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The Developing Individual: Meiosis, Growth and Development

Alcohol, smoking and monitoring fetal growth

  • 3 things to know
  • Components 01, 02 and 03

Overview

Recall questions on fetal alcohol syndrome and how ethanol crosses the placenta, how carbon monoxide and nicotine restrict fetal growth, the other risks of smoking, why ultrasound is used rather than X-rays, biparietal diameter and crown-rump length, and reading fetal growth charts and centiles.

What you need to know

Answer each one before you reveal it.

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Key term

Why are repeated scans more informative than a single measurement?

Key term

Explain how alcohol drunk by the mother reaches the fetus.

Key term

Why is a fetus more vulnerable to alcohol than its mother is?

Questions from this subtopic

Each one with the model answer underneath.

  1. 1

    Name the condition caused in a baby by heavy alcohol consumption during pregnancy.

    Model answer

    It is called fetal alcohol syndrome.

  2. 2

    Describe three features of a baby born with fetal alcohol syndrome.

    Model answer

    The baby has a low birth mass and restricted growth, distinctive facial features such as a smooth philtrum and thin upper lip, and learning and behavioural difficulties caused by damage to the developing brain.

  3. 3

    Explain how alcohol drunk by the mother reaches the fetus.

    Model answer

    Ethanol is a small, lipid-soluble molecule, so it crosses the placenta by simple diffusion down its concentration gradient into the fetal blood.

  4. 4

    Why is a fetus more vulnerable to alcohol than its mother is?

    Model answer

    The fetal liver is immature and makes little alcohol dehydrogenase, so ethanol is broken down slowly and remains in the fetal circulation for much longer.

  5. 5

    Why is alcohol most damaging in the first trimester?

    Model answer

    The major organs, including the brain, are being formed then, so alcohol disrupts cell division and differentiation and causes structural defects.

  6. 6

    How does the carbon monoxide in cigarette smoke restrict fetal growth?

    Model answer

    Carbon monoxide binds strongly to haemoglobin to form carboxyhaemoglobin, reducing the oxygen carried to the fetus, so respiration and therefore growth are limited.

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