penny ultrasound chapter 32 Fetal Environment and Maternal Complications Terms, Notes, and Questions

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placental abruption

abruptio placentae

diffuse edema

anasarca

the ... is the element of the placenta closest to the fetus

chorionic plate

the placental substance contains the functional parts of the placenta and is located between the ... and ...

chorionic plate, basal layer

the three parts of the placenta

chorionic plate, placental substance, basal layer (basal plate)

an abnormally shaped placenta caused by the membranes inserting inward from the edge of the placenta, producing a curled-up placental shape

circumvallate placenta

the endometrial tissue at the implantation sit, and the maternal contribution of the placenta

decidua basalis

congenital maldevelopment or absence of the duodenum

duodenal atresia

congenital absence of part of the esophagus

esophageal atresia

total blood loss; to bleed out

exsanguination

grading of the placenta has been performed in the past to predict ...

fetal lung maturity

a disease associated with an abnormal proliferation of the trophoblastic cells during pregnancy; may also be referred to as molar pregnancy

gestational trophoblastic disease

a shortage of oxygen or decreased oxygen in the blood

hypoxia

the first 28 days of life

neonatal period

not pregnant

nongravid

enlargement of the placenta

placentomegaly

acronym that stands for toxoplamosis, other infections, rubella, cystomegalovirus, and herpes simplex virus

TORCH

gelatinous material that is located within the umbilical cord around the umbilical vessels

Wharton jelly

cyst found within the umbilical cord

allantoic cyst

the amount of amniotic fluid surrounding the fetus; the sum of four quadrant measurement of amniotic fluid

amniotic fluid index

the condition of having a deficient number of red blood cells

anemia

the ... is the element of the placenta adjacent to the uterus

basal layer

the failure of both kidneys to develop in the fetus

bilateral renal agenesis

placenta that consists of two separate discs of equal size

bilobed placenta

method of fetal monitoring with sonography to produce a numerical scoring system that predicts fetal well-being

biophysical profile

the stage of the conceptus that implants within the decidualized endometrium

blastocyst

the placement of sutures within the cervix to keep it closed

cerclage

protective fetal skin covering

cernix

the painless dilation of the cervix in the second or early third trimester

cervical incompetence

form of childbirth in which a surgical incision is made through the maternal abdomen to deliver the fetus

cesarean section

a benign placental tumor

chorioangioma

the part of the chorion, covered by chorionic villi, that is the fetal contribution of the placenta

chorion frondosum

fingerlike projections of gestational tissue that attach to the decidualized endometrium and allow the transfer of nutrients from the mother to the fetus

chorionic villi

groups or lobes of chorionic villi

cotyledons

a mass consisting of abnormal bronchial and lung tissue that develops within the fetal chest

cystic adenomatoid malformation

the herniation of the abdominal contents into the chest cavity through a defect in the diaphragm

diaphragmatic hernia

a drug administered to pregnant women from the 1940s to the 1970s to treat threatened abortions and premature labor that has been linked with uterine malformation in the exposed fetus

diethylstibestrol

condition in which there is an incompatibility between the fetal and maternal red blood cells

erythroblastosis fetalis

the fetal weight based on sonographic measurements

estimated fetal weight

in later pregnancy, the placenta also produces ... and ..., taking over that function from the corpus luteum

estrogen, progesterone

an abnormal accumulation of fluid in at least two fetal body cavities

fetal hydrops

the chorion frondosum is the ... contribution, derived from the ..., containing the ...

fetal, blastocyst, chorionic villi

the placenta is derived from both ... and ... cells

fetal, maternal

the result of the premature opening of the internal os and the subsequent bulging of the membranes into the dilated cervix

funneling (cervical)

herniation of abdominal contents through a right-sided, periumbilical abdominal wall defect

gastroschisis

diabetes acquired as a result of pregnancy

gestational diabetes

a benign tumor composed of blood vessels

hemangioma

the dilation of the renal collecting system resulting from the obstruction of the flow of urine from the kidney(s) to the bladder; also referred to as pelvocliectasis or pelvicaliectasis

hydronephrosis

from an unknown origin

idiopathic

fetal hydrops caused by Rh incompatibility

immune hydrops

an inherited renal disease that results in bilateral enlargement of the fetal kidneys and microscopic renal cysts; also referred to as autosomal recessive polycystic kidney disease

