EXAM 3 SIMMONS Nurp 531 Questions
and Correct Answers | Latest Update
Cardiovascular adaptations to pregnancy
Increased cardiac output
Increased stroke volume
Increased heart rate
Increased blood volume
Decreased systemic vascular resistance
Increased blood flow to uterus
Increased ventricular muscle mass
Heart is displaced upward, forward, and to the left
Systolic murmur audible
Blood volume increases 30-50%
BP--
Decreases slightly in 2nd trimester and then gradually returns in 3rd trimester
May decrease in left lateral position
Hematology adaptations in pregnancy
Hgb drop to 9.7-15
Hct drop 28-40%
Coagulability --
Hyper coagulable during pregnancy due to increased clotting factors and decrease
fibrinolysis
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Renal changes in pregnancy
Kidney size increases
GFR, renal plasma flow, Cr Cl increases
Some normal glycosuria and proteinuria may occur
Ureters, urethra, and bladder dilate
Decreased bladder capacity and increase urine production
Increase risk of UTI due to urinary stasis
GI changes in pregnancy
Gingival edema and bleeding gums
Lower esophageal sphincter tone can cause reflux
Nausea and vomiting
Constipation
Metabolic adaptations in pregnancy
Increased protein content
Increased fat deposits
Increased blood lipids
Increase salt accumulation
Increased water retention
Increased body weight
Respiratory adaptations in pregnancy
Increased tidal volume
Increased VO2
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Impaired ventilation (rise in diaphragm)
Musculoskeletal adaptations
Shift in center of gravity
Increased joint laxity
Increased risk of strains and sprains
Gradual increase in lordosis
Separation of rectus abdominis due to pressure from an enlarged uterus
Integumentary changes in pregnancy
Estrogen and progesterone together with melan ocytes stimulating hormone
induce melanocytes to deposit pigments in the skin
Striae gravidum -- stretch marks
Mask of chloasma -- irregular brown blotches and pigmentation on the cheeks or forehead
Endocrine adaptations in pregnancy
Increased LH
Increased HCG
Increased human placental lactogen
Increases estrogen
Increased progesterone
Emotional adaptations in pregnancy
Increased mood fluctuations
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Increased emotional lability
Increased instability
Estrogen during pregnancy
Prepares breasts for lactation
Promotes growth of the uterus and glandular breast tissue
Increase uterine blood flow
Increased insulin like growth factors
Stimulates growth of uterine muscle mass
Enhances myometrial contractility
Increased sensitivity to oxytocin
Progesterone in pregnancy
Mediates immune system function in pregnancy and prevents rejection of the
trophoblast by placenta as foreign antigens
Inhibits production of prostaglandins in uterus prevents myometrial contractions
Withdrawal of progestin at term leads to uterine contractions and onset of labor
Placenta
-Transports substances between mother and fetal circulation and acts as a
respiratory organ for gas exchange
-Metabolizes and synthesizes agents necessary for sustaining pregnancy
-Provides immunologic barrier between maternal and fetal systems
-Functions as major endocrine gland
Hormones produced by placenta --
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