24 Questions
What is the main reason for the increase in blood volume and cardiac output during pregnancy?
To support the growth and development of the fetus
Which condition should be considered if a pregnant individual has platelets less than 150 x $10^9$ / L?
Pre-eclampsia
Why is there a state of thrombocytopenia during pregnancy?
Resulting from hemodilution
What is the recommended daily intake of supplemental iron for pregnant individuals?
27 mg
Which organ compresses the ureters during pregnancy, leading to hydronephrosis?
Uterus
What is the impact of increased plasma volume on anemia during pregnancy?
Exacerbates anemia by diluting red blood cells
What is a common reason for leukocytosis during labor in pregnant individuals?
Hormonal changes
Why are iron infusions considered better but expensive for treating anemia in pregnancy?
They have fewer side effects
What is one protective function of the increased blood volume during pregnancy?
Maintaining perfusion to the placenta with low pressure
Why is it important to screen for anemia at 28 weeks of pregnancy?
To adjust iron supplementation dosage if necessary
Which side experiences more renal colic in pregnant individuals due to ureteral compression?
Right side due to dextrorotation of the uterus
What is a potential consequence if iron demands are not met during pregnancy?
Impaired fetal brain development
What contributes to the increased GFR in the second trimester?
Hypervolemia
Which change is responsible for the urinary frequency experienced in pregnancy?
Increased renal flow
What immune system change occurs during pregnancy to prevent attack on the placenta and fetus?
Shift from TH1 to TH2 immune system
Why are vaccines recommended during pregnancy?
To pass immunity to the fetus
What causes the shortness of breath experienced by pregnant individuals?
Enhanced respiratory drive from progesterone
Why do pregnant individuals often experience palpitations?
Increased heart rate
What is a significant cardiac change that occurs during pregnancy?
L ventricle increases by 30%
What is a common symptom of preeclampsia that involves inappropriate clotting and hemolysis?
Disseminated intravascular coagulation
How is preeclampsia diagnosed based on laboratory tests?
Elevated liver function tests
What is the main risk factor for developing hypertensive disorders of pregnancy?
Obesity & diabetes
What is the main cause of hypertensive disorders of pregnancy?
Inadequate blood flow to the placenta
What should be recommended for patients with supine hypotension during pregnancy?
Sleeping on their sides
Test your knowledge on the normal hematological changes that occur during pregnancy, including increase in blood volume, cardiac output, and hematological disorders such as thrombocytopenia and leukocytosis.
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