infantile polycystic kidney disease

a fetus that is below the 10th percentile for gestational age (small for gestational age) and whose growth is impeded for some reason

intrauterine growth restriction

a benign, smooth muscle tumor of the uterus; may also be referred to as a fibroid or uterine myoma

leiomyoma (uterine)

the term used for the isthmus during pregnancy

lower uterine segment

an estimated fetal weight of greater than the 90th percentile or the neonate that measures more than 4,500 g

macrosomia

abnormal cord insertion at the edge of the placenta

marginal cord insertion

the decidua basalis is the ... contribution of the placenta

maternal

fetal stool that is composed of fetal skin, hair, amniotic fluid, and bile

meconium

small head

microcephaly

a rare disorder in which the mother suffers from edema and fluid buildup similar to her hydropic fetus

mirror syndrome

a fetal renal disease thought to be caused by an early renal obstruction; leads to the development of multiple noncommunicating cysts of varying sizes in the renal fossa

multicystic dysplastic kidney disease

having had several pregnancies

multiparity

a group of developmental abnormalities that involve the brain and spine

neural tube defects

fetal hydrops caused by congenital fetal anomalies and infections

nonimmune hydrops

condition of having the umbilical cord wrapped completely around the fetal neck

nuchal cord

a lower-than-normal amount of amniotic fluid for the gestational age

oligohydramnios

an anterior abdominal wall defect where there is herniation of the fetal bowel and other abdominal organ into the base of the umbilical cord

omphalocele

the vertical groove seen between the upper lip and the nasal septum

philtrum

a major function of the ... is performing imperative exchanges of waste products and gases with valuable nutrients and oxygen from the mother

placenta

the ... effectively becomes the means of respiration for the fetus

placenta

the echogenic thickening surrounding part of the gestational sac

placenta

the abnormal adherence of the placenta to the myometrium in an area where the decidua is either absent or minimal

placenta accreta

invasion of the placenta within the myometrium

placenta increta

penetration of the placenta through the uterine serosa and possibly into adjacent pelvic organs

placenta percreta

when the placenta covers or nearly covers the internal os of the cervix

placenta previa

the ... produces hCG which maintains the ...

placenta, corpus luteum of the ovary

an excessive amount of amniotic fluid for the gestational age

polyhydramnios

irregular thin membranes of tissue located within the male posterior urethra that does not allow urine to exit the urethra

posterior urethral valves

time directly after giving birth and extending to about 6 weeks

postpartum

pregnancy-induced maternal high blood pressure and excess protein in the urine after 20 weeks' gestation

preeclampsia

the rupture of the amniotic sac prior to the onset of labor

premature rupture of membranes

protein in the urine

proteinuria

when additional placental tissue remains within the uterus after the bulk of the placenta has been delivered

retained products of conception

when the shoulder of the fetus cannot pass through the birth canal at during pregnancy

shoulder dystocia

an accessory lobe of the placenta

succenturiate lobe

shunting of venous or arterial blood from one twin to another though placental circulation

twin-twin transfusion syndrome

an umbilical cord with one artery and one vein; could possibly be associated with other fetal abnormalities and intrauterine growth restriction

two-vessel cord

two vessels of the umbilical cord that carry deoxygenated blood from the fetus to the placenta

umbilical arteries

the vessel of the umbilical cord that carries oxygenated blood from the placenta to the fetus

umbilical vein

focal dilation of the intra-abdominal portion of the umbilical vein

umbilical vein varix

a circumvallate placenta may lead to ...

vaginal bleeding, placental abruption, among other complications

fetal vessels resting over the interal os of the cervix

vasa previa

the abnormal insertion of the umbilical cord into the membranes beyond the placental edge

velamentous cord insertion

pools of maternal blood within the placental substance

venous lakes

the structure that connects the developing embryo to the secondary yolk sac

vitelline duct

a definitive placenta may not be identified songraphically until after ... to ... weeks

10, 12

the placenta consists of approximately ... to ... cotyledons

10, 30

the placenta normally has a diameter of ... to ... cm

16, 20

the placental thickness should not exceed ... cm

4

the placenta normally weighs between ... and ... g

450, 550


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