A&P 2 pregnancy and fetal circulation flashcards

This study set contains flashcards on pregnancy and fetal circulation, covering key physiological concepts, structures, and functions essential for college-level biology.

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What hormone is primarily responsible for maintaining pregnancy?

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Progesterone - It prepares the uterine lining for implantation and helps maintain pregnancy.

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Quiz(56 questions)

Question 1 of 56

1. What hormone is critical for the maintenance of pregnancy?

Terms in this Study Set(56)

Pregnancy Physiology(16)

What hormone is primarily responsible for maintaining pregnancy?

Progesterone - It prepares the uterine lining for implantation and helps maintain pregnancy.

True or false: Estrogen levels decrease during pregnancy.

False - Estrogen levels increase significantly to support fetal development.

Name two anatomical changes during pregnancy.

1. Increased blood volume 2. Enlarged uterus

How does cardiac output change in pregnancy?

Cardiac output increases by 30-50% to meet the demands of the growing fetus.

What is the function of relaxin during pregnancy?

Relaxin helps to relax the pelvic ligaments and cervix to facilitate childbirth.

Fill in the blank: During pregnancy, the mother's blood pressure typically _____.

decreases slightly then stabilizes.

Cause → Effect: Increased progesterone levels lead to _____

Relaxation of smooth muscle and decreased uterine contractions.

What happens to respiratory rate during pregnancy?

It increases to meet higher oxygen demands for both mother and fetus.

True or false: The placenta is fully formed by the end of the first trimester.

True - The placenta is mature and takes over nutrient exchange by then.

Comparison: Blood volume vs. plasma volume increase during pregnancy.

Blood volume increases by 40-50%, plasma volume increases by 50-70%.

What is the role of human chorionic gonadotropin (hCG)?

hCG maintains the corpus luteum and stimulates progesterone production in early pregnancy.

Name one physical symptom of pregnancy due to hormonal changes.

Nausea and vomiting (morning sickness) due to increased hCG levels.

Fill in the blank: During pregnancy, the body undergoes ____ changes.

metabolic and hormonal changes.

What is the significance of increased renal blood flow in pregnancy?

It enhances waste removal and increases urine production to support maternal and fetal health.

How does the body adapt to increased metabolic demands during pregnancy?

Increased appetite and changes in nutrient absorption occur to support fetal growth.

True or false: Pregnancy leads to a decrease in basal metabolic rate.

False - Basal metabolic rate increases to support fetal development.

Fetal Circulation(20)

What is the purpose of fetal circulation?

To supply oxygen and nutrients to the fetus while removing waste products.

True or False: Fetal blood is oxygenated in the lungs.

False: Fetal blood is oxygenated in the placenta, not the lungs.

What are the main structures of fetal circulation?

- Umbilical arteries - Umbilical vein - Ductus arteriosus - Foramen ovale - Ductus venosus

Fill in the blank: The ductus _____ connects the pulmonary artery to the aorta.

arteriosus

How does oxygenated blood reach the fetus?

Through the umbilical vein, delivering oxygenated blood from the placenta.

What is the function of the foramen ovale?

Allows blood to bypass the right ventricle and flow directly to the left atrium.

Cause → Effect: Why does blood flow from the right atrium to the left atrium?

Due to the presence of the foramen ovale, bypassing the lungs.

True or False: The umbilical arteries carry oxygen-rich blood to the placenta.

False: The umbilical arteries carry deoxygenated blood from the fetus to the placenta.

What happens to the ductus arteriosus at birth?

It closes, allowing normal pulmonary circulation to begin.

Comparison: Ductus venosus vs. Umbilical vein.

Ductus venosus: bypasses liver; Umbilical vein: carries oxygenated blood from placenta.

How does fetal circulation adapt at birth?

Structures like the foramen ovale and ductus arteriosus close, redirecting blood flow.

What is the role of the umbilical arteries?

To transport deoxygenated blood from the fetus to the placenta for oxygenation.

What is the significance of the ductus venosus?

It allows oxygenated blood to bypass the fetal liver and enter systemic circulation.

Fill in the blank: The left atrium receives blood from the _____ via the foramen ovale.

right atrium

Cause → Effect: Why do fetal lungs not participate in gas exchange?

They are filled with fluid, and gas exchange occurs at the placenta.

What is the pathway of blood from the placenta to the fetus?

Placenta → Umbilical vein → Ductus venosus → Inferior vena cava → Right atrium.

