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Questions and Answers
Which cells within the myometrium increase in size during early pregnancy?
Which cells within the myometrium increase in size during early pregnancy?
- Placental cells
- Epithelial cells
- Myometrial cells (correct)
- Endometrial cells
What is the major component of myometrial growth after mid-gestation?
What is the major component of myometrial growth after mid-gestation?
- Hypertrophy of uterine smooth muscle cells (correct)
- Increase in the size of placental cells
- Proliferation of endometrial cells
- Hyperplasia of uterine smooth muscle cells
Which statement best describes the physical changes of pregnancy?
Which statement best describes the physical changes of pregnancy?
- They occur with startling speed and every woman reacts uniquely. (correct)
- They are uncomfortable for every woman and occur at a similar pace.
- They occur slowly and uniformly in all women.
- They occur gradually and are reversible after childbirth.
What is the role of many adaptations during pregnancy?
What is the role of many adaptations during pregnancy?
What occurs as a result of both hyperplasia and hypertrophy of myometrial cells?
What occurs as a result of both hyperplasia and hypertrophy of myometrial cells?
Which changes persist for life after childbirth?
Which changes persist for life after childbirth?
What is the cause of thrush in neonates born to mothers with symptomatic vulvovaginal candidiasis?
What is the cause of thrush in neonates born to mothers with symptomatic vulvovaginal candidiasis?
During pregnancy, when do the ovaries reach their maximum size?
During pregnancy, when do the ovaries reach their maximum size?
Why does ovulation cease during pregnancy?
Why does ovulation cease during pregnancy?
Which hormone production supports the pregnancy until about weeks 6 to 7?
Which hormone production supports the pregnancy until about weeks 6 to 7?
What causes the breasts to increase in fullness, become tender, and grow larger throughout pregnancy?
What causes the breasts to increase in fullness, become tender, and grow larger throughout pregnancy?
What makes the nipples and the areola deeply pigmented during pregnancy?
What makes the nipples and the areola deeply pigmented during pregnancy?
What keeps the nipples lubricated for breastfeeding?
What keeps the nipples lubricated for breastfeeding?
What leads to striae (stretch marks) in approximately half of all pregnant women?
What leads to striae (stretch marks) in approximately half of all pregnant women?
What happens to the diameter of the main uterine artery during pregnancy?
What happens to the diameter of the main uterine artery during pregnancy?
What are the spontaneous, irregular, and painless contractions that begin during the first trimester of pregnancy called?
What are the spontaneous, irregular, and painless contractions that begin during the first trimester of pregnancy called?
What does the softening and compressibility of the lower uterine segment result in?
What does the softening and compressibility of the lower uterine segment result in?
What does the acute hemodynamic change, termed supine hypotensive syndrome, cause during pregnancy?
What does the acute hemodynamic change, termed supine hypotensive syndrome, cause during pregnancy?
At approximately what gestational weeks does the fundus reach its highest level, at the xiphoid process?
At approximately what gestational weeks does the fundus reach its highest level, at the xiphoid process?
What is the term for the softening of the cervix due to vasocongestion and the influence of estrogen?
What is the term for the softening of the cervix due to vasocongestion and the influence of estrogen?
What causes Chadwick sign, a cyanosis or bluish purple discoloration of the cervix?
What causes Chadwick sign, a cyanosis or bluish purple discoloration of the cervix?
What happens to vaginal secretions during pregnancy?
What happens to vaginal secretions during pregnancy?
What does leukorrhea refer to during pregnancy?
What does leukorrhea refer to during pregnancy?
What does cervical ripening involve in preparation for labor?
What does cervical ripening involve in preparation for labor?
What happens to the vaginal vault during pregnancy in preparation for birth?
What happens to the vaginal vault during pregnancy in preparation for birth?
What is the cause of uterine growth in early pregnancy?
What is the cause of uterine growth in early pregnancy?
Which factor causes the major component of myometrial growth after mid-gestation?
Which factor causes the major component of myometrial growth after mid-gestation?
What happens to the diameter of the main uterine artery during pregnancy?
What happens to the diameter of the main uterine artery during pregnancy?
What causes Chadwick sign, a cyanosis or bluish purple discoloration of the cervix?
What causes Chadwick sign, a cyanosis or bluish purple discoloration of the cervix?
What is the term for the softening of the cervix due to vasocongestion and the influence of estrogen?
What is the term for the softening of the cervix due to vasocongestion and the influence of estrogen?
What keeps the nipples lubricated for breastfeeding?
What keeps the nipples lubricated for breastfeeding?
What causes the breasts to increase in fullness, become tender, and grow larger throughout pregnancy?
What causes the breasts to increase in fullness, become tender, and grow larger throughout pregnancy?
What does cervical ripening involve in preparation for labor?
What does cervical ripening involve in preparation for labor?
What happens to vaginal secretions during pregnancy?
What happens to vaginal secretions during pregnancy?
What does the softening and compressibility of the lower uterine segment result in?
What does the softening and compressibility of the lower uterine segment result in?
