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</p> Signup and view all the answers

    How does pregnancy impact RBC production?

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

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

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

    What is the cause of leukocytosis during pregnancy?

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

    Why is urinary frequency common during pregnancy?

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

    Why do pregnant individuals experience supine hypotension?

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

    What is the significance of thrombocytopenia during pregnancy?

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

    What is the cause of leukocytosis during pregnancy?

    <p>Unknown</p> Signup and view all the answers

    How does pregnancy impact platelet count in terms of thrombocytopenia?

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

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

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

    How does pregnancy contribute to anemia in the first trimester?

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

    Why is iron supplementation important for pregnant individuals?

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

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

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

    Why does palmar erythema occur in pregnant individuals?

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

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

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

    Why do pregnant individuals often feel short of breath?

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

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

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

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

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

    Why is sleeping on the sides recommended for pregnant individuals?

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

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

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

    'Disseminated intravascular coagulation' in pregnancy may present as:

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

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

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

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