True or False: Systemic circulation in the fetus is identical to that of adults.

False: Fetal circulation has unique structures and pathways that differ from adults.

What vessels carry blood away from the fetus?

Umbilical arteries carry deoxygenated blood from the fetus to the placenta.

Comparison: Fetal vs. Adult Circulation.

Fetal: bypasses lungs; Adult: directs blood to lungs for oxygenation.

How does blood bypass the lungs in fetal circulation?

Blood bypasses the lungs through: - Foramen ovale (right to left atrium) - Ductus arteriosus (pulmonary artery to aorta) These structures allow the fetus to avoid using non-functional lungs for oxygen exchange.

Placental Function(12)

What is the primary function of the placenta?

The placenta facilitates nutrient and gas exchange between mother and fetus.

True or False: The placenta is an organ shared by the mother and fetus.

False: The placenta is a separate organ that forms from both maternal and fetal tissues.

How does the placenta protect the fetus?

It acts as a barrier to pathogens and produces hormones that support pregnancy.

Fill in the blank: The placenta secretes ________ to maintain pregnancy.

hormones like progesterone and hCG.

Compare maternal and fetal blood in the placenta.

Maternal blood is oxygen-rich; fetal blood is oxygen-poor, facilitating efficient gas exchange.

What role does diffusion play in placental function?

Diffusion allows nutrients like glucose and oxygen to move from maternal to fetal blood.

Cause → Effect: Placental hormones increase maternal blood volume.

This ensures adequate blood supply for fetal growth and development.

What is the significance of the placental barrier?

It selectively allows substances to pass, protecting the fetus from harmful agents.

True or False: The placenta only supports nutrient transfer.

False: It also regulates waste removal and hormone production.

List two nutrients exchanged via the placenta.

- Glucose - Amino acids

What happens to the placenta after childbirth?

It is expelled from the body, commonly referred to as the afterbirth.

How does maternal blood flow affect fetal development?

Increased maternal blood flow ensures sufficient nutrient and oxygen delivery to the fetus.

Complications and Considerations(8)

Gestational diabetes impact on fetus?

- Increased fetal glucose levels - Risk of macrosomia - Possible neonatal hypoglycemia

True or False: Maternal hypertension usually improves fetal circulation.

False - Maternal hypertension can reduce uteroplacental blood flow, affecting fetal oxygen and nutrient delivery.

What complications arise from preeclampsia?

- Reduced placental perfusion - Fetal growth restriction - Risk of premature birth

Compare placenta previa and placental abruption.

Placenta previa: Placenta covers cervix. Placental abruption: Placenta detaches from uterus prematurely.

Fill in the blank: Maternal smoking can lead to ______ in fetal circulation.

Hypoxia and low birth weight.

Cause of amniotic fluid embolism?

Amniotic fluid enters maternal circulation, leading to severe respiratory and cardiovascular complications.

What is the effect of maternal infections on fetal circulation?

- Inflammation can restrict blood flow. - Increased risk of congenital infections. - Possible preterm labor.

Describe the impact of multiple pregnancies on fetal circulation.

- Increased risk of twin-to-twin transfusion syndrome. - Compromised blood flow in one or more fetuses.

Questions in this Study Set(56)

1. What hormone is critical for the maintenance of pregnancy?

A.Progesterone
B.Estrogen
C.Oxytocin
D.Prolactin

2. What is a potential consequence of gestational diabetes on fetal health?

A.Increased fetal glucose levels
B.Improved fetal oxygenation
C.Decreased maternal weight gain
D.Enhanced placental function

3. What is the primary role of the umbilical vein in fetal circulation?

A.Carries oxygenated blood from the placenta to the fetus
B.Carries deoxygenated blood from the fetus to the placenta
C.Bypasses the liver
D.Carries nutrients to the placenta

4. What is the primary role of the placenta during pregnancy?

A.Facilitating nutrient and gas exchange
B.Producing red blood cells
C.Regulating maternal heart rate
D.Filtering toxins from maternal blood

5. True or false: Estrogen levels peak during pregnancy.

A.True
B.False
C.Not significant
D.Variable

6. Which statement about maternal hypertension is true?

A.It generally increases uteroplacental blood flow.
B.It can lead to fetal hypoxia.
C.It has no effect on fetal circulation.
D.It improves fetal nutrient delivery.

