patho chapter 22 test review
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Questions and Answers

What is the primary purpose of amniocentesis during pregnancy?

  • To check for fetal heartbeat
  • To assess chemical contents of the amniotic fluid (correct)
  • To analyze maternal blood volume
  • To determine the due date
  • What does the term 'gravidity' refer to in the context of pregnancy?

  • The number of live births a woman has had
  • The number of pregnancies a woman has carried (correct)
  • The history of fetal viability
  • The length of each pregnancy
  • What is a common physiological change in the cardiovascular system during pregnancy?

  • Reduced cardiac output
  • Increased blood volume (correct)
  • Decreased heart rate
  • Decreased blood pressure throughout the pregnancy
  • Which of the following is a risk associated with fetal alcohol syndrome?

    <p>Neurological and intellectual impairment</p> Signup and view all the answers

    Which of the following accurately describes the first trimester of pregnancy?

    <p>Causes significant changes in hormone levels</p> Signup and view all the answers

    What can an excessive increase in blood glucose levels during the first trimester lead to?

    <p>Developmental abnormalities in the fetus</p> Signup and view all the answers

    What is a common maternal response to hormonal changes during pregnancy?

    <p>Lowered immunity to infections</p> Signup and view all the answers

    Which condition can develop due to significant changes in blood pressure during pregnancy?

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

    What does the term 'multipara' specifically refer to?

    <p>A woman who has completed two or more viable pregnancies</p> Signup and view all the answers

    What is a primary risk factor for developing gestational diabetes mellitus?

    <p>History of high-birth-weight infants</p> Signup and view all the answers

    What condition involves the premature separation of the placenta from the uterine wall?

    <p>Abruptio placentae</p> Signup and view all the answers

    What symptom is commonly associated with abruptio placentae?

    <p>Abdominal pain</p> Signup and view all the answers

    Which of the following is a serious complication associated with conditions like abruptio placentae?

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

    Which factor may help address blood clotting problems?

    <p>Walking and movement</p> Signup and view all the answers

    What condition arises from an embolus flowing with venous blood?

    <p>Pulmonary embolism</p> Signup and view all the answers

    What is a common problem faced by adolescent mothers during pregnancy?

    <p>Increased nutritional needs</p> Signup and view all the answers

    Which of the following factors increases the risk of complications during adolescent pregnancy?

    <p>Lack of prenatal care</p> Signup and view all the answers

    What does thrombophlebitis refer to?

    <p>Clot formation over inflamed veins</p> Signup and view all the answers

    What is a typical outcome for babies born to adolescent mothers?

    <p>Increased likelihood of preterm birth</p> Signup and view all the answers

    Which condition is characterized by multiple blood clots due to increased activation of clotting mechanisms?

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

    What is the primary characteristic of teratogens?

    <p>They cause developmental abnormalities.</p> Signup and view all the answers

    How is gestational age typically calculated?

    <p>From the first day of the last menstrual period (LMP).</p> Signup and view all the answers

    What does the term 'primigravida' refer to?

    <p>A woman who is currently pregnant for the first time.</p> Signup and view all the answers

    What complication is associated with preeclampsia?

    <p>Progressively higher blood pressure.</p> Signup and view all the answers

    What is a common dietary requirement increase during pregnancy?

    <p>Increased protein and iron intake.</p> Signup and view all the answers

    What type of sampling is typically performed after 14 weeks to check for genetic disorders?

    <p>Amniocentesis.</p> Signup and view all the answers

    What is one effect of hormonal changes during pregnancy?

    <p>Increased estrogen and progesterone levels.</p> Signup and view all the answers

    Which of the following conditions may require a cesarean section to mitigate maternal risk?

    <p>Eclampsia.</p> Signup and view all the answers

    What impact can smoking during pregnancy have on the newborn?

    <p>Increased chance of congenital heart defects.</p> Signup and view all the answers

    What is the typical range for average weight gain during pregnancy?

