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MATERNAL > Physiologic Changes > Flashcards

Physiologic Changes Flashcards

1
Q

How many times does the uterus increase in size during pregnancy

A

5x

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2
Q

Change from globular to…

A

Oval

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3
Q

Weight of the uterus when not pregnant

A

60g

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4
Q

Weight of the uterus when pregnant

A

1000g / 1kg

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5
Q

at the level of the symphysis pubis

A

12 weeks

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6
Q

halfway between symphysis pubis and umbilicus

A

16 weeks

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7
Q

at the level of the umbilicus

A

20weeks

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8
Q

two fingers above umbilicus

A

24 weeks

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9
Q

midway between umbilicus and xiphoid process

A

30

32 weeks

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10
Q

at the level of xiphoid process

A

36 weeks

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11
Q

two fingers below xiphoid process, drops its level

because of lightening

A

40 weeks

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12
Q

softening of the lower uterine

segment(isthmus)

A

Hegar’s Sign

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13
Q

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

A

Braxton
Hicks
Contractions

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14
Q 
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
A

Ballottement

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15
Q

(Uterus) Consistency of earlobe

A

Goodell’s

Sign

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16
Q 
protective mucous plug in the cervical
canal
•
serves to seal the uterus
•
protects the fetus and fetal membranes
from infection.
A

Operculum

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17
Q

purplish discoloration of the
vagina due to increase
vascularity

A

Chadwick’s

sign

18
Q

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

A

Leukorrhea

19
Q

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

A

pH more

acidic

20
Q

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

A

Linea Nigra

21
Q

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

A

Striae
Gravidarum
(Stretch
Marks)

22
Q

Silvery white streaks weeks

after birth

A

Striae

albicantes

23
Q

Mask of Pregnancy

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

due to increased
melanocyte stimulating
hormones

A

Melasma/Chloasma

24
Q 
small red or
purple clusters,
spidery
appearance on
the skin surface
due to dilation
of the
capillaries
A

Vascular spiders

or Telangiectasias

25
Q 
•
Due to Increase
activity of the
sweat glands
•
Due to
increased
metabolic rate
A

Diaphoresis

Sweatung

26
Q 
due to
disproportionate
increase between
the circulating
blood volume and
RBC
A

PSEUDOANEMIA
(Physiologic
Anemia)

27
Q

Maintains corpus luteum that produces

progesterone during first few weeks of pregnancy

A

Human Chorionic

Gonadotropin(HCG)

28
Q

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

A

Estrogen

29
Q

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

A

Progesterone

30
Q

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

A

Relaxin

31
Q

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

A

Human placental

lactogen

32
Q

Normal weight gain

A

25 to 35 pounds(11.5 to 16 kgs)

33
Q

Normal weight gain in 1st trimester

A

1 lb / month

34
Q

Normal weight gain in 2nd trimester

A

1 lb /week

35
Q

Normal weight gain in 3rd trimester

A

1 lb / week

36
Q

Forward curve of the lumbar spine

“pride of pregnancy”

pregnant woman tends to stand straighter and taller than usual

results in backache and fatigue

A

LORDOSIS

37
Q

Increase saliva
formation (estrogen
effect)

A

Hyperptyalism

38
Q

Secreted near the
end of pregnancy

serve to initiate labor.

A

OXYTOCIN

39
Q

FSH and LH decrease/stops secretion

A

Anovulation

40
Q

Aids fetal growth

A

Human growth

hormone

MATERNAL (3 decks)

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