What causes thrush in neonates born to mothers with symptomatic vulvovaginal candidiasis?
What causes thrush in neonates born to mothers with symptomatic vulvovaginal candidiasis?
What are the spontaneous, irregular, and painless contractions that begin during the first trimester of pregnancy called?
What are the spontaneous, irregular, and painless contractions that begin during the first trimester of pregnancy called?
What is a potential consequence of symptomatic vulvovaginal candidiasis in pregnant women?
What is a potential consequence of symptomatic vulvovaginal candidiasis in pregnant women?
Why are the ovaries not palpable after approximately the 12th to 14th week of gestation?
Why are the ovaries not palpable after approximately the 12th to 14th week of gestation?
What causes the breasts to become highly vascular and the veins to become visible under the skin during pregnancy?
What causes the breasts to become highly vascular and the veins to become visible under the skin during pregnancy?
What leads to the appearance of striae (stretch marks) in approximately half of all pregnant women?
What leads to the appearance of striae (stretch marks) in approximately half of all pregnant women?
What is the role of colostrum in pregnancy?
What is the role of colostrum in pregnancy?
What happens to ovulation during pregnancy?
What happens to ovulation during pregnancy?
What causes neonates born to mothers with symptomatic vulvovaginal candidiasis to develop an oral infection known as thrush?
What causes neonates born to mothers with symptomatic vulvovaginal candidiasis to develop an oral infection known as thrush?
What is responsible for causing striae (stretch marks) in many pregnant women?
What is responsible for causing striae (stretch marks) in many pregnant women?
What takes over the major production of progesterone around weeks 6 to 7 of pregnancy?
What takes over the major production of progesterone around weeks 6 to 7 of pregnancy?
What happens to vaginal secretions during pregnancy?
What happens to vaginal secretions during pregnancy?
What causes the breasts to become tender and grow larger throughout pregnancy?
What causes the breasts to become tender and grow larger throughout pregnancy?
Why does ovulation cease during pregnancy?
Why does ovulation cease during pregnancy?
What is the purpose of the enlargement of the main uterine artery during pregnancy?
What is the purpose of the enlargement of the main uterine artery during pregnancy?
What is the term for the painless contractions that thin out or efface the cervix before birth?
What is the term for the painless contractions that thin out or efface the cervix before birth?
What causes the supine hypotensive syndrome experienced by pregnant women?
What causes the supine hypotensive syndrome experienced by pregnant women?
What does the term 'lightening' refer to in pregnancy?
What does the term 'lightening' refer to in pregnancy?
What is the purpose of cervical ripening in preparation for labor?
What is the purpose of cervical ripening in preparation for labor?
What physiological change occurs within the vagina during pregnancy?
What physiological change occurs within the vagina during pregnancy?
What is the significance of leukorrhea during pregnancy?
What is the significance of leukorrhea during pregnancy?
What role does progesterone play in cervical changes during early pregnancy?
What role does progesterone play in cervical changes during early pregnancy?
What does Chadwick sign indicate during pregnancy?
What does Chadwick sign indicate during pregnancy?
What changes occur to fundal height as pregnancy progresses?
What changes occur to fundal height as pregnancy progresses?
What causes an increase in urinary frequency during early pregnancy?
What causes an increase in urinary frequency during early pregnancy?
What physiological changes occur within the lower portion of the uterus (the isthmus) as pregnancy progresses?
What physiological changes occur within the lower portion of the uterus (the isthmus) as pregnancy progresses?
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Study Notes
Uterus and Pregnancy
- During early pregnancy, myometrial cells increase in size.
- The major component of myometrial growth after mid-gestation is due to estrogens.
- Physical changes during pregnancy include uterine growth, breast changes, and cervical softening.
Breast Changes
- The breasts increase in fullness, become tender, and grow larger throughout pregnancy due to hormonal changes.
- The nipples and areola become deeply pigmented during pregnancy due to hormonal changes.
- The nipples are kept lubricated for breastfeeding by hormonal changes.
Cervical Changes
- The cervix softens due to vasocongestion and the influence of estrogen, known as Goodell's sign.
- Chadwick sign is a cyanosis or bluish purple discoloration of the cervix caused by vasocongestion.
- Cervical ripening involves softening, effacement, and dilatation in preparation for labor.
Uterine and Arterial Changes
- The diameter of the main uterine artery increases during pregnancy.
- The softening and compressibility of the lower uterine segment result in Braxton Hicks contractions.
Other Changes
- Thrush in neonates born to mothers with symptomatic vulvovaginal candidiasis is caused by vertical transmission.
- Striae (stretch marks) occur in approximately half of all pregnant women due to skin stretching.
- Supine hypotensive syndrome is an acute hemodynamic change that causes lightheadedness in pregnant women.
Labor Preparation
- Cervical ripening involves softening, effacement, and dilatation in preparation for labor.
- The vaginal vault prepares for birth by increasing secretions and expanding.
- The fundus reaches its highest level at the xiphoid process around 36 weeks of gestation.
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