    <p>25-30 pounds.</p> Signup and view all the answers

    What is a common symptom associated with abruptio placentae?

    <p>Bright red painless bleeding</p> Signup and view all the answers

    Which factor is not typically associated with conditions that lead to disseminated intravascular coagulation?

    <p>Preterm labor</p> Signup and view all the answers

    What complication is frequently observed in adolescent mothers during pregnancy?

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

    What immediate risk can occur following a motor vehicle accident during pregnancy?

    <p>Abruptio placentae</p> Signup and view all the answers

    What may occur as a result of an embolus breaking away from a thrombus?

    <p>Pulmonary embolus</p> Signup and view all the answers

    Which of the following is commonly recommended to help with blood clotting problems?

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

    What is a significant concern for babies born to mothers who are adolescents?

    <p>Increased preterm births</p> Signup and view all the answers

    What can lead to hemorrhage and tissue ischemia in the context of clotting disorders?

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

    What is a common location for blood clots to develop in the postpartum period?

    <p>Veins of the legs or pelvis</p> Signup and view all the answers

    Which of the following describes thromboembolism?

    <p>Clots that can lead to blockage in the lungs</p> Signup and view all the answers

    Bright red bleeding during pregnancy is always considered a normal sign.

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

    Blood clots after childbirth commonly develop in the veins of the legs or pelvis.

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

    Adolescent mothers have lower nutritional needs compared to adult mothers.

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

    Abruptio placentae can occur spontaneously or due to a motor vehicle accident.

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

    Pulmonary embolus is a potential risk when a piece of the thrombus breaks away and enters circulation.

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

    Disseminated intravascular coagulation is a condition that increases clotting mechanisms leading to fewer blood clots.

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

    Anemia is often seen as a problem in mothers during adolescent pregnancies.

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

    Abdominal pain is uncommon in cases of abruptio placentae.

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

    Pregnancy-induced hypertension is less common in adolescents compared to older mothers.

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

    Blood thinners are never used to help with blood clotting problems after childbirth.

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

    Teratogens are substances that can cause developmental abnormalities.

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

    A woman classified as primigravida has been pregnant multiple times.

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

    Nausea and vomiting during pregnancy occur primarily in the second trimester.

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

    Chorionic villi sampling (CVS) is performed after 14 weeks of pregnancy.

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

    Heart rate typically increases slightly during pregnancy.

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

    Placenta previa occurs when the placenta is implanted in the upper uterus.

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

    Gestational diabetes mellitus affects 10% to 15% of pregnant women.

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

    The average weight gain during pregnancy is about 15-20 pounds.

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

    Increased levels of estrogen and progesterone are essential for maintaining pregnancy.

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

    Study Notes

    Teratogens and Their Effects

    • Teratogens are substances or situations causing developmental abnormalities in a fetus.
    • Exposure to viruses, smoking, or second-hand smoke increases risks like low birth weight, irritability, and possible stillbirth.
    • Alcohol consumption throughout pregnancy can lead to fetal alcohol syndrome, impacting neurological and intellectual development.
    • Radiation and some medications, including herbal remedies, pose risks during pregnancy.

    Pregnancy Overview

    • Pregnancy is divided into three trimesters, approximately three months each.
    • Laboratory diagnosis of pregnancy involves detecting human chorionic gonadotropin (hCG) in plasma or urine.

    Signs and Calculations

    • Absolute signs later in pregnancy include detectable fetal heartbeat via auscultation or ultrasound.
    • Estimated date of delivery (EDD) calculated using Naegele’s rule; adjustments needed for irregular cycles.
    • Gestational age is usually two weeks longer than biological age based on the last menstrual period (LMP) with a typical duration of 280 days (40 weeks).

    Gravidity and Parity

    • Gravidity refers to the number of pregnancies, while parity indicates the number of viable pregnancies.
    • Primigravida denotes a woman pregnant for the first time, whereas multipara refers to those who have completed two or more viable pregnancies.

