N326 Anatomy of Pregnancy Exam 2025

Earliest biochemical marker for pregnancy - Correct Ans-hCG When is the earliest that hCG will be detected on a pregnancy test? - Correct Ans implantation (7-10 after conception) Refers to the number of times a woman has been pregnant, regardless of the outcome - Correct Ans-gravida Refers to the number of deliveries (not children) that have occurred after 20 weeks of gestation - Correct Ans-para Woman who has completed 1 pregnancy with a fetus or fetuses who have reached stage of fetal viability - Correct Ans-primipara Pregnancy from the beginning of week 38 to end of week 42 of gestation - Correct Ans term Capacity to live outside the uterus - Correct Ans-viability Woman who has completed more than 1 pregnancy - Correct Ans-multiparous TPAL acronym for documenting obstetric history - Correct Ans-term births preterm births abortions living children Uterine height at 12 weeks - Correct Ans-symphysis pubis Uterine height at 16 weeks - Correct Ans-half way to umbilicus Uterine height at 20 weeks - Correct Ans-umbilicus Uterine height at 36 weeks - Correct Ans-xiphoid process ____ occurs about 2 weeks before labor in which fundal height decreases as the fetus begins to descend into the pelvis - Correct Ans-lightening Bluish color of vagina as a result of increased vascularity during pregnancy - Correct Ans-Chadwick's sign During pregnancy, cervix is ___ and has increased ______ - Correct Ans-soft; cervical mucus (leukorrhea) NUR 606 NUR 606 Term for softening of the cervix during pregnancy - Correct Ans-Goodell's sign Thick mucous that covers canal to protect fetus from infection - Correct Ans-mucous plug Ovaries enlarge until ____ weeks - Correct Ans-12-14 Ovaries secrete hormones (progesterone) until week ____ when placenta takes over - Correct Ans-6-7 Colostrum expressed in breasts beginning week ____; stimulated by the hormone _____ - Correct Ans-12; prolactin state of hemodilution due to the greater increase in plasma compared to RBCs - Correct Ans-physiological anemia of pregnancy a pregnant woman is considered anemic if the hemoglobin is less than ___ during the 1st or 3rd trimester or if the hemoglobin is less than ____ or the during the 2nd trimester - Correct Ans-11; 10.5 Pregnancy is a hypercoagulable state (increase in fibrin); this protective mechanism helps prevent ____ - Correct Ans-PPH Condition caused by weight of uterus on vena cava; reduces blood return which causes BP to drop - Correct Ans-supine hypotension syndrome Supine hypotensive syndrome symptoms - Correct Ans-faint dizzy fetal bradycardia Supine hypotensive syndrome prevention - Correct Ans-do not lay on back; lay on side How does increased progesterone an estrogen during pregnancy affect the respiratory system - Correct Ans--progesterone relaxes smooth muscle (increased chest expansion) -estrogen leads to increased vascularity & congestion Effects of increased progesterone on the GI system - Correct Ans--constipation -slower emptying -reflux -pyrosis (heartburn) -increased risk of gallstones Ways to prevent N/V during pregnancy - Correct Ans-dry crackers NUR 606 NUR 606 small, frequent meals ginger all Salty or tart foods Urinary frequency during pregnancy is caused by ___ - Correct Ans-pressure of the baby on the bladder Progesterone and increased GFR makes pregnant women more prone to ____ - Correct Ans-UTIs ("spilling" of glucose in urine) Hyperpigmentation is common during pregnancy, especially around ____ and ___ - Correct Ans-breasts (areola); face Blotchy, brownish hyperpigmentation of the skin over the cheeks, nose, and forehead - Correct Ans-melasma (chloasma, mask of pregnancy) changes to connective tissue of the integumentary system can result in ____ - Correct Ans-striae gravidarum Cutaneous vascular changes of the integumentary system can result in ____ and sometimes ____ - Correct Ans-spider veins; palmar erythema Pigmented line extending from the symphysis pubis to the top of the fundus in the midline caused by increased estrogen, progesterone & melanocyte - Correct Ans-linea nigra Hyperpigmentation during pregnancy is caused by an increase of which 3 hormones - Correct Ans-estrogen progesterone melanocyte Musculoskeletal system change that begins around week 10-12 - Correct Ans-joint softening (especially around pelvic region) Swayback posture that occurs as center of gravity shifts forward - Correct Ans-lordosis Ways to relieve pain caused by lordosis - Correct Ans-cat arch pelvic tilt (lie on back, press back to ground) exercise (swim) rest Hormone that causes the relaxation of pelvic joints; can cause a pregnancy waddle - Correct Ans-relaxin Hormone responsible for insulin resistance in second trimester - Correct Ans-hCS NUR 606 NUR 606 Maternal glucose ____ cross the placenta Maternal insulin _____ cross the placenta - Correct Ans-does; Does not (baby produces own insulin @14 wks) 2 hormones that decrease maternal sensitivity to insulin and cause increased circulating glucose - Correct Ans-hCS (hPL) cortisol How does pregnancy affect immune system? - Correct Ans-decreased resistance to disease Ways to relieve heartburn during pregnancy - Correct Ans-small frequent mea