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NM705 EXAM 1 QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE

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NM705 EXAM 1 QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE What are the 5 stages of fetal lung development? 1. Embryonic 2. Pseudoglandular 3. Canilicular 4. Saccular 5. Alveolar What are the important milestones achieved during the Canilicular period of fetal lung development? Occurs during week 16-25. Acini (functional units of lung) form. Air-blood barrier forms. Lungs become highly vascular setting the stage for gas exchange *Lungs become potentially viable at the end of this stage due to beginning of surfactant synthesis* What are the important milestones achieved during the Saccular period of fetal lung development? Occurs during week 25-36. Terminal saccules elongate, branch and widen. Air-blood barrier thins. *By end of this stage all bronchioles are formed* What are the important milestones achieved during the Alveolar period of fetal lung development? Occurs from 36 weeks gestation-8 years old. Folding and dividing of saccular epithelium form alveolar septa. At birth 50-150 million alveoli are present. Gas exchange becomes more efficient. Describe basic fetal cardiac development and the most critical timeframe for this development: Major heart structures are completed by 8 weeks post conception. Most heart defects arise during weeks 4-8 of gestation. What are some biochemical factors that stimulate baby to take its first breath? -mild asphyxia -temperature changes -Epithelial sodium channels (ENaCs) shifts the fluid out of the alveoli -Increase in catecholamines and cortisol to stimulate reabsorption of the fluid during labor -the lungs change from a secretory body to an absorbing body -Carbon dioxide helps initiate the baby to take its first breath What are some mechanical factors that stimulate baby to take its first breath? -tactile, light noise and proprioceptive stimuli greater than ever experienced -thoracic recoil with the birth of the torso -Foramen ovale closes due to decreased umbilical blood flow, decreased venous return from IVC, decreased right atrial pressure and increased left atrial pressure -Squeezing of the thorax during birth also expels some fluid from the upper airway - Pressure gradient changes from a high pulmonary system to a low system making pulmonary resistance low

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NM705 EXAM 1 QUESTIONS AND ANSWERS WITH COMPLETE

SOLUTIONS VERIFIED LATEST UPDATE


What are the 5 stages of fetal lung development?

1. Embryonic

2. Pseudoglandular

3. Canilicular

4. Saccular

5. Alveolar

What are the important milestones achieved during the Canilicular period of fetal

lung development?

Occurs during week 16-25. Acini (functional units of lung) form. Air-blood barrier forms.

Lungs become highly vascular setting the stage for gas exchange *Lungs become

potentially viable at the end of this stage due to beginning of surfactant

synthesis*

What are the important milestones achieved during the Saccular period of fetal

lung development?

Occurs during week 25-36. Terminal saccules elongate, branch and widen. Air-blood

barrier thins.

*By end of this stage all bronchioles are formed*

What are the important milestones achieved during the Alveolar period of fetal

lung development?

, Occurs from 36 weeks gestation-8 years old. Folding and dividing of saccular epithelium

form alveolar septa. At birth 50-150 million alveoli are present. Gas exchange becomes

more efficient.

Describe basic fetal cardiac development and the most critical timeframe for this

development:

Major heart structures are completed by 8 weeks post conception. Most heart defects

arise during weeks 4-8 of gestation.

What are some biochemical factors that stimulate baby to take its first breath?

-mild asphyxia

-temperature changes

-Epithelial sodium channels (ENaCs) shifts the fluid out of the alveoli

-Increase in catecholamines and cortisol to stimulate reabsorption of the fluid during

labor

-the lungs change from a secretory body to an absorbing body

-Carbon dioxide helps initiate the baby to take its first breath

What are some mechanical factors that stimulate baby to take its first breath?

-tactile, light noise and proprioceptive stimuli greater than ever experienced

-thoracic recoil with the birth of the torso

-Foramen ovale closes due to decreased umbilical blood flow, decreased venous return

from IVC, decreased right atrial pressure and increased left atrial pressure

-Squeezing of the thorax during birth also expels some fluid from the upper airway

- Pressure gradient changes from a high pulmonary system to a low system making

pulmonary resistance low

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