Anatomic and Physiologic Changes of Pregnancy Flashcards

1
Q

Reproduction System

A
  • Uterus increases dramatically in size and expands upward and leaves the pelvis, becoming an abdominal organ
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2
Q

Urinary System

A
  • Ureters enter the bladder at a perpendicular angle due to uterine enlargement
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3
Q

Ureters enter the bladder at a perpendicular angle due to uterine enlargement may result in?

A
  • Reflux of urine from bladder back into ureter

- Increase chance of urinary infections due to urinary stasis

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4
Q

Pulmonary System

A
  • 15-20% increase in O2 consumption so a natural state of hyperventilation throughout pregnancy
  • Dyspena present with mild exercise as early as 20 weeks into pregnancy
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5
Q

Blood volume progressively _____ 35% to 50% throughout ______.

A
  • Increases

- Pregnancy

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6
Q

Plasma increase is ______ then RBC’s increase, therefore ______ _______.

A
  • Greater

- Physiologic Anemia

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7
Q

______ pressure increases in __’s when standing

A
  • Venous

- LE

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8
Q

Pressure in inferior vena cava ____ in late pregnancy due to _______ by the ______.

A
  • Rises
  • Compression
  • Uterus
  • Carries de-oxygenated blood to the uterus
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9
Q

Especially in ____ position, so ____ supine positioning > __ minutes after the 4th month.

A
  • Supine
  • Avoid
  • 5
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10
Q

Aorta also partially _____ in _____.

A
  • Occluded

- Supine

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11
Q

Heart rhythm _____ are more common

A
  • Disturbances
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12
Q

HR _____ 10-20 bpm by ___ turm

A
  • Increases

- Full

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13
Q

Cardiac Output ______ 30%-50%

A
  • Increases
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14
Q

When is cardiac output most significantly increased?

A
  • Side-lying on L side
  • Less pressure on the aorta and vena cava
  • best position for exercise if possible
  • If supine, put folded towel under R side
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15
Q

Blood pressure ______ early in the __ trimester

A
  • Decreases

- 1st

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16
Q

Greatest effect on _____ pressure

A
  • Diastolic

- Lowest level at mid pregnancy

17
Q

Decreased due to _____ distensibility

A
  • Venous

- Ability to become stretched, dilated, or enlarged

18
Q

Watch for _________

A
  • Hypotension
19
Q

Thermoregulatory System

A
  • Basal metabolic rate (amount of energy expended daily at rest) increases
  • Requires increase in caloric intake
20
Q

_______ mm’s are ______ to their elastic limit by end of ______.

A
  • Abnormal
  • Stretched
  • Pregnancy
21
Q

Hormonal Influence

A
  • Systemic decreases in ligamentous tensile strength (Hormone Relaxin)
  • Increase in mobility of structures supported by ligaments (joint hypermobility)
    ie: Pt predisposed to joint injury especially in wt bearing joints
22
Q

_____ floor mm’s may be _____ and/or incised during the ____ process

A
  • Pelvic
  • Stretched
  • Birth
23
Q

COG shifts _____ and _____

A
  • Upward

- Forward

24
Q

Rounded shoulders with scapular protraction and shoulder internal rotation due to?

A
  • Breast enlargment
  • Post-partum positioning for holding the infant
  • Increase in cervical and lumbar lordosis and knees may hyperextend to adjust to COG
  • Weight shifts to the heels
  • Gait usually increases BOS to help with balance