Physiologic Changes

Question 1

How many times does the uterus increase in size during pregnancy

Answer 1

5x

Question 2

Change from globular to…

Answer 2

Oval

Question 3

Weight of the uterus when not pregnant

Answer 3

60g

Question 4

Weight of the uterus when pregnant

Answer 4

1000g / 1kg

Question 5

at the level of the symphysis pubis

Answer 5

12 weeks

Question 6

halfway between symphysis pubis and umbilicus

Answer 6

16 weeks

Question 7

at the level of the umbilicus

Answer 7

20weeks

Question 8

two fingers above umbilicus

Answer 8

24 weeks

Question 9

midway between umbilicus and xiphoid process

Answer 9

30

32 weeks

Question 10

at the level of xiphoid process

Answer 10

36 weeks

Question 11

two fingers below xiphoid process, drops its level

because of lightening

Answer 11

40 weeks

Question 12

softening of the lower uterine

segment(isthmus)

Answer 12

Hegar’s Sign

Question 13

intermittent, irregular, painless,
abdominal muscle tightening by
about 4 months; more
pronounced at 8 months

Answer 13

Braxton
Hicks
Contractions

Question 14

when the lower uterine segment
or the cervix is tapped by the
examiner's finger and left there,
the fetus floats upward, then
sinks back and a gentle tap is felt
on the finger

Answer 14

Ballottement

Question 15

(Uterus) Consistency of earlobe

Answer 15

Goodell’s

Sign

Question 16

protective mucous plug in the cervical
canal
•
serves to seal the uterus
•
protects the fetus and fetal membranes
from infection.

Answer 16

Operculum

Question 17

purplish discoloration of the
vagina due to increase
vascularity

Answer 17

Chadwick’s

sign

Question 18

whitish mucoid, non foul, non
pruritic vaginal secretions due
to increase estrogen level

Answer 18

Leukorrhea

Question 19

helps vagina resistant to
bacterial invasion for the
length of the pregnancy

Answer 19

pH more

acidic

Question 20

dark brown line that
runs from the
umbilicus to the
symphysis pubis

Answer 20

Linea Nigra

Question 21

pink or reddish, whitish
streaks appearing on the
sides of the abdominal wall
due to stretching of the skin

Answer 21

Striae
Gravidarum
(Stretch
Marks)

Question 22

Silvery white streaks weeks

after birth

Answer 22

Striae

albicantes

Question 23

Mask of Pregnancy

brownish hyper
pigmentation of the skin
over the face, cheeks ,
nose, neck and forehead

due to increased
melanocyte stimulating
hormones

Answer 23

Melasma/Chloasma

Question 24

small red or
purple clusters,
spidery
appearance on
the skin surface
due to dilation
of the
capillaries

Answer 24

Vascular spiders

or Telangiectasias

Question 25

``` • Due to Increase activity of the sweat glands • Due to increased metabolic rate ```

Answer 25

Diaphoresis | Sweatung

Question 26

``` due to disproportionate increase between the circulating blood volume and RBC ```

Answer 26

PSEUDOANEMIA (Physiologic Anemia)

Question 27

Maintains corpus luteum that produces | progesterone during first few weeks of pregnancy

Answer 27

Human Chorionic | Gonadotropin(HCG)

Question 28

This hormone is responsible for Uterine and breast enlargement, Palmar erythema and hyperpigmentation

Answer 28

Estrogen

Question 29

This hormone Maintains uterine lining, relaxes smooth muscles, promotes fat deposits

Answer 29

Progesterone

Question 30

This hormone is responsible for the Softening of cervix, muscles and joints of pelvis. Inhibits uterine activity

Answer 30

Relaxin

Question 31

This hormone modifies the metabolic state of the mother during pregnancy to facilitate the energy supply of the fetus

Answer 31

Human placental | lactogen

Question 32

Normal weight gain

Answer 32

25 to 35 pounds(11.5 to 16 kgs)

Question 33

Normal weight gain in 1st trimester

Answer 33

1 lb / month

Question 34

Normal weight gain in 2nd trimester

Answer 34

1 lb /week

Question 35

Normal weight gain in 3rd trimester

Answer 35

1 lb / week

Question 36

Forward curve of the lumbar spine “pride of pregnancy" pregnant woman tends to stand straighter and taller than usual results in backache and fatigue

Answer 36

LORDOSIS

Question 37

Increase saliva formation (estrogen effect)

Answer 37

Hyperptyalism

Question 38

Secreted near the end of pregnancy serve to initiate labor.

Answer 38

OXYTOCIN

Question 39

FSH and LH decrease/stops secretion

Answer 39

Anovulation

Question 40

Aids fetal growth

Answer 40

Human growth | hormone