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NURS 455 Exam 1 Questions With Complete Solutions

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NURS 455 Exam 1 Questions With Complete Solutions

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NURS 455
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NURS 455

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NURS 455 Exam 1 Questions With Complete Solutions

_____ increases as hCG falls Correct Answers hPL

_____ increases blood supply to the cervix, causing lilac color
and softer tissue Correct Answers estrogen

_______ produces 17-alpha hydroxyprogesterone Correct
Answers corpus luteum

abnormalities of placental implantation where anchoring
placental villi attach to myometrium instead of decidua
(endometrium) Correct Answers placenta accrete

additional screening @ 36 weeks based on risk Correct Answers
1. HIV
2. Heb B
3. G/C

adrenal gland ____ in size and activity during pregnancy Correct
Answers increases

affect of estrogen on pregnancy Correct Answers 1. promotes
growth of endometrium, breasts
2. enhances myometrial activity and promotes myometrial
vasodilation
3. increases sensitivity to CO2
4. increases pituitary prolactin secretion
5. stimulates fluid retention and increases the ability of
connective tissue to retain water

,6. increases sensitivity of the uterus to progesterone (later in
pregnancy)

affect of parvovirus on newborn Correct Answers usually
unaffected

affects of adrenal activity during pregnancy Correct Answers 1.
increases cardiac output
2. decreases fasting glucose levels

affects of pituitary enlargement during pregnancy Correct
Answers 1. increased melanin/pigment
2. production of oxytocin

affects of pregnancy on bladder Correct Answers 1. tone
decreases (in response to progesterone by smooth muscle effect)
2. lax walls can lead to incomplete emptying
3. mucosa lining becomes hyperemic and edematous

affects of pregnancy on gallbladder Correct Answers 1. more
flaccid, increasing bile volume storage
2. decreased emptying rate
3. decreased water reabsorption; bile is more dilute
4. tendency to retain bile salts, can lead to gallstones
5. bile salt desposition in skin can cause itchy/irritable skin

affects of pregnancy on kidneys Correct Answers increases in
length and volume (in response to renal blood flow)

affects of pregnancy on skeleton and joints Correct Answers 1.
posture and gait change

,2. connective tissue of pelvic joints soften

affects of pregnancy on ureters Correct Answers elongate and
develop single and double curves to accommodate increased
amount of urine (d/t estrogen and progesterone)

affects of relaxin during pregnancy Correct Answers 1.
relaxes/softens elastic ligaments of pelvic bones (alows
mobilization/growth of uterus into abdomen)
2. acts with progesterone to inhibit uterine activity
3. helps egg implant into uterine wall
4. prevents contractions early in pregnancy
5. suppresses oxytocin release

affects of thyroid hormones on pregnancy Correct Answers 1.
increase in body temperature
2. stimulates appetite
3. sweating
4. fatigue
5. enlarged thyroid gland
6. n/v

affects on liver during pregnancy Correct Answers 1. displaced
d/t growing uterus
2. increased glycogen/triglyceride storage
3. fall of albumin
4. increased cholesterol synthesis

amniocentesis is usually done ______ Correct Answers 15 - 22
weeks

, as uterus grows, it _____ under the pressure of the descending
colon Correct Answers rotates to the right

asymmetric lateral bulge in the uterus Correct Answers
Piskacek's sign

bleeding gums is most common when in pregnancy Correct
Answers 1st trimester

bleeding time in pregnancy ______ Correct Answers decreases
(hypercoagulable state)

blood flow _____ in pregnancy Correct Answers increases

blood vessel diameter _____ during pregnancy Correct Answers
increases

blood vessel dilation is due to ______ Correct Answers 1.
progesterone
2. nitric oxide
3. prostaglandins

BV risk during pregnancy Correct Answers pre term labor

calcium during pregnancy Correct Answers placental ca
concentrations higher to protect fetus if maternal concentration
falls

cardiac output increases from 4.5 to _____ L/min Correct
Answers 6

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