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Exam (elaborations)

Maternity Nursing The Pregnant Person Part I – Lecture Notes and Study Guide

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This document focuses on foundational maternity nursing concepts related to pregnancy. It supports learning of prenatal care and maternal health.

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(The Pregnant Person (Part I):: 2026-2027 Versions)




Continue to rise Instead of falling, estrogen and progesterone _________________ after an egg is
fertilized




Promotes endometrial growth What changes does increased estrogen during pregnancy cause? (2)
Increases prolactin output (readies breasts for lactation)


estrogen Increased levels of (progesterone/estrogen) during pregnancy contributes to a
hypercoagulable state


Increases tidal volume (subjective SOB) What changes does increased progesterone during pregnancy cause? (3)
Lowers LES tone (GERD)
Relaxes ureter/bladder tone (hydronephrosis, increased
risk of UTI)




4/3/2026, 3:14:23 PM 4/3/2026, 3:14:22 PM 4/3/2026

, (The Pregnant Person (Part I):: 2026-2027 Versions)




hCG; doubles every 48 hours until peak of 100,000 at 8-11 In addition to estrogen and progesterone, the placenta also produces _____ during
weeks pregnancy, which is used to test for pregnancy.



What should its rate of increase be?


increases (due to stimulation of TSH receptors by HCG); Thyroid function, and therefore T3/T4, physiologically (increases/decreases)
down during pregnancy. Therefore, the TSH goes (up/down)


Relaxin Hormone released during pregnancy responsible for remodeling of connective
tissue, which allows for the pelvis to widen to accommodate a growing uterus


both increase What happens to plasma volume and basal metabolic rate in pregnancy?


Enlargement Breast changes during pregnancy: (3)
Venous pattern becomes more prominent
Colostrum secreted in 3rd trimester




4/3/2026, 3:14:23 PM 4/3/2026, 3:14:22 PM 4/3/2026

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