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Simmons NURP 531 Exam 3 | Latest Update Questions & Correct Answers PDF

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Institution
Nursing.
Course
Nursing.











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Institution
Nursing.
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Uploaded on
December 10, 2025
Number of pages
97
Written in
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Best Grades | Must Pass | Latest Update | Correct Answers | 2024/ 2025


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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