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WorksheetsCh. 10, 12, 13, 15- Antepartum (Summer II)
Total questions: 100
Worksheet time: 2hrs 40mins
What does antepartum mean?
before childbirth
before pregnancy
after childbirth
time period between two different pregnancies
Directions for cellular function are provided by the ______.
genes
cells
chromosomes
brain
How many chromosomes are in each somatic cell?
46
23
10
460
Too much or too little genetic material can result in which of the following?
abnormal structure
abnormal function
abnormal appearance, but not abnormal function
abnormal function, but not appeeance
What are alleles?
genes that code for the same trait
a gene that alters or harms functions
genes organized into pairs
Which of the following are genes that alters or harms functions?
mutations
alleles
chromosomes
autosomes
Genes are organized into 46 paired chromosomes. How many of these pairs are autosomes? How many are sex chromosomes?
22 pairs are autosome
1 pair is autosome
1 pair is sex
22 pairs are sex
Mature gametes (reproductive cells) are ______.
haploid
diploid
Requirements for chromosome analysis?
cells in analysis must have nucleus and be living
can be studied using any type of cells
can only be studied using cells from blood samples
cells in analysis do not have to be living
A karyotype test looks at the size, shape, and number of your chromosomes. Photographing or using computer imaging allows chromosomes to be displayed from ____ to ____.
smallest to largest pairs
largest to smallest pairs
Are homozygous alleles identical or different from one another?
identical
different
The dominant trait is shown by the phenotype. What is a phenotype?
the observable characteristic
the function
How many autosomal dominant genes are needed to produce the trait?
How many autosomal recessive genes are needed to produce the trait?
1 dominant
2 dominant
1 recessive
2 recessive
X-Linked recessive characteristics: Why is a male at a disadvantage for having a recessive x-linked gene disorder, while females are often not?
The male does not have a 2nd X chromosome to compensate to retain normal function
The male only have a single Y chromosome
Females are not as susceptible to X-linked recessive genes due to having 2 X chromosomes
Females are not susceptible to x-linked recessive genes for unknown reasons
Please choose "Single-Gene Abnormalities" to see the answer explanation photo that explains them.
Single-Gene Abnormalities
Not Single-Gene Abnormalities
Chromosomal abnormalities are either numeric or structural. Which abnormality does this describe?
Involving added or missing single chromosomes and those with multiple sets of chromosomes.
numeric
structural
What key words should be used to remember the difference between numeric chromosomal abnormalities and structural chromosomal abnormalities?
numerical- ENTIRE
structural- PART
numerical- PART
structural- ENTIRE
Multifactorial defects are:
present and detectable at birth
an isolated defect
May cause secondary defect
Result from an interaction of genetic material and environmental factors
Result from genetic material only, usually.
Select the risk factors for multifactorial defects.
# of affected close relatives
severity of disorder
sex of person
geographic location
seasonal variations
Teratogens are agents in the fetal environment that either cause a birth defect or increase the likelihood that a birth defect will occur. Select some common teratogens.
maternal infectious agents (viruses or bacterial infections)
drugs and other substances used by mother
pollutants, chemicals, or other substances the mother is exposed to regularly
ionizing radiation
maternal disorders (example: diabetes)
One mechanical disruption to fetal development could be oligohydramnios. This is an abnormally small volume of amniotic fluid. What issues could this condition cause in the fetus?
clubfoot
abnormal development of alveoli in lungs
cleft lip
brain underdevelopment
One mechanical disruption to fetal development could be amniotic bands. Which of the following is correct about amniotic bands?
may result from tears in the inner sac (amnion) of the fetal membranes
can result in fetal deformations or limb amputation
not associated with chromosomal defects
Kate's right hand malformation was caused by this
often associated with chromosomal defects
The purpose of genetic counseling is to provide services to help understand genetic disorders and risk of occurrence. Please read page 183-184 in our book to understand availability, focusing on the family, the process, and supplemental services.
Okay, I will do that.
I am not going to do that.
Look at the photo in the answer explanation for some diagnostic methods that may be used in genetic counseling.
okay
no
Gametogenesis is the creation of reproductive cells. Through meiosis, each gamete receives how many chromosomes and autosomes from each parent?
22 autosomes
1 sex chromosome
23 autosomes
1 sex chromosome
46 chromosomes
46 autosomes
2 sex chromosomes
During (possible) conception, the ovum can be fertilized no longer than ____ after ovulation.
24 hours
48 hours
1 week
12 hours
How long do most sperm survive?
How long does sperm remain in the female tract?
