Pregnancy Hematological Changes Quiz

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Questions and Answers

What is the main reason for the increase in blood volume and cardiac output during pregnancy?

  • To reduce the risk of hypertension
  • To enhance the immune system of the mother
  • To prevent maternal anemia
  • To support the growth and development of the fetus (correct)

Which condition should be considered if a pregnant individual has platelets less than 150 x $10^9$ / L?

  • Pre-eclampsia (correct)
  • Pregnancy-induced hypertension
  • Gestational diabetes
  • Iron-deficiency anemia

Why is there a state of thrombocytopenia during pregnancy?

  • Caused by a decrease in plasma volume
  • Related to excessive platelet production
  • Resulting from hemodilution (correct)
  • Due to increased blood clotting

What is the recommended daily intake of supplemental iron for pregnant individuals?

<p>27 mg (B)</p> Signup and view all the answers

Which organ compresses the ureters during pregnancy, leading to hydronephrosis?

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

What is the impact of increased plasma volume on anemia during pregnancy?

<p>Exacerbates anemia by diluting red blood cells (B)</p> Signup and view all the answers

What is a common reason for leukocytosis during labor in pregnant individuals?

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

Why are iron infusions considered better but expensive for treating anemia in pregnancy?

<p>They have fewer side effects (A)</p> Signup and view all the answers

What is one protective function of the increased blood volume during pregnancy?

<p>Maintaining perfusion to the placenta with low pressure (B)</p> Signup and view all the answers

Why is it important to screen for anemia at 28 weeks of pregnancy?

<p>To adjust iron supplementation dosage if necessary (C)</p> Signup and view all the answers

Which side experiences more renal colic in pregnant individuals due to ureteral compression?

<p>Right side due to dextrorotation of the uterus (A)</p> Signup and view all the answers

What is a potential consequence if iron demands are not met during pregnancy?

<p>Impaired fetal brain development (D)</p> Signup and view all the answers

What contributes to the increased GFR in the second trimester?

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

Which change is responsible for the urinary frequency experienced in pregnancy?

<p>Increased renal flow (B)</p> Signup and view all the answers

What immune system change occurs during pregnancy to prevent attack on the placenta and fetus?

<p>Shift from TH1 to TH2 immune system (B)</p> Signup and view all the answers

Why are vaccines recommended during pregnancy?

<p>To pass immunity to the fetus (B)</p> Signup and view all the answers

What causes the shortness of breath experienced by pregnant individuals?

<p>Enhanced respiratory drive from progesterone (B)</p> Signup and view all the answers

Why do pregnant individuals often experience palpitations?

<p>Increased heart rate (A)</p> Signup and view all the answers

What is a significant cardiac change that occurs during pregnancy?

<p>L ventricle increases by 30% (A)</p> Signup and view all the answers

What is a common symptom of preeclampsia that involves inappropriate clotting and hemolysis?

<p>Disseminated intravascular coagulation (C)</p> Signup and view all the answers

How is preeclampsia diagnosed based on laboratory tests?

<p>Elevated liver function tests (D)</p> Signup and view all the answers

What is the main risk factor for developing hypertensive disorders of pregnancy?

<p>Obesity &amp; diabetes (D)</p> Signup and view all the answers

What is the main cause of hypertensive disorders of pregnancy?

<p>Inadequate blood flow to the placenta (D)</p> Signup and view all the answers

What should be recommended for patients with supine hypotension during pregnancy?

<p>Sleeping on their sides (D)</p> Signup and view all the answers

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