Maternal Physiology II

Question 1

Resting PR during pregnancy is increased by

Answer 1

10bpm

Question 2

True or False

Diaphragm becomes progressively elevated -
heart is displaced to the left and upward and is rotated on its long axis

Answer 2

True

Question 3

Normal cardiac sound during pregnancy:

Answer 3

1) Exaggerated splitting of the 1st heart sound and
increased loudness of both components
2) NO definite changes in the aortic and pulmonary
elements of the 2nd sound
3) Loud, easily heard 3rd sound

Question 4

Cardiac output change at rest in lateral recumbent position

Answer 4

Increased CO

Question 5

Arterial blood pressure during pregnancy is lowest when in what position?

Answer 5

Sitting

Question 6

Change in diaphragm during pregnancy

Answer 6

rise 4cm

Question 7

% increase in oxygen consumption during pregnancy

Answer 7

20%

Question 8

Kidney change in size during pregnancy

Answer 8

1.0 cm increase

Question 9

Amino acid and water soluble excretion during pregnancy

Answer 9

Increased

Question 10

Serum creatinine and creatinine clearance during pregnancy

Answer 10

Both increased; clearance is increased by 30%

Question 11

Glucosuria is abnormal in pregnancy. True or False

Answer 11

False

Question 12

Change in ureters during pregnancy

Answer 12

ureteral dilatation (right side) and ureteral elongation

Question 13

Urinary incontinence is experienced during

Answer 13

3rd trimester

Question 14

True or False

At the end of pregnancy, the entire base of the bladder is pushed ventral and cephalad, converting the normal convex surface into a concavity

Answer 14

True

Question 15

focal, highly vascular swelling of
the gums, a pyogenic granuloma that occasionally
develops but typically regresses spontaneously after
delivery

Answer 15

Epulis gravidarum

Question 16

Caused by reflux of acidic secretions into the lower esophagus

Answer 16

Pyrosis / heartburn

Question 17

When is gastric emptying time prolonged?

Answer 17

Prolonged during labor and after administration of

analgesic agents

Question 18

Caused in large measure by constipation and
elevated pressure in veins below the level of the
enlarged uterus

Answer 18

Hemorrhoids

Question 19

What happens with these hepatic function tests during pregnancy?

Total alkaline phosphatase, total albumin, serum globulin, leucine aminopeptidase:

Answer 19

Increased

Question 20

What happens with these hepatic function tests during pregnancy?

Serum aspartate transaminase (AST), alanine
transaminase (ALT), γglutamyl transpeptidase
(GGT), bilirubin levels, serum albumin:

Answer 20

Decreased

Question 21

Principal source of growth hormone at 20 weeks.

Answer 21

placenta

Question 22

Principal function of prolactin

Answer 22

Ensure lactation

Question 23

Deficiency of Iodine can lead to:

Answer 23

Cretinism

Question 24

Musckuloskeletal change that is a characteristic feature of normal pregnancy

Answer 24

progressive lordosis

Question 25

True or False

Visual function is unaffected during pregnancy

Answer 25

True

Question 26

Difficulty sleeping during pregnancy starts at

Answer 26

12 weeks gestation