Physiology of pregnancy Flashcards

1
Q

Which direction does the uterus move as it expands?

A

Upwards

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2
Q

Cervical changes in pregnancy (3)

A

Softening
Mucus plug closes cervical canal
Increased secretions from cervical glands

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3
Q

Vulva and vaginal changes in pregnancy

A
Increased vascularity (visible veins)
More soft and moist
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4
Q

Skeletal changes in pregnancy (4)

A

Relaxation of pelvic ligaments
Increased lumbar lordosis (slouching)
Decreased calcium levels, increased calcitonin
High vitamin D for calcium absorption

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5
Q

Skin changes in pregnancy (3)

A

Linea nigra
Striae gravidarum
Chloasma gravidarum (discolouration)

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6
Q

Weight changes in pregnancy causes (4)

A
Increased appetite 
(Need 300 more calories per day) 
Pica (cravings) 
Enlargement of maternal organs 
Increased blood volume
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7
Q

What can cause shortness of breath in pregnancy

A

Splinting of the diaphragm by gravid uterus

Lung capacity decreases in pregnancy

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8
Q

What happens to peripheral resistance in pregnancy?

A

Large decrease due to vasodilation and increase in intravascular space from placenta

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9
Q

Blood pressure change in pregnancy

A

Little change because although blood volume increased, peripheral resistance decreased

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10
Q

What can cause swelling in pregnancy

A

Leak of fluids

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11
Q

What changes occur to the renal system?

A

Increased glomerular filtration due to increased blood flow
Can cause leakage of protein and glucose
Increased reabsorption
More filtrate means more urine

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12
Q

What are the five most influencing causes of the 12.5 kg weight gain

A
Fetus
Fat and breast gain
Fluid
Blood
Uterus
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13
Q

What is a result of the gastrointestinal system slowing in pregnancy

A

Constipation

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14
Q

Endometrial cycle can be divided into three phases

A

Menstrual
Proliferative
Secretory

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15
Q

What is the menstruated cycle part of

A

The endometrial cycle

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16
Q

How many days after implantation does ovulation occur

17
Q

Two phases of the ovulation cycle

A

Follicular

Luteal

18
Q

Cardiovascular system pregnancy change and symptoms

A

Increased heart rate
Due to an increase in blood volume, HR must increase to deliver larger quantity of blood around the body and to the fetus

19
Q

Respiratory system pregnancy changes and symptoms

A

Shortness of breath
Splinting of diaphragm due to expansion of gravid uterus
Decreased lung capacity

20
Q

Urinary system changes in pregnancy and symptoms

A

Needing to wee
Increased blood plasma causes more glomerular filtration and more filtrate
This causes more urine production

21
Q

Digestive system

A

Constipation
Smooth muscles relax
This slows GI system
Causes constipation

22
Q

Haematological system

A

Blood volume increases

Due to increase in blood plasma

23
Q

12 body systems

A
Cardiovascular system
Respiratory system
Digestive system
Lymphatic system
Endocrine system
Muscular system  
Skeletal system 
Urinalysis system
Haematological system
Reproductive system
Breasts
Integumentary system
24
Q

Integumentary system change

A

Increased melanocyte stimulating hormone in pregnancy causing chloasma gravidarum

25
Skeletal system
Increased lumbar lordosis (slouching) caused by weight of fundus and extending uterus
26
Muscular system
Muscle strain in uterine muscles due to expansion to facilitate growth of fetus
27
Lymphatic system
Mucus plug closes cervical canal to prevent entrance of infection causing bacteria
28
Endocrine system
Placental progesterone and oestrogen are secreted which maintain uterine lining and inhibit FSH and LH
29
Reproductive system
LH and FSH are inhibited in pregnancy so ovulation does not occur
30
Breasts
Lactogenesis I causes production of milk components in breasts starting between 16-20 weeks