Maternal Physiologic Adaptations Providence Clinical Academy 2016.06

Trivia!

Please select a Team. Team 1 Team 2 Team 3 Team 4 Team 5

Trivia Scores 200 400 600 800 1000 Hormones & Metabolic Reproductive Hormones & Metabolic CV & Respiratory GI & Renal Physical Changes 200 400 600 800 1000 Scores

The amount of blood flow to the uterus is ___% of maternal CO Reproductive 200 Points The amount of blood flow to the uterus is ___% of maternal CO

The amount of blood flow to the uterus is ___% of maternal CO What is 5 % What is 10 % What is 40 % What is 20 % Category Selection

The placenta is fully functioning at ___ weeks gestation Reproductive 400 Points The placenta is fully functioning at ___ weeks gestation

The placenta is fully functioning at ___ weeks gestation What is 16 weeks What is 12 weeks What is 6 weeks What is 3 weeks Category Selection

Reproductive 600 Points The ___ facilitates transportation of fuel sources, gases, and waste products

Yolk sac Fetal kidneys Placenta Uterus The ___ facilitates transportation of fuel sources, gases, and waste products Yolk sac Fetal kidneys Placenta Uterus Category Selection

This prevents bacteria from entering the uterus Reproductive 800 Points This prevents bacteria from entering the uterus

Answer Vagina Labia Antibiotics Mucous plug Category Selection

Amniotic fluid is composed of these things Reproductive 1000 Points Amniotic fluid is composed of these things

Amniotic fluid is composed of these things Electrolytes, glucose, hormones, & fetal cells Water, electrolytes, & fetal cells Kool-aid Fetal urine Category Selection

Hormones & Metabolic 200 Points A normal finding during pregnancy is

A normal finding during pregnancy is Glycosuria Hematuria Proteinuria Weight loss Category Selection

Hormones & Metabolic 400 Points A metabolic change characteristic of late pregnancy is decreased

A metabolic change characteristic of late pregnancy is decreased Blood free fatty acids Insulin sensitivity Serum Glucose level after meals Glucosuria Category Selection

Daily Double

What percentage of your current points would you like to wager on the next question? 100%

Hormones & Metabolic Daily Double Metabolic changes are characterized by ___ during the first half of pregnancy and ___ during the second half

Increased serum glucose; Decreased serum glucose Anabolism; Catabolism Metabolic changes are characterized by ___ during the first half of pregnancy and ___ during the second half Increased serum glucose; Decreased serum glucose Anabolism; Catabolism PaO2 decreases; PaCO2 increases Weight gain; Weight loss Category Selection

Hormones & Metabolic 800 Points These hormones are critical for fetal brain development, neurogenesis, and organization

These hormones are critical for fetal brain development, neurogenesis, and organization Glucose Insulin Thyroid Reproductive Category Selection

Hormones & Metabolic 1000 Points Oxytocin is produced in this gland

Oxytocin is produced in this gland Thyroid Posterior pituitary Anterior pituitary Parathyroid Category Selection

CV & Respiratory 200 Points The percentage of increase in blood volume during pregnancy

The percentage of increase in blood volume during pregnancy 5-10% 10-30% 30-40% 30-50% Category Selection

CV & Respiratory 400 Points Cardiac output is greatest during this period of the birth process.

Cardiac output is greatest during this period of the birth process. Immediately after birth At birth 1st stage – active phase 2nd stage Category Selection

CV & Respiratory 600 Points This is a physical finding that may occur during pregnancy in response to normal CV changes

Decreased HR Dependent edema Elevated BP Flushing This is a physical finding that may occur during pregnancy in response to normal CV changes Decreased HR Dependent edema Elevated BP Flushing Category Selection

CV & Respiratory 800 Points This reflects changes to PaO2 and PaCO2 during pregnancy.

This reflects changes to PaO2 and PaCO2 during pregnancy. Both increase Both decrease PaO2 increases; PaCO2 decreases PaCO2 increases; PaO2 decreases Category Selection

CV & Respiratory 1000 Points This is the only increasing change in lung volume during pregnancy

This is the only increasing change in lung volume during pregnancy Expiratory reserve volume (ERV) Residual volume (RV) Functional residual capacity (FRC) Tidal volume (VT) Category Selection

This leads to an increased incidence of gastric reflux in pregnancy GI & Renal 200 Points This leads to an increased incidence of gastric reflux in pregnancy

This leads to an increased incidence of gastric reflux in pregnancy Increased smooth muscle tone Relaxation of the lower esophageal sphincter Decreased progesterone Increased gastric motility Category Selection

This is a product of increase renal perfusion and GFR GI & Renal 400 Points This is a product of increase renal perfusion and GFR

This is a product of increase renal perfusion and GFR Glycosuria Hematuria Leukorrhea Nocturia Category Selection

GI & Renal 600 Points This is the average recommended weight gain for normal BMI pre-pregnancy

This is the average recommended weight gain for normal BMI pre-pregnancy 5-10 lbs 10-15 lbs 25-35 lbs 35-45 lbs Category Selection

Normal protein urine dip results for pregnancy GI & Renal 800 Points Normal protein urine dip results for pregnancy 43

Normal protein urine dip results for pregnancy Trace 1+ 2+ 3+ Category Selection

GI & Renal 1000 Points This is a commonly reported GI symptom of pregnancy related to decreased gastric motility 45

Hyperemesis gravidarum Diarrhea Round ligament pain Constipation This is a commonly reported GI symptom of pregnancy related to decreased gastric motility Hyperemesis gravidarum Diarrhea Round ligament pain Constipation Category Selection

Physical Changes 200 Points This may be a reason why the uterus is measuring greater than gestational age 47

Small for gestational age This may be a reason why the uterus is measuring greater than gestational age Oligohydramnios Multiple pregnancy Maternal habitus Small for gestational age Category Selection

Physical Changes 400 Points This is a common benign skin variation associated with pregnancy 49

This is a common benign skin variation associated with pregnancy Melasma PUPPPS Eczema Petechiae Category Selection

Physical Changes 600 Points This a common change in breasts during pregnancy

This a common change in breasts during pregnancy Nipple inversion Hard, non-tender lump Darkening of the areola Decrease in size Category Selection

Daily Double

What percentage of your current points would you like to wager on the next question? 100%

Physical Changes Daily Double The bluish tinge to the cervix that occurs during pregnancy

The bluish tinge to the cervix that occurs during pregnancy Nagal’s sign Braxton-Hick’s sign Lambda’s sign Chadwick’s sign Category Selection

Physical Changes 1000 Points A commonly reported neurological symptom related to physical changes in the gravid uterus

Paresthesias in the lower extremities Headaches A commonly reported neurological symptom related to physical changes in the gravid uterus Dizziness Paresthesias in the lower extremities Headaches Paresthesias in the upper extremities Category Selection

Team Scores 600 Team 1 500 Team 2 400 Team 3 Back To Category Board