Physiological and Psychological Changes

Question 1

Physiological Changes can be categorized as:

Answer 1

Local and Systemic

Question 2

Confined to the reproductive organs

Answer 2

Local

Question 3

Affecting the entire body

Answer 3

Systemic

Question 4

Local Changes

Answer 4

1. Uterine Changes
2. Lightening
3. Fundal Height
4. Cervical Changes
5. Vaginal Changes
6. Breast Changes
7. Ovarian Changes

Question 5

When to use Doppler Ultrasound

Answer 5

When the mother is on her 2nd Trimester - Weeks where you can normally hear the baby’s heartbeat

Question 6

Bimanual examination

Answer 6

it shows the uterus is more anteflexed (bent forward), larger and softer to touch

Question 7

Softening of womb due to its increased blood supply

Answer 7

Hegar’s Sign

Question 8

Amenorrhea

Answer 8

absence of menstruation, occurs w pregnancy due to suppression of FSH by rising estrogen levels

Question 9

Cervical changes:

- Darkening of the cervix from pale pink-violet is due to …

Answer 9

increased vascularity

Question 10

Operculum

Answer 10

a mucus plug that seals and help prevent infection in the fetus and membranes

Question 11

Montgomery’s Tubercles

Answer 11

secretions from these glands keep the nipple from cracking and drying during lactation

Question 12

Mask of pregnancy

Answer 12

Melasma

Question 13

Fiery red branching spots

Answer 13

Vascular Spiders

Question 14

Redness and itching of hands due to increase level of estrogen

Answer 14

Palmar erythema

Question 15

Psychological Changes during the 1st, 2nd and 3rd trimester

Answer 15

1. 1st Trimester - Accepting the pregnancy
2. 2nd Trimester - Accepting the Baby
3. 3rd Trimester - Preparing for Parenthood

Question 16

Ambivalence

Answer 16

Patient’s simultaneous attraction for and against the pregnancy. Mother will have doubts as to whether she will be a good mother.

Question 17

Narcissm

Answer 17

Self-centeredness, early reaction to pregnancy

Question 18

Couvade Syndrome

Answer 18

Result of stress and empathy for the pregnant woman, men may experience these symptoms:
- nausea, vomiting and backache

Question 19

Emotional Liability

Answer 19

Mood changes

Question 20

Leopold’s Maneuver

Answer 20

a common way to determine the position of a fetus inside the woman’s uterus