34 Questions
What is a common hematological change during pregnancy?
Thrombocytopenia
Why is it important to screen for anemia at 28 weeks in pregnant individuals?
To consider iron supplementation if needed
Which side of the renal system is most affected by hydronephrosis in pregnancy?
Right side
What is the suggested supplemental iron intake per day for pregnant individuals?
27 mg
How does pregnancy impact RBC production?
Increases RBC production
What can a platelet count below 150 x 10^9/L in pregnancy indicate?
Pre-eclampsia
What is the cause of leukocytosis during pregnancy?
Unknown cause
What physiological changes contribute to the increased Glomerular Filtration Rate (GFR) in pregnancy?
Increased renal plasma flow and hypervolemia
Why is urinary frequency common during pregnancy?
Due to increased renal flow and mass effect
Which immune system shift occurs during pregnancy to prevent attack or rejection of the placenta and fetus?
Change from pro-inflammatory TH1 to TH2 immune systems
What change in respiratory physiology contributes to the feeling of shortness of breath in pregnant individuals?
Increased functional residual capacity
Why do pregnant individuals experience supine hypotension?
Compression of the abdominal aorta by the uterus
What cardiac change is responsible for the 30-50% increase in cardiac output during pregnancy?
Increase in stroke volume
Which condition results from inadequate trophoblastic remodeling of spiral arteries during pregnancy?
Hypertensive disorders of pregnancy (HDP)
What accounts for a significant portion of pregnancy-related mortality worldwide?
Hypertensive disorders of pregnancy (HDP)
What is the main purpose of the increase in blood volume and cardiac output during pregnancy?
To maintain perfusion to the placenta
What is the significance of thrombocytopenia during pregnancy?
Indicates pre-eclampsia
Why do pregnant individuals need to be screened for anemia at 28 weeks?
To consider iron supplementation if needed
What is the cause of leukocytosis during pregnancy?
Unknown
How does pregnancy impact platelet count in terms of thrombocytopenia?
Reduces platelet count
What is the most common side affected by hydronephrosis in pregnant individuals?
Right side
How does pregnancy contribute to anemia in the first trimester?
By diluting RBC production
Why is iron supplementation important for pregnant individuals?
To prevent anemia
What is the suggested daily supplemental iron intake for pregnant individuals?
$100 mg/day
What is the reason behind the frequent urinary frequency experienced during pregnancy?
Mass effect on the bladder
Why does palmar erythema occur in pregnant individuals?
Decreased systemic vascular resistance
What contributes to the feeling of chest pain in pregnant individuals?
Rising diaphragm
Why do pregnant individuals often feel short of breath?
Enhanced respiratory drive from progesterone
What leads to an increase in functional residual capacity during pregnancy?
Rising diaphragm
What accounts for red flags when assessing tachycardia in pregnant individuals?
Significant increase in heart rate
Why is sleeping on the sides recommended for pregnant individuals?
'Normal' supine hypotension
What is the cause of systolic ejection murmur heard in pregnant individuals?
'Increased blood flow'
'Disseminated intravascular coagulation' in pregnancy may present as:
'Abnormal' hemolysis
'Palpitations' during pregnancy should be carefully monitored because they can be due to:
Thyroid dysfunction
Test your knowledge on the normal hematological changes that occur during pregnancy. Learn about increase in blood volume, cardiac output, and hematological disorders like thrombocytopenia and leukocytosis.
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