Childbirth, Obstetrical Emergencies, Newborn Care

Question 1

First trimester

Answer 1

First 3 months of pregnancy

Question 2

Second trimester

Answer 2

Middle 3 months of pregnancy

Question 3

Third trimester

Answer 3

Last three months of pregnancy

Question 4

Reproductive changes

Answer 4

1) Uterus requires a much larger blood supply during pregnancy
2) The enlarging uterus displaces other internal structures

Question 5

Respiratory changes

Answer 5

1) respiratory rate increases slightly, but oxygen demand increases significantly
2) in the third trimester, the diaphragm frequently is compressed by the enlarging uterus
3) the pregnant patient is at risk of developing hypoxia rapidly

Question 6

Cardiovascular changes

Answer 6

1) Cardiac workload increases resulting in faster resting heart rate
2) Blood volume increases, but plasma increase is greater. This leads to relative anemia
3) Postural hypotension is common, increasing the risk of syncope

Question 7

Gastrointestinal and Urinary Changes

Answer 7

1) The pregnant patient typically has undigested food in their stomach
2) pregnancy increases the risk of nausea and vomiting
3) pregnancy increases urinary frequency, and the pregnant patient is at risk of bladder injury due to displacement

Question 8

Musculoskeletal changes

Answer 8

The women’s center of gravity changes, increasing her risk of falling