7. Which structure allows blood to flow from the right atrium to the left atrium in fetal circulation?

A.Ductus arteriosus
B.Foramen ovale
C.Ductus venosus
D.Umbilical vein

8. Which statement about the placenta is true?

A.It is fully formed from maternal tissues.
B.It is an organ composed only of fetal tissues.
C.It is a separate organ formed from both maternal and fetal tissues.
D.It has no role in hormone production.

9. Which of the following is an anatomical change during pregnancy?

A.Decreased blood volume
B.Enlarged uterus
C.Narrowed pelvis
D.Decreased lung capacity

10. What complication is commonly associated with preeclampsia?

A.Increased placental perfusion
B.Fetal growth restriction
C.Enhanced fetal activity
D.Improved maternal well-being

11. What happens to the foramen ovale at birth?

A.It remains open
B.It closes
C.It expands
D.It becomes the ductus arteriosus

12. How does the placenta support fetal immunity?

A.By producing antibodies
B.By acting as a barrier to pathogens
C.By creating red blood cells
D.By increasing maternal blood pressure

13. How does cardiac output change during pregnancy?

A.Decreases by 10%
B.Increases by 30-50%
C.Remains unchanged
D.Increases by 10%

14. How do placenta previa and placental abruption differ?

A.Both conditions involve placental detachment.
B.Placenta previa involves the placenta covering the cervix.
C.Placental abruption usually occurs without symptoms.
D.Both conditions are harmless to the fetus.

15. Which of the following statements about the ductus arteriosus is true?

A.It carries oxygen-rich blood
B.It connects the aorta to the pulmonary artery
C.It is functional after birth
D.It carries deoxygenated blood to the placenta

16. Fill in the blank: The placenta secretes ________ to help maintain pregnancy.

A.enzymes
B.hormones like progesterone and hCG
C.vitamins
D.electrolytes

17. What is the primary function of relaxin during pregnancy?

A.Increase blood pressure
B.Relax pelvic ligaments
C.Stimulate contractions
D.Increase appetite

18. Maternal smoking primarily affects fetal circulation by causing:

A.Increased fetal heart rate
B.Hypoxia and low birth weight
C.Enhanced nutrient supply
D.Higher fetal movement

19. What effect does the presence of fluid in the fetal lungs have on circulation?

A.Stimulates gas exchange
B.Increases blood flow to the lungs
C.Causes blood to bypass the lungs
D.Enhances oxygenation in the lungs

20. What is the oxygen status of maternal blood compared to fetal blood in the placenta?

A.Maternal blood is oxygen-poor; fetal blood is oxygen-rich.
B.Maternal blood is oxygen-rich; fetal blood is oxygen-poor.
C.Both are oxygen-rich.
D.Both are oxygen-poor.

21. During pregnancy, the mother's blood pressure typically:

A.Increases steadily
B.Decreases slightly then stabilizes
C.Remains the same
D.Fluctuates wildly

22. Which factor is responsible for amniotic fluid embolism?

A.Amniotic fluid contamination
B.Maternal dehydration
C.Amniotic fluid entering maternal circulation
D.Decreased uterine contractions

23. Which vessel carries deoxygenated blood from the fetus to the placenta?

A.Umbilical vein
B.Ductus venosus
C.Umbilical arteries
D.Aorta

24. What process allows the transfer of nutrients from maternal blood to fetal blood?

A.Osmosis
B.Active transport
C.Diffusion
D.Filtration

25. Cause → Effect: Increased progesterone levels lead to _____.

A.Increased uterine contractions
B.Relaxation of smooth muscle
C.Morning sickness
D.Increased blood pressure

26. What effect do maternal infections generally have on fetal circulation?

A.They always improve fetal health.
B.They can cause inflammation restricting blood flow.
C.They have no effect on fetal development.
D.They reduce the risk of congenital infections.

27. In fetal circulation, where does the ductus venosus direct blood?

A.To the lungs
B.To the placenta
C.To the right atrium
D.To the inferior vena cava

28. Cause → Effect: Increased production of placental hormones leads to what outcome?

A.Increased maternal metabolic rate
B.Decreased fetal size
C.Reduced nutrient delivery to the fetus
D.Increased likelihood of miscarriage

29. How does the respiratory rate typically change during pregnancy?

A.Decreases
B.Increases
C.Remains unchanged
D.Irregular

30. Which is NOT a consequence of multiple pregnancies on fetal circulation?

A.Increased risk of twin-to-twin transfusion syndrome
B.Improved blood flow in all fetuses
C.Compromised blood flow in some fetuses
D.Higher chances of fetal growth restriction

