Physiology in Pregnancy Flashcards

1
Q

Give two reasons why pregnant women experience heartburn/reflux.

A
  • relaxin hormone released from the placenta

- raised intrabdominal pressure

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2
Q

Describe the changes to the thyroid gland during pregnancy.

A
  • The thyroid gland enlarges as the body requires more T3 and T4 and therefore more iodine
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3
Q

Name five changes that occur in the breast during pregnancy.

A
  • increased size
  • increased vascularity
  • increased pigmentation of areola and nipple
  • appearance of secondary areola
  • production of colostrum-like fluid
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4
Q

Name six cardiovascular factors which are increased in pregnancy.

A
  • blood volume
  • heart rate
  • stroke volume
  • cardiac output
  • iron requirement
  • white cell count
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5
Q

True or False?

Haemoglobin is unchanged in pregnancy.

A

False

- haemoglobin is reduced due to dilution

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6
Q

Are platelets increased, decreased or the same in pregnancy?

A
  • decreased
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7
Q

Name two respiratory factors that decrease in pregnancy.

A
  • functional residual capacity

- PCO2

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8
Q

Name three respiratory factors that increase in pregnancy.

A
  • oxygen demand
  • respiratory rate
  • tidal volume
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9
Q

Give two reasons why there is dramatic dilation of the urinary collecting system during pregnancy.

A
  • increased demand

- increased progesterone

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10
Q

On which side is the dilation of the urinary collecting system more pronounced?

A
  • the right
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11
Q

Why might physiological gylcosuria be present during pregnancy?

A
  • pregnancy is a naturally insulin-resistant state
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12
Q

Why are UTI’s common in pregnant women?

A
  • increased stasis of urine
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13
Q

Is CRP reduced, raised or the same in pregnancy?

A
  • the same
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14
Q

Is ESR reduced, raised or the same in pregnancy?

A
  • raised
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15
Q

Is urea reduced, raised or the same in pregnancy?

A
  • reduced
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16
Q

Is creatinine reduced, raised or the same in pregnancy?

A
  • reduced
17
Q

Is urate reduced, raised or the same in pregnancy?

A
  • reduced, but increased with gestation
18
Q

Is total protein reduced, raised or the same in pregnancy?

A
  • reduced
19
Q

Are liver enzymes reduced, raised or the same in pregnancy?

A
  • reduced or the same
20
Q

Is alkaline phosphatase reduced, raised or the same in pregnancy?

A
  • raised
21
Q

Are bile acids reduced, raised or the same in pregnancy?

A
  • the same
22
Q

Is D-dimer reduced, raised or the same in pregnancy?

A
  • raised