1-2 days
80 hours
2-4 days
72 hours
1-2 days
48 hours
4-6 days
24 hours
During fertilization, what two things must happen?
entry of one spermatozoon into the ovum
fusion of the nuclei of sperm and ovum
chromosomal fusion
The pre-embryotic period is the first ____ weeks after conception.
2
3
1
4
When the conceptus (fetilizted ovum) has divided into about 12-16 cells and resembles a mulberry, what is this called?
morula
blastocyst
embryo
fetus
The outer cells of the morula, secrete fluid, creating a sac of cells that has an inner cell mass within the sac. What is this sac of cells called?
blastocyst
morulanocyte
embryotic sac
decidua
How long after conception is the the zygote lingering in the uterus until implantation? During this time, the zygote is approximately 100 cells.
3-4 days
1 day
1 week
5-7 days
Which important events happen in the pre-embryotic period?
cell division
entry of zygote in to uterus
implantation of zygote into decidua (previously the endometrium)
fetal heart development
Where is the "normal" place of implantation?
the upper uterus
the lower uterus
the fallopian tube
the lateral part of the uterus
In the pre-embryotic phase, the zygote secretes human chorionic gonadotropin (hCG). What does this secretion signal?
pregnancy has begun
implantation
regression of estrogen and progesterone production
the ovum has been released from the ovary
The embryotic period extends from the beginning of the 3rd week to the 8th week after conception. By the end of the 8th week, what has occurred?
all major organ systems are in place
cells are just beginning to differentiate
During the embryotic period (week 3-8), _________ may cause major structural and function to developing organs.
teratogens
low blood supply
fetal cell development
mother eating too much ice cream
Please briefly review Table 12.3 in the answer explanation regarding the 3 germ layers.
I tried to come up with an easy way to distinguish between the 3 layers based on whats included in them, but no luck yet.
Okay
No
The ______ period begins 9 weeks after conception until birth.
fetal
embryonic
pre-embryotic
pregnancy
Which system is vulnerable to damaging agents through the entire pregnancy?
central nervous system
peripheral nervous system
sympathetic nervous system
parasympathetic nervous system
Select the 3 axillary structures.
placenta
umbilical cord
fetal membranes
cervix
The placenta is a thick, disk-shaped organ. What are the 3 major functions of this organ?
metabolic
transfer of substances between mother and fetus
endocrine
division of cells
Where is the umbilical cord attached to the placenta?
fetal side; near center
fetal side; upper
mother's side; center
mother's side; upper
The two fetal membranes, amnion (inner membrane) and chorion (outer membrane), together are often called what?
bag of waters
fetal hammock
blood pair
nutrition trails
What is amniotic fluid derived from?
What is the primary function of amniotic fluid?
Derived from:
fetal urine and maternal blood cells
Derived from:
water and other fluids from mother early and throughout pregnancy
Function:
protect fetus and promote development
Function:
protection from teratrogens
The umbilical cord is made up of what?
2 arteries
1 vein
1 artery
2 veins
What is the course of fetal blood circulation?
from the fetal heart to the placenta
from the placenta to the fetal heart
Which organ is cushioned with Wharton's Jelly?
umbilical cord
placenta
fetal membranes
the fetus itself
There are 3 fetal circulatory shunts that partially bypass the fetal liver and lungs: the ductus venosis, foramen ovale, & ductus arteriosis.
When do these structures close functionally?
Do they ever close permanently?
Closing: Yes
Closing: No
Functionally: after birth
Functionally: between 30-36 weeks gestation
Monozygotic twins are which type of twins?
identical
fraternal
Fraternal twins are also known as ______ twins.
dizygotic
monozygotic
During pregnancy, there are changes in many body systems and organs. Which of the following does this describe:
Before conception, this organ is small, pear-shaped, and contained in pelvic cavity. It begins with a capacity of about 10mL. By full-term, the capacity is about 500mL. Growth can be predicted for each trimester (one of the three 13 week periods).
uterus
cervix
placenta
endometrium
Estrogen causes hyperemia (congestion of blood) of the cervix, resulting in a bluish-purple color of the vagina and labia. This is one of the earliest signs of pregnancy. What is this discoloration called?
Chadwick's Sign
Goodell's Sign
Before pregnancy, the cervix has the consistency similar to the tip of the nose. After conception, the cervix softens and feels more like the lips or earlobe. What is this cervical softening referred to as?
