N244 WEEK 9 EXAM QUESTIONS WITH
100% ACCURATE ANSWERS
what is TORCH?
- Toxoplasmosis
- Other infections (hepatitis, syphillis, chicken pox, Parovirus B19, Zika, HIV
- Rubella
- CMV (cytomegalovirus)
- HSV (herpes simplex virus)
what are some PRESUMPTIVE signs of pregnancy?
QUENCh AF
Quickening
Urinary frequency
Enlarged/tender breasts
N/V
Changes in skin
Amenorrhea
Fatigue
what are some PROBABLE signs of pregnancy?
abdominal enlargement, uterine contractions, Positive Urine HCG (human chorionic
gonadotropin), changes in pelvic organs (bladder, constipation, pelvic tissue)
what are POSITIVE signs of pregnancy?
- FHR: doppler (present at 10-12wks)
- Fetal movement (quickening): trained person palpates about 20 weeks
- ultrasound CONFIRMS pregnancy
,what is hCS aka Human Planceta Lactogen (HPL)?
a hormone made by the placenta:
- similar to pituitary growth hormone
- stimulates mother's metabolic processes
- ensures protein, glucose, and minerals for fetus
what is progesterone?
a hormone made by the corpus luteum/placenta:
BOMPS
- Blastocyst nutrition
- Ovum transport (fertilized egg moves down fallopian tubes)
- Maintains endometrium (inner lining of uterus)
- Prevents uterine contractility
- Secretions in fallopian tubes (for transport)
- ESSENTIAL FOR PREGNANCY!
what might you give to a patient who has a Hx of miscarriages and/or thin endometrium?
supplemental progesterone
what is estrogen?
a hormone made by the corpus luteum/placenta:
- increase blood flow to uterus
- enlarges uterus, breasts, breast glandular tissue
- placental estrogens at the end of pregnancy are 30x the normal amount
until what week does the corpus luteum make estrogen and progesterone? after that week,
what organ makes those hormones?
the corpus luteum makes estrogen and progesterone until week 12; after that, the placenta makes
the estrogen and progesterone
, what is a potential factor causing the onset of postpartum depression relating to hormones?
during pregnancy, the body is producing large amounts of "feel good" hormones such as
estrogen and progesterone; production comes to a halt upon delivery which can throw off the
balance of hormone levels that the body has gotten used to during pregnancy
draw the graph of the levels of HCG, progesterone, and estrogen throughout pregnancy
note slight dip in progesterone at end of pregnancy -> progesterone prevents uterine
contraction; level dips at the end which is a factor leading to labor contractions
what are the 3 trimesters?
- 1-13weeks
- 14-26 weeks
- 27-40 weeks
what are the physiological changes to the uterus?
ENLARGEMENT
- increases in size
- doubles by 10 weeks
- hypertrophy (enlargement)
- hyperplasia (increased cells)
- Braxton Hicks ("fake contractions")
draw the lines where the uterus would be by weeks 12, 14-16, 24, 36-38, and 40
what are the physiological changes to the cervix and vagina?
- softens, lengthens,
- increased vascularity
- leukorrhea (thin milky discharge), mucus plug forms (protects from infection)
- vagina elongates and loosens
100% ACCURATE ANSWERS
what is TORCH?
- Toxoplasmosis
- Other infections (hepatitis, syphillis, chicken pox, Parovirus B19, Zika, HIV
- Rubella
- CMV (cytomegalovirus)
- HSV (herpes simplex virus)
what are some PRESUMPTIVE signs of pregnancy?
QUENCh AF
Quickening
Urinary frequency
Enlarged/tender breasts
N/V
Changes in skin
Amenorrhea
Fatigue
what are some PROBABLE signs of pregnancy?
abdominal enlargement, uterine contractions, Positive Urine HCG (human chorionic
gonadotropin), changes in pelvic organs (bladder, constipation, pelvic tissue)
what are POSITIVE signs of pregnancy?
- FHR: doppler (present at 10-12wks)
- Fetal movement (quickening): trained person palpates about 20 weeks
- ultrasound CONFIRMS pregnancy
,what is hCS aka Human Planceta Lactogen (HPL)?
a hormone made by the placenta:
- similar to pituitary growth hormone
- stimulates mother's metabolic processes
- ensures protein, glucose, and minerals for fetus
what is progesterone?
a hormone made by the corpus luteum/placenta:
BOMPS
- Blastocyst nutrition
- Ovum transport (fertilized egg moves down fallopian tubes)
- Maintains endometrium (inner lining of uterus)
- Prevents uterine contractility
- Secretions in fallopian tubes (for transport)
- ESSENTIAL FOR PREGNANCY!
what might you give to a patient who has a Hx of miscarriages and/or thin endometrium?
supplemental progesterone
what is estrogen?
a hormone made by the corpus luteum/placenta:
- increase blood flow to uterus
- enlarges uterus, breasts, breast glandular tissue
- placental estrogens at the end of pregnancy are 30x the normal amount
until what week does the corpus luteum make estrogen and progesterone? after that week,
what organ makes those hormones?
the corpus luteum makes estrogen and progesterone until week 12; after that, the placenta makes
the estrogen and progesterone
, what is a potential factor causing the onset of postpartum depression relating to hormones?
during pregnancy, the body is producing large amounts of "feel good" hormones such as
estrogen and progesterone; production comes to a halt upon delivery which can throw off the
balance of hormone levels that the body has gotten used to during pregnancy
draw the graph of the levels of HCG, progesterone, and estrogen throughout pregnancy
note slight dip in progesterone at end of pregnancy -> progesterone prevents uterine
contraction; level dips at the end which is a factor leading to labor contractions
what are the 3 trimesters?
- 1-13weeks
- 14-26 weeks
- 27-40 weeks
what are the physiological changes to the uterus?
ENLARGEMENT
- increases in size
- doubles by 10 weeks
- hypertrophy (enlargement)
- hyperplasia (increased cells)
- Braxton Hicks ("fake contractions")
draw the lines where the uterus would be by weeks 12, 14-16, 24, 36-38, and 40
what are the physiological changes to the cervix and vagina?
- softens, lengthens,
- increased vascularity
- leukorrhea (thin milky discharge), mucus plug forms (protects from infection)
- vagina elongates and loosens