    Prenatal Diagnostics

    • Amniocentesis entails checking amniotic fluid for disorders after 14 weeks, involving fluid withdrawal for chemical analysis and chromosome culture.
    • Chorionic villi sampling (CVS) offers an earlier alternative for chromosomal examination in high-risk pregnancies.

    Hormonal Changes During Pregnancy

    • Estrogen and progesterone levels rise, aiding uterine development and pregnancy maintenance.
    • Increased thyroid hormone production (thyroxine) to meet maternal and fetal needs raises metabolism, causing heat intolerance.

    Reproductive System Adaptations

    • Uterus size increases, with muscle cells hypertrophying, cervix and vagina becoming more vascularized, and the tissue softening.
    • Increased cervical mucus forms a cervical plug, protecting uterine contents and leading to more acidic secretions.

    Weight Gain and Nutritional Needs

    • Average weight gain during pregnancy is 25-30 pounds (11-13 kg), accommodating enlarging uterus, breasts, and increased blood volume.
    • Nutritional demands rise for proteins, carbohydrates, fats, and essential vitamins/minerals, particularly iron and calcium.

    Digestive System Changes

    • Common early pregnancy symptoms include nausea and vomiting, influenced by hormonal changes.
    • Digestive tract motility decreases due to progesterone, causing slower stomach emptying and potential heartburn and constipation.

    Cardiovascular Changes

    • Blood volume increases significantly, including both fluids and erythrocytes to support the fetus.
    • Heart rate may increase slightly with blood pressure dropping in early trimesters then rising to normal levels later.
    • Pregnancy can lead to the development of varicose veins.

    Hypertensive Disorders

    • Preeclampsia involves rising blood pressure and signs of kidney dysfunction; can progress to HELLP syndrome (Hemolysis, Elevated Liver enzymes, Low Platelets).
    • Eclampsia presents extremely high blood pressure, potentially causing seizures or coma, and increasing stroke risk; may necessitate cesarean delivery.

    Gestational Diabetes Mellitus

    • Occurs in 2-5% of pregnancies, with high blood glucose levels posing risks in the first trimester.
    • Newborns may be large for gestational age and experience issues like hypoglycemia after birth; glucose monitoring and proper management are crucial.

    Placental Complications

    • Placenta previa involves the placenta implanting low in the uterus, risking tearing and causing painless bright red bleeding.
    • Abruptio placentae entails premature detachment of the placenta from the uterine wall, often presenting as abdominal pain with bleeding.

    Blood Clotting and Complications

    • Thromboembolism is common postpartum, where clots typically form in the legs or pelvis.
    • Factors like movement, walking, and blood thinners can mitigate clotting issues; serious conditions may lead to disseminated intravascular coagulation (DIC) characterized by excessive clotting.

    Adolescent Pregnancy Considerations

    • Teen mothers face increased nutritional demands and heightened risk of complications, with common issues like anemia.
    • Babies born to younger mothers are often smaller or preterm, and labor may be complicated due to underdeveloped pelvic structures.

    Teratogens and Their Effects

    • Teratogens are substances or situations causing developmental abnormalities in a fetus.
    • Exposure to viruses, smoking, or second-hand smoke increases risks like low birth weight, irritability, and possible stillbirth.
    • Alcohol consumption throughout pregnancy can lead to fetal alcohol syndrome, impacting neurological and intellectual development.
    • Radiation and some medications, including herbal remedies, pose risks during pregnancy.

    Pregnancy Overview

    • Pregnancy is divided into three trimesters, approximately three months each.
    • Laboratory diagnosis of pregnancy involves detecting human chorionic gonadotropin (hCG) in plasma or urine.

    Signs and Calculations

    • Absolute signs later in pregnancy include detectable fetal heartbeat via auscultation or ultrasound.
    • Estimated date of delivery (EDD) calculated using Naegele’s rule; adjustments needed for irregular cycles.
    • Gestational age is usually two weeks longer than biological age based on the last menstrual period (LMP) with a typical duration of 280 days (40 weeks).

