Perinatal Adaptions Lecture I

Questão 1 de 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

Explicação

Questão 2 de 33

1

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

Explicação

Questão 3 de 33

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

Explicação

Questão 4 de 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?

Selecione uma das seguintes:

The kidneys
The liver
The stomach
The pancreas

Explicação

Questão 5 de 33

1

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

Selecione uma das seguintes:

IgG
IgA
IgE
IgD

Explicação

Questão 6 de 33

1

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

Explicação

Questão 7 de 33

1

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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

Explicação

Questão 8 de 33

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

Selecione uma das opções:

VERDADEIRO
FALSO

Explicação

Questão 9 de 33

1

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

Explicação

Questão 10 de 33

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

Explicação

Questão 11 de 33

1

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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

Explicação

Questão 12 de 33

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

Explicação

Questão 13 de 33

1

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

Explicação

Questão 14 de 33

1

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?

Selecione uma das seguintes:

White fat
Brown fat

Explicação

Questão 15 de 33

1

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

Arraste e solte para completar o texto.

Brown fat

White fat

Explicação

Questão 16 de 33

1

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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

Explicação

Questão 17 de 33

1

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 ...

Selecione uma das seguintes:

Metabolic acidosis
Metabolic alkalosis
Respiratory acidosis
Respiratory alkalosis

Explicação

Questão 18 de 33

1

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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)

Explicação

Questão 19 de 33

1

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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

Explicação

Questão 20 de 33

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

Explicação

Questão 21 de 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.

Explicação

Questão 22 de 33

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

Explicação

Questão 23 de 33

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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 )

Explicação

Questão 24 de 33

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

Explicação

Questão 25 de 33

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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

Explicação

Questão 26 de 33

1

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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

Explicação

Questão 27 de 33

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

Explicação

Questão 28 de 33

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

Selecione uma das seguintes:

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

Explicação

Questão 29 de 33

1

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

Explicação

Questão 30 de 33

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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

Selecione uma das opções:

VERDADEIRO
FALSO

Explicação

Questão 31 de 33

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Haemoglobin breakdown yields which substance?

Explicação

Questão 32 de 33

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Accumulation of bilirubin in the foetal circulation causes neonatal

Explicação

Questão 33 de 33

1

	Criado por Matthew Coulson mais de 5 anos atrás

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

Perinatal Adaptions Lecture I

Questão 1 de 33

Preencha o espaço em branco para completar o texto.

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

Explicação

Questão 2 de 33

Selecione da lista do Menu para completar o texto.

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

Explicação

Questão 3 de 33

Preencha o espaço em branco para completar o texto.

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

Explicação

Questão 4 de 33

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

Selecione uma das seguintes:

Explicação

Questão 5 de 33

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

Selecione uma das seguintes:

Explicação

Questão 6 de 33

Preencha o espaço em branco para completar o texto.

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

Explicação

Questão 7 de 33

Selecione da lista do Menu para completar o texto.

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

Explicação

Questão 8 de 33

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

Selecione uma das opções:

Explicação

Questão 9 de 33

Preencha o espaço em branco para completar o texto.

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

Explicação

Questão 10 de 33

Preencha o espaço em branco para completar o texto.

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

Explicação

Questão 11 de 33

Selecione das listas do Menu para completar o texto.

Explicação

Questão 12 de 33

Selecione da lista do Menu para completar o texto.

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

Explicação

Questão 13 de 33

Preencha o espaço em branco para completar o texto.

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

Explicação

Questão 14 de 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?

Selecione uma das seguintes:

Explicação

Questão 15 de 33

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

Arraste e solte para completar o texto.

Explicação

Questão 16 de 33

Selecione da lista do Menu para completar o texto.

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

Explicação

Questão 17 de 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 ...

Selecione uma das seguintes:

Explicação

Questão 18 de 33

Selecione da lista do Menu para completar o texto.

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)

Explicação

Questão 19 de 33

Selecione das listas do Menu para completar o texto.

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

Explicação

Questão 20 de 33

Preencha o espaço em branco para completar o texto.

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