physiologic changes during preg

Question 1

during pregnancy endometrium becomes specialized & is called

Answer 1

decidua

Question 2

during pregnancy uterus leaves pelvis & ascends to

Answer 2

abdominal cavity

Question 3

uterus length increases to

Answer 3

6.5 to 32 cm

Question 4

uterus depth increases to

Answer 4

2.5 to 22 cm

Question 6

uterus width expands to

Answer 6

4 to 24 cm

Question 7

uterus weight increases to

Answer 7

50-1000 g

Question 8

changes in shape and size of uterus include

Answer 8

stretching & marked hypertrophy of muscle cells

Question 9

38wk AOG, fetal head settles in pelvis to prepare for birth; breathing is much easier it seems to lighten a woman’s load

Answer 9

primigravida

Question 10

in multipara, lightening is

Answer 10

not predictable

Question 11

is a painless, irregular rhythm, infrequent, and cervix does not progress

Answer 11

false labor/braxton hicks

Question 12

it is painful, rhythmic, frequent, cervix thins and dilates

Answer 12

true labor

Question 13

Towards end of pregnancy, ___ of a woman’s blood supply is circulating through uterus at any given time

Answer 13

1/6

Question 14

Pre-pregnancy blood flow

Answer 14

15 to 20 mL/min

Question 15

during rregnancy blood flow increases to

Answer 15

500 to 750 mL/min, with 75% going to placenta

Question 16

one finger of an examiner is placed in vaginaother hand on abdomen

Answer 16

bimanual pelvic exam

Question 17

tenacious coating of mucus plug seals out bacteria during pregnancy
helps prevent infection in fetus and membranes

Answer 17

operculum

Question 18

these makes the cervix swollen and softer during pregnancy

Answer 18

estrogen and progesterone

Question 19

towards labor, what happens to cervix

Answer 19

decreases in length and opens

Question 20

vaginal mucosa becomes dark-bluish red & congested

Answer 20

chadwick’s sign

Question 21

during labor, vagina becomes hypertrophic and enriched with

Answer 21

glycogen

Question 22

increased estrogen & progesterone sends negative feedback to anterior pituitary to halt production of

Answer 22

FSH & LH

Question 22

main source of progesterone until 8 wks & is completely obliterated by 20 wks

Answer 22

corpus luteum

Question 23

is produced at the end of pregnancy

Answer 23

colostrum

Question 24

hypertrophic sebaceous glands at each areola secretions keep nipples supple and helps prevent cracking and drying during lactation

Answer 24

glands of montgomery

Question 25

CO increased by __% as early as 5 wks AOG

Answer 25

25-50

Question 26

Resting HR increases by ___ BPM

Answer 26

10-15

Question 27

heart is displaced to the

Answer 27

left and upward

Question 28

apex is moved ___, producing larger cardiac silhoutte on chest radiograph

Answer 28

laterally

Question 29

this happens due to upward displacement of diaphragm greater awareness of a desire to breathe even without cardiopulmonary abnormalities

Answer 29

physiologic dyspnea

Question 30

physiologic dyspnea is mainly due to

Answer 30

progesterone

Question 31

nausea & vomiting in 70% of pregnancies typically resolve by 14–16 weeks elevations in estrogen, progesterone, HCG hypoglycemia

Answer 31

morning sickness

Question 32

pathologic morning sickness associated with weightloss, ketosis, and loss of electrolytes

Answer 32

hyperemesis gravidarum

Question 33

this happens due to reflux of acidic secretions altered stomach position reduction in LES tone increased intragastric pressure decreased peristalsis

Answer 33

heart burn or pyrosis

Question 34

__ impairs gallbladder contraction increasing risk for gallstones

Answer 34

progesterone

Question 35

Pregnancy is a ___ state

Answer 35

hyperestrogenic

Question 36

this functions to ensure lactation

Answer 36

prolactin

Question 37

increased close to term needed for uterine contraction

Answer 37

oxytocin

Question 38

increased due to hyperplasia of thyroid gland

Answer 38

thyroid hormones (T3&T4)

Question 39

transient pregnancy related

Answer 39

memory decline

Question 40

brownish opacities on posterior cornea

Answer 40

krukenberg spindles

Question 41

shift of center of gravity over lower extremities joint laxity and discomfort

Answer 41

progressive lordosis