Hormonal Changes During Pregnancy
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Questions and Answers

During pregnancy, which of the following is true about renal physiology?

  • GFR remains the same throughout pregnancy
  • Renal plasma flow decreases due to a decrease in plasma volume
  • Increased GFR leads to an increase in the filtered load of glucose (correct)
  • Creatinine clearance decreases due to an increase in plasma volume

What is the effect of increased Thyroid binding globulin (TBG) in pregnant women?

  • Total T3 and T4 levels decrease due to increased TBG
  • Total T3 and T4 levels remain the same despite increased TBG
  • Free T3 and T4 levels decrease due to increased TBG
  • Free T3 and T4 levels remain the same despite increased TBG (correct)

What happens to levothyroxine requirements during pregnancy in patients with hypothyroidism?

  • Levothyroxine requirements remain the same during pregnancy
  • Levothyroxine requirements decrease during pregnancy
  • Levothyroxine requirements increase during pregnancy (correct)
  • Levothyroxine is contraindicated during pregnancy

What is the primary effect of oxytocin in lactation?

<p>Promotion of uterine contractions (D)</p> Signup and view all the answers

What is a retrospective diagnosis of menopause based on?

<p>12 months of amenorrhea (C)</p> Signup and view all the answers

Which hormone shows a progressive rise during pregnancy and is responsible for the relaxation of smooth muscles including the bladder?

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

What leads to the physiological adaptation of hypercoagulability during pregnancy to decrease blood loss at delivery?

<p>Increased clotting factors (C)</p> Signup and view all the answers

Which hormone peaks in the first trimester but continues to be secreted throughout pregnancy?

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

Which factor contributes to the decrease in blood pressure in the first 24 weeks of pregnancy?

<p>Progesterone-mediated smooth muscle relaxation (C)</p> Signup and view all the answers

Which hormone demonstrates the greatest plasma levels in the latter part of pregnancy and is responsible for various metabolic effects?

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

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