Local Changes in Pregnancy

Question 1

Length, Depth, Width, Weight change of Uterus.

Answer 1

Length grows from approx. 6.5 to 32 cm.
Depth increases from 2.5 to 22 cm.
Width expands from 4 to 24 cm
Weight increases from 50 to 1,000 grams.

Question 2

The house of a full term baby

Answer 2

Uterus

Question 3

Thickness of uterine wall in early pregnancy

Answer 3

1cm to 2cm

Question 4

Thickness of uterine wall in end of pregnancy

Answer 4

0.5cm

Question 5

Hormone that causes the formation of new muscle fibers in the uterine
myometrium.

Answer 5

Progesterone

Question 6

Hormone that causes the stretching of existing muscle fibers

Answer 6

Estrogen

Question 7

It allows the uterus to withstand the
stretching of its muscle fibers

Answer 7

Fibroelastic tissue

Question 8

What hormone causes growth of uterus in pregnancy?

Answer 8

Estrogen and Progesterone

Question 9

Part of the uterus that is responsible for contractions

Answer 9

Myometrium

Question 10

How progesterone regulates muscle contraction?

Answer 10

By maintaining a decreased level of vascular tone in the myometrium

If the vascular tone is increase in myometrium, there
is also an increased in contractility

Question 11

Hormone that regulates muscle contraction

Answer 11

Progesterone

Question 12

When does the stretching of existing muscle fibers happen?

Answer 12

5 months gestation

Question 13

Height of fundus in 12th week

Answer 13

above symphysis pubis

Question 14

Height of fundus on 20th or 22nd week

Answer 14

Level of umbilicus

Question 15

Height of fundus on 36th week

Answer 15

Xiphoid process

Question 16

What happens on the 38th week?

Answer 16

Lightening

Question 17

Volume of uterus increase

Answer 17

2 ml to more than 1,000 ml

Question 18

What is Hegar’s Sign

Answer 18

Extreme softening of the lower uterine segments

Question 19

“To toss about”

Answer 19

Ballottement

Question 20

When should ballottement be demonstrated by a bimanual examination?

Answer 20

16 to 20 weeks

Question 21

False labor

Answer 21

Braxton Hicks Contractions

Question 22

It increases placental perfusion

Answer 22

Braxton Hicks Contractions

Question 23

Hormone that causes cervix to be edematous and vascular

Answer 23

Estrogen

Question 24

The mucus plug in the cervical
canal

Answer 24

Operculum

Question 25

It is increased cell production in a normal tissue or organ

Answer 25

Hyperplasia

Question 26

It is the increase in the volume of an organ or tissue due to the enlargement of its component cells.

Answer 26

Hypertrophy

Question 27

The shortening and thinning of the cervix

Answer 27

Effacement

Question 27

It is the softening of the cervix

Answer 27

Goodell’s sign

Question 28

a deep violet color of the vaginal wall
as a result of increase vascularity/circulation

Answer 28

Chadwick’s Sign

Question 29

Hormone that causes increase in vascularity or circulation

Answer 29

Estrogen

Question 30

Increase in the activity of epithelial cells

Answer 30

Leukorrhea

Question 31

PH of the vagina when pregnant

Answer 31

4 to 5

acidic

Question 32

It makes the vagina resistant to bacterial invasion

Answer 32

Increase lactic acid content

Lactobacillus acidophilus

Question 33

It produces Estrogen and Progesterone in early pregnancy

Answer 33

Corpus Luteum

Question 34

Up until what week does the CL increase in size

Answer 34

16th week

regresses in size once placenta takes over

Question 35

Absence of Menstruation

Answer 35

Amenorrhea

Question 36

Cause of Amenorrhea

Answer 36

Suppressed FSH due to increased estrogen levels