Which three of the following statements are true about Human Chorionic Somatomammotropin (hCS)
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It is produced as of Week 5 of pregnancy
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It is produced as of week 8 of pregnancy
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It decreases insulin sensitivity in the mother, allowing more glucose to be available to the foetus
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It has a direct effect on the testes of the male foetus, aiding the development of the male sex organs
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It is directly involved in the development of the breasts during pregnancy
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It prevents degradation of the corpus luteum by promoting progesterone secretion
Frage 25
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Which of the following hormones has a very similar structure to TSH and binds to thyroid receptors in some cases leading to Hyperthyroidism in some pregnant women?
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hCG
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Progesterone
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Oestrogen
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FSH
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LH
Frage 26
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Pregnancy causes an increased demand for Calcium in the body.
This can predispose to which endocrine condition?
[blank_start]Hyperparathyroidism[blank_end]
Frage 27
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During pregnancy, along with the increased heart rate and cardiac output, the blood pressure of the mother typically [blank_start]decreases[blank_end]
Frage 28
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Which two clinical signs are the main indicators of pre-eclampsia? (give in alphabetical order)
[blank_start]Hypertension[blank_end]
[blank_start]Proteinuria[blank_end]
Frage 29
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As well as hypertension and proteinuria, pre-eclampsia is also commonly marked by oedema formation in which two of the following areas?
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Hands
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Feet
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Face
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Sacrum
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Lungs
Frage 30
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Eclampsia (extreme pre-eclampsia) is lethal without treatment
Frage 31
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Which three of the following commonly occur due to eclampsia?
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Extreme hypotension
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Extreme hypertension
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Coma
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Chronic Seizures
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Vomiting
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Muscular spasming
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Umbilical herniation
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Cardiac Arrhythmias
Frage 32
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What is the best treatment for pre-eclampsia if the woman is approaching or has reached term?
Frage 33
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Pregnant woman require how many extra calories a day (kcal)?
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1500-2000 kcal
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1000-1250 kcal
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250-300 kcal
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500-750 kcal
Frage 34
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During which trimester is a woman most likely to develop gestational diabetes?
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1st trimester
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2nd trimester
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3rd trimester
Frage 35
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Which supplement is given to pregnant women to prevent neural tube defects?
[blank_start]Folic acid[blank_end] supplementation
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The term for the birth of a baby is [blank_start]Parturition[blank_end]
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During parturition, which hormone can be given in order to increase the power of a woman's contractions?
[blank_start]Oxytocin[blank_end] Intramuscular injection
Frage 38
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A woman with a multiple pregnancy (e.g. twins, triplets, etc) is more likely to have an early delivery due to the fact that stretching of the uterus actively increases its likelihood for its musculature to contract.
Frage 39
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Braxton Hicks contractions indicate the beginning of labour.
Frage 40
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During which trimester do Braxton Hicks contractions typically occur?
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1st trimester
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2nd trimester
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3rd trimester
Frage 41
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Stages of labour:
1st Stage: Cervical dilation [blank_start](8-24 hours)[blank_end]
2nd Stage: passage through birth canal [blank_start](few mins - 120 mins)[blank_end]
3rd Stage: Expulsion of placenta
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(few mins - 120 mins)
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(8-24 hours)
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(8-24 hours)
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(few mins - 120 mins)
Frage 42
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During labour the cervix typically dilates at around [blank_start]1cm[blank_end] per hour
Frage 43
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At birth there is a sudden drop in progesterone and oestrogen levels. This allows which pituitary hormone to stimulate lactation?
[blank_start]Prolactin[blank_end]
Frage 44
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As well as prolactin, which other pituitary hormone is key to lactation via promotion of smooth muscle contraction within the breast?
[blank_start]Oxytocin[blank_end]
Frage 45
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It has been scientifically proven that the sound of a child's cry increases the production of which two hormones, thus increasing a woman's likelihood to lactate? (alphabetical order)
[blank_start]Oxytocin[blank_end]
[blank_start]Prolactin[blank_end]
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The milk 'let down' reflex is in regard to which pituitary hormone?
[blank_start]Oxytocin[blank_end]