Physiological Changes in Pregnancy

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Questions and Answers

What is the underlying cause of elevated liver enzymes in severe Preeclampsia?

  • Damage to platelets
  • High risk for bleeding
  • Occlusion of small vessels by platelets and damaged RBCs (correct)
  • Presence of RBCs in small vessels

In Severe Preeclampsia, why are there low platelet counts in circulation?

  • High risk for bleeding
  • Damage to platelets
  • Platelets going to the liver (correct)
  • RBC breakdown

What is a characteristic symptom of Eclampsia?

  • Macrosomia
  • Generalized clonic-tonic seizures (correct)
  • Tight glycemic control
  • Circulatory collapse

Why is sodium restriction advised for pregnant women with cardiac disorders?

<p>To observe for chest pain and dyspnea (D)</p> Signup and view all the answers

What can cause fetal anoxia during pregnancy?

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

What is a common symptom of Hydatidiform Mole?

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

What is the recommended treatment for Interrupted Pregnancy due to cervical abnormalities?

<p>Cerclage (suture to close cervix) (C)</p> Signup and view all the answers

'Missed abortion' refers to what condition?

<p>'Fetus has died in utero but not expelled spontaneously' (B)</p> Signup and view all the answers

'Pseudocyesis' is characterized by what?

<p>'Hormonal tests are negative' (B)</p> Signup and view all the answers

'ABO incompatibility' can lead to what condition in newborns?

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

Which physiological changes are associated with pregnancy-related preeclampsia?

<p>Increased weight, decreased urine output, and hyperreflexia with clonus (C)</p> Signup and view all the answers

What is the significance of Goodell, Hegar, and Chadwick signs during pregnancy?

<p>Related to uterine vascularity changes (D)</p> Signup and view all the answers

How does preeclampsia affect the renal system?

<p>Proteinuria and decreased urine output (D)</p> Signup and view all the answers

What are the main characteristics of HELLP syndrome in pregnancy complications?

<p>Low platelet count, elevated liver function tests, and hemolysis (B)</p> Signup and view all the answers

What is the significance of the term 'primigravida' in obstetrics?

<p>First pregnancy experienced by a woman (C)</p> Signup and view all the answers

How does pregnancy affect the urinary system?

<p>Increased urinary frequency and glycosuria (A)</p> Signup and view all the answers

What is the purpose of the diaphragm widening during pregnancy?

<p>To accommodate the growing uterus (B)</p> Signup and view all the answers

What is the major reason for low platelet counts in circulation in Severe Preeclampsia?

<p>Platelets are used up in repairing the damaged RBCs (D)</p> Signup and view all the answers

What is the treatment for Hydatidiform Mole?

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

What is the main cause of Macrosomia during pregnancy?

<p>High glucose levels in the mother (B)</p> Signup and view all the answers

What is the common symptom of ABO incompatibility in newborns?

<p>Jaundice (C)</p> Signup and view all the answers

What is the management approach for Gestational Diabetes?

<p>Diet alone or sliding scale insulin (B)</p> Signup and view all the answers

How can pregnancies involving Rh incompatibility be managed to prevent future complications?

<p>Providing Rhogam injections to the mother during and after pregnancy (D)</p> Signup and view all the answers

What is the common treatment for Septic Abortion?

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

What causes an Inevitable Abortion?

<p>Increased cervical dilation and blood loss (B)</p> Signup and view all the answers

What is a distinguishing feature of Ectopic Pregnancy?

<p>'Spotting' or bleeding 2-3 weeks after a missed period (B)</p> Signup and view all the answers

'Incompetent cervix' or premature dilation can lead to which type of pregnancy complication?

<p>'Recurrent spontaneous abortion' (C)</p> Signup and view all the answers

Why is rest in the lateral left side recommended for a pregnant woman with mild preeclampsia?

<p>To minimize compression of the vena cava and improve blood flow to the fetus (A)</p> Signup and view all the answers

Why is sodium restriction advised for pregnant women with cardiac disorders?

<p>To avoid increased blood pressure and heart strain (C)</p> Signup and view all the answers

What is the role of oxytocin in pregnancy?

<p>Causes rhythmic contractions of the uterus during labor (B)</p> Signup and view all the answers

What causes a decrease in glomerular filtration rate (GFR) during pregnancy?

<p>Hormonal changes leading to renal vasoconstriction (D)</p> Signup and view all the answers

How does Lordosis affect a pregnant woman's posture?

<p>Causes a forward curvature of the lumbar spine (C)</p> Signup and view all the answers

What is the significance of linea nigra in pregnant women?

<p>Marks the stretching of abdominal muscles (C)</p> Signup and view all the answers

What role does the corpus luteum play in early pregnancy?

<p>Secrete progesterone to support pregnancy until placenta forms (B)</p> Signup and view all the answers

Why does a pregnant woman experience urinary frequency?

<p>Pressure on the bladder from the growing uterus (B)</p> Signup and view all the answers

What physiological changes cause systolic heart murmurs in pregnant women?

<p>Increased cardiac output and blood flow (A)</p> Signup and view all the answers

How do Goodell, Hegar, and Chadwick signs help in assessing pregnancy progression?

<p>They signal changes in cervical and vaginal tissues (B)</p> Signup and view all the answers

What is the main cause of Macrosomia during pregnancy?

<p>Increased blood volume (B)</p> Signup and view all the answers

What is the common treatment for Septic Abortion?

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

What physiological changes cause systolic heart murmurs in pregnant women?

<p>Increased cardiac output (C)</p> Signup and view all the answers

Why does a pregnant woman experience urinary frequency?