Chadwick's Sign
Goodell's Sign
During pregnancy, _________ _________ causes the vagina walls, as well as the cervix to appear bluish purple in color.
increased vascularity
decreased blood flow
increased pressure
decreased nerve activity
After conception, the major function of the ovaries is to secrete ________ from the corpus luteum for the first 6-7 weeks of pregnancy. Ovaries secrete this hormone.
progesterone
estrogen
androgen
testosterone
During pregnancy, the breasts change in size and appearance. _______ stimulates the growth of mammary ductal tissue. ________ promotes the growth of the lobes, lobules, and alveoli.
Estrogen; Progesterone
Progesterone; Estrogen
During pregnancy, if the increase in breast size is extensive, lineal tears in the connective tissue striae gravidarum may develop. What is the common term for striae gravidarum?
stretch marks
zebra stripes
tiger scratches
growth wounds
How early in the pregnancy is colostrum present? Which trimester can it be readily expressed?
Present at: 12-16 weeks
Present at: 20-22 weeks
Expressed: 3rd trimester
Expressed: 2nd trimester
During pregnancy, which is the following increases?
cardiac output
blood pressure
total blood volume
oxygen consumption
Supine hypotensive syndrome occurs because the gravid uterus partially occludes the vena cava and aorta when the mother is _______?
supine
lateral
prone
Fowler's
Please refer to the answer explanation to review the 5 major changes in blood flow during pregnancy.
Okay
No
Which of the following allow for the oxygen needs to be met during pregnancy?
decreased airway resistance
slight hyperventilation
decreased oxygen needs due to hormone levels
increased airway resistance
During pregnancy, the GI system experiences changes. Which of the following are some of those changes?
excessive salivation (ptyalism)
heartburn (pyrosis)
increased intestinal emptying time
liver and gallbladder functional changes
changed consistency in bowel movements
During pregnancy, how does the urinary system change?
frequency of urination
kidneys change in shape and size
increased risk of UTI
mild proteinuria
renal blood flow increase of 25%
A ______ _______ is the darkened line that marks the longitudinal division of the midline of the abdomen.
linea nigra
linea alba
Which are some names for the areas of pigmentation (including brownish patches) over the forehead, cheeks, and nose?
melasma
cholasma
"mask of pregnancy"
linea nigra
During pregnancy circulation to the skin increases causing increased activity of________?
sweat glands
platelets
cutis anserine
sebaceous glands
Cutaneous vascular changes during pregnancy include the blood vessels dilating, an effect of estrogen. Changes in surface blood vessels are obvious during pregnancy, especially in women with fair skin. Which of the following are some examples of this?
spider angiomas
palmar erythmea
cholasma
pyrosis
T or F: Hair grows more rapidly during pregnancy.
True
False
During pregnancy, fetal demands for calcium increase, especially in the 3rd trimester. Calcium is stored in the woman's body beginning in the 1st trimester to meet later needs of the fetus. The amount of calcium transferred to the fetus is _______ in comparison to how much the mother stores.
equal
small
large
sometimes none
Postural changes:
Musculoskeletal changes are progressive. Because of estrogen and progesterone allow for increased mobility of the __________, which allow for pelvic joint relaxation and therefore pelvic instability, the mother may assume a wide gait to compensate for a changing _______.
pelvic ligaments;
center of gravity
pelvic bone; center balance
cervix; balance
cervix; center of gravity
During the 3rd trimester, the abdominal muscles may become so stretched that the rectus abdominus muscle _______.
separate
tear
roll
build
1. ______ prepares breasts for milk production.
2. Hyperplaia and vascularity cause the ______ to enlarge during pregnancy.
3. Changes in the _______ causes fluctuations in insulin production and alterations in maternal blood glucose.
4. _______ cause significant changes in hormone levels.
1. prolactin
2. thyroid gland
3. pancreas
4. adrenal glands
1. thyroid gland
2. pancreas
3.adrenal glands
4. prolactin
1. prolactin
2. adrenal glands
3. thyroid gland
4. pancreas
1. adrenal gland
2. prolactin
3. thyroid gland
4. pancreas
hCG (human chorionic gonadotropin) is the hormone that stimulates production of estrogen and progesterone until the placenta is developed enough to assume function (approx. 10-12 weeks after conception). This hormone can cause which 2 things?
positive pregnancy test
nausea and vomiting
false negative pregnancy test
abnormal food cravings
Select the 3 main functions of estrogen.
stimulates uterine growth and increases blood supply to uterine vessels
aids in development of ductual system in the breasts
is associated with hyperpigmentation, vascular changes in the skin, increased activity of salivary glands, and hyperemia of gums and nasal mucous membranes
maintain of endometrial layer for implantation of fertilized ovum
Which are some of the main functions of progesterone during pregnancy?
