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PN 3003 MATERNITY AND PEDIATRICS (PN3003) EXAM WITH COMPLETE SOLUTIONS 100% VERIFIED!!!! ALREADY GRADED A+

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PN 3003 MATERNITY AND PEDIATRICS (PN3003) EXAM WITH COMPLETE SOLUTIONS 100% VERIFIED!!!! ALREADY GRADED A+

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PN 3003 MATERNITY AND PEDIATRICS (PN3003) EXAM WITH
COMPLETE SOLUTIONS 100% VERIFIED!!!! ALREADY GRADED A+


Possible Signs of Pregnancy - (ANSWER)Amenorrhea, N&V, fatigue, breast changes, frequent urination



Probable Signs of Pregnancy - (ANSWER)4-12 weeks: presence of hCG in blood

6-12 weeks: presence of hCG in urine

8+ weeks: uterine growth

16 weeks: Braxton Hicks



Positive Signs of Pregnancy - (ANSWER)6+ weeks: Visually see fetus on ultrasound

20-24 weeks: Fetal heart sounds by fetal stethoscope

22+ weeks: Fetal movements felt by practitioner

Late Pregnancy: Fetal movements visible



Normal length of pregnancy - (ANSWER)40 weeks



FSH in pregnancy - (ANSWER)Low levels due to high levels of estrogen and progesterone



hCG levels in pregnancy - (ANSWER)Peak in first trimester and then drop off



Estrogen levels in pregnancy - (ANSWER)Increase during pregnancy



Progesterone levels in pregnancy - (ANSWER)Increase during pregnancy



LH in pregnancy - (ANSWER)Low levels due to high levels of estrogen and progesterone



Prolactin in pregnancy - (ANSWER)Increases

,PN 3003 MATERNITY AND PEDIATRICS (PN3003) EXAM WITH
COMPLETE SOLUTIONS 100% VERIFIED!!!! ALREADY GRADED A+


Pituitary growth hormone in pregnancy - (ANSWER)Levels fall but overall serum levels increase due to
placental production



Oxytocin levels in pregnancys - (ANSWER)Increase and peak at term



TSH in pregnancy - (ANSWER)Production stimulated after first trimester (in healthy individuals not
normally significant)



Cortisol levels in pregnancy - (ANSWER)



Gestational diabetes - (ANSWER)A pregnant person can get diabetes when her pancreas cannot make
enough insulin to keep their blood sugar levels within a target range.



Cardiovascular changes in pregnancy - (ANSWER)Peripheral vasodilation, cardiac output increases,
increased stroke volume, may be third heart sound after mid pregnancy, systolic flow murmurs are
common



Respiratory changes in pregnancy - (ANSWER)Tidal volume increases (increasing vital capacity and
decreasing residual volume), increased oxygen consumption, possible SOB



GI system changes in pregnancy - (ANSWER)N&V, appetite increases, heartburn, constipation,
gallbladder may dilate and empty less completely



Urinary changes in pregnancy - (ANSWER)Renal blood flow increases. Possible glycosuria/proteinuria.
Water retention increases. Residual urine increases. Risk for UTIs increases



Haematological changes in pregnancy - (ANSWER)Plasma volume increases. RBCs increase. Demand for
iron increases. Clotting factors/fibrinogen increase. Serum albumin decreases.



Metabolic changes in pregnancy - (ANSWER)Basal metabolic rate increases slowly. Active energy
expenditure falls. Weight gain (normal 11.4-15.9kg).

, PN 3003 MATERNITY AND PEDIATRICS (PN3003) EXAM WITH
COMPLETE SOLUTIONS 100% VERIFIED!!!! ALREADY GRADED A+




Skin changes in pregnancy - (ANSWER)Hyperpigmentation of the umbilicus, nipples, abdominal midline
(linea nigra) and face (melasma (chloasma)) are common due to the hormonal changes of pregnancy.
Hyperdynamic circulation and high levels of estrogen may cause spider naevi and palmar erythema.
Striae gravidarum ('stretch marks') are common.



Musculoskeletal changes in pregnancy - (ANSWER)Increased ligamental laxity caused by increased levels
of relaxin contribute to back pain and pubic symphysis dysfunction. Shift in posture with exaggerated
lumbar lordosis leading to the typical gait of late pregnancy.



Uterine changes in pregnancy - (ANSWER)Increased to about 5x its normal size(h: 30cm, w: 23cm, d:
20cm) primarily because of progesterone



Vaginal changes in pregnancy - (ANSWER)Becomes more elastic towards the end of pregnancy. These
changes enable it to dilate during the second stage of labour, as the baby passes down the birth canal.



Cervical changes in pregnancy - (ANSWER)Remains 2.5 cm long throughout pregnancy. In late pregnancy,
softening of the cervix occurs in response to increasing painless contractions of its muscular walls.



Amniocentesis - (ANSWER)A technique of prenatal diagnosis in which amniotic fluid, obtained by
aspiration from a needle inserted into the uterus, is analyzed to detect certain genetic and congenital
defects in the fetus.



Is weight monitored in pregnancy - (ANSWER)Normally no



Primagravida - (ANSWER)A person who is pregnant for the first time



Normal Weight Gain in Pregnancy - (ANSWER)~2.0kg in first 20 weeks, then ~0.5kg per week until term
at 40 weeks. Total of ~9-12

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