NURS 315 Antepartum Care Exam Questions And
Accurate Answers Graded A+
Which of the following reproductive organs are subjected to physical changes due to
pregnancy?
Vagina
Cervix
Uterus
Ovaries
Breasts
Physical Changes in vagina:
Hypertrophy
Increased secretions
Physical changes in cervix
Softening. (Goodell's)
Bluish coloration. (Chadwick's)
Physical changes in uterus
Enlargement due to hormonal stimulation
Increased vascularity
Softening of isthmum. (Hegar Sign)
Changes ovaries undergo
Corpus luteum secretes hormone maintenance of endometrium until formation of
placenta.
Changes in breasts
Glandular Hypertrophy
darkening of areola prominent blood vessels colostrum Respiratory physical changes
increased tidal volume and O2 needs Cardiovascular physical changes increased CO
, and blood volume by 40-50% decreased systemic and pulmonary resistance BP
decreases in 1st and 2nd trimester but increases in the 3rd trimester *SUPINE
HYPOTENSION* G.I. physical changes N/V hyperemia of gums (gums bleed more easily)
slower peristalsis constipation heartburn hemorrhoids Urinary physical changes
increased frequency dilation of kidneys increased GFR
less able to reabsorb protein and glucose
Physical Changes: Skin and Hair
hyperpigmentation
supine (stretch marks)
vascular spider nevi-pronounced around you ankles/lower legs/ and feet)
hyperactive sweat and sebaceous glands
Physical Changes: Musculoskeletal
separation of rectus muscle
lordosis
relaxation of joints causes waddling gait
Physical Changes: Eyes
thickening of cornea
difficulty with contact lenses
Physical Changes: CNS
memory
concentration changes
sleep disturbances common
Linea Nigra
a dark line appearing on the abdomen and extending from the pubis toward the
umbilicus Supine Hypotensive Syndrome if mom lays on back the weight of the baby
suppresses the vena cava---> decreasing blood flow -mom will feel dizzy, nauseous, will
be pale, etc. -baby's HR will go down and there will be declarations If mom has to lay on
her back for an exam, what do you do?
Put a wedge under their hip
Iron changes
Accurate Answers Graded A+
Which of the following reproductive organs are subjected to physical changes due to
pregnancy?
Vagina
Cervix
Uterus
Ovaries
Breasts
Physical Changes in vagina:
Hypertrophy
Increased secretions
Physical changes in cervix
Softening. (Goodell's)
Bluish coloration. (Chadwick's)
Physical changes in uterus
Enlargement due to hormonal stimulation
Increased vascularity
Softening of isthmum. (Hegar Sign)
Changes ovaries undergo
Corpus luteum secretes hormone maintenance of endometrium until formation of
placenta.
Changes in breasts
Glandular Hypertrophy
darkening of areola prominent blood vessels colostrum Respiratory physical changes
increased tidal volume and O2 needs Cardiovascular physical changes increased CO
, and blood volume by 40-50% decreased systemic and pulmonary resistance BP
decreases in 1st and 2nd trimester but increases in the 3rd trimester *SUPINE
HYPOTENSION* G.I. physical changes N/V hyperemia of gums (gums bleed more easily)
slower peristalsis constipation heartburn hemorrhoids Urinary physical changes
increased frequency dilation of kidneys increased GFR
less able to reabsorb protein and glucose
Physical Changes: Skin and Hair
hyperpigmentation
supine (stretch marks)
vascular spider nevi-pronounced around you ankles/lower legs/ and feet)
hyperactive sweat and sebaceous glands
Physical Changes: Musculoskeletal
separation of rectus muscle
lordosis
relaxation of joints causes waddling gait
Physical Changes: Eyes
thickening of cornea
difficulty with contact lenses
Physical Changes: CNS
memory
concentration changes
sleep disturbances common
Linea Nigra
a dark line appearing on the abdomen and extending from the pubis toward the
umbilicus Supine Hypotensive Syndrome if mom lays on back the weight of the baby
suppresses the vena cava---> decreasing blood flow -mom will feel dizzy, nauseous, will
be pale, etc. -baby's HR will go down and there will be declarations If mom has to lay on
her back for an exam, what do you do?
Put a wedge under their hip
Iron changes
