Exam 1 - Anat & Phys in Preg

Question 1

The bluish purple hue of the cervix is referred to as what?

Answer 1

Chadwick’s sign

Question 2

Softening of the cervix

Answer 2

Goodell’s sign

Question 3

Both Chadwick’s and Goodell’s signs are ____ signs of pregnancy

Answer 3

probable

Question 4

What plants on top of the cervix and provides an immune barrier?

Answer 4

Mucus plug

Question 5

Leukorrhea

Answer 5

increased vaginal discharge

Question 6

The corpus luteum helps until the placenta is developed in which weeks?

Answer 6

The first 6-7 weeks

Question 7

Pre-pregnancy, the uterus is the size of a ____

Answer 7

fist / pear

Question 8

at week 12, the uterus sits where?

Answer 8

above the symphysis pubis

Question 9

at week 16, the uterus sits where?

Answer 9

midway between symphysis pubis and umbilicus

Question 10

at week 20, the uterus sits where?

Answer 10

at the umbilicus / belly button

Question 11

at week 36, the uterus sits where?

Answer 11

xiphoid process

Question 12

at week 40, what happens to the uterus?

Answer 12

the fetal head descends and the uterine level sinks (to prepare for birth)

Question 13

Sporadic contractions and relaxation of the uterine muscle

Answer 13

Braxton Hicks contractions

Question 14

Why is fundal height important?

Answer 14

A way of tracking growth and knowing when to intervene

Question 15

at 30 weeks, what is the typical fundal height?

Answer 15

30 cm

Question 16

Estrogen helps with growth of _____ in the breasts

Answer 16

mammary ductal tissue

Question 17

Progesterone helps with growth of _____ in the breasts

Answer 17

lobes, lobules, and alveoli

Question 18

The breasts change to prepare for _____.

Answer 18

Lactation

Question 19

Pores that surround the areola

Answer 19

Tubercles of Montgomery

Question 20

What is the purpose of Tubercles of Montgomery?

Answer 20

allow babies to smell and detect where to go for milk / lactation

Question 21

Colostrum

Answer 21

rich substance that precedes normal breast milk

Question 22

Hemodilution can lead to what?

Answer 22

physiologic anemia

Question 23

physiologic anemia

Answer 23

dilution that results in anemia

Question 24

What change in BP is common during pregnancy?

Answer 24

Lower BP / hypotension

Question 25

Which hormones are responsible for decreased systemic vascular resistance?

Answer 25

Relaxin and progestin

Question 26

Why should you not lie on your back when pregnant?

Answer 26

As baby gets bigger, it will compress on the superior vena cava and disrupt blood flow to Mom and Baby

Question 27

Which hormone can lead to nosebleeds and why?

Answer 27

Estrogen; increased blood flow and dry air

Question 28

Hyperemia

Answer 28

increased blood flow of tissues

Question 29

Ptyalism

Answer 29

increased salivation

Question 30

Pyrosis

Answer 30

heartburn

Question 31

Which hormone causes constipation and why?

Answer 31

Progesterone b/c of decreased GI tone and motility

Question 32

GFR increases by ____ by the 2nd trimester

Answer 32

50%

Question 33

Increased skin pigmentation is caused by increased ____ and ____.

Answer 33

estrogen, progesterone

Question 34

Cholasma / melasma

Answer 34

darkening of the skin

Question 35

darkened line down the middle of the stomach

Answer 35

Linea nigra

Question 36

stretch marks d/t pregnancy

Answer 36

striae gravidarum

Question 37

Spider angiomas and palmar erythema can be attributed to which hormone?

Answer 37

Estrogen

Question 38

persistent redness of the palm of the hands

Answer 38

palmar erythema

Question 39

jutting of the abdomen out and curvature of the back

Answer 39

lordosis

Question 40

abdominal muscles stretch and separate

Answer 40

diastasis recti

Question 41

Why is carpal tunnel syndrome sometimes experienced in pregnancy?

Answer 41

Extra fluid can settle anywhere and pinch nerves

Question 42

____ is the drug typically given for nausea

Answer 42

Zofran

Question 43

an OTC option for nausea is what?

Answer 43

Vitamin B6 and Unisom

Question 44

Which hormone maintains the corpus luteum production of estrogen and progesterone until the placenta takes over the function?

Answer 44

Human chorionic gonadotropin (hCG)

Question 45

Which hormone decreases maternal metabolism of glucose and acts as a growth hormone?

Answer 45

Human placental lactogen (hPL)