The right side of the heart has very high pressure because it usually pumps CO2 rich blood to the lungs for diffusion, but in fetuses, there is fluid in the lungs so there is high resistance causing high pressure. Some blood from the right atrium will go through the pulmonary arteries, to the lungs, back into the left atrium, and continue the regular cycle (only a small amount). Other blood can actually cross between the right and left atrium over the Foramen Ovale, and then to the left ventricle and aorta. For the mixed blood pumped to the lungs from the right ventricle, not as much as necessary for the lungs since they are filled with fluid dand have high resistance, so the ductus arteriosus is a passage that allows blood to skip a step and go straight from the pulmonary artery, to the aorta. Blood ends up in the umbilical artery.