Physiology of Pregnancy and the Peurperium

Descripción

Physiology of pregnancy and the peurperium given on tuesday of week 3
Matthew Coulson
Test por Matthew Coulson, actualizado hace más de 1 año
Matthew Coulson
Creado por Matthew Coulson hace alrededor de 6 años
36
1

Resumen del Recurso

Pregunta 1

Pregunta
A Morula is an early stage embryo consisting of [blank_start]16[blank_end] cells
Respuesta
  • 16
  • 4
  • 8
  • 20
  • 24

Pregunta 2

Pregunta
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
Respuesta
  • Trophoblast
  • Inner Cell Mass

Pregunta 3

Pregunta
Which layer of the blastocyst goes on to become the placenta?
Respuesta
  • Trophoblast
  • Inner Cell Mass

Pregunta 4

Pregunta
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]
Respuesta
  • Endometrium

Pregunta 5

Pregunta
When implantation is finished the blastocyst is completely buried within the endometrial layer.
Respuesta
  • True
  • False

Pregunta 6

Pregunta
The [blank_start]decidua[blank_end] is the uterine lining (endometrium) during a pregnancy, which forms the maternal part of the placenta
Respuesta
  • decidua

Pregunta 7

Pregunta
The outermost membrane surrounding an embryo formed by Trophoblastic cells is known as the [blank_start]Chorion[blank_end]
Respuesta
  • Chorion

Pregunta 8

Pregunta
The placenta and the foetal heart are both fully functional by the [blank_start]5th[blank_end] week of pregnancy
Respuesta
  • 5th
  • 12th
  • 24th
  • 20th

Pregunta 9

Pregunta
Which hormone signals the corpus luteum to continue to secrete progesterone in order to maintain the endometrium?
Respuesta
  • Human Chorionic Gonadotropin
  • Oestrogen
  • FSH
  • LH
  • Testosterone

Pregunta 10

Pregunta
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.
Respuesta
  • True
  • False

Pregunta 11

Pregunta
The small capillary projections the embryo sends into the syncytiotrophoblast maternal blood filled regions are known as placental [blank_start]villi[blank_end]
Respuesta
  • villi

Pregunta 12

Pregunta
Which hormone, released by the corpus luteum, stimulates the endometrium to concentrate glycogen, protein and lipids? [blank_start]Progesterone[blank_end]
Respuesta
  • Progesterone

Pregunta 13

Pregunta
During foetal development, the lungs are deflated. Which structure allows gas exchange whilst such development is occurring? The [blank_start]Placenta[blank_end]
Respuesta
  • Placenta

Pregunta 14

Pregunta
Oxygen saturated blood reaches the foetus via the [blank_start]umbilical[blank_end] [blank_start]vein[blank_end] after saturation from maternal blood.
Respuesta
  • umbilical
  • uterine
  • vein
  • artery

Pregunta 15

Pregunta
Foetal haemoglobin has a lower affinity for oxygen and thus the mother is required to provide the foetus with increased amounts of oxygen.
Respuesta
  • True
  • False

Pregunta 16

Pregunta
There is a higher concentration of haemoglobin in the foetal blood
Respuesta
  • True
  • False

Pregunta 17

Pregunta
In the umbilical cord, there [blank_start]are 2 umbilical arteries[blank_end] and [blank_start]1 umbilical vein[blank_end]
Respuesta
  • are 2 umbilical arteries
  • is 1 umbilical artery
  • 1 umbilical vein
  • 2 umbilical veins

Pregunta 18

Pregunta
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]
Respuesta
  • vein
  • arteries

Pregunta 19

Pregunta
Which vessel(s) carries poorly oxygenated blood from the foetus to the placenta via the umbilical cord? Umbilical [blank_start]arteries[blank_end]
Respuesta
  • arteries
  • vein

Pregunta 20

Pregunta
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
Respuesta
  • Uterine

Pregunta 21

Pregunta
Why does foetal haemoglobin have a higher affinity for oxygen than adult haemoglobin?
Respuesta
  • Foetal blood has lower CO2 levels thus leading to a left shift in the oxygen dissociation curve
  • Foetal blood is less acidic thus leading to a left shift in the oxygen dissociation curve
  • Foetal haemoglobin interacts less with 2,3-diphosphoglycerate thus leading to a left shift in the oxygen dissociation curve
  • Foetal blood is a lower temperature than adult blood thus leading to a left shift in the oxygen dissociation curve