preventing tissue rejection of the fetus
maintaining the endometrial layer for implantation of the fertilized ovum
preventing spontaneous abortion by relaxing smooth muscles of the uterus
aids in developing ductal system in breasts to prepare for lactation
hCS (human chorionic somatomammotropin) increases the avalibility of _____ to the fetus.
glucose
blood oxygen
insulin
white blood cells
Which changes in metabolism are seen during pregnancy?
weight gain
water metabolism
dependent edema
carpal tunnel syndrome
carbohydrate metabolism
During pregnancy, the immune system function is altered to allow for the fetus to grow _______.
undisturbed
quickly
strong
consistently
During pregnancy, which of the following are impacted?
eyes
ears
both
neither
Select some indications of pregnancy.
amenorrhea (absense of menstruation)
fatigue
vaginal and cervical color changes (Chadwick's sign)
urinary frequency
temperamental changes
Select some probable signs of pregnancy.
Hegar's sign
ballottement
uterine souffle
Goodell's sign
Visualization of fetus
Calculate the following woman's GTPAL:
A woman is 6 months pregnant with. She previously had one spontaneous abortion, and one elected abortion in the 1st trimester. She has a son who was born at 40 weeks gestation, and a daughter who was born at 34 weeks.
What is her GTPAL?
5-1-1-2-2
5-2-2-1-1
5
2.5
Calculate the following woman's GTPAL:
A woman is 2 months pregnant. She has a child who was born with a chromosomal disorder at 34 weeks, and another daughter who was born at 39 weeks. The mother also has had a miscarriage previously at 25 years of age.
What is her GTPAL?
4-1-1-1-2
2-1-1-1-4
4-2
2-4
A complete menstrual history is necessary to establish an EDD (established due date). What is often used to do this?
Nagele's Rule
EDD division
Gravida's rule
LNMP addition
Pre-eclampsia is a common complication of pregnancy that can result in the baby needing to be delivered early (sometimes). What are some s/s of this?
swelling of fingers, puffiness of face and around eyes
continuous pounding headache
visual disturbances (blurry, dimness, spots)
persistent vomiting
Please review the photo of the book in the answer explanation for the complete list of s/s of pregnancy complications.
Okay
No
Amniocentesis is aspiration of amniotic fluid from the sac for examination. Why is this procedure done in the 2nd trimester?
to identify chromosomal abnormalities or biochemical abnormalities
to determine fetal lung maturity or hemolytic disease
Amniocentesis is aspiration of amniotic fluid from the sac for examination. Why is this procedure done in the 3rd trimester?
to determine fetal lung maturity or hemolytic disease
to identify chromosomal abnormalities or biochemical abnormalities
Why is ultrasound used as a prenatal test?
determine variety of fetal and placental conditions
determining multifetal gestation
gestational age
fetal abnormalities
Always a tool for finding out fetal sex
A doppler ultrasound blood flow assessment is used in pregnancies complicated by which of the following?
hypertension
fetal growth restriction
placental insufficiency
cervical abnormalities
Alpha-Fetoprotein Screening is ideally preformed at 16-18 weeks of gestation. What does this test identify?
chromosomal abnormalities
open body wall defects (neural tube defects)
DNA abnormalities
If the multiple marker screening is positive, what is recommended?
vaginal ultrasound
amniocentesis
doppler blood flow ultrasound
Alpha-Fetoproein Screening
Chrionic Villus Sampling is a test done by using trancervical or transabdominal sampling to obtain villi.
What information can Chrionic Villus Sampling provide?
chromosomal abnormalities
DNA abnormalities
metabolic abnormalities
possible immune system abnormalities
Percutaneous Umbilical Blood Sampling (PUBS or condrosentesis) involves aspirating fetal blood from the umbilical cord near the placenta. What can this test detect?
blood disorders
acid-base imbalance
infection
fetal genetic disease
DNA abnormalties
Maternal assessment of fetal movement is also known as ______.
"kick count"
"movement measurement"
"wiggle watch"
Antepartum Fetal Surveillance:
The ______ stress test evaluates fetal heart reat (FTR) with or without fetal movement. FHR reactivity with accelerations is a reassuring sign.
Non
Contraction
Antepartum Fetal Surveillance:
The _______ stress test is also known as the Oxytocin Challenge test. This is used to determine if the fetal heart responds to uterine contractions that temporarily decrease fetal blood flow.
Contraction
Non
A Biophysical Profile (BPP) provides info on which parameters?
nonstress test
fetal breathing movments
gross fetal movements
fetal tone
amniotic fluid volume
