Perinatal Adaptions Lecture I

Descrição

Perinatal adaptions I lecture given on the monday morning of week 5
Matthew Coulson
Quiz por Matthew Coulson, atualizado more than 1 year ago
Matthew Coulson
Criado por Matthew Coulson mais de 5 anos atrás
5
1

Resumo de Recurso

Questão 1

Questão
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]
Responda
  • ductus arteriosus

Questão 2

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

Questão 3

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

Questão 4

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

Questão 5

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

Questão 6

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

Questão 7

Questão
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
Responda
  • right to left
  • left to right

Questão 8

Questão
No blood whatsoever is transported to the lungs in the growing foetus
Responda
  • True
  • False

Questão 9

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

Questão 10

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

Questão 11

Questão
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
Responda
  • A reduction
  • An increase
  • oxygen
  • nitrogen
  • carbon dioxide

Questão 12

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

Questão 13

Questão
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]
Responda
  • ovale

Questão 14

Questão
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?
Responda
  • White fat
  • Brown fat

Questão 15

Questão
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)
Responda
  • Brown fat
  • White fat

Questão 16

Questão
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
Responda
  • Brown
  • White

Questão 17

Questão
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 ...
Responda
  • Metabolic acidosis
  • Metabolic alkalosis
  • Respiratory acidosis
  • Respiratory alkalosis

Questão 18

Questão
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)
Responda
  • hypertension
  • hypotension

Questão 19

Questão
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
Responda
  • feet
  • hands
  • hands
  • feet

Questão 20

Questão
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]
Responda
  • Nitric oxide

Questão 21

Questão
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.
Responda
  • adrenaline
  • oxytocin
  • oxygen
  • magnesium sulphate
  • systemic
  • pulmonary
  • pulmonary
  • systemic

Questão 22

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

Questão 23

Questão
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]
Responda
  • brown fat
  • white fat
  • glycogen

Questão 24

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

Questão 25

Questão
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
Responda
  • rooting

Questão 26

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

Questão 27

Questão
Foetal blood is [blank_start]more[blank_end] concentrated in haemoglobin than adult blood
Responda
  • more
  • less

Questão 28

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

Questão 29

Questão
Foetal haemoglobin is produced in the [blank_start]liver[blank_end] Adult haemoglobin is produced in the [blank_start]bone marrow[blank_end]
Responda
  • liver
  • bone marrow

Questão 30

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

Questão 31

Questão
Haemoglobin breakdown yields which substance? [blank_start]Bilirubin[blank_end]
Responda
  • Bilirubin

Questão 32

Questão
Accumulation of bilirubin in the foetal circulation causes neonatal [blank_start]jaundice[blank_end]
Responda
  • jaundice

Questão 33

Questão
Foetal jaundice is a case of accumulation of [blank_start]unconjugated[blank_end] bilirubin
Responda
  • unconjugated
  • conjugated

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