A & P of Pregnancy Recorded (Chapter 13)

Question 1

does maternal physiologic adaptations affect all body systems

Answer 1

yes

Question 2

what stimulates growth in the first semester

Answer 2

estrogen and progesterone

Question 3

what cellular change occurs in pregnancy
- size and increase

Answer 3

hyperplasia and hypertrophy

Question 4

decidua

Answer 4

base of the placenta

Question 5

when and where does show occur

Answer 5

after 14 weeks uterus at symphysis pubis

Question 6

show depends on

Answer 6

height and weight

Question 7

lightening weeks and what does it mean

Answer 7

38-40 weeks
baby drops

Question 8

when does lightening occur in primp

Answer 8

2 weeks before labor

Question 9

when does lightening occur in multipip

Answer 9

start of labor

Question 10

what happens to the fundal height during lightening

Answer 10

drops

Question 11

hegar sign

Answer 11

softening of lower uterine segment

Question 12

when does hegar sign occur

Answer 12

6wks gestation

Question 13

7 weeks uterus size

Answer 13

large hens egg

Question 14

10 week uterus size

Answer 14

organe

Question 15

12 weeks uterus size

Answer 15

grapefruit

Question 16

after third month uterine enlargement is primarily result of

Answer 16

mechanical pressure of growing fetus

Question 17

uterus size before and then after pregnancy

Answer 17

pear shape
spherical/globular
ovid

Question 18

1st tri uterus is a what organ

Answer 18

pelvic

Question 19

when does the uterus rises out of pelvis into abdomen

Answer 19

12 weeks

Question 20

when is abdominal enlargement less apparent in who

Answer 20

primp with muscular tone, and posture

Question 21

abdominal enlargement contributes

Answer 21

altered center of gravity

Question 22

when do Braxton hicks occur

Answer 22

4th month

Question 23

do Braxton hicks go away with walking or exercise

Answer 23

yes

Question 24

how to differentiate Braxton hicks and true labor

Answer 24

don’t increase intensity/duration or cause cervival changes

Question 25

ballottement time frame

Answer 25

16-18 weeks

Question 26

ballottement what is ti

Answer 26

passive movement of the unengaged fetus, palpating by bouncing finger on cervix and feeling rebound

Question 27

quickening

Answer 27

first recognition of fetal movements, feeling life, kicks

Question 28

quickening nuliparis

Answer 28

18th or later

Question 29

quickening time frame for non nulparis

Answer 29

14-16

Question 30

Goodell sign

Answer 30

softening of the cervix due to increase vascularity, slight hypertrophy, hyperplasia

Question 31

Goodell sign time frame

Answer 31

6 weeks

Question 32

friability

Answer 32

tissue is easily damaged can result in slight bleeding after sex or exam

Question 33

operculum

Answer 33

mucus plug - barrier against bacteria

Question 34

when does implantation bleeding start

Answer 34

6-12 days after conception

Question 35

the first 6-10 weeks what secretes estrogen and progesterone

Answer 35

corpus lutetium

Question 36

after 10 weeks the corpus lutetium stops secreting and what does

Answer 36

placenta

Question 37

Chadwick sign

Answer 37

violet blue color of vaginal mucosa and cervix due to increase vascularity - 6-8wks