    Gravidity and Parity

    • Gravidity refers to the number of pregnancies, while parity indicates the number of viable pregnancies.
    • Primigravida denotes a woman pregnant for the first time, whereas multipara refers to those who have completed two or more viable pregnancies.

    Prenatal Diagnostics

    • Amniocentesis entails checking amniotic fluid for disorders after 14 weeks, involving fluid withdrawal for chemical analysis and chromosome culture.
    • Chorionic villi sampling (CVS) offers an earlier alternative for chromosomal examination in high-risk pregnancies.

    Hormonal Changes During Pregnancy

    • Estrogen and progesterone levels rise, aiding uterine development and pregnancy maintenance.
    • Increased thyroid hormone production (thyroxine) to meet maternal and fetal needs raises metabolism, causing heat intolerance.

    Reproductive System Adaptations

    • Uterus size increases, with muscle cells hypertrophying, cervix and vagina becoming more vascularized, and the tissue softening.
    • Increased cervical mucus forms a cervical plug, protecting uterine contents and leading to more acidic secretions.

    Weight Gain and Nutritional Needs

    • Average weight gain during pregnancy is 25-30 pounds (11-13 kg), accommodating enlarging uterus, breasts, and increased blood volume.
    • Nutritional demands rise for proteins, carbohydrates, fats, and essential vitamins/minerals, particularly iron and calcium.

    Digestive System Changes

    • Common early pregnancy symptoms include nausea and vomiting, influenced by hormonal changes.
    • Digestive tract motility decreases due to progesterone, causing slower stomach emptying and potential heartburn and constipation.

    Cardiovascular Changes

    • Blood volume increases significantly, including both fluids and erythrocytes to support the fetus.
    • Heart rate may increase slightly with blood pressure dropping in early trimesters then rising to normal levels later.
    • Pregnancy can lead to the development of varicose veins.

    Hypertensive Disorders

    • Preeclampsia involves rising blood pressure and signs of kidney dysfunction; can progress to HELLP syndrome (Hemolysis, Elevated Liver enzymes, Low Platelets).
    • Eclampsia presents extremely high blood pressure, potentially causing seizures or coma, and increasing stroke risk; may necessitate cesarean delivery.

    Gestational Diabetes Mellitus

    • Occurs in 2-5% of pregnancies, with high blood glucose levels posing risks in the first trimester.
    • Newborns may be large for gestational age and experience issues like hypoglycemia after birth; glucose monitoring and proper management are crucial.

    Placental Complications

    • Placenta previa involves the placenta implanting low in the uterus, risking tearing and causing painless bright red bleeding.
    • Abruptio placentae entails premature detachment of the placenta from the uterine wall, often presenting as abdominal pain with bleeding.

    Blood Clotting and Complications

    • Thromboembolism is common postpartum, where clots typically form in the legs or pelvis.
    • Factors like movement, walking, and blood thinners can mitigate clotting issues; serious conditions may lead to disseminated intravascular coagulation (DIC) characterized by excessive clotting.

    Adolescent Pregnancy Considerations

    • Teen mothers face increased nutritional demands and heightened risk of complications, with common issues like anemia.
    • Babies born to younger mothers are often smaller or preterm, and labor may be complicated due to underdeveloped pelvic structures.

    Teratogens and Their Effects

    • Teratogens are substances or situations causing developmental abnormalities in a fetus.
    • Exposure to viruses, smoking, or second-hand smoke increases risks like low birth weight, irritability, and possible stillbirth.
    • Alcohol consumption throughout pregnancy can lead to fetal alcohol syndrome, impacting neurological and intellectual development.
    • Radiation and some medications, including herbal remedies, pose risks during pregnancy.

    Pregnancy Overview

    • Pregnancy is divided into three trimesters, approximately three months each.
    • Laboratory diagnosis of pregnancy involves detecting human chorionic gonadotropin (hCG) in plasma or urine.

