final 1

Question 1

goodell sign

Answer 1

softening of uterus

Question 2

chadwick sign

Answer 2

bluish coloration of cervix

Question 3

corpus luteum

Answer 3

produces progesterone, relaxin, and estrogen until placenta takes over

Question 4

montgomery’s follicules

Answer 4

sebaceous glands that enlarge w preg

Question 5

resp sys changes in preg-4

Answer 5

1. vol increase 30-40%
2. progesterone decrease airway resistance
3. breathing changes from abdominal to thoracic
4. nasal stuffiness and epistaxis

Question 6

cardiovascular changes in pregnancy-4

Answer 6

1. vol increase 40-50%
2. pulse increase 10-15
3. BP down in 2T and up in 3T
4. PT and PTT increase-> venous thrombosus

Question 7

supine hypotensive syndrome

Answer 7

compression of vena cava causes hypotension

*left side lie, pillow under rt hip

Question 8

physiological anemia of pregnancy

Answer 8

RBC increase 30% w iron 18% but plasma 50%

*27mg iron day

Question 9

GI change in preg-3

Answer 9

1. N/V from high chorionic gonadotropin levels and change carb metab
2. progesterone delays gastric empty and decrease peristalsis
3. increase heartburn and gallstone formation

Question 10

ptyalism

Answer 10

excessive salivation

Question 11

cholasma/ melasma gravidarum

Answer 11

mask of preg

Question 12

diastasis recti

Answer 12

rectus abdominal muscles seperate

Question 13

normal wt gain

Answer 13

0.5-2 kg (1.1-4.4lb) 1T, then ave 1 lb/wk

total- 25-35lb

Question 14

post pit gland

Answer 14

oxytocin- contractions and milk ejection

Question 15

hCG

Answer 15

secreted by trophblast

Question 16

progesterone

Answer 16

• greatest role in maintain preg

- inhibits spontaneous ut contraction

Question 17

presumptive changes in preg-6

Answer 17

1. amenorrhea
2. N/V
3. fatigue
4. urine freq
5. breast changes
6. quickening

Question 18

objective changes in preg-7

Answer 18

1. goodell/ hegar/ mcdonald/chadwick signs, fundus palpable 10-12wks
2. enlarging abdo
3. braxton-hicks
4. uterine suoffle
5. skin pig changes
6. fetal outline, ballottement
7. preg test

Question 19

hegar sign

Answer 19

soft isthmus of uterus

Question 20

preg test

Answer 20

ELISA, urine or bld 7-9 days after conception

Question 21

diagnostic (positive) changes of preg-3

Answer 21

1. fetal heartbeat- 10-12wks
2. fetal movement- 20wk
3. visualization of fetus- sac 4-5wk, heart beat 8wks

Question 22

mat developmental tasks-3

Answer 22

1. 1T-dibelief/ambivalence
2. 2T-quickening, baby seperate
3. 3T- pride, anxiety

Question 23

psychological tasks

Answer 23

1. ensure safe passage through birth
2. acceptace of child by others
3. binding in- acceptace of self as mother
4. learn to give self on behalf of child

Question 24

couvade

Answer 24

observance of certain rituals by male to signify transition to fatherhood