Ob (Physiology Of Pregnancy) Exam1 2009

Front 1

What is the purpose of HCG?

Back 1

it maintains the corpus luteum and keeps it functioning until the placenta can take over.

Front 2

What does a fetus need in order to have normal brain development?

Back 2

glucose

Front 3

What does HPL do?

Back 3

promotes lipolysis in mom

protects fetal glucose supply

affects protein metabolism to provide fetus with amino acids

antagonist against insulin

Front 4

What is the main purpose of progesterone?

Back 4

to maintain the pregnancy

Front 5

What does progesterone do in the body during pregnancy?

Back 5

inhibits the contractility of smooth muscles (relaxes the uterine muscles)
helps your BP to remain normal
increases aldosterone, alveolar development in breasts, inhibits prolactin, decr. sensitivity to oxytocin,causes respiratory center to reduce the Pco2 level

Front 6

When progesterone inhibits the contractility of the uterine myometrium what is it doing?

Back 6

promoting labor

Front 7

What are two very common renal problems in pregnant women?

Back 7

UTI's and pyelonephitis

Front 8

What is the #1 cause of pregnancy related deaths and what is it a result of?

Back 8

pulmonary embolisms because the estrogen in the body increases clotting factors

Front 9

What does estrogen do?

Back 9

enlarges the uterus, incr. uterine blood supply, produces breast development, relaxes pelvic joints, ripens the cervix,promotes Na and water retention

Front 10

How does estrogen effect the blood supply?

Back 10

decr. plasma proteins
increases clotting factors
leukocytosis

Front 11

Why should a pregnant women avoid lying flat on her back during the 2nd and 3rd trimester?

Back 11

because they put pressure on the inferior vena cava thus impeding the blood flow to the heart (vena cava syndrome)

Front 12

What is the typical change pattern of the uterus once pregnancy occurs?

Back 12

softens and enlarges
out of the pelvis at 12 weeks
at umbilicus -20 weeks
grows about 1cm/wk thereafter

Front 13

How does the capacity of the uterus change?

Back 13

from 10ml to 4.5-5 liters

Front 14

What should any cervical secretions look like?

Back 14

white or yellowish, no odor

Front 15

What is the purpose of the mucus plug?

Back 15

protects fetus from outside contaminants

Front 16

What is the precursor of breast milk?

Back 16

colostrum

Front 17

In relation to cardiac output, what is the best and worse position for a pregnant women to be in?

Back 17

best: on all fours
worst: standing up

Front 18

Which side is it better for the mother to lay on, left or right?

Back 18

left side is better

Front 19

How much does cardiac output incr. during pregnancy?

Back 19

40%

Front 20

What is considered a danger sign in regards to edema in pregnant women and why?

Back 20

if the edema is in the face because this is a sign of high BP

Front 21

What causes nausea and vomiting during the first trimester?

Back 21

HCG and estrogen

Front 22

If your pt. complains of a headache, what should you recommend that she take and what other problem might you suspect?

Back 22

tylenol
check for incr. BP, ask about any other symptoms (edema,spots in vision)

Front 23

What is chloasma?

Back 23

mask of pregnancy - pigment in the face

Front 24

What does gravida refer to?

Back 24

the number of pregnancy a women has had

Front 25

What does para or parity refer to?

Back 25

the pregnancies carried past 20 weeks

Front 26

What does primigravida mean?

Back 26

a woman pregnant with her first child less than 20 wks

Front 27

What does primipara mean?

Back 27

a woman pregnant with her first child past 20 weeks

Front 28

What does multipara mean?

Back 28

a women who has carried at least one pregnancy past 20 weeks

Front 29

What are the three positive signs of pregnancy? (confirms pregnancy)

Back 29

FHT (fetal heart tones), fetal movement and ultrasound

Front 30

At what age is the mother considered to be at an advanced maternal age?

Back 30

35 and older

Front 31

What is considered the normal age range for pregnancy?

Back 31

over 15 and less than 35 years of age

Front 32

What should you tell your pregnant pt if she has hypertension and taking diuretics?

Back 32

discontinue the diuretics

Front 33

What should you tell your pt in regards to OTC meds?

Back 33

get all of them approved by the HCP before taking.

Front 34

What vaccines would you recommend your pregnant pt. to get?

Back 34

No LIVE vaccines but the flu vaccine is recommended

Front 35

What is Naegele's rule?

Back 35

take the 1ST day of the last menstrual cycle, go back 3 months and add 7 days

gives you the EDD +/- 2 weeks

Front 36

When can you usually her the FHT (fetal heart tone)?

Back 36

between 10-12 weeks on average

Front 37

What is considered an excessive weight gain for a pregnant women?

Back 37

2lbs/wk or 6lbs/month

Front 38

When do you begin for feel fetal movement during a first time pregnancy? 2nd or more pregnancies?

Back 38

1st preg: at approx. 18-22 weeks
2+ preg: approx. 16-20 weeks

Front 39

Unless the baby is sleeping, how many times should the baby move per hour?

Back 39

6

Front 40

At what point should the baby be head down?

Back 40

36 weeks

Front 41

What is a good sign that a pregnant woman isn't eating enough?

Back 41

ketones in the urine

Front 42

What is the visit schedule for a pregnant woman?

Back 42

q4 weeks til 28weeks
q2 weeks til 36 weeks
weekly til term

Front 43

How long is considered a "term" pregnancy?

Back 43

38-42 weeks

Front 44

How many extra calories a day does an expectant mother need?

Back 44

300