    Signs and Calculations

    • Absolute signs later in pregnancy include detectable fetal heartbeat via auscultation or ultrasound.
    • Estimated date of delivery (EDD) calculated using Naegele’s rule; adjustments needed for irregular cycles.
    • Gestational age is usually two weeks longer than biological age based on the last menstrual period (LMP) with a typical duration of 280 days (40 weeks).

    Gravidity and Parity

    • Gravidity refers to the number of pregnancies, while parity indicates the number of viable pregnancies.
    • Primigravida denotes a woman pregnant for the first time, whereas multipara refers to those who have completed two or more viable pregnancies.

    Prenatal Diagnostics

    • Amniocentesis entails checking amniotic fluid for disorders after 14 weeks, involving fluid withdrawal for chemical analysis and chromosome culture.
    • Chorionic villi sampling (CVS) offers an earlier alternative for chromosomal examination in high-risk pregnancies.

    Hormonal Changes During Pregnancy

    • Estrogen and progesterone levels rise, aiding uterine development and pregnancy maintenance.
    • Increased thyroid hormone production (thyroxine) to meet maternal and fetal needs raises metabolism, causing heat intolerance.

    Reproductive System Adaptations

    • Uterus size increases, with muscle cells hypertrophying, cervix and vagina becoming more vascularized, and the tissue softening.
    • Increased cervical mucus forms a cervical plug, protecting uterine contents and leading to more acidic secretions.

    Weight Gain and Nutritional Needs

    • Average weight gain during pregnancy is 25-30 pounds (11-13 kg), accommodating enlarging uterus, breasts, and increased blood volume.
    • Nutritional demands rise for proteins, carbohydrates, fats, and essential vitamins/minerals, particularly iron and calcium.

    Digestive System Changes

    • Common early pregnancy symptoms include nausea and vomiting, influenced by hormonal changes.
    • Digestive tract motility decreases due to progesterone, causing slower stomach emptying and potential heartburn and constipation.

    Cardiovascular Changes

    • Blood volume increases significantly, including both fluids and erythrocytes to support the fetus.
    • Heart rate may increase slightly with blood pressure dropping in early trimesters then rising to normal levels later.
    • Pregnancy can lead to the development of varicose veins.

    Hypertensive Disorders

    • Preeclampsia involves rising blood pressure and signs of kidney dysfunction; can progress to HELLP syndrome (Hemolysis, Elevated Liver enzymes, Low Platelets).
    • Eclampsia presents extremely high blood pressure, potentially causing seizures or coma, and increasing stroke risk; may necessitate cesarean delivery.

    Gestational Diabetes Mellitus

    • Occurs in 2-5% of pregnancies, with high blood glucose levels posing risks in the first trimester.
    • Newborns may be large for gestational age and experience issues like hypoglycemia after birth; glucose monitoring and proper management are crucial.

    Placental Complications

    • Placenta previa involves the placenta implanting low in the uterus, risking tearing and causing painless bright red bleeding.
    • Abruptio placentae entails premature detachment of the placenta from the uterine wall, often presenting as abdominal pain with bleeding.

    Blood Clotting and Complications

    • Thromboembolism is common postpartum, where clots typically form in the legs or pelvis.
    • Factors like movement, walking, and blood thinners can mitigate clotting issues; serious conditions may lead to disseminated intravascular coagulation (DIC) characterized by excessive clotting.

    Adolescent Pregnancy Considerations

    • Teen mothers face increased nutritional demands and heightened risk of complications, with common issues like anemia.
    • Babies born to younger mothers are often smaller or preterm, and labor may be complicated due to underdeveloped pelvic structures.

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    Description

    This quiz explores teratogens and their impact on fetal development. It covers various substances, including alcohol, smoking, and medications, that can lead to abnormalities and complications during pregnancy. Gain a deeper understanding of how these factors influence child health.

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