31. What is the fate of the ductus venosus after birth?

A.It dilates
B.It closes
C.It becomes the umbilical artery
D.It remains functional

32. What is the purpose of the placental barrier?

A.To allow all substances to pass freely
B.To selectively allow substances to pass
C.To filter out only water
D.To store nutrients

33. True or false: The placenta is fully functional by the end of the first trimester.

A.True
B.False
C.Partially functional
D.Only supports the mother

34. True or False: Blood in the umbilical arteries is oxygenated.

A.True
B.False
C.Sometimes
D.Only during pregnancy

35. True or False: The placenta is responsible only for nutrient transfer.

A.True
B.False
C.It also creates blood
D.It regulates respiration

36. Which statement is true regarding blood volume changes in pregnancy?

A.Blood volume decreases by 20%
B.Plasma volume decreases by 10%
C.Blood volume increases by 40-50%
D.Plasma volume remains constant

37. What bypasses the liver in fetal circulation?

A.Umbilical vein
B.Ductus arteriosus
C.Foramen ovale
D.Ductus venosus

38. Which two nutrients are primarily exchanged via the placenta?

A.Glucose and oxygen
B.Fatty acids and vitamins
C.Glucose and amino acids
D.Water and carbon dioxide

39. What is the role of human chorionic gonadotropin (hCG) in early pregnancy?

A.Stimulates milk production
B.Maintains the corpus luteum
C.Increases insulin sensitivity
D.Decreases progesterone levels

40. How does blood return to the fetal heart from the placenta?

A.Through the ductus arteriosus
B.Through the inferior vena cava
C.Through the umbilical vein
D.Through the aorta

41. What occurs to the placenta following childbirth?

A.It is absorbed back into the body.
B.It is expelled from the body as afterbirth.
C.It transforms into a new organ.
D.It becomes part of the uterus.

42. Name one common physical symptom of pregnancy caused by hormonal changes.

A.Increased energy
B.Morning sickness
C.Decreased appetite
D.Weight loss

43. Which structure is NOT part of fetal circulation?

A.Ductus venosus
B.Umbilical arteries
C.Pulmonary veins
D.Foramen ovale

44. How does increased maternal blood flow impact fetal development?

A.It reduces oxygen delivery.
B.It increases the risk of miscarriage.
C.It ensures adequate nutrient and oxygen delivery.
D.It has no effect on fetal development.

45. During pregnancy, the body undergoes ____ changes.

A.Metabolic and hormonal
B.Only physical
C.Only emotional
D.Only psychological

46. What is the main purpose of fetal circulation?

A.To provide nutrients to the placenta
B.To supply oxygen and nutrients to the fetus
C.To enhance waste removal from the placenta
D.To oxygenate the blood in the lungs

47. What is the importance of increased renal blood flow during pregnancy?

A.Reduces urine production
B.Enhances waste removal
C.Decreases nutrient absorption
D.Increases blood pressure

48. What occurs to the blood flow pathways during the transition to postnatal circulation?

A.They remain unchanged
B.They become more complex
C.They simplify and redirect blood flow
D.They completely stop

49. How does the body adapt to higher metabolic demands during pregnancy?

A.Decreased appetite
B.Increased appetite
C.Lesser nutrient absorption
D.Increased activity level

50. True or False: The ductus arteriosus remains open throughout life.

A.True
B.False
C.Only in premature infants
D.Only in certain conditions

51. True or false: Pregnancy leads to a decrease in basal metabolic rate.

A.True
B.False
C.Depends on exercise
D.Increases only in second trimester

52. What happens to the umbilical arteries after birth?

A.They expand
B.They become ligaments
C.They carry oxygenated blood
D.They increase in size

53. How is oxygenated blood initially supplied to the fetal brain?

A.Through the umbilical arteries
B.From the lungs
C.Via the ductus arteriosus
D.Through the inferior vena cava

54. Fill in the blank: The _____ is responsible for preventing blood from flowing into the pulmonary arteries in the fetus.

A.Ductus venosus
B.Foramen ovale
C.Ductus arteriosus
D.Umbilical vein

55. Which structure connects the pulmonary artery to the aorta in fetal circulation?

A.Ductus arteriosus
B.Foramen ovale
C.Umbilical vein
D.Ductus venosus

56. What is the primary reason why blood does not flow through the fetal lungs?

A.The lungs are collapsed
B.The fetal lungs are filled with fluid
C.The foramen ovale is closed
D.Blood is deoxygenated

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