Gestational Hypertension and Blood Components in Pregnancy

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Questions and Answers

During pregnancy, what happens to the tone of the lower esophageal sphincter?

  • It increases
  • It decreases (correct)
  • It becomes hyperactive
  • It remains the same

What causes the gums to become hyperemic, swollen, and friable during pregnancy?

  • Increased estrogen levels (correct)
  • Decreased blood circulation
  • Decreased estrogen levels
  • Increased blood sugar levels

What change occurs in the saliva produced in the mouth during pregnancy?

  • It becomes more acidic (correct)
  • It becomes more alkaline
  • It becomes thicker
  • It becomes less acidic

What is the term for the excessive salivation that some women experience during pregnancy?

<p>Ptyalism (A)</p> Signup and view all the answers

How is the motility of the gastrointestinal system affected during pregnancy?

<p>Motility decreases (A)</p> Signup and view all the answers

What is the term for displacement of the intra-abdominal portion of the esophagus into the thorax during pregnancy?

<p>Hiatal hernia (D)</p> Signup and view all the answers

What causes some women to get temporary relief from excessive salivation by gum chewing or sucking on hard candies?

<p>Decreased swallowing reflex (D)</p> Signup and view all the answers

What leads to the condition of gastroesophageal reflux disease during pregnancy?

<p>Decreased tone of lower esophageal sphincter (B)</p> Signup and view all the answers

What is the primary role of prostaglandins during pregnancy?

<p>Facilitating uterine contractions and increasing myometrial sensitivity to oxytocin (D)</p> Signup and view all the answers

Which hormone acts as an antagonist against insulin after the first trimester of pregnancy?

<p>hPL (D)</p> Signup and view all the answers

What is the function of the placenta during pregnancy?

<p>Acting as an endocrine gland and secreting hormones (C)</p> Signup and view all the answers

Which hormone is believed to be involved in softening the cervix and initiating/maintaining labor?

<p>Prostaglandins (D)</p> Signup and view all the answers

What hormone is theorized to increase myometrial sensitivity to oxytocin during pregnancy?

<p>Relaxin (B)</p> Signup and view all the answers

Which hormones are thought to oppose insulin during pregnancy?

<p>hPL, estrogen, and progesterone (C)</p> Signup and view all the answers

What is the primary role of cortisol during the last half of pregnancy?

<p>Acting against insulin (B)</p> Signup and view all the answers

Which hormone is capable of synthesizing enzymes and proteins during pregnancy?

<p>Placental lactogen (hPL) (B)</p> Signup and view all the answers

What is the reason for the increase in dental plaque, calculus, and debris deposits during pregnancy?

<p>Vascular permeability and tissue edema (D)</p> Signup and view all the answers

What contributes to constipation during pregnancy?

<p>Decreased activity level and decreased peristalsis (A)</p> Signup and view all the answers

What is a common problem for pregnant women caused by the slowed gastric emptying combined with relaxation of the cardiac sphincter?

<p>Heartburn (B)</p> Signup and view all the answers

What contributes to the formation of hemorrhoids during pregnancy?

<p>Increased venous pressure and gravid uterus pressure (B)</p> Signup and view all the answers

What contributes to acid indigestion or heartburn (pyrosis) in pregnant women?

<p>Delayed gastric emptying and decreased peristalsis (D)</p> Signup and view all the answers

What is the reason for the decline in blood pressure during pregnancy?

<p>Increased peripheral vasodilation caused by progesterone (D)</p> Signup and view all the answers

What causes the increase in cardiac output during pregnancy?

<p>Increased stroke volume (A)</p> Signup and view all the answers

What is the clinical definition of gestational hypertension?

<p>Systolic of 140 mm Hg or higher and/or diastolic of 90 mm Hg or higher after 20 weeks’ gestation (B)</p> Signup and view all the answers

What causes the physiologic anemia of pregnancy?

<p>Increase in plasma volume exceeding the increase in RBC production (D)</p> Signup and view all the answers

What contributes to the hypercoagulable state during pregnancy?

<p>Venous stasis secondary to venous pooling (C)</p> Signup and view all the answers

What happens to the respiratory system during pregnancy?

<p>Increased tidal volume and maternal hyperventilation (C)</p> Signup and view all the answers

What influences the vascularity of the respiratory tract during pregnancy?

<p>Increased sensitivity to allergens (B)</p> Signup and view all the answers

What structural alterations take place in the respiratory system during pregnancy?

<p>Temporary changes that revert back to prepregnant state (A)</p> Signup and view all the answers

What causes the predominant structural change in the renal system during pregnancy?

<p>Hormonal influences of estrogen and progesterone (A)</p> Signup and view all the answers

Why do the kidneys work harder throughout pregnancy?

<p>Increased intravascular and extracellular volume (C)</p> Signup and view all the answers

What is responsible for the increase in urine flow and volume during pregnancy?

<p>Increased levels of estrogen and progesterone (C)</p> Signup and view all the answers

What contributes to the characteristic 'waddle' gait that pregnant women demonstrate as they near term?

<p>Relaxation and increased mobility of joints due to hormones (A)</p> Signup and view all the answers

What is responsible for the development of the 'mask of pregnancy' or facial melasma in pregnant women?

<p>Increased levels of estrogen and progesterone (B)</p> Signup and view all the answers

What contributes to the postural changes of pregnancy such as an increased swayback and an upper spine extension?

<p>Increased weight gain accentuating lumbar and dorsal curves (C)</p> Signup and view all the answers

Which factor is responsible for most skin changes in pregnancy?

<p>Increased levels of estrogen and progesterone (C)</p> Signup and view all the answers

What contributes to the development of striae gravidarum or stretch marks in pregnant women?

<p>Increased levels of estrogen and progesterone (C)</p> Signup and view all the answers

What is responsible for the enlargement of the kidneys during pregnancy?

<p>Increased blood flow to the kidneys (C)</p> Signup and view all the answers

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