Pregunta 22

Pregunta
Which hormone prevents the degeneration of the corpus luteum?
Respuesta
  • hCG
  • Oestrogen
  • Testosterone

Pregunta 23

Pregunta
Electrolytes such as Calcium and Iron follow the osmotic gradient and thus these nutrients never pass from foetus to mother during pregnancy.
Respuesta
  • True
  • False

Pregunta 24

Pregunta
Which three of the following statements are true about Human Chorionic Somatomammotropin (hCS)
Respuesta
  • It is produced as of Week 5 of pregnancy
  • It is produced as of week 8 of pregnancy
  • It decreases insulin sensitivity in the mother, allowing more glucose to be available to the foetus
  • It has a direct effect on the testes of the male foetus, aiding the development of the male sex organs
  • It is directly involved in the development of the breasts during pregnancy
  • It prevents degradation of the corpus luteum by promoting progesterone secretion

Pregunta 25

Pregunta
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?
Respuesta
  • hCG
  • Progesterone
  • Oestrogen
  • FSH
  • LH

Pregunta 26

Pregunta
Pregnancy causes an increased demand for Calcium in the body. This can predispose to which endocrine condition? [blank_start]Hyperparathyroidism[blank_end]
Respuesta
  • Hyperparathyroidism

Pregunta 27

Pregunta
During pregnancy, along with the increased heart rate and cardiac output, the blood pressure of the mother typically [blank_start]decreases[blank_end]
Respuesta
  • decreases
  • increases

Pregunta 28

Pregunta
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]
Respuesta
  • Hypertension
  • Proteinuria

Pregunta 29

Pregunta
As well as hypertension and proteinuria, pre-eclampsia is also commonly marked by oedema formation in which two of the following areas?
Respuesta
  • Hands
  • Feet
  • Face
  • Sacrum
  • Lungs

Pregunta 30

Pregunta
Eclampsia (extreme pre-eclampsia) is lethal without treatment
Respuesta
  • True
  • False

Pregunta 31

Pregunta
Which three of the following commonly occur due to eclampsia?
Respuesta
  • Extreme hypotension
  • Extreme hypertension
  • Coma
  • Chronic Seizures
  • Vomiting
  • Muscular spasming
  • Umbilical herniation
  • Cardiac Arrhythmias

Pregunta 32

Pregunta
What is the best treatment for pre-eclampsia if the woman is approaching or has reached term?
Respuesta
  • Anti-hypertensives (e.g. labetalol)
  • Early delivery of baby
  • Vasodilating medications

Pregunta 33

Pregunta
Pregnant woman require how many extra calories a day (kcal)?
Respuesta
  • 1500-2000 kcal
  • 1000-1250 kcal
  • 250-300 kcal
  • 500-750 kcal

Pregunta 34

Pregunta
During which trimester is a woman most likely to develop gestational diabetes?
Respuesta
  • 1st trimester
  • 2nd trimester
  • 3rd trimester

Pregunta 35

Pregunta
Which supplement is given to pregnant women to prevent neural tube defects? [blank_start]Folic acid[blank_end] supplementation
Respuesta
  • Folic acid

Pregunta 36

Pregunta
The term for the birth of a baby is [blank_start]Parturition[blank_end]
Respuesta
  • Parturition

Pregunta 37

Pregunta
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
Respuesta
  • Oxytocin

Pregunta 38

Pregunta
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.
Respuesta
  • True
  • False

Pregunta 39

Pregunta
Braxton Hicks contractions indicate the beginning of labour.
Respuesta
  • True
  • False

Pregunta 40

Pregunta
During which trimester do Braxton Hicks contractions typically occur?
Respuesta
  • 1st trimester
  • 2nd trimester
  • 3rd trimester

Pregunta 41

Pregunta
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
Respuesta
  • (few mins - 120 mins)
  • (8-24 hours)
  • (8-24 hours)
  • (few mins - 120 mins)

Pregunta 42

Pregunta
During labour the cervix typically dilates at around [blank_start]1cm[blank_end] per hour
Respuesta
  • 1cm
  • 0.5cm
  • 2cm
  • 3cm

Pregunta 43

Pregunta
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]
Respuesta
  • Prolactin

Pregunta 44

Pregunta
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]
Respuesta
  • Oxytocin

Pregunta 45

Pregunta
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]
Respuesta
  • Oxytocin
  • Prolactin

Pregunta 46

Pregunta
The milk 'let down' reflex is in regard to which pituitary hormone? [blank_start]Oxytocin[blank_end]
Respuesta
  • Oxytocin
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