<p>Hormonal changes (C)</p> Signup and view all the answers

'ABO incompatibility' can lead to what condition in newborns?

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

'Incompetent cervix' or premature dilation can lead to which type of pregnancy complication?

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

'Pseudocyesis' is characterized by what?

<p>False pregnancy symptoms despite negative hormonal tests (B)</p> Signup and view all the answers

'ABO incompatibility' can lead to what condition in newborns?

<p>'Fetal anoxia' (D)</p> Signup and view all the answers

'Ectopic Pregnancy' can be seen in which locations?

<p>'Fallopian tubes and ovaries' (D)</p> Signup and view all the answers

'Cardiac disorders' during pregnancy are mainly attributed to what factor?

<p>'Increased blood volume' (B)</p> Signup and view all the answers

What is the term for the number of completed term pregnancies in a pregnant woman's obstetrical history?

<p>Para (C)</p> Signup and view all the answers

Which sign is used to assess vascularity changes in the cervix during pregnancy?

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

What is the primary hormone responsible for stimulating uterine contractions after delivery?

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

Which condition during pregnancy is characterized by a high blood pressure causing damage to small blood vessels in the liver?

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

What change in blood pressure is typically observed in the third trimester of pregnancy?

<p>Increase in systolic and diastolic pressure (D)</p> Signup and view all the answers

Which physiological change during pregnancy can lead to a hypercoagulable state?

<p>Increased plasma volume (B)</p> Signup and view all the answers

What urinary condition characterized by renal and ureteral dilation is considered a normal physiological change during pregnancy?

<p>Renal calculi (C)</p> Signup and view all the answers

What is the term used for a pregnant woman who has never been pregnant before?

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

Which gland experiences a 135% increase in size during pregnancy?

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

What is the most common symptom associated with Severe Preeclampsia?

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

What causes the occlusion of small vessels in the liver in Severe Preeclampsia?

<p>Platelets (C)</p> Signup and view all the answers

Which pregnancy complication is characterized by very rapid pulse, high blood pressure, and clonic-tonic seizures?

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

What is the primary cause of Macrosomia in pregnancy?

<p>Large baby &gt;9 lbs (C)</p> Signup and view all the answers

What is the role of Human Placental Lactogen in pregnancy complications?

<p>Management of diabetes during pregnancy (B)</p> Signup and view all the answers

Which condition during pregnancy involves abnormal implantation of a fertilized ovum outside the uterine cavity?

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

What complication can arise if a pregnant woman has Rh-negative blood and the fetus has Rh-positive blood?

<p>Sepsis in the newborn (B)</p> Signup and view all the answers

Why might a woman show signs and symptoms of pregnancy without actually being pregnant?

<p>'Pseudocyesis' (C)</p> Signup and view all the answers

'Induced Abortion' may be legally performed in which situation?

<p>'Woman’s life in jeopardy due to cardiac disease' (D)</p> Signup and view all the answers

What sign of pregnancy is characterized by the dark line that forms from the pubis to the umbilicus?

<p>Linea Nigra (C)</p> Signup and view all the answers

Which physiological change during pregnancy leads to an increased risk of thrombosis?

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

What term is used to describe a pregnant woman who has never been pregnant before?

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

Which hormone stimulates rhythmic contractions of the uterus during pregnancy?

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

What is the normal range for the diastolic blood pressure of a pregnant woman in the third trimester?

<p>110 mmHg (B)</p> Signup and view all the answers

In pregnancy, what is the term used to describe a woman who has had multiple pregnancies?

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

Which change in the cardiovascular system during pregnancy may lead to systolic heart murmurs?

<ul> <li>Dilation of vessels (A)</li> </ul> Signup and view all the answers

'Lordosis' in pregnant women refers to an exaggerated ____.

<ul> <li>Curvature of the spine (A)</li> </ul> Signup and view all the answers

'Striae Gravidarum' are commonly known as ____.

<ul> <li>Stretch marks (C)</li> </ul> Signup and view all the answers

'Hyperreflexia with clonus' is a characteristic symptom of ____ in pregnant women.

<ul> <li>Severe Preeclampsia (C)</li> </ul> Signup and view all the answers

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Study Notes

  • Reproductive system changes during pregnancy include alterations in the uterus, ovaries, cervix, vagina, and breasts influenced by estrogen and blood supply changes.
  • Normal physiological changes in pregnancy affect the respiratory system (diaphragm and chest widening), cardiovascular system (blood pressure and heart position changes), gastrointestinal system (N/V, hemorrhoids, pyrosis), and endocrine system (pituitary gland enlargement, insulin needs increase).
  • Hematological changes in pregnancy involve increases in blood volume, plasma, and RBCs, leading to a hypercoagulable state due to changes in blood clotting factors.
  • Urinary system changes in pregnancy include renal dilation, changes in glomerular filtration rate, glycosuria, urinary frequency, and urinary stasis risks like pyelonephritis.
  • Pregnancy-related complications like preeclampsia can manifest as mild or severe stages with symptoms like proteinuria, hypertension, hyperreflexia, headache, and visual disturbances.
  • HELLP syndrome in preeclampsia involves hemolysis, elevated liver function tests, and low platelet count, leading to liver damage and a high risk of bleeding.
  • Eclampsia is a severe complication of preeclampsia characterized by generalized seizures, very high blood pressure, scanty urine output, and potential organ failures.
  • Complications of diabetes mellitus during pregnancy include fluctuating insulin requirements, increased risk of macrosomia, respiratory disorders in the fetus, and the potential for interrupted pregnancy.

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