Perinatal Adaptions Lecture I

Descripción

Perinatal adaptions I lecture given on the monday morning of week 5
Matthew Coulson
Test por Matthew Coulson, actualizado hace más de 1 año
Matthew Coulson
Creado por Matthew Coulson hace casi 6 años
11
1

Resumen del Recurso

Pregunta 1

Pregunta
In neonates, the patent blood vessel that shunts blood from the pulmonary artery to the aorta is known as the [blank_start]ductus arteriosus[blank_end]
Respuesta
  • ductus arteriosus

Pregunta 2

Pregunta
At what point in gestation do the alveoli develop? [blank_start]36 weeks[blank_end] gestation
Respuesta
  • 36 weeks
  • 30 weeks
  • 34 weeks

Pregunta 3

Pregunta
Later in the pregnancy, the amniotic fluid is mostly made up of which fluid produced by the foetus? Foetal [blank_start]urine[blank_end]
Respuesta
  • urine

Pregunta 4

Pregunta
Which organ(s), which allow processing of amniotic fluid when swallowed by the foetus, plays an important role in amniotic fluid recycling?
Respuesta
  • The kidneys
  • The liver
  • The stomach
  • The pancreas

Pregunta 5

Pregunta
Which maternal antibody is passed from mother to baby via the placenta?
Respuesta
  • IgG
  • IgA
  • IgE
  • IgD

Pregunta 6

Pregunta
The ductus venosus allows bypassing of which organ by the foetal blood before birth? The [blank_start]liver[blank_end]
Respuesta
  • liver

Pregunta 7

Pregunta
The foramen ovale, which closes after birth, causes a [blank_start]right to left[blank_end] shunting of blood whilst the foetus is still inside the uterus
Respuesta
  • right to left
  • left to right

Pregunta 8

Pregunta
No blood whatsoever is transported to the lungs in the growing foetus
Respuesta
  • True
  • False

Pregunta 9

Pregunta
In adults, the remnant of the ductus venosus is called the [blank_start]ligamentum teres[blank_end] of the liver
Respuesta
  • ligamentum teres

Pregunta 10

Pregunta
In adults, the remnant of the ductus arteriosus is known as the [blank_start]ligamentum arteriosus[blank_end]
Respuesta
  • ligamentum arteriosus

Pregunta 11

Pregunta
Unlike anywhere else in the body, [blank_start]oxygen[blank_end] acts as a vasoconstrictor in the ductus arteriosus thus contributing towards its closure following birth. [blank_start]A reduction[blank_end] in the level of prostaglandins in the blood also contributes towards ductus arteriosus closure following birth
Respuesta
  • A reduction
  • An increase
  • oxygen
  • nitrogen
  • carbon dioxide

Pregunta 12

Pregunta
Oxygen typically acts as a [blank_start]vasodilator[blank_end] in the body's blood vessels
Respuesta
  • vasodilator
  • vasoconstrictor

Pregunta 13

Pregunta
The foramen in the foetal heart allowing right to left shunting of blood via the atria is called the foramen [blank_start]ovale[blank_end]
Respuesta
  • ovale

Pregunta 14

Pregunta
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?
Respuesta
  • White fat
  • Brown fat

Pregunta 15

Pregunta
Fat Types: [blank_start]White fat[blank_end] = Good for energy storage [blank_start]Brown fat[blank_end] = Good for quick breakdown and energy release (e.g. thermogeneration)
Respuesta
  • Brown fat
  • White fat

Pregunta 16

Pregunta
The fat pad that typically generates between the scapulae of the foetus in late pregnancy typically consists of which type of fat? [blank_start]Brown[blank_end] fat
Respuesta
  • Brown
  • White

Pregunta 17

Pregunta
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 ...
Respuesta
  • Metabolic acidosis
  • Metabolic alkalosis
  • Respiratory acidosis
  • Respiratory alkalosis

Pregunta 18

Pregunta
Persistence of the foetal circulation (patent foramen ovale/ductus arteriosus/etc) can lead to the pulmonary vessels not opening properly thus causing persistent pulmonary [blank_start]hypertension[blank_end] of the newborn (PPHN)
Respuesta
  • hypertension
  • hypotension

Pregunta 19

Pregunta
Persistent Pulmonary Hypertension of the Newborn is investigated by measuring the oxygen saturations of the hands and feet. In a case of PPHN: The [blank_start]hands[blank_end] will have a near normal O2 saturation The [blank_start]feet[blank_end] will have an abnormal O2 saturation
Respuesta
  • feet
  • hands
  • hands
  • feet

Pregunta 20

Pregunta
Management of PPHN is via multiple processes, one of which is ventilation using oxygen and which other vasodilating molecule? [blank_start]Nitric oxide[blank_end]
Respuesta
  • Nitric oxide

Pregunta 21

Pregunta
Inotropes such as [blank_start]adrenaline[blank_end] are also given in order to raise the [blank_start]systemic[blank_end] blood pressure above the [blank_start]pulmonary[blank_end] pressure thus allowing the blood to force itself into the pulmonary circulation, hopefully solving the problem.
Respuesta
  • adrenaline
  • oxytocin
  • oxygen
  • magnesium sulphate
  • systemic
  • pulmonary
  • pulmonary
  • systemic

Pregunta 22

Pregunta
Transient [blank_start]tachypnoea[blank_end] occurs in infants when there is insufficient clearing of fluid from the foetal lungs
Respuesta
  • tachypnoea

Pregunta 23

Pregunta
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 [blank_start]brown fat[blank_end]
Respuesta
  • brown fat
  • white fat
  • glycogen

Pregunta 24

Pregunta
The dark green substance forming the first faeces of a newborn infant is called the [blank_start]meconium[blank_end]
Respuesta
  • meconium

Pregunta 25

Pregunta
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 [blank_start]rooting[blank_end] reflex
Respuesta
  • rooting

Pregunta 26

Pregunta
Noramly breastfeeding should involve the neonate's tongue pushing the nipple against the [blank_start]soft[blank_end] palate in order to facilitate lactation
Respuesta
  • soft
  • hard

Pregunta 27

Pregunta
Foetal blood is [blank_start]more[blank_end] concentrated in haemoglobin than adult blood
Respuesta
  • more
  • less

Pregunta 28

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

Pregunta 29

Pregunta
Foetal haemoglobin is produced in the [blank_start]liver[blank_end] Adult haemoglobin is produced in the [blank_start]bone marrow[blank_end]
Respuesta
  • liver
  • bone marrow

Pregunta 30

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

Pregunta 31

Pregunta
Haemoglobin breakdown yields which substance? [blank_start]Bilirubin[blank_end]
Respuesta
  • Bilirubin

Pregunta 32

Pregunta
Accumulation of bilirubin in the foetal circulation causes neonatal [blank_start]jaundice[blank_end]
Respuesta
  • jaundice

Pregunta 33

Pregunta
Foetal jaundice is a case of accumulation of [blank_start]unconjugated[blank_end] bilirubin
Respuesta
  • unconjugated
  • conjugated
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