Physiological Adaptations To Pregnancy Flashcards

1
Q

What happens to blood volume and why?

A

Blood volume increases by 40%
To supply the placenta and baby

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2
Q

What happens during haemodilution?

A

Haemoglobin in pregnant women drops and there is more plasma but no increase to RBC

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3
Q

What happens to cardiac output?

A

Increases from 6 weeks gestation

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4
Q

what happens to RBC?

A

They expand in size to meet requirements of foetus and placenta

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5
Q

Why does folate metabolite increase?

A

Required for foetus growth
Helps with iron development

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6
Q

What happens to blood and why?

A

Able to clot more easily as changes to haemostatic components
Helpful in stopping bleeding post partum

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7
Q

What’s happens to the heart?

A

Size increases
Blood volume and cardiac output increases as more blood is pumped around the body
Faster heart rate

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8
Q

Why does the heart rate increase?

A

Peripheral resistance is decreased

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9
Q

What happens to breasts during pregnancy?

A

Increased blood flow to grow mammary glands for breastfeeding

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10
Q

Liver?

A

Increased metabolism

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11
Q

Why do pregnant women feel warmer?

A

Increased blood flow to skin and nose
Nosebleeds likley

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12
Q

Consequences of reduced venous blood return in the legs

A

Veracous veins and haemorrhoids

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13
Q

What happens to the respiratory system?

A

Diaphragm is pushed upwards
Diameter of chest increases

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14
Q

What’s does an increase to inspirational capacity mean?

A

Women will breathe more

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15
Q

What does progesterone do to the respiratory centre?

A

Mum becomes more sensitive to CO2
will take CO2 from baby more easily
Mum may feel out of breath when sitting down

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16
Q

Consequence of elongated ureters

A

Kinks may form
UTI

17
Q

Why must tubular reabsorption increase?

A

To prevent loss of calcium, sodium, chloride and water

18
Q

Which hormone is responsible for the kidney changes?

A

Progesterone

19
Q

Why do someone women pee themselves?

A

Decrease in bladder tone

20
Q

Why do women get swelling in their legs and ankles?

A

Water retention
Renin-angiotensin-aldosterone system is altered

21
Q

Why do pregnant women get more hungry?

A

Progesterone is an appetite stimulant

22
Q

Pica

A

Craving non food substances

23
Q

Why do gums become swollen and bleed easily?

A

Drop in saliva pH therefore more acidity

24
Q

Why does heartburn happen?

A

Progesterone relaxes cardiac sphincter so gastric acid can enter the oesophagus

25
Q

What happens in the stomach?

A

Progesterone reduces stomach mobility so food takes longer to diesgt and more nutrients can be absorbed

26
Q

Why does constipation happen?

A

More water is absorbed due to increase transit time

27
Q

Why does the anterior pituitary gland gain 30-50% in weight?

A

Due to prolactin secreting cells

28
Q

What does fetoplacental hormones do?

A

Influence the pituitary gland to inhibit FSH and LH
hCG release

29
Q

What does the thyroid gland do?

A

Hyperthyroidism is mimicked and foetus requires thyroxine

30
Q

Consequences of cortisol levels increase

A

Insulin resistance
Gestational diabetes
Fat stores begin to break down

31
Q

The uterus

A

Increases in size and weight
Blood flow increases by 10 fold

32
Q

Function of oestrogen

A

Promotes muscle fibre growth

33
Q

Function of progesterone

A

Maintenance of inactivity of myometrium so uterus does not contract so no early Labour

34
Q

Cervix

A

Fall in smooth muscle from fungus to cervix
Increase in mass and water content
Progesterone cause endocervical cells to secrete mucus (mucus plug) which blocked any infections

35
Q

Oestradiol

A

Makes cervix more likely to get damaged

36
Q

Changes to vagina

A

Shedding of epithelium superficial cells (more discharge)

pH becomes more acidic to fight infection
More likely to get thrush