ACOG Questions with Correct Answers 100%
Solved
What changes in maternal blood volume (plasma vs RBC) more plasma increase vs RBC
Peripartum CM idopathic, presents w/ HF secondary to LV systolic function towards the
end of pregnancy or following delivery
sx: fatigue, SOB, palpitations, edema
What does the increased min ventilation during pregnancy cause? compensated resp
alkalosis
What 3 things increase during pregnancy? (resp wise) inspiratory capacity
tidal volume
inspiratory reserve volume
What happens to tidal volume during pregnancy? increases
,What happens to FRC in pregnancy? reduced to 80% pre-pregnancy values
Pulmonary edema in pregnancy plasma osmolality is decreased which increases
susceptibility
can be caused by cardiac disease, preeclampsia, fluid overload, tocolytic use
SVR in pregnancy decreased
What happens to CO during pregnancy increases by about 33%
due to increases in both HR and SV
dilation of ureter in pregnancy R>L (cushioning of sigmoid colon to L ureter) from
compression
What happens to TBG in pregnancy? increased due to circulating estrogens
How much weight should someone <18.5 BMI gain 28-40
, How much should someone w/ BMI 18.5-24.9 gain? 25-35
How much should someone BMI 25-29.9 gain? 15-25
how much should someone >30 BMI gain? 11-20
teratogenic effects of valproic acid NTD (lumbar meningomyelocele), hydrocephalus,
craniofacial abnormalities
Poorly controlled DM risks on fetus CNS (NTD) and CV mainly
GU and limb also
caudal regression is rare
When is CVS done? 10-12 weeks
Solved
What changes in maternal blood volume (plasma vs RBC) more plasma increase vs RBC
Peripartum CM idopathic, presents w/ HF secondary to LV systolic function towards the
end of pregnancy or following delivery
sx: fatigue, SOB, palpitations, edema
What does the increased min ventilation during pregnancy cause? compensated resp
alkalosis
What 3 things increase during pregnancy? (resp wise) inspiratory capacity
tidal volume
inspiratory reserve volume
What happens to tidal volume during pregnancy? increases
,What happens to FRC in pregnancy? reduced to 80% pre-pregnancy values
Pulmonary edema in pregnancy plasma osmolality is decreased which increases
susceptibility
can be caused by cardiac disease, preeclampsia, fluid overload, tocolytic use
SVR in pregnancy decreased
What happens to CO during pregnancy increases by about 33%
due to increases in both HR and SV
dilation of ureter in pregnancy R>L (cushioning of sigmoid colon to L ureter) from
compression
What happens to TBG in pregnancy? increased due to circulating estrogens
How much weight should someone <18.5 BMI gain 28-40
, How much should someone w/ BMI 18.5-24.9 gain? 25-35
How much should someone BMI 25-29.9 gain? 15-25
how much should someone >30 BMI gain? 11-20
teratogenic effects of valproic acid NTD (lumbar meningomyelocele), hydrocephalus,
craniofacial abnormalities
Poorly controlled DM risks on fetus CNS (NTD) and CV mainly
GU and limb also
caudal regression is rare
When is CVS done? 10-12 weeks
