Chapter 4 Maternal Physiology

Question 1

Most of the Uterine wall is formed by what layer?

Answer 1

Middle layer

Question 2

Related to calcium metabolism, what occurs during pregnancy?

Answer 2

Total serum calcium levels decline.

Question 3

Average blood loss associated with cesarean delivery of with two vaginal delivery of twins.

Answer 3

1000 ml

Question 6

Braxton Hicks contractions are felt during what trimester?

Answer 6

Second trimester

Question 7

Benign ovarian lesions results from exaggerated physiological follicle stimulation.

Answer 7

Hyperreactio luteinalis

Question 8

Peptide hormone that plays a role in body fat and energy expenditure regulation.

Answer 8

Leptin

Question 9

Iron requirement for a pregnant women.

Answer 9

1000 mg

Question 10

Scattered through the areola are a number of small elevations of hypertrophic sebaceous glands.

Answer 10

Glands of Montgomery

Question 12

Thoracic circumference increases about how many cm?

Answer 12

6cm

Question 14

Pathologically extensive enlargment of the breast.

Answer 14

Gigantomastia

Question 15

Average blood loss for a vaginal delivery.

Answer 15

500ml

Question 16

What kind of epithelium makes up most of the visible portion of the cervix?

Answer 16

Columnar

Question 17

It is the principal mineralocorticoid.

Answer 17

Aldosterone

Question 18

Hemoglobin concentration below what level is considered abnormal?

Answer 18

11.0 g/dL

Question 19

Attenuation of rectovaginal fascia results to?

Answer 19

Rectocele

Question 21

Corpus luteum excision does not cause abortion even oopherectomy before how many weeks?

Answer 21

16weeks

Question 22

Diaphragm rises about how many cm during pregnancy?

Answer 22

4cm

Question 23

Proteinuria during pregnancy is defined as protein excretion at what rate?

Answer 23

300mg/day

Question 24

Uterine of a pregnant term woman, weighs?

Answer 24

1100g

Question 25

Blood pressure declines at what weeks?

Answer 25

6 - 7thweek

Question 27

Minimum amount of extra water that the average woman accrues during normal pregnancy is approximately how many liters?

Answer 27

6.5 L

Question 29

Uterus becomes and more globular and almost spherical by how many weeks of gestation?

Answer 29

12weeks gestation

Question 31

Attentuation of fascial support between the vagina and bladder, can lead to prolapse of the bladder into the vagina.

Answer 31

Cystocele

Question 32

A focal, highly vascular swelling of the gums during pregnancy?

Answer 32

Epulis gravidarum

Question 33

Increase concentrations of all clotting factors except?

Answer 33

Factor XI and Factor XIII

Question 34

Transverse diameter if the thoracic cage lengthens approximately how many cm?

Answer 34

2cm

Question 35

Cardiac output in pregnancy increases as early as how many weeks?

Answer 35

5th week

Question 36

Resting pulse rate increases at what weeks?

Answer 36

10 and 20 weeks

Question 38

Irregular brownish patches of varying size appear on face and neck, called.

Answer 38

Chloasma or Melasma Gravidarum. | So called Mask of pregnancy

Question 39

Peptide secreted principally by the stomach in response to hunger.

Answer 39

Ghrelin

Question 40

Carbohydrate metabolism in normal pregnancy is characterized by:

Answer 40

Mild fasting hypoglycemia Postprandial hyperglycemia Hyperinsulinemia

Question 41

Average weight gain during pregnancy is approximately how many kgs?

Answer 41

12.5 kg

Question 42

What happens to the insulin and glucose levels during pregnancy?

Answer 42

Hyperinsulinemia

Question 43

At what gestational age does the uterus become too large to lie totally within the pelvis?

Answer 43

12 weeks

Question 44

Approximately what is the uteroplacental blood flow at term?

Answer 44

450mL-650mL, 550mL

Question 45

Surgical removal of corpus luteum of pregnancy consistently results in spontaneous abortion if performed prior to what gestational age?

Answer 45

7weeks

Question 46

Total protein increase during pregnancy?

Answer 46

500g

Question 47

What happens to the total maternal serum level of calcium and magnessium during pregnancy?

Answer 47

Decrease

Question 48

What is the pigmentation in the midline, anterior abdominal skin during pregnancy?

Answer 48

Linea nigra

Question 49

Biological target of relaxin in assisting accommodation in pregnancy?

Answer 49

Reproductive tract

Question 50

Average increase in erythrocytes during pregnancy?

Answer 50

450 ml

Question 51

Pruritius gravidarum is caused by increase in levels of what?

Answer 51

Bile acids

Question 52

What compensated acid base state exist during normal pregnancy?

Answer 52

Respiratory alkalosis

Question 53

In which position is cardiac output mostly increased during pregnancy?

Answer 53

Left lateral recumbent

Question 54

Fibrinogen concentration increases by how many percent during pregnancy?

Answer 54

50%

Question 55

Avreage daily iron requirements during second half of pregnancy?

Answer 55

6 to 7 mg/day