Pregnancy Hematological Changes Quiz

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Questions and Answers

What is a common hematological change during pregnancy?

  • Thrombocytosis
  • Thrombocytopenia (correct)
  • Leukopenia
  • Erythrocytosis

Why is it important to screen for anemia at 28 weeks in pregnant individuals?

  • To ensure the baby's safety
  • To prevent gestational diabetes
  • To consider iron supplementation if needed (correct)
  • To detect pre-eclampsia

Which side of the renal system is most affected by hydronephrosis in pregnancy?

  • Both sides equally
  • Left side
  • None of the sides
  • Right side (correct)

What is the suggested supplemental iron intake per day for pregnant individuals?

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

How does pregnancy impact RBC production?

<p>Increases RBC production (D)</p> Signup and view all the answers

What can a platelet count below 150 x 10^9/L in pregnancy indicate?

<p>Pre-eclampsia (B)</p> Signup and view all the answers

What is the cause of leukocytosis during pregnancy?

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

What physiological changes contribute to the increased Glomerular Filtration Rate (GFR) in pregnancy?

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

Why is urinary frequency common during pregnancy?

<p>Due to increased renal flow and mass effect (B)</p> Signup and view all the answers

Which immune system shift occurs during pregnancy to prevent attack or rejection of the placenta and fetus?

<p>Change from pro-inflammatory TH1 to TH2 immune systems (D)</p> Signup and view all the answers

What change in respiratory physiology contributes to the feeling of shortness of breath in pregnant individuals?

<p>Increased functional residual capacity (A)</p> Signup and view all the answers

Why do pregnant individuals experience supine hypotension?

<p>Compression of the abdominal aorta by the uterus (D)</p> Signup and view all the answers

What cardiac change is responsible for the 30-50% increase in cardiac output during pregnancy?

<p>Increase in stroke volume (B)</p> Signup and view all the answers

Which condition results from inadequate trophoblastic remodeling of spiral arteries during pregnancy?

<p><strong>Hypertensive disorders of pregnancy (HDP)</strong> (C)</p> Signup and view all the answers

What accounts for a significant portion of pregnancy-related mortality worldwide?

<p><strong>Hypertensive disorders of pregnancy (HDP)</strong> (B)</p> Signup and view all the answers

What is the main purpose of the increase in blood volume and cardiac output during pregnancy?

<p>To maintain perfusion to the placenta (A)</p> Signup and view all the answers

What is the significance of thrombocytopenia during pregnancy?

<p>Indicates pre-eclampsia (B)</p> Signup and view all the answers

Why do pregnant individuals need to be screened for anemia at 28 weeks?

<p>To consider iron supplementation if needed (C)</p> Signup and view all the answers

What is the cause of leukocytosis during pregnancy?

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

How does pregnancy impact platelet count in terms of thrombocytopenia?

<p>Reduces platelet count (B)</p> Signup and view all the answers

What is the most common side affected by hydronephrosis in pregnant individuals?

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

How does pregnancy contribute to anemia in the first trimester?

<p>By diluting RBC production (D)</p> Signup and view all the answers

Why is iron supplementation important for pregnant individuals?

<p>To prevent anemia (B)</p> Signup and view all the answers

What is the suggested daily supplemental iron intake for pregnant individuals?

<p>$100 mg/day (B)</p> Signup and view all the answers

What is the reason behind the frequent urinary frequency experienced during pregnancy?

<p>Mass effect on the bladder (D)</p> Signup and view all the answers

Why does palmar erythema occur in pregnant individuals?

<p>Decreased systemic vascular resistance (D)</p> Signup and view all the answers

What contributes to the feeling of chest pain in pregnant individuals?

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

Why do pregnant individuals often feel short of breath?

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

What leads to an increase in functional residual capacity during pregnancy?

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

What accounts for red flags when assessing tachycardia in pregnant individuals?

<p>Significant increase in heart rate (D)</p> Signup and view all the answers

Why is sleeping on the sides recommended for pregnant individuals?

<p>'Normal' supine hypotension (B)</p> Signup and view all the answers

What is the cause of systolic ejection murmur heard in pregnant individuals?

<p>'Increased blood flow' (C)</p> Signup and view all the answers

'Disseminated intravascular coagulation' in pregnancy may present as:

<p>'Abnormal' hemolysis (A)</p> Signup and view all the answers

'Palpitations' during pregnancy should be carefully monitored because they can be due to:

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

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