Question 38

vaginal flora changes which causes the pH to

Answer 38

lower

Question 39

what does vaginal flora do

Answer 39

helps prevent ascending bacterial infection that can contribute to preterm labor

Question 40

vaginal flora changes

Answer 40

increase in 4 or more lactobacilli decrease in anaerobic

Question 41

Montgomery tubercles

Answer 41

hypertrophy around areola

Question 42

striae gravidarum

Answer 42

stretch marks

Question 43

estrogen stimulates what in the breasts

Answer 43

growth/proliferation of milk ducts

Question 44

progesterone causes what of the breasts

Answer 44

growth/development of mammary lobes

Question 45

lactogenesis stage 1

Answer 45

colostrum

Question 46

blood volume increases by

Answer 46

40-50

Question 47

cardiac output increases by

Answer 47

30-50

Question 48

what is supine hypotensive syndrome

Answer 48

don't want laying on back to alleviate pressure on major vessels

Question 49

what happens to the heart and diaphragm

Answer 49

rise

Question 50

what is physiologic anemia

Answer 50

increase in plasma more than RBC = dilution

Question 51

what is the classification of anemia

Answer 51

hbg <11 hct <33

Question 52

what state is pregnancy

Answer 52

hypercoagnulble

Question 53

pregnancy related dyspnea

Answer 53

begin 1-2 tri occurs with mild exertion or rest later pregnancy: mechanical pressure increase dyspnea

Question 54

what replaces abdominal breathing

Answer 54

chest since the diagphram is less possible to descend

Question 55

what is normal in pregnancy for respiration

Answer 55

mild hyperventilation

Question 56

pregnancy is a state of ABG

Answer 56

respiratory alkalosis

Question 57

n/v past 1st trimester with fever is

Answer 57

possible illness

Question 58

when does N/V peak

Answer 58

by 9 weeksw

Question 59

when does n/v subside

Answer 59

end of first tri

Question 60

epulis - growth of gums

Answer 60

can be inflamed soft tooth brush

Question 61

ptyalism

Answer 61

excessive salivation

Question 62

pyrosis

Answer 62

heart burn

Question 63

why does excessive salivation and heart burn occur

Answer 63

due to pressure of GI, smooth muscles relaxation, and decrease peristalsis

Question 64

why does constipation occur

Answer 64

due to increase water absorption or other causes

Question 65

gallbladder and the liver leads to thickening of the bile which paired with slight increase in cholesterol leads to

Answer 65

gallstone

Question 66

why does abdominal discomfort occur

Answer 66

normally due to normal maternal alterations

Question 67

why is appendicitis hard to diagnosis

Answer 67

displaced upward and laterally

Question 68

urine flow rate is slowed which leads to

Answer 68

urine stasis = UTI

Question 69

common s/s of UTI

Answer 69

bladder irritability, frequency, nocuturia, urgency

Question 70

tubular reabsorption of glucose is impaired causing

Answer 70

glycosuria to occur at varying times and degrees

Question 71

large amount of water loss in early pregnancy leading to

Answer 71

increase thirst

Question 72

edema in later pregnancy leads to

Answer 72

decrease renal blood flow

Question 73

hyperpigmentation is stimulated by the anterior pituitary hormone

Answer 73

melanotropin which is increased during pregnancy

Question 74

melasma - what is it and time

Answer 74

blocky brown, hyperpigmentation over cheeks, nose, forehead, 16 weeks

Question 75

linea nigra

Answer 75

pigmented line

Question 76

angiomata

Answer 76

vascular spiders

Question 77

palmar erythema

Answer 77

increase estrogen levee

Question 78

pelvic instability increases

Answer 78

fall risk

Question 79

what happens to the spine

Answer 79

lordosis

Question 80

tension headaches can be due to

Answer 80

hormonal changes eye strain emotional tension nasal congestion fatigue

Question 81

is headache not relieved with Tylenol a red flag

Answer 81

yes preeclamp

Question 82

what glands enlarge

Answer 82

thyroid pituitary

Question 83

pancreas - insulin needs do what during pregnancy

Answer 83

increase

Question 84

what is the earliest biochemical marker for pregnancy

Answer 84

hCG

Question 85

presumptive

Answer 85

subjective, changes experienced by the woman

Question 86

probable

Answer 86

objective, changes, observed/pervived by examiner strongly suggest pregnancy

Question 87

positive

Answer 87

objective, changes observed/percived by examiner indicative proof of pregnancy

Question 88

presumptive ex:

Answer 88

amenorrhea fatigue breast changes

Question 89

probable ex

Answer 89

hegar sign, ballottment, pregnancy tests

Question 90

positive ex:

Answer 90

fetal heart tones, ultrasound