Physiology - Pregnancy , labour and lactation Flashcards

(28 cards)

1
Q

how much does cardiac output rise by 20 weeks conception

a.40%
b.60%
c.70%
d.80%

A

a.40%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

how much does blood volume rise during pregnancy

a.40%
b.60%
c.70%
d.80%
e.20%

A

e.20%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what happens to renal reabsorption of nacl and h2o in pregnancy due to the mineralocrticoid like effects of sex steroids

a.increase
b.decrease

A

a.increase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what happens to GFR in pregenancy

a.increase
b.decrease

A

a.increase

directly and indirectly as CO increases

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

pregnant women are prone to anaemia due to additional requirement of ..

a.iron
b.iodine
c.calcium

A

a.iron

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

demineralisation of maternal bones occurs in defficinecy of what in the fetus

a.iron
b.iodine
c.calcium
d.potassium

A

c.calcium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what are the 3 stages of parturition (birth)

A

dilation of the cervix
expulsion of the foetus
delivery of the placenta

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

which hormone causes the uterus to become more excitable and more connected by gap junctions

a. relaxin
b.hcg
c. progesterone
d.oestrogen

A

d.oestrogen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what happens to prostaglandin synthesis and number of oxytocin receptors during pregnancy

a.increases
b.decreases

A

a.increases

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Production of what substance increases in the fetus in the final trimester

a.CRH
b.oestorgen
c.relaxin

A

a.CRH

increases foetal ACTH and cortisol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

which substance is vital to maturity of the foetal respiratory system

a.CRH
b.ACTH
c.cortisol

A

c.cortisol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

how long does stage 1 of labour (dilation) take

a. 8-24 hrs
b.2-5 hrs
c.5-15 hrs

A

a. 8-24 hrs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what is the correct order of the stages of labour

A

dilation
birth
placenta delivery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

the babies head and myometrial contractions dilating the cervix occurs in which stage of labour

dilation
birth
placenta delivery

A

dilation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

stretch on the cervix as it is dilated by the babys head causes a reflex release of which hormone from the posterior pituitary of the mother that acts on the myometrium to further increase contraction (+ve feedback)

a.cortisol
b.CRH
c.oxytocin
d.oestrogen

A

c.oxytocin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

when does the second stage of labour start

a.cervix dilated 5cm
b.cervix dilated 8cm
c. cervic dilated 10cm
d.cervix dilated to 15 cm

A

c. cervic dilated 10cm

17
Q

which stage of labour involves the head exiting the cervix triggering reflexes that contract the abdominal muscles (lasts 30-90 mins)

a.dilation
b.birth
c.placental delivery

18
Q

what is delivered along with the placenta

a.wall of contracted uterus
b. amniotic sac

A

a.wall of contracted uterus

19
Q

a reduction in which two hormones occurs following the delivery of the placenta leading to a regression of the decidual endometrium giving post birth discharge (lochia)

a.oestrogen and progesterone
b.oestrogen and relaxin
c.oxytocin and oestrogen

A

a.oestrogen and progesterone

20
Q

increased amounts of which two hormones allow for development of the breasts to become milk secreting organs

a.oestrogen and progesterone
b.oestrogen and relaxin
c.oxytocin and oestrogen

A

a.oestrogen and progesterone

21
Q

which hormone promotes duct development in the breasts

a.oestrogen
b.progesterone
c.prolactin
d.human chorionic somatomammotropin

22
Q

which hormone enlarges the terminal secretory portions of the glands in the breasts

a.oestrogen
b.progesterone
c.prolactin
d.human chorionic somatomammotropin

A

b.progesterone

23
Q

which hormones act to develop the enzymes for milk production

a.oestrogen
b.progesterone
c.prolactin
d.human chorionic somatomammotropin

A

c.prolactin
d.human chorionic somatomammotropin

24
Q

which two hormones prevent milk producton prior to birth

a.oestrogen and progesterone
b.oestrogen and relaxin
c.oxytocin and oestrogen

A

a.oestrogen and progesterone

25
mechanical stimulation of the nipple causes decrease in the secretion of PIH leading to release of which homrone a.oestrogen b.progesterone c.prolactin d.human chorionic somatomammotropin
c.prolactin PIH - prolactin inhibiting homrone initiates and maintains (secretion)
26
release of which hormone form the post pituuitary causes contraction of the smooth muscle surrounding the secretory alveoli a.oestrogen b.progesterone c.prolactin d.human chorionic somatomammotropin e.oxytocin
oxytocin (milk ejection)
27
colustrum has... a.more protein, less fat and lactose b.less protein, more fat and lactose
a.more protein, less fat and lactose
28
which antibodies are found in colustrum a.igG b.IgA